Adolescent Reproductive Health Issues and Sexual Behaviors in Coastal Communities: A Case of Biriwa, Ghana
PDF

Keywords

Adolescent
Sexual Behaviour
Sex
Reproductive Health

Abstract

Abstract

Adolescence is a vital stage of human development because it is characterized by physical, mental, emotional, and psychological changes and sexual experimentation as an individual transitions from childhood to adulthood. This study investigated adolescent reproductive health issues and sexual behaviors in Biriwa, Ghana. The study draws on the health belief model and social learning theory components to analyze the motivations and responses toward reproductive health issues. The study employed a descriptive survey design, and a questionnaire was used to gather data from 200 adolescents. The study discovered the prevalence of unhealthy premarital sexual intercourse and consequent abortion of pregnancies. Peer pressure and lack of financial support from parents or guardians were the main factors that motivated adolescents to engage in unhealthy premarital sex. Therefore, it is recommended that the health center provide regular reproductive health education for adolescents in the community.

Keywords: Adolescent, Sexual Behaviour, Sex, Reproductive Health 

Abstrak

Masa remaja merupakan tahap vital perkembangan manusia karena ditandai dengan perubahan fisik, mental, emosional, dan psikologis serta eksperimentasi seksual sebagai transisi individu dari masa kanak-kanak menuju dewasa. Penelitian ini menyelidiki masalah kesehatan reproduksi remaja dan perilaku seksual di Biriwa, Ghana. Studi ini mengacu pada komponen model keyakinan kesehatan dan teori pembelajaran sosial untuk menganalisis motivasi dan tanggapan terhadap masalah kesehatan reproduksi. Penelitian ini menggunakan desain survei deskriptif, dan kuesioner digunakan untuk mengumpulkan data dari 200 remaja. Studi ini menemukan prevalensi hubungan seksual pranikah yang tidak sehat dan aborsi kehamilan. Tekanan teman sebaya dan kurangnya dukungan finansial dari orang tua atau wali menjadi faktor utama yang memotivasi remaja untuk melakukan hubungan seks pranikah yang tidak sehat. Oleh karena itu, disarankan agar Puskesmas memberikan pendidikan kesehatan reproduksi secara berkala kepada remaja di masyarakat.

Kata Kunci: Remaja, Perilaku Seksual, Jenis Kelamin, Kesehatan Reproduksi

https://doi.org/10.22146/jsds.4299
PDF

References

Afenyadu, D., & Goparaju, L. (2003). Adolescent sexual and reproductive health behaviour in Dodowa. Ghana, Washington, USAID/CEDPA.
Awusabo-Asare, K., Abane, A. M., & Kumi-Kyereme, A. (2004). Adolescent sexual and reproductive health in Ghana: A synthesis of research evidence. New York: Alan Guttmacher Institute.
Bernard, H. R., & Bernard, H. R. (2013). Social research methods: Qualitative and quantitative approaches. Sage.
Crissman, H. P., Adanu, R. M., & Harlow, S. D. (2012). Women’s sexual empowerment and contraceptive use in Ghana. Studies in family planning, 43(3), 201-212.
Crossman, A. (2020). What You Need to Understand About Purposive Sampling. ThoughtCo.
Efevbera, Y., Haj-Ahemd, J., Lai, J., Haomsworth, G., Levey. M., Sirivansanti, N. & Petroni, S. (2000). Multisectoral Programming for Adolescent Health and Well-being in Sub-Sharan Africa – Insights From a Symposium Hosted by UNICEF and the Bill & Melinda Gates Foundation. Journal of Adolescent Health, 67(1), 24-25.
Erulkar, A. S., Onoka, C. J., & Phiri, A. (2005). What is youth-friendly? Adolescents' preferences for reproductive health services in Kenya and Zimbabwe. African journal of reproductive health, 51-58.
Esantsi, S. F., Onyango, F., Asare, G. Q., Kuffour, E., Tapsoba, P., Birungi, H., & Askew, I. (2015). Understanding the reproductive health needs of adolescents in selected slums in Ghana: a public health assessment.
Esere, M. O. (2008). Effect of Sex Education Programme on at-risk sexual behaviour of school-going adolescents in Ilorin, Nigeria. African Health Sciences, 8(2).
Fraenkel, J. R., Wallen, N. E., & Hyun, H. H. (2012). How to design and evaluate research in education.
Gubhaju, B. B. (2002). Adolescent reproductive health in Asia. Asia Pacific population journal, 17(4), 97-119.
Kabiru, C. W., Izugbara, C. O., & Beguy, D. (2013). The health and wellbeing of young people in sub-Saharan Africa: an under-researched area?. BMC international health and human rights, 13(1), 1-7.
Kothari, C. R. (2004). Research methodology: Methods and techniques. New Age International.
Kyilleh, J. M., Tabong, P. T. N., & Konlaan, B. B. (2018). Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC international health and human rights, 18(1), 1-12.
Liang, M., Simelane, S., Fillo, G. F., Chalasani, S., Weny, K., Canelos, P. S., ... & Snow, R. (2019). The state of adolescent sexual and reproductive health. Journal of Adolescent Health, 65(6), S3-S15.
Maxwell, K. A. (2002). Friends: The role of peer influence across adolescent risk behaviors. Journal of Youth and adolescence, 31(4), 267-277.
Mfantseman District Ghana Health Service Report 2007 – 2008.
Ochen, A. M., Chi, P. C., & Lawoko, S. (2019). Predictors of teenage pregnancy among girls aged 13–19 years in Uganda: a community-based case-control study. BMC pregnancy and childbirth, 19(1), 1-14.
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., ... & Viner, R. M. (2016). Our future: a Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423-2478.
Podhisita, C., Wawer, M. J., Pramualratana, A., Kanungsukkasem, U., & McNamara, R. (1996). Multiple sexual partners and condom use among long-distance truck drivers in Thailand. AIDS Education and Prevention: official publication of the International Society for AIDS Education, 8(6), 490-498.
Tweedie, I., & Witte, K. (2000). Ghana youth reproductive health survey report. Accra, Ghana: Ghana social marketing foundation.
UNICEF (2019). Adolescent Health and Well-being. Retrieved https//www.unicef….
United Nations (1994). Programme of Action adopted at the International Conference on young adults in Greater Accra and Eastern Regions of Ghana, Journal of Biosocial Science, 32.
United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019, Online Edition. Rev. 1.
United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019, Online Edition. Rev. 1 –demographics on UNICEF site