Relationship between childhood sexual abuse and attitudes toward premarital sexual permissiveness among middle school students in Luzhou, China

Background In recent years, the number of adolescents engaging in premarital sex has increased, and an increasing number of childhood sexual abuse (CSA) cases have been reported in China. Many studies have indicated that CSA has a well-established association with risky sexual activities. However, only a limited number of studies have explored possible reasons for this association among middle school students, a population that may engage in premarital sex, which is critical for the development of interventions to prevent risky sexual behavior. Based on random samples of middle school students from a Chinese city, this article investigated the relationship between CSA and students’ premarital sexual permissiveness (PSP). Methods In a cross-sectional study conducted between 2016 and 2017 in Luzhou, China, 2292 middle school and high school students aged 12–18 years were recruited by multistage random sampling. All students were administered anonymous questionnaires. Multiple linear regression and binary logistic regression analyses were conducted to analyze the relationship between CSA and PSP. Results The prevalence of CSA was 15.4% (354/2292; 95% CI: 14–16.9%). A higher percentage of male respondents (18.2%) than female respondents (12.9%) had experienced CSA. A positive association between CSA and PSP was found among students. Respondents who had suffered CSA exhibited greater PSP, and this relationship was observed in the male sample, female sample and the total student sample in Luzhou (β = − 3.76, P < 0.05; β = − 2.79, P < 0.05; and β = − 2.84, P < 0.05, respectively). Respondents who had suffered CSA were also more likely to express a double standard about premarital sex (odds ratio [OR] =1.41, P < 0.05), especially among male students (odds ratio [OR] =1.63, P < 0.05). Conclusions Sex differences in CSA and the relationship between CSA and PSP were significant among this large sample of middle school students in Luzhou (China). The findings suggest that experiencing CSA may be closely related to youth attitudes toward premarital sex, especially among males. Therefore, it is important to emphasize the prevention of CSA and provide adolescent reproductive health programs to reduce the impact of CSA on sexual cognition and attitude, prevent premarital sex and promote positive attitudes toward sexual equality for middle school students.

The Effect of Sex Education on Premarital Sex Among Adolescents; Literature Review

Adolescent are an age group that is vulnerable to risky behaviour, including premarital sex, because during adolescent there are various changes both physically, namely the maturation of reproductive organs, emotional changes in attitudes and behaviour as well adolescent mind-sets and social changes. Vulnerable to engage risky behaviour (premarital sex behaviour). Lack of sex education and the misconception of the concept of sex education regarding premarital sex which is misunderstood causes various negative problems is adolescent. Sex education is a preventive effort to avoid free sex to damage reproductive health and mental unpreparedness in living their days a parents. So it needs extra education so that there is no misunderstanding of the concept of sex education material. The purpose of this paper is to determine the effect of sex education on premarital sex. This literature review is sourced from the Pubmed and Google Scholar database from 2017-2021 and manually select criteria according o the inclusion and exclusion criteria using the PICOS method, which is relevant and in accordance with the title taken by the author, in this literature review the number of journals reviewed by 8 journals. The result of this literature review found that the effects of sex education on premarital sex include, the lack of knowledge about sex education causes adolescents to take premarital sexual behaviour, imperfect socialization, misunderstanding about of the concept of sex education on premarital sex, strong curiosity and some people think taboo about the concept of sex education. the conclusion in this literature review is the effect of sex education on behaviour sex, namely low knowledge, misunderstanding of the concept of sex education and imperfect socialization, not only from school but the role of the family is needed to instil sex education to reduce sexual behaviour premarital sex in adolescent.

THE KNOWLOEDGE OF THE IMPACT SEXUAL BEHAVIOURS AND ADOLESCENTS DATING BEHAVIORS IN HIGH SCHOOL SURABAYA

Background: Knowledge is one of the factors that encourage adolescents to engage in sexual behavior that deviates outside the bond of marriage through the culture of dating adolescent. According to previous research, it was reported that only a small proportion of adolescents had heard about the container or place of obtaining information and consultation regarding reproductive health. This study aims to determine the relationship of knowledge about the impact of premarital sexual behavior with dating behavior in adolescents. Methods: This research method is observational analytic with cross sectional research design. The number of samples was 56 adolescents in high school “X” Surabaya with the sampling technique using stratified random sampling. The independent variable was knowledge about the effects of premarital sexual behavior. The dependent variable was adolescent dating behavior. Results : The results showed that the level of adolescents knowledge on the impact of premarital sex behavior was included in the good category (62,5%) with while dating behavior was in the moderate category (55,4%). Spearman rank test results knowledge with dating behavior in adolescents p = 0.002 (p <0.05). Conclusion : The data showed that there was a relationship of knowledge about the impact of premarital sexual behavior with dating behavior in adolescents.

PERILAKU SEKSUAL PREMARITAL PADA REMAJA DI KOTA SEMARANG

Background: Adolescents are part of the population aged between 10-19 years in the transition to adulthood. Teenagers have a high curiosity about everything that has never been done. Based on the results of the Indonesian Demographic and Health Survey (IDHS) 2017 shows that 8% of male adolescents who have had premarital sexual intercourse, of which male adolescents aged 15-19 years are around 3.6% and aged 20-24 years are around 14.0%. . This figure continues to increase from year to year and must be treated immediately.Objective: To determine premarital sexual behavior in adolescentsMethods: This study uses a qualitative approach with a case study design to collect in-depth information about how adolescents experience and behave.Results: Based on the age of the main informants, it was found that they had premarital sexual relations at the age of 14, 15, 16 and 17 years. The main informant's sexual behavior during dating varied from kissing, hugging, touching to having sexual intercourse. After further questioning, the main informants revealed the reasons they wanted to have sexual relations with their last girlfriends because of consensual reasons and because of coercion from their boyfriends as proof of love or as an expression of love.Conclusion: Based on the results of the study, it can be concluded that premarital sexual behavior in adolescents is mostly carried out by adolescents aged 14-15 years. Sexual behavior is carried out starting from kissing, hugging, touching to having sexual intercourse.Suggestion Improving life skills in adolescents, especially in assertive skills (being assertive) so that adolescents can express themselves firmly to others without hurting others or humbling themselves in front of others. Keywords: premarital sexual, adolescent ABSTRAK Latar Belakang: Remaja adalah bagian dari penduduk yang berusia antara 10-19 tahun dalam masa peralihan menuju dewasa. Remaja mempunyai keingintahuan tinggi terhadap segala hal yang belum pernah dilakukannya. Berdasarkan hasil Survei Demografi dan Kesehatan Indonesia (SDKI) 2017 menunjukkan bahwa remaja pria yang pernah melakukan hubungan seksual pranikah sebesar 8%, di mana remaja pria umur 15-19 tahun sekitar 3,6% dan umur 20-24 tahun sekitar 14,0%. Angka ini terus meningkat dari tahun ke tahun dan harus segera mendapatkan penanganan.Tujuan: Untuk mengetahui perilaku seksual premarital pada remajaMetode: Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus untuk mengumpulkan informasi secara mendalam tentang bagaimana pengalaman dan perilaku remaja.Hasil: Berdasarkan umur dari informan utama diketahui bahwa mereka melakukan hubungan seksual premarital pada saat berusia, 14 tahun, 15 tahun, 16 tahun dan 17 tahun. Perilaku seksual informan utama saat berpacaran bermacam-macam mulai dari ciuman, pelukan, perabaan sampai melakukan hubungan seksual. Setelah ditanya lebih dalam informan utama mengungkapkan alasan mereka mau melakukan hubungan seksual dengan pacar terakhirnya dikarenakan alasan suka sama suka dan karena paksaan dari pacar sebagai pembuktian cinta atau sebagai ungkapan cinta.Simpulan: Berdasarkan dari hasil penelitian dapat disimpulkan bahwa perilaku seksual premarital pada remaja paling banyak dilakukan oleh remaja berusia 14-15 tahun. Perilaku seksual yang dilakukan mulai dari ciuman, pelukan, perabaan sampai melakukan hubungan seksual.Saran Meningkatkan kemampuan life skill pada remaja terutama pada keterampilan asertif (bersikap tegas) sehingga remaja dapat mengekpresikan diri secara tegas kepada orang lain tanpa menyakiti pihak ataupun merendahkan diri di hadapan orang lain Kata Kunci : seksual premarital, remaja

Sexual Health Knowledge and Attitude among the Sexually Abused Adolescents: A Single Centre Study

Introduction: Sexual education is an important step to prevent unwanted pregnancy, abortions and sexual transmitted diseases (STDs) in adolescent. Assessment of the sexual health knowledge and the attitude towards premarital sexual activity are essential to fill in this gap of knowledge. Objective: The objective of this study was to examine the knowledge on the sexual health and attitude towards premarital sexual activity among the sexually abused adolescent. Methods: A cross-sectional study was conducted among 88 female teenagers who were admitted to Hospital Universiti Sains Malaysia for sexual abuse. Using a self-administered validated Malay questionnaire, participants were guided to answer the question on knowledge and attitude. The attitude was categorized to a permissive and non-permissive attitude. Simple and multiple binary logistic regression were used to analyze the associated factors with the attitude. Result: The lowest percentage of correct responses included: penile discharge during ejaculation contains sperm (5.7%), pregnancy may not occur if having sexual intercourse once only (26.1%), having vaginal washing after sexual intercourse prevents pregnancies (19.3%). Forty-one (48.0%) of participants had a permissive attitude whereas forty-seven (53.4%) had a non-permissive attitude toward premarital sexual activity. Simple and multiple logistic regressions did not reveal any significant associated factors. Conclusion: The sexual health knowledge among sexually abused children was inadequate and they were at risk of permissive attitude toward premarital sexual activity. We could not identify any factors related to the permissive attitude in our study.

Description of Resilience in Post-Married Adolescent Adolescent in Sidoarjo

Premarital sexual relations experienced by young women can have a negative psychological impact. To deal with these conditions, it takes skills to restore mental conditions to normal, such as having not been exposed to a problem called resilience. This study aims to determine the description of resilience and the factors that influence resilience in adolescents who have had premarital sex. This study uses a qualitative method with a phenomenological type, using 1 female subject aged between 13 – 23 years who lives in the city of Sidoarjo. Determination of subjects using a non-random sampling technique with purposive sampling strategy, data collection methods in the form of interviews with one primary subject, 2 significant others, and rating scale. The results showed that there was a picture of resilience in adolescent girls who had experienced adversity due to premarital sex. The most dominant aspect is insight, and the aspect that does not appear is humor. As well as showing the factors that influence resilience in adolescent girls in the form of I Have, I Am, I Can.

The Effect of Reproductive Health Education on Knowledge and Attitudes of Adolescent About Premarital Sex in Private Vocational School Surabaya

Introduction: Adolescence is a period of storms and stress; health problems that occur in adolescents are related to risky behavior, namely smoking, drinking alcohol, abuse of illegal drugs and having premarital sexual relations. The research objective was to determine the effect of reproductive health education on adolescent knowledge and attitudes about premarital sex.Methods: The research design used a quasi-experimental. The study population totalled 356 students. The sampling technique uses non-probability sampling: purposive sampling. A sample size of 188 respondents was obtained—reproductive health education implemented by video and leaflet. Data analysis used the Wilcoxon and Mann Whitney tests with a significant level of 0.05.Results: The results showed that in the video group, the knowledge level was p=0.000, and the attitude was p=0.000. The leaflet group showed a level of knowledge of p=0.000 and an attitude of p=0.000. The difference between the two groups was tested by using the Mann Whitney test. It was found that there was no difference in the effect of the video and leaflet methods on knowledge of p=0.219 and attitudes of p=0.469.Conclusion: Leaflets are effective for health education because they can be read individually and contain topics about premarital sex, which are more personal. The school must provide integrated sexual education with formal lessons that use many methods to increase students’ knowledge.

Pengenalan Bahan Makanan Berkualitas Pada Ibu Hamil Kek Di Puskesmas Simpang Tiga Kota Pekanbaru Tahun 2020: Bahan Makanan Berkualitas

The transition period from childhood to adulthood often causes teenagers to experience problems. This period occurs between the ages of 10 to 19 years and is not married. The Indonesian Society of Dermatology and Venereology (INSDV) report the number of sexually transmitted diseases (STDs) for adolescents in Indonesia was increased from 2017. The exposure of adolescents to STDs can be triggered by juvenile delinquency such as premarital sexual relations, drugs, free sex which has an impact on pregnancy out of marriage, dropping out of school, early marriage, abortion, risk of childbirth, STDs. Efforts to anticipate juvenile delinquency are through the establishment of the Youth Integrated Service Post (YISP). It is part of the CAE program (Children, Adolescents and Elderly), as the flagship program of the Ministry of Health, and implemented at the Surabaya City Health Office. This program puts forward a preventive approach because it focuses on primary health care activities holistically. This program is the collaboration with the Benowo Public Health Center (PHC), Surabaya City Government, which aims to foster YISP through health education to solve problems during puberty. This activity was attended by 24 youth assisted by the Benowo PHC. Health education activities were provided through a combination lecture method with the visual education method (documentary video screening), and at the end of the activity, the evaluation of adolescent knowledge was carried out. The results of community service activities showed that the adolescents have increased knowledge about how to deal with problems at puberty, and the best score of 90. Similar coaching activities can be used as preventive measures carried out on an ongoing basis and can be developed towards regular health screenings specifically STDs for teenagers. ABSTRAK Kekurangan Energi Kronik (KEK) merupakan kondisi yang disebabkan karena adanya ketidakseimbangan asupan gizi antara energi dan protein, sehingga zat gizi yang dibutuhkan tubuh tidak tercukupi. Ibu hamil yang menderita KEK mempunyai resiko kematian ibu mendadak pada masa perinatal atau resiko melahirkan bayi dengan berat badan lahir rendah (BBLR). Gizi pada kehamilan sangat penting karena merupakan masa puncak perhatian mengenai pentingnya gizi dalam menurunkan jumlah angka bayi prematur, mortalitas bayi, dan kematian ibu. Berdasarkan wawancara pada beberapa ibu hamil, sebagian besar ibu hamil tidak mengetahui bahan pangan yang berkualitas dan mudah dijangkau yang bisa memenuhi kebutuhan gizi pada saat kehamilan. Adapun pengabdian kepada masyarakat ini akan dilakukan dengan cara Community Relation Melalui Penyuluhan Tentang.bahan- bahan pangan yang berkualitas dan mudah terjangkau dengan tujuan kegiatan ini nantinya ibu hamil KEK dapat secara mandiri untuk memenuhi kebutuhan gizinya disamping pemenuhan gzi yang diberikan oleh Puskesmas Simpang Tiga. Hasil kegiatan menggambarkan pengetahuan dan keinginan ibu hamil untuk memenuhi kebutuhan gizinya secra mandiri sangat baik dan berkesan.

The Effect of Spiritual Guidance of Reproductive Health by Booklets on The Changes of Adolescent's sAttitudes: Dating Status In Premarital Sexual Behavior

The spiritual guidance of reproductive health and safety is oriented towards strengthening moral ​​and religious values ​​in addressing adolescent reproductive health problems with an approach on several aspects, such as preventive, curative, rehabilitative, and developmental. The booklet is a medium of guidance/learning that can attract interest and help teenagers understand the guidance material. This study aimed to determine the effect of the spiritual guidance of reproductive health care professionals by booklets on changes in adolescent attitudes towards dating status in premarital sexual behavior. A combination of qualitative and quantitative experimental research with a pre-experimental design, one group pretest-posttest, with a total sample of 26 adolescents, selected a purposive sampling technique. The spiritual guidance intervention used booklets for six meetings with 60-90 minutes each meeting within 2 months. Data were collected through pre-test and post-tests using interview sheets and Likert scale questionnaires. Data were analyzed qualitatively and statistically tests using the Wilcoxon test. The results showed that the sexual behavior of adolescents in dating was including holding hands, embracing the arms/shoulders and waist, hugging, kissing cheeks and lips, stroking the head, laying on the partner's thighs, and having sex with condoms. Then, from the statistical test, the negative ranks between the pre-test and post-test values were 0. Meanwhile, the positive ranks between the pre-test and post-test values indicated that 24 respondents with a positive value and a mean rank value of 13.00, and 2 respondents with a pre-post value remain the same. The Wilcoxon test shows the p-value (sig) 0.000 <0.05. Thus, the spiritual guidance of reproductive health care professionals using booklets significantly affected changes in adolescent attitudes towards dating status in premarital sexual behavior.