Attitudes Concerning Sexual Behavior towards Risky Sexual Behavior of Sexual Transmitted Infections among Male Adolescents in Indonesia

Helda Helda, Nurul Muchlisa


There has been an increase of sexually transmitted infections (STIs) such as HIV/AIDS worldwide, especially in Indonesia. Several studies on adolescent behavior, especially the male as the main predictor, reported increased in STIs’ cases due to risky sexual behavior. This study aimed to show the relationship between attitudes, sexual behavior, and the risks of STIs among male adolescents in Indonesia based on the Indonesia Demographic and Health Survey (IDHS) data in 2017. This cross-sectional study involved 10,547 male adolescents using the total sampling method according to the inclusion and exclusion criteria. Data were analyzed using a complex sample logistic regression test. This study was found that the proportion of risky sexual behavior of STIs was10% of which 29.8% agreeable attitude male adolescents. Agreeable attitude male adolescents were found able to improve the risk of engaging in risky sexual behaviors of STIs (p-value = 0.018; prevalence odd ratio (POR) = 1.135). The male adolescents who had an agreeable attitude towards sexual behavior could improve the risk of having risky sexual behavior of STIs 1,135 times; however, the attitude variable was not necessarily a major risk factor for the risky sexual behavior of STIs. Knowledge and education were not related to the risky sexual behavior of STIs.


attitudes, Indonesia, male adolescents, risky sexual behavior, sexually transmitted infections

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 1.World Health Organization. Top 10 causes of death; 2018.

 2. Institute of Health Metrix and Evaluations. Findings from the global burden of disease study 2017. Seattle, WA: IHME. 2018.

 3. World Health Organization. Sexually transmitted infections: implementing the global STI strategy. World Health Organization. 2017; 10(12): 1–8.

 4. World Health Organization Department of Reproductive Health and Research. Report on global sexually transmitted infection surveillance,2018. Geneva: World Health Organization. 2018. p. 6-7.

 5. Newman L, Rowley J, Vander Hoorn S, Wijesooriya NS, Unemo M, Low N, et al. Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting. PLoS One. 2015; 10 (12): e0143304.

 6. Joint United Nations Programme on HIV and AIDS. UNAIDS data 2019. UNAIDS; 2019.

 7. Kementerian Kesehatan Republik Indonesia. Laporan STBP 2015;2015.

 8. Kugler KC, Vasilenko SA, Butera NM, Coffman DL. Long-term consequences of early sexual initiation on young adult health. J Early Adolesc. 2017; 37 (5): 662–76.

 9. Savolainen J, Mason WA, Hughes LA, Ebeling H, Hurtig TM, Taanila AM. Pubertal development and sexual intercourse among adolescent girls. Youth Soc. 2015; 47 (4): 520–38.

 10. Darmasih R. Faktor yang mempengaruhi perilaku seks pranikah padaremaja SMA di Surakarta. Universitas Muhammadiyah Surakarta;2019.

 11. Yip PS, Zhang H, Lam TH, Lam KF, Lee AM, Chan J, et al. Sex knowledge, attitudes, and high-risk sexual behaviors among unmarried youth in Hong Kong. BMC Public Health. 2013; 13: 691.

 12. Sah RB, Ghimire A, Parajuli P. Knowledge and attitude on sexual behaviour among school adolescents. Health Renaissance. 2012; 10 (3):224–8.

 13. Badan Kependudukan dan Keluarga Berencana Nasional. 2017 Survei demografi dan kesehatan Indonesia. SDKI; 2017.

 14. Maryatun, Purwaningsih W. Hubungan pengetahuan dan peran keluarga dengan perilaku seks pranikah pada remaja anak jalanan di Kota Surakarta. Gaster. 2012; 9 (1): 22–9.

 15. Potard C, Courtois R, Rusch E. The influence of peers on risky sexual behaviour during adolescence. European Journal of Contraception and Reproductive Health Care. 2008; 13 (3): 264–70.

 16. Thato R, Jenkins RA, Dusitsin N. Effects of the culturally-sensitive comprehensive sex education programme among Thai secondary school students. Journal of Advanced Nursing. 2008; 62 (4): 457–69.

 17. Haque MR, Soonthorndhada A. Risk perception and condom-use among thai youths: Findings from Kanchanaburi demographic surveillance system site in Thailand. Journal of Health, Population and Nutrition. 2009; 27 (6): 772–83.

 18. Widman L, Choukas-Bradley S, Helms SW, Prinstein MJ. Adolescent susceptibility to peer influence in sexual situations. Journal of Adolescent Health. 2016; 58 (3): 323–9.

 19. Joint United Nations Programme on HIV/AIDS. UNAIDS report on the global AIDS epidemic, 2010. UNAIDS. 2010. p. 1-112.

 20. Hindin JM, Fatusi AO. Adolescent sexual and reproductive health in developing countries: an overview of trends and interventions. International Perspectives on Sexual and Reproductive Health. 2009;32 (2): 58–62.

 21. Upreti D, Regmi P, Pant P, Simkhada P. Young people’s knowledge,attitude, and behaviour on STI/HIV/AIDS in the context of Nepal: a systematic review. Kathmandu University Medical Journal. 2009; 7(28): 383–91.

 22. Fentahun N, Mamo A. Risky sexual behaviors and associated factors among male and female students in Jimma zone preparatory schools, South West Ethiopia: comparative study. Ethiop J Health Sci. 2014;24 (1): 59–68.

 23. Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiopian Journal of Health Services. 2012; 22 (3): 170–80.

 24. Arma AJA. Pengaruh perubahan sosial terhadap perilaku seks remaja dan pengetahuan kespro sebagai alternatif penangkalnya. Universitas Sumatera Utara. 2015. p.189-97.

 25. Berhan Y, Berhan A. A meta-analysis of risky sexual behaviour among male youth in developing countries. AIDS Research and Treatment.2015; 2015.

 26. Agajie M. Risky sexual behavior and associated factors among high school youth in Pawe Woreda Benishangul Gumuz Region. Science Journal of Clinical Medicine. 2015; 4 (4): 67-75.

 27. Amare H, Azage M, Negash M, Getachew A, Desale A, Abebe N. Risky sexual behavior and associated factors among adolescent students in Tana Haik High School, Bahir Dar, Northern Ethiopia.International Journal of HIV/AIDS Prevention, Education and Behavioural Science. 2017; 3 (4): 41–7.

 28. Montes KS, Blanco L, LaBrie JW. The relationship between perceived hookup attitudes and negative hookup consequences: do perceived attitudes of close friends matter?. Journal of Sex Research. 2017; 54 (9):1128–40.

 29. Rahmah, R, Wahyudina AAAN, Sari WW. Attitude and behavior sexual among adolescents in Yogyakarta. Indonesian Journal of Nursing Practices. 2017; 1 (2): 64–8.

 30. Mohammadi MR, Mohammad K, Farahani FKA, Alikhani S, Zare M, Tehrani FR, et al. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. International Family Planning Perspectives. 2006; 32 (1): 35–44.

 31. Azwar S. Sikap manusia: teori dan pengukurannya. Edisi ke-2. Yogyakarta: Pustaka Pelajar; 2011.

 32. Browne DC, Clubb PA, Wang Y, Wagner F. Drug use and high-risk sexual behaviors among African American men who have sex with men and men who have sex with women. American Journal of Public Health. 2009; 99 (6): 1062–6.

 33. Lee GY, Choi YJ. Analysis of Korean adolescents’ sexual experience and substance use. Social Behavior and Personality. 2017; 45 (5):809–18.

 34. Ritchwood TD, Ford H, DeCoster J, Sutton M, Lochman JE. Risky sexual behavior and substance use among adolescents: a meta-analysis. Children and Youth Services Review. 2015; 52: 74–88.

 35. Peҫi B. Peer influence and adolescent sexual behavior trajectories: links to sexual initation. European Journal of Multidisciplinary Studies. 2017; 2 (3): 96.



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