Abstract
Background:
Complex factors influence adolescents’ attitudes. Secondary sexual development and emotional changes are markers of puberty and affect attitudes toward reproductive health (RH). This is especially evident in the society and culture of Indonesia. This study examined the presence of immaturity at puberty and factors associated with negative attitudes toward RH among Indonesian adolescents.
Methods:
We conducted a cross-sectional study with 1040 students (aged 11–16 years) selected using multistage random cluster sampling. Data were collected using a self-administered questionnaire that included the illustrative questionnaire for interview surveys with young people and the pubertal development scale (PDS), modified in accordance with the Indonesian context. Data analysis used descriptive and comparative statistics and logistic regression analyses.
Results:
Immature pubertal development was higher in boys [22.7%, 95% confidence interval (CI): 14.7%–30.7%] than girls (18.4%, 95% CI: 11%–25.7%). However, negative attitudes were higher in girls (40.6%, 95% CI: 34.3%–46.8%) than boys (37.1%, 95% CI: 29.9%–44.7%). Factors associated with negative attitudes toward RH in both boys and girls were age, RH communication with parents, and pubertal development. Smoking was an additional factor in boys, whereas living in an urban area was an additional factor in girls. High knowledge about RH was associated with less negative attitudes toward RH in both boys and girls.
Conclusion:
Immaturity and factors that influence negative attitudes toward RH should be explored during puberty. Improving knowledge about RH may help to prevent negative attitudes toward RH, especially for girls in urban areas and boys with smoking habits.
Acknowledgments
The author would like to thank Division of Health Sciences, Graduate of Medical, Pharmaceutical and Health Sciences, Kanazawa University of Japan as doctoral course study, School of Nursing, University of Jember, Ministry of Research, Technology, and Higher Education, Directorate General of Resources for Research, Technology and Higher Education of Indonesia as funding of doctoral degree, and the National Family Planning Coordinating Board of Indonesia (BKKBN) as research funding.
Source funding: The author(s) received financial support for the research from Ministry of Research, Technology, and Higher Education, Directorate General of Resources for Research, Technology and Higher Education of Indonesia No. 124.53/E4.4/2014 for funding of the doctoral degree and the National Family Planning Coordinating Board (BKKBN) as the founder of research.
Declaration on competing interests: The authors(s) declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- Redacted reflections on the kidney from the Sumerians to Moses Maimonides: lessons for 21st-century clinicians and researchers
- Reviews
- Is vaping a gateway to smoking: a review of the longitudinal studies
- Integrated oral, mental and sexual health management for adolescents: a call for professional collaboration
- The effectiveness of adolescent-specific prenatal interventions on improving attendance and reducing harm during and after birth: a systematic review
- Original Articles
- Feasibility of a transition intervention aimed at adolescents with chronic illness
- Pattern of menarche age (normal, early and late) and its relationship with some demographic characteristics in girls and their parents
- Immaturity in puberty and negative attitudes toward reproductive health among Indonesian adolescents
- Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia
- Influence of body mass index on mindfulness awareness and coping methods for stress in adolescents
- Association between exposure to sexually explicit content in the electronic media and sexual intentions of in-school adolescents in Southwest Nigeria
- Adolescent workplace exposures reported to Texas poison centers
- Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status
- Physical and social factors associated with early adolescent headache and stomachache pain
- Who is teaching the kids to cook? Results from a nationally representative survey of secondary school students in New Zealand
- Case Report
- Listening to music from the urinary bladder! Case report of a headset in a urinary bladder
Articles in the same Issue
- Editorial
- Redacted reflections on the kidney from the Sumerians to Moses Maimonides: lessons for 21st-century clinicians and researchers
- Reviews
- Is vaping a gateway to smoking: a review of the longitudinal studies
- Integrated oral, mental and sexual health management for adolescents: a call for professional collaboration
- The effectiveness of adolescent-specific prenatal interventions on improving attendance and reducing harm during and after birth: a systematic review
- Original Articles
- Feasibility of a transition intervention aimed at adolescents with chronic illness
- Pattern of menarche age (normal, early and late) and its relationship with some demographic characteristics in girls and their parents
- Immaturity in puberty and negative attitudes toward reproductive health among Indonesian adolescents
- Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia
- Influence of body mass index on mindfulness awareness and coping methods for stress in adolescents
- Association between exposure to sexually explicit content in the electronic media and sexual intentions of in-school adolescents in Southwest Nigeria
- Adolescent workplace exposures reported to Texas poison centers
- Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status
- Physical and social factors associated with early adolescent headache and stomachache pain
- Who is teaching the kids to cook? Results from a nationally representative survey of secondary school students in New Zealand
- Case Report
- Listening to music from the urinary bladder! Case report of a headset in a urinary bladder