DETERMINAN PERILAKU SEKS PRANIKAH PADA REMAJA PEKERJA DI PUSAT KOTA YOGYAKARTA

UMMATUL BAROROH, Prof. dr. Muhamad Hakimi, SpOG(K)., PhD,

2012 | Tesis | S2 Kesehatan Masyarakat/KIA

Latar Belakang: Diperkirakan 81 juta dari 620 juta pekerja aktif adalah pemuda usia 15-24 tahun. Di Indonesia Remaja Pekerja sekitar 30% dari jumlah pekerja. Banyaknya Remaja Pekerja membuat terjadi perubahan sosial, norma, nilai dan gaya hidup serta meningkatkan kerentanan terhadap kesehatan seksual dan reproduksi. Hasil studi pendahuluan di kawasan pusat perbelanjaan Kota Yogyakarta, 34% pekerja adalah remaja, 36% beORengetahuan kurang terhadap seks pranikah dan pencegahan penyakit menular seksual. Lingkungan dekat kawasan lokalisasi pasar kembang, dan kehidupan malam membuat Remaja Pekerja beORotensi melakukan seks bebas dan terkena infeksi menular seksual. Tujuan: diketahui determinan perilaku seks pranikah pada Remaja Pekerja di Kota Yogyakarta. Metode: Jenis penelitian observasional desain cross sectional. Penelitian di kawasan pusat perbelanjaan Kota Yogyakarta. Populasi sampel Remaja Pekerja tahun 2011 tercatat paguyuban pekerja di kawasan pusat perbelanjaan Kota Yogyakarta memenuhi kriteria inklusi usia 15-24 tahun. Analisis data meliputi: univariabel, bivariabel dan multivariabel menggunakan Kendal, Chi kuadrat dan ratio prevalence 95% Confidence Interval (CI) serta uji statistik Regresi logistik. Hasil: Tingkat pengetahuan responden sebagian besar (60.5%) cukup, sikap terhadap seks pranikah sebagian besar (97,5%) positif, self efficacy (98,1%) tinggi, perilaku seks sebagian besar (53,7%) sedang. Tingkat pengetahuan tidak mempunyai hubungan bermakna dengan perilaku seks dengan p-value 0,3>0,05. Sikap tidak mempunyai hubungan bermakna dengan perilaku seks dengan pvalue 0,2>0,05. Self efficacy mempunyai hubungan bermakna dengan perilaku seks dengan p-value 0,05. Variabel luar jenis kelamin dan pemakaian obat mempunyai hubungan bermakna dengan perilaku seks dengan p-value 0,00. Kesimpulan: Determinan perilaku seks pranikah Self efficacy, jenis kelamin dan pemakaian narkoba terbukti bermakna mempunyai hubungan dengan perilaku seks pranikah. Sedangkan pengetahuan dan sikap tidak terbukti bermakna mempunyai hubungan dengan perilaku seks pranikah.

Background: An estimated 81 million of 620 million active workers are young people aged 15-24 years. Adolescent workers in Indonesia are about 30% of the total number of workers. This number makes social, norm, value and lifestyle changes, and increases vulnerability to sexual and reproductive health. The results of a preliminary study in the area of shooping center of Yogyakarta revealed that 34% of workers were adolescents, where 36% were less knowledgeable toward premarital sex and sexually transmitted disease prevention. Environment near the prostitution and nightlife make adolescent workers potentially exposed to free sex and sexually transmitted infections. Objective: To determine adolescent workers’ premarital sex behavior determinants in the city of Yogyakarta. Methods: This was a cross-sectional observational study design. Research site was in the area of shooping center of Yogyakarta. Population sample was adolescent workers in 2011 registered in community workers in the area of shooping center of Yogyakarta who met the inclusion criteria of age 15-24 years. Data analysis included univariable, bivariable and multivariable using Kendal, Chi square and the ratio prevalent 95% Confident Interval (CI) and logistic regression statistical test. Results: The majority level of respondents knowledge is (60.5%) adequate, attitudes toward premarital sex (97.5%) most positive, self-efficacy is (98.1%) high, the majority of sexual behavior (53.7%) moderate. The level of knowledge has not a significant relationship with sexual behavior at p-value 0.3 > 0.05. Attitude has not a significant relationship with sexual behavior at p-value 0.2 > 0.05. Self-efficacy had a significant relationship with sexual behavior at p-value of 0.05. Variables external of sex and drug use have a significant relationship with sexual behavior at p-value 0.00. Conclusion: Premarital sexual behavior determinants in adolescent workers in the city of Yogyakarta include several things. Attitude toward premarital sex, self efficacy, sex and drug use have proven to have significant relationship with premarital sexual behavior.

Kata Kunci : Determinan, Perilaku Seks Pranikah, Remaja Pekerja