Educational Attainment and Health Promotion Exposure as Determinants of Adolescent Reproductive Health Outcomes
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Adolescent reproductive health remains a significant public health issue in Indonesia because limited reproductive health knowledge may increase the risk of unhealthy sexual behaviors and their consequences. Developing successful preventive interventions requires an understanding of the relationship between health promotion and educational attainment. Investigating the relationship between adolescent reproductive health, health promotion, and educational attainment was the aim of this study. A quantitative cross-sectional study involved a full sample of teenagers. The data were collected using structured questionnaires and then statistically analyzed using bivariate, multivariate, and descriptive methods. The majority of individuals had adequate exposure to health promotion, a secondary level of education, and good reproductive health. Significant relationships between health promotion, educational attainment, and teenage reproductive health were shown by bivariate analysis. Health promotion was also found to be the strongest variable by multivariate analysis, suggesting that it plays a significant impact in improving adolescents' knowledge, attitudes, and appropriate reproductive health behaviours. Conclusion: Health promotion and educational achievement have a major impact on adolescent reproductive health. Strengthening sustainable health promotion in schools, families, healthcare facilities, and community partnerships is necessary to improve adolescent reproductive health. These results offer evidence to promote the creation of community-based, culturally relevant, and successful reproductive health promotion initiatives
Agma, A. R. (2025). Efektivitas edukasi kesehatan reproduksi terhadap pengetahuan remaja putri. Jurnal Ilmu Kesehatan, 1(1), 23-29. https://ejournal.pustakabangsaindonesia.com/index.php/jik
Ainiyah, N. (2018). Remaja millenial dan media sosial: media sosial sebagai media informasi pendidikan bagi remaja millenial. Jurnal Pendidikan Islam Indonesia, 2(2), 221–236. https://doi.org/10.35316/jpii.v2i2.76
Akbar, A. D. (2023). Pengaruh Penyuluhan Pendidikan Kesehatan Reproduksi dengan Media Audiovisual Terhadap Perilaku Seksual Remaja. Universitas Dr. SOEBANDI. http://repo.uds.ac.id/id/eprint/681
Amelia, D., Novembriani, R. P., Puriastuti, A. C., Merawati, D., Mukharam, K., Billah, M. A. A., & Aprilianingrum, N. R. (2026). Edukasi gaya hidup aktif sebagai upaya meningkatkan kesehatan reproduksi pada remaja urban. Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS), 9(1), 132–144. https://doi.org/10.33474/jipemas.v9i1.24492
Amelia, T. D. O. (2024). Pengaruh Health Promotion Audio Visual Vulva Hygiene Perspektif Islam Terhadap Pengetahuan Remaja Putri Di Sma Islam Sultan Agung 03 Semarang (Doctoral dissertation, Universitas Islam Sultan Agung Semarang). https://repository.unissula.ac.id/id/eprint/33583
Andayani, T. I. R. O., Purnamayanti, N. M. D., & Rahyani, N. K. Y. (2025). Gambaran Persepsi Remaja tentang Triad Kesehatan Reproduksi Remaja dengan Teori Health Belief Model. ProHealth Journal, 22(2), 113–123. https://doi.org/10.59802/phj.2025222207
Anggraini, Y., & Lestari, A. (2025). Edukasi Media Leaflet Terhadap Pengetahuan Pendidikan Kesehatan Reproduksi dan Seksualitas pada Remaja. Jurnal Ragam Pengabdian, 2(2), 353–358. https://doi.org/10.62710/nmrywf66
Anwar, C., Rosdiana, E., Dhirah, U. H., & Marniati, M. (2020). Hubungan pengetahuan dan peran keluarga dengan perilaku remaja putri dalam menjaga kesehatan reproduksi di SMP Negeri 1 Kuta Baro Aceh Besar. Journal of Healthcare Technology and Medicine, 6(1), 393–403. https://doi.org/10.33143/jhtm.v6i1.866
Atik, N. S., & Susilowati, E. (2021). Hubungan tingkat pengetahuan dengan perilaku kesehatan reproduksi remaja pada siswa smk kabupaten Semarang. Jurnal Ilmiah Kesehatan Ar-Rum Salatiga, 5(2), 45–52. https://doi.org/10.36409/jika.v5i2.115
Aulia, D. S., & Setiadi, Y. (2024). Variabel-variabel yang Memengaruhi Kejadian Fertilitas Remaja Perempuan Pernah Kawin di Daerah Perdesaan Indonesia Tahun 2022. Seminar Nasional Official Statistics, 2024(1), 1–10. https://doi.org/10.34123/semnasoffstat.v2024i1.1950
Badriah, S., Tambuala, F., Herlinah, L., Mariani, D., Nurcahyani, L., & Setiawan, H. (2023). The effect of comprehensive sexual education on improving knowledge, attitudes, and skills in preventing premarital sexual behavior in adolescents. Kontakt-Journal of Nursing & Social Sciences Related to Health & Illness, 25(1). https://doi.org/10.32725/kont.2023.004
Blakemore, S.-J. (2019). Adolescence and mental health. The Lancet, 393(10185), 2030–2031. Retrieved : https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31013-X/abstract
Cappa, C., Wardlaw, T., Langevin-Falcon, C., & Diers, J. (2012). Progress for children: a report card on adolescents. Lancet (London, England), 379(9834), 2323–2325. https://doi.org/10.1016/S0140-6736(12)60531-5
Challa, S., Manu, A., Morhe, E., Dalton, V. K., Loll, D., Dozier, J., Zochowski, M. K., Boakye, A., Adanu, R., & Hall, K. S. (2018). Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana. Women & Health, 58(4), 434–450. https://doi.org/10.1080/03630242.2017.1306607
Chandra-Mouli, V., Ferguson, B. J., Plesons, M., Paul, M., Chalasani, S., Amin, A., Pallitto, C., Sommers, M., Avila, R., & Biaukula, K. V. E. (2019). The political, research, programmatic, and social responses to adolescent sexual and reproductive health and rights in the 25 years since the International Conference on Population and Development. Journal of Adolescent Health, 65(6), S16–S40. https://doi.org/10.1016/j.jadohealth.2019.09.011
Choi, W. (2019). Older adults’ health information behavior in everyday life settings. Library & Information Science Research, 41(4), 100983. https://doi.org/10.1016/j.lisr.2019.100983
Darfour-Oduro, S. A., & Grigsby-Toussaint, D. S. (2022). Impact of social environment on sexual behaviors of adolescent girls in 12 sub-Saharan African countries: a cross-sectional study. Reproductive Health, 19(1), 139. https://doi.org/10.1186/s12978-022-01448-0
Dewi, N., Wasita, R. R. R., Sutrisna, M., Pertiwi, W. E., Ningsi, N., Arsyati, A. M., Pustikasari, A., Nurlela, L., Kuswanti, F., & Aswari, N. W. C. (2024). Promosi Kesehatan: Teori dan Praktik dalam Keperawatan. PT. Sonpedia Publishing Indonesia.
Eldredge, L. K. B., Markham, C. M., Ruiter, R. A. C., Fernández, M. E., Kok, G., & Parcel, G. S. (2016). Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.
Elna, N. P., Novita, M., Yusnaini, Y., & Syahradesi, Y. (2025). Inovasi Program Kesehatan Reproduksi Remaja: Edukasi dan layanan untuk menunjang kesehatan seksual. Room of Civil Society Development, 4(3), 509–520. https://doi.org/10.59110/rcsd.640
Engel, D. M. C., Paul, M., Chalasani, S., Gonsalves, L., Ross, D. A., Chandra-Mouli, V., Cole, C. B., de Carvalho Eriksson, C., Hayes, B., Philipose, A., Beadle, S., & Ferguson, B. J. (2019). A Package of Sexual and Reproductive Health and Rights Interventions-What Does It Mean for Adolescents?. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 65(6S), S41–S50. https://doi.org/10.1016/j.jadohealth.2019.09.014
Feinberg, I., Frijters, J., Johnson-Lawrence, V., Greenberg, D., Nightingale, E., & Moodie, C. (2016). Examining associations between health information seeking behavior and adult education status in the US: An analysis of the 2012 PIAAC Data. PloS One, 11(2), e0148751. https://doi.org/10.1371/journal.pone.0148751
Fitria, A., Safitri, J., & Nisa, H. (2023). Hubungan Akses Informasi Kesehatan dengan Pengetahuan Kesehatan Reproduksi pada Mahasiswa Universitas Islam Negeri Syarif Hidayatullah Jakarta. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 8(2), 180–188. http://dx.doi.org/10.30829/jumantik.v8i2.14256
Giles-Corti, B. (2000). Lawrence W. Green, Marshall W. Kreuter. Health promotion planning. An educational and ecological approach. Health Promotion Journal of Australia, 10(1), 68–69. https://doi.org/10.1007/BF03404986
Green, L. W., & Kreuter, M. W. (1991). Health promotion planning: an educational and environmental approach (Vol. 298). Mayfield Publishing Company, Mountain View, CA.
Harahap, N. H., Hadi, A. J., & Ahmad, H. (2024). Efektifitas Pendidikan Kesehatan Menggunakan Pendekatan Health Belief Model (HBM) terhadap Peningkatan Pengetahuan Kesehatan Reproduksi Remaja di MTSN 3 Padangsidimpuan. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(2), 463–471. https://doi.org/10.56338/mppki.v7i2.4944
Hindieh, P. (2020). Assessment of Knowledge, attitude and sexual behavior among youth and its association with EBV in Lebanon (Doctoral dissertation, Notre Dame University-Louaize.)
Hulu, V. T., Pane, H. W., Zuhriyatun, T. F., Munthe, S. A., Salman, S. H., Hidayati, W., & Sianturi, H. E. (2020). Promosi kesehatan masyarakat.
Isyos Sari, S. (2025). Aksesibilitas layanan kesehatan: Pengembangan metode education berbasis health promotion. AA Rizky.
Kemenkes, R. I. (2019). Profil kesehatan Indonesia tahun 2019. Kementrian Kesehatan Repoblik Indonesia, 42(4), 1.
Klein, J. D. (2024). Global action for measurement of adolescent health: A key tool for improving adolescent health and well-being. Journal of Adolescent Health, 74(6), S1–S2.. https://doi.org/10.1016/j.jadohealth.2024.02.008
Kp, S. S. H. S., Rodiyah, S. K., Sukmawati, S. S. T., Sari, B. D. N., Aniroh, N. U., Kep, S., Akaputri, B. D. E., ST, S., & Keb, M. T. (2024). Pendidikan Kesehatan dan Perawatan Komunitas: Pendekatan Terpadu untuk Kesejahteraan Remaja. Nuansa Fajar Cemerlang.
Kristanto, B., La Ramba, H., Orizani, C. M., Handayani, P. A., Ramadhani, D. Y., & Sovianti, V. (2025). Asuhan Keperawatan Keluarga dan Komunitas: Menyongsong Tantangan Kesehatan Masa Kini. Penerbit NEM.
Kyilleh, J. M., Tabong, P. T., & 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), 6. https://doi.org/10.1186/s12914-018-0147-5
Lally, M., & Valentine-French, S. (2019). Lifespan development: A psychological perspective.
Lestyoningsih, I. H. (2018). Implementasi Model Kesehatan reproduksi berbasis masalah pada remaja putri di indonesia Tahun 2018. Jurnal Berkala Kesehatan, 4(2), 47. http://dx.doi.org/10.20527/jbk.v4i2.5659
Lim, I. (2025). Effectiveness of Health Education in Improving Clean and Healthy Living Behavior (PHBS) in Rural Communities. Healthcare Advances Journal, 1(2), 47–54. https://pub.muzulab.com/index.php/Healthcare
Mamahit, A. Y., Oktavyanti, D., Aprilyawan, G., Wibowo, M., Ishak, S. N., Solehah, E. L., Farani, S., Suwarni, L., & La Patilaiya, H. (2022). Teori promosi kesehatan. Yayasan Penerbit Muhammad Zaini.
Marilyn, M. F., Vicky, R. B., & Elaine, G. J. (2010). Family nursing: Research, theory and practice. EGC Medical Publisher.
Marilyn, R., Bowden, V. R., Jones, E., Macejkovic, E., & Heaney, A. (2003). Family nursing: Research, theory, and practice.
McKellar, K., & Sillence, E. (2020). Teenagers, sexual health information, and the digital age. Academic Press.
Megasari, K. (2019). Faktor-Faktor yang Berhubungan dengan Perilaku Kesehatan Reproduksi Remaja Putri di Program Studi D-III Kebidanan Stikes Hang Tuah Pekanbaru. Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences), 8(1), 10–18. https://jurnal.ikta.ac.id/kebidanan/article/view/129
Meilinda, N., Malinda, F., & Aisyah, S. M. (2020). Literasi digital pada remaja digital (Sosialisasi pemanfaatan media sosial bagi pelajar Sekolah Menengah Atas). Jurnal Abdimas Mandiri, 4(1). https://doi.org/10.36982/jam.v4i1.1047
Milah, A. S. (2022). Pendidikan kesehatan dan promosi kesehatan dalam keperawatan. Edu Publisher.
Nudesti, N. P., Zulhijriani, S., Fatimah, N., Zumaro, E. M., ST, S., Mufidah, S. I., Fefdiyana, M., Keb, S., Fera, F. C., & Bd Nur Annisa Fauziyah, M. K. M. (2026). Promosi Kesehatan Dalam Pelayanan Kebidanan. PT Bukuloka Literasi Bangsa.
Olutade-Babatunde, O., van Der Kwaak, A., Bet-ini, N. C., & Keshinro, M. I. (2024). A critical review of factors affecting health-seeking behavior among adolescent mothers in Nigeria: towards inclusive and targeted interventions. Medtigo Journal of Medicine, 2(4). https://doi.org/10.63096/medtigo30622420
Organization, W. H. (2018). Guidance on ethical considerations in planning and reviewing research studies on sexual and reproductive health in adolescents.
Organization, W. H. (2024). Sexual, reproductive, maternal, newborn, child, and adolescent health: report on the 2023 policy survey. World Health Organization.
Parker, E., & Fleming, M.-L. (2020). Health promotion: Principles and practice in the Australian context. Routledge.
Pratiwi, M. (2025). Menelaah implementasi pendidikan kesehatan reproduksi komprehensif: Perkembangan, tantangan, dan strategi optimalisasi. The Indonesian Institute.
Qi, W., Li, H., Lian, Q., Zuo, X., Yu, C., Lou, C., & Tu, X. (2023). Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study. Reproductive Health, 20(1), 84. https://doi.org/10.1186/s12978-023-01625-9
Rhamadianto, M. I., & Shalihah, N. M. (2025). Edukasi Kesehatan Reproduksi sebagai Upaya Preventif Permasalahan Remaja. Room of Civil Society Development, 4(5), 769–778. https://doi.org/10.59110/rcsd.750
Rima Wirenviona, S. S. T., Riris, A. A. I. D. C., & St, S. (2020). Edukasi kesehatan reproduksi remaja. Airlangga University Press.
Sabilah, N. F., Natasya, H. P., & Rahmawati, N. F. (2024). Persepsi remaja tentang edukasi seksual melalui media sosial. Prosiding Seminar Nasional Ilmu Ilmu Sosial (SNIIS), 3, 797–813.Retrieved : https://proceeding.unesa.ac.id/index.php/sniis/article/view/3885
Santrock, J. W., Sumiharti, Y., Sinaga, H., Damanik, J., & Chusairi, A. (2002). Life-Span Development (Perkembangan Masa Hidup Jilid 1.
Seimahuira, T. N., KM, M., Unitly, A. J. A., Latuheru, G., Jotlely, H., Sos, S., Nindatu, M., & Kes, M. (2025). Kesehatan Reproduksi Remaja. PT Penerbit Qriset Indonesia.
Sharma, M. (2021). Theoretical foundations of health education and health promotion. Jones & Bartlett Learning.
Sulhan, N. A. A. (2024). Periodisasi perkembangan anak pada masa remaja: Tinjauan psikologi. Behavior, 1(1), 9–36. Retrieved : https://www.jurnal.stainmajene.ac.id/index.php/bkpi/article/view/1332
Suto, M., Miyazaki, C., Yanagawa, Y., Takehara, K., Kato, T., Gai, R., Ota, E., & Mori, R. (2021). Overview of Evidence Concerning School‐Based Interventions for Improving the Health of School‐Aged Children and Adolescents. Journal of School Health, 91(6), 499–517. https://doi.org/10.1111/josh.13021
Suwanti, S., Julyartha, Y. P., & Najahah, I. (2022). Pengaruh edukasi dengan media video terhadap pengetahuan dan perilaku remaja untuk mencegah keputihan. Journal of Midwifery Update (MU), 4(2), 108–118. https://doi.org/10.32807/jmu.v4i2.149
Svanemyr, J. (2020). Adolescent pregnancy and social norms in Zambia. Culture, Health & Sexuality, 22(6), 615–629. https://doi.org/10.1080/13691058.2019.1621379
Terry, P. E. (2021). Health promotion planning and an interview with Dr. Lawrence Green. In American Journal of Health Promotion (Vol. 35, Issue 6, pp. 760–765). SAGE Publications Sage CA: Los Angeles, CA. https://doi.org/10.1177/08901171211022560
Uberty, A. (2022). Pencegahan perilaku kesehatan reproduksi yang berisiko pada remaja. Penerbit Nem.
Vongxay, V., Albers, F., Thongmixay, S., Thongsombath, M., Broerse, J. E. W., Sychareun, V., & Essink, D. R. (2019). Sexual and reproductive health literacy of school adolescents in Lao PDR. PloS One, 14(1), e0209675. https://doi.org/10.1371/journal.pone.0209675
Waliyanti, E., Susanti, A. N., Faiqoturrohmah, F., Wahdah, I. Z., & Anugerah, S. (2025). Health promotion as a preventive effort against non-communicable diseases in adolescents. Community Empowerment, 10(9). https://doi.org/10.31603/ce.14606
Widjanarko, B., Indraswari, R., Handayani, N., & Kusumawati, A. (2023). Critical thinking and decision-making skills regarding reproductive health among pupils in Central Java. International Journal of Public Health Science, 12(2), 583–589. https://doi.org/10.11591/ijphs.v12i2.22138
Wismaningsih, E. R., Khasanah, U., Purnamasari, V. D., Tjahjono, S., Aprilia, E. N., Ririanty, M., Nafikadini, I., Rokhmah, D., & Karini, T. A. (2026). Promosi kesehatan pada berbagai tatanan. PT KAKINAAN PUSTAKA UTAMA.
Xu, T., Tomokawa, S., Gregorio Jr, E. R., Mannava, P., Nagai, M., & Sobel, H. (2020). School-based interventions to promote adolescent health: A systematic review in low-and middle-income countries of the WHO Western Pacific Region. PloS One, 15(3), e0230046. https://doi.org/10.1371/journal.pone.0230046
Yakubu, I., & Salisu, W. J. (2018). Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reproductive Health, 15(1), 15. https://doi.org/10.1186/s12978-018-0460-4
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