Pengaruh Pendidikan Kesehatan Reproduksi Berbasis Kesetaraan Gender Terhadap Efikasi Diri Seksual Remaja Putra Siswa SMP di Kota Yogyakarta
Annisa Rachmawati(1*), Wenny Artanty Nisman(2), Ika Parmawati(3)
(1) Program Studi Ilmu Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Keperawatan Anak dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Keperawatan Anak dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: Teenagers experience various changes, both physically and physiologically. Prominent changes result in the attraction of the opposite sex thus begin to feel sexual desire. Society that favored one gender increases the possibility of adolescents to develop risky sexual behavior. Reproductive health education is an intervention that can be done to reduce the sexual risk behavior in adolescents.
Objectives: This study aims to determine the effect of gender equality-based reproductive health education on sexual self-efficacy of male students.
Method: This study was a quasi-experimental study with pretest-posttest with a control group. Samples were taken by consecutive sampling technique. Respondents were 33 male adolescents who were given gender equality-based reproductive health education and 34 male adolescents with usual reproductive health education only that were conducted by the Puskesmas as a control group. Sexual self-efficacy was measured by the adolescent sexual self-efficacy questionnaire developed by researchers (r >0,1754; p= 0,745).
Results: Differences in the self-efficacy score on pretest-posttest treatment group were -3,54 ± 12,88 and the control group was 3,09 ± 13,25. The treatment group has a value of p = 0,124 and the control group p = 0,183 so that the two did not experience a significant increase. There was a significant difference between the treatment group and the control group with a value of p= 0,034 but there was a decline in self-efficacy in the treatment group. The relationship test results show that the idol correlates with the increase in the male sexual self-efficacy score.
Conclusion: Gender-based reproductive health education has no effect on increasing the male sexual self-efficacy score.
Latar belakang: Remaja mengalami berbagai perubahan, baik perubahan secara fisik maupun psikologis. Perubahan yang menonjol mengakibatkan munculnya ketertarikan terhadap lawan jenis yang memicu munculnya hasrat seksual. Budaya masyarakat yang mengunggulkan salah satu gender meningkatkan kerentanan remaja untuk melakukan perilaku seksual berisiko. Pendidikan kesehatan reproduksi merupakan salah satu upaya yang dapat dilakukan untuk mengurangi perilaku berisiko seksual pada remaja.
Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan reproduksi berbasis kesetaraan gender terhadap efikasi diri seksual remaja putra.
Metode: Penelitian ini merupakan penelitian quasi experimental with pretest-posttest dengan kelompok kontrol. Sampel diambil dengan teknik consecutive sampling. Responden adalah 33 remaja putra yang diberikan pendidikan kesehatan reproduksi berbasis kesetaraan gender dan 34 remaja putra dengan pendidikan kesehatan reproduksi yang biasa dilakukan Puskesmas sebagai kelompok kontrol. Efikasi diri seksual diukur dengan kuesioner efikasi diri seksual remaja yang dikembangkan oleh peneliti.
Hasil: Beda peningkatan skor efikasi diri pada pretest-posttest kelompok perlakuan sebesar -3,54±12,88 (p = 0,124) dan kelompok kontrol sebesar 3,09±13,25 (p = 0,183) sehingga keduanya tidak mengalami peningkatan signifikan. Terdapat perbedaan yang bermakna antara kelompok perlakuan dan kelompok kontrol dengan nilai p = 0,042 namun terjadi penurunan rerata pada kelompok perlakuan. Hasil uji hubungan menunjukkan idola berkorelasi dengan peningkatan skor efikasi diri seksual remaja putra.
Kesimpulan: Pendidikan kesehatan reproduksi berbasis kesetaraan gender tidak berpengaruh terhadap peningkatan skor efikasi diri seksual remaja putra.
Keywords
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DOI: https://doi.org/10.22146/jkkk.67967
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