Nurses' Challenges Regarding Adolescent Behavior in Preventing Early Pregnancy
DOI:
https://doi.org/10.31674/mjn.2024.v15i04.010Abstract
Background: Early adolescent pregnancy remains a persistent and unresolved phenomenon worldwide. The World Health Organization reports that 16 million girls aged 15-19 give birth annually. Indonesia continues to grapple with high rates of young pregnancy. The consequences of early pregnancy are extensive, ranging from abortion, school dropout, early marriage, and divorce to psychological distress such as stress and depression. Aim: This research contributes to understanding adolescent behaviors aimed at preventing early pregnancy. Methods: Employing a quantitative research design with a descriptive approach, the study sampled 225 female students through simple random sampling. A validated questionnaire was utilized for data collection, and analysis was conducted using SPSS 21 software. Results: The findings reveal that most respondents demonstrated commendable behaviors in preventing early pregnancy, with 193 individuals (85.8%) exhibiting good prevention practices. Nevertheless, some respondents displayed moderately positive behaviors, while others exhibited unsatisfactory practices. Conclusion: To address the behavior of adolescent females and its impact, community health nurses should intervene promptly. This intervention should focus on educating and coaching adolescents to raise awareness and promote effective prevention strategies, with the goal of reducing the prevalence of early pregnancy.
Keywords:
Adolescents, Behaviour, Pregnancy PreventionDownloads
References
Apriliani, P., Aryanti, M., Anggita, I., & Murni, D. E. S. (2023). Qualitative Study of External Factors Affecting Adolescent Pregnancy in Indramayu District Indramayu District. Journal of Midwifery and Nursing, 5(2), 45-48. https://doi.org/10.35335/jmn.v5i2.3770
Azmiyannoor, M., Nora, F. L., Yasmina, N. S., Putri, A. O., Anhar, V. Y., Rahman, F., & Wulandari, A. (2021). Adolescents Reproductive Health: Aspects of free sex prevention knowledge and behavior. Advance Research Journal of Multidisciplinary Discoveries, 59(1), 11–16 . https://doi.org/10.5281/zenodo.5089898
Chaerani, E. (2020). Hermeneutic Phenomenology Study: Impact of Risky Sexual Behavior on Psychological Adolescents in the Coastal Areas of Rajik Village, Bangka Belitung Islands in 2019. Indian Journal of Public Health Research & Development, 11(8). https://doi.org/10.37506/ijphrd.v11i8.10933
Chamdimba, E., Kabiru, C. W., Ushie, B. A., Munthali, A., Thakwalakwa, C., & Ajayi, A. I. (2023). Naïve, uninformed and sexually abused: circumstances surrounding adolescent pregnancies in Malawi. Reproductive Health, 20(1), 114. https://doi.org/10.1186/s12978-023- 01655-3
Djibran, M. R., Hulukati, W., & Usman, I. (2022). Free Sex Attitude of Young Adolescents and Personality Structure of Sigmun Freud. International Journal of Islamic Education, Research and Multiculturalism (IJIERM), 4(2), 185-193. https://doi.org/10.47006/ijierm.v4i2.149
Etrawati, F., Yeni, Y., Lionita, W., Rahmawaty, A., & Fajarningtiyas, D. N. (2023). Sexual Risk Behavior and its Impact on Unwanted Pregnancy Among Adolescents. Jurnal Ilmu Kesehatan Masyarakat, 14(3), 319-322. https://doi.org/10.26553/jikm.2023.14.3.319-331
Gueye, M., Boiro, D., Sow, A., Dieng, Y. J., Cisse, D. F., Ndongo, A. A., ... & Ndiaye, O. (2020). Neonatal complications of teenage pregnancies: prospective study about 209 Cases in Senegal. American Journal of Pediatrics, 6(4), 504-7. https://doi.org/10.11648/j.ajp.20200604.29
Hirose, N., Sanmei, C., Okamoto, M., Madeni, F. E., Madeni, N., Teshima, A., ... & Shimpuku, Y. (2023). Associated factors for multidimensional attitudes and behaviors of reproductive health toward pregnancy among early and late adolescents in Tanzania: a cross- sectional study. Reproductive Health, 20(1), 44. https://doi.org/10.1186/s12978-023-01583-2
Huber-Krum, S., Miedema, S. S., Shortt, J. W., Villaveces, A., & Kress, H. (2024). Path Analysis of Adverse Childhood Experiences, Early Marriage, Early Pregnancy, and Exposure to Intimate Partner Violence Among Young Women in Honduras. Journal of Family Violence, 39(4), 705-722. https://doi.org/10.1007/s10896-023-00520-y
Irwin, C. E., & Shafer, M. A. (2021). Adolescent sexuality: Negative outcomes of a normative behavior. Adolescents at Risk, 35-79. https://doi.org/10.4324/9780429046582
Kertati, I., Karningsih, K., & Astuti, T. M. P. (2023). Collaboration of Local Government and Stakeholders in The Prevention and Control of Child Marriage. Sosiohumaniora, 25(3), 469-479. https://doi.org/10.24198/sosiohumaniora.v25i3.49586
Kholidin, F. I., Putri, E. E., Yandri, H., Juliwati, D., & Erniyati, Y. (2020). The analysis of student’s junior high school perception of free sex behavior in terms of gender differences. KONSELI: Jurnal Bimbingan Dan Konseling (E-Journal), 7(2), 123-128. http://dx.doi.org/10.24042/kons.v7i2.7114
Majni, F. A.(2022, February 25). .Cases of teenage pregnancy are quite high, PKBI: Multifactorial and systemic. Media Indonesia. https://mediaindonesia.com/humaniora/474073/kasus-kehamilan-remaja-cukup- tinggi-pkbi-multifaktor-dan-sistemik . Accessed on 12th September, 2023.
Malunga, G., Sangong, S., Saah, F. I., & Bain, L. E. (2023). Prevalence and factors associated with adolescent pregnancies in Zambia: a systematic review from 2000– 2022. Archives of Public Health, 81(1), 27. https://doi.org/10.1186/s13690-023-01045-y
Milgrom, J., Hirshler, Y., Holt, C., Skouteris, H., Galbally, M., East, C., ... & Gemmill, A. W. (2023). Early intervention to prevent adverse child emotional and behavioural development following maternal depression in pregnancy: study protocol for a randomised controlled trial. BMC Psychology, 11(1), 222. https://doi.org/10.1186/s40359-023-01244-w
Milgrom, J., Holt, C. J., Bleker, L. S., Holt, C., Ross, J., Ericksen, J., ... & Gemmill, A. W. (2019). Maternal antenatal mood and child development: an exploratory study of treatment effects on child outcomes up to 5 years. Journal of Developmental Origins of Health and Disease, 10(2), 221-231. https://doi.org/10.1017/S2040174418000739
Monk, C., Lugo-Candelas, C., & Trumpff, C. (2019). Prenatal developmental origins of future psychopathology: mechanisms and pathways. Annual Review of Clinical Psychology, 15, 317-344. https://doi.org/10.1146/annurev-clinpsy-050718-095539
Monteiro, D. L. M., Miranda, F. R. D., Bruno, Z. V., Cavalcante, M. B., Lacerda, I. M. S., Ramos, J. A. S., & Rodrigues, N. C. P. (2023). Repeated adolescent pregnancy in Brazil from 2015 to 2019. Revista da Associação Médica Brasileira, 69, e20221513. https://doi.org/10.1590/1806-9282.20221513
Moshi, F. V., & Tilisho, O. (2023). The magnitude of teenage pregnancy and its associated factors among teenagers in Dodoma Tanzania: a community-based analytical cross-sectional study. Reproductive Health, 20(1), 28. https://doi.org/10.1186/s12978-022-01554-z
Moss, C. E., Vasquez, T. S., Fisher, C. L., & Forthun, L. F. (2023). “Make Your Family Proud”: Analyzing the Communication of Roles and Identity in Disney’s Encanto. Journal of Family Communication, 1-17. https://doi.org/10.1080/15267431.2023.2266479
Murphy-Graham, E., Cohen, A. K., & Pacheco-Montoya, D. (2020). School dropout, child marriage, and early pregnancy among adolescent girls in rural Honduras. Comparative Education Review, 64(4), 703-724. https://doi.org/10.1086/710766
Nkurunziza, A., Van Endert, N., Tengera, O., Hitayezu, J. B. H., & Bagirisano, J. (2023). Prevention of Adolescent Pregnancies in School Adolescents: A Collaborative Approach. Rwanda Journal of Medicine and Health Sciences, 6(1), 7-8. https://doi.org/10.4314/rjmhs.v6i1.1
Pantoiyo, Z. F., & Luhpuri, D. (2020). Adolescent Perceptions of Free Sex Behavior in Kebon Jeruk Village, Andir District, Bandung City-Indonesia. Journal Sampurasun: Interdisciplinary Studies for Cultural Heritage, 6(2), 87-99.https://doi.org/10.23969/sampurasun.v6i2.3064
Permatasari, V. I., Gustian, M. S., Tamara, A. R., Firdaus, A., Zakariya, U., & Setyawati, K. (2022). Pencegahan Risiko Penularan HIV/AIDS dengan Kampanye “Stop Free Sex”. Kolaborasi: Jurnal Pengabdian Masyarakat, 2(3), 275-279.https://doi.org/10.56359/kolaborasi.v2i3.90
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J.,... & Coomarasamy, A. (2021). Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss. The Lancet, 397(10285), 1658- 1667. https://doi.org/10.1016/S0140-6736(21)00682-6
Rychtář, J., & T. Taylor, D. (2020). Estimating the sample variance from the sample size and range. Statistics in Medicine, 39(30), 4667-4686. https://doi.org/10.1002/sim.8747
Satriana, N., Nirwana, H., & Syahniar, S. (2020). Contribution of Parents' Support to Adolescent Attitudes About Free Sex Behavior. International Journal of Applied Counseling and Social Sciences, 1(2), 49-54. https://doi.org/10.24036/005348ijaccs
Sejati, P. E., Natalia, S., & Wulandari, A. (2023). Development of Communication Models Mother-Daughter-Dyads about Sex Education in Prevention of Teenage Pregnancy Research and Development (R&D). Journal of Nursing Practice, 7(1), 226-232. https://doi.org/10.30994/jnp.v7i1.434
Sejati, P. E., Puspitaningrum, E., Wabeke, V., & Laisuwannachart, P. (2022). Analysis of Sexual Health Education on The Perceptions of Adolescent Women on Free Sex. Journal for Quality in Women's Health, 5(2), 176-180. https://doi.org/10.30994/jqwh.v5i2.163
Sholihah, A. R., Widiasih, R., & Solehati, T. (2021). Factors that cause Teenage Pregnancy: Systematic Review. Journal of Maternity Care and Reproductive Health, 4(1). https://doi.org/10.36780/jmcrh.v4i1.144
Shri, N., Singh, M., Dhamnetiya, D., Bhattacharyya, K., Jha, R. P., & Patel, P. (2023). Prevalence and correlates of adolescent pregnancy, motherhood and adverse pregnancy outcomes in Uttar Pradesh and Bihar. BMC Pregnancy and Childbirth, 23(1), 66. https://doi.org/10.1186/s12884-023-05354-6
Slavin, M. N., Scoglio, A. A., Blycker, G. R., Potenza, M. N., & Kraus, S. W. (2020). Child sexual abuse and compulsive sexual behavior: A systematic literature review. Current Addiction Reports, 7, 76-88. https://doi.org/10.1007/s40429-020-00298-9
Szucs, L. E. (2020). Condom and contraceptive use among sexually active high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Supplements, 69. https://doi.org/10.15585/mmwr.su6901a2
Topan, R. T. A. R., & Yuandari, E. (2021). Analysis Factors Causing the Occurrence of Free Sex in Banjarmasin. International Journal of Clinical Inventions and Medical Sciences (IJCIMS), 3(1), 26-30. https://doi.org/10.36079/lamintang.ijcims-0301.175
Welch, C., Wong, C. K., Lelijveld, N., Kerac, M., & Wrottesley, S. V. (2024). Adolescent pregnancy is associated with child undernutrition: Systematic review and meta‐analysis. Maternal & Child Nutrition, 20(1), e13569. https://doi.org/10.1111/mcn.13569
World Health Organisation Adolescent Pregnancy (2023). https://www.who.int/news- room/fact-sheets/detail/adolescent-pregnancy. Accessed on 30th September 2022.
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