Analisis Faktor Penentu Perilaku Seksual Berisiko Di Antara Pria Lajang Yang Aktif Secara Seksual: Survei Demografi dan Kesehatan Indonesia (SDKI) 2017

Lussy Murni Nashrullah; Siti Nurrochmah; Lucky Radita Alma; Supriyadi Supriyadi

Authors

Lussy Murni Nashrullah Universitas Negeri Malang
Siti Nurrochmah Universitas Negeri Malang
Lucky Radita Alma Universitas Negeri Malang
Supriyadi Supriyadi Universitas Negeri Malang

Keywords:

Risky Sexual Behavior, Unmarried Man, Sexually Active, Perilaku Seksual Berisiko, Pria Lajang, Aktif Seksual

Abstract

Abstract: Sexual behavior and the expression of sexuality are normal phenomena, but sexual behavior expressed can make the behavior abnormal or risky. Globally, young people (15 to 35 years of age) are the most vulnerable group to risky sexual behavior and account for around 45% of new HIV infections. The purpose of this study was to identify and examine the magnitude of risky sexual behavior and the factors associated with the use of a national-scale sample. The method used is analytic observational with a quantitative approach and a cross-sectional study design using the 2017 Indonesian Demographic and Health Survey data, the chi-square test, and binary logistic regression. The results obtained were education level (p=0.003), occupation (p=0.785), wealth index (p=0.416), media exposure (p=0.343), comprehensive knowledge of HIV (p=0.145), and type of place of residence (p=0.356). The conclusion of this study is that education level is significantly related to risky sexual behavior, while other variables such as occupation, wealth index, media exposure, comprehensive knowledge of HIV, and type of place of residence are not significantly related to risky sexual behavior.

Abstrak: Perilaku seksual dan ekspresi seksualitas adalah fenomena normal, di mana perilaku seksual diungkapkan dapat membuat perilaku menjadi tidak normal atau berisiko. Secara global, kaum muda (usia 15 hingga 35 tahun) adalah kelompok yang paling rentan terhadap perilaku seksual berisiko dan menyumbang sekitar 45% dari infeksi HIV baru. Tujuan penelitian ini untuk mengetahui dan mengkaji besarnya perilaku seksual berisiko dan faktor-faktor yang terkait dengan menggunakan sampel yang berskala nasional. Metode yang digunakan adalah observasional analitik dengan pendekatan kuantitatif dan desain studi cross sectional dari data Survei Demografi dan Kesehatan Indonesia Tahun 2017 serta menggunakan uji chi-square dan regresi logistik biner. Didapatkan hasil tingkat pendidikan (p=0,003), status pekerjaan (p=0,785), indeks kekayaan (p=0,416), paparan media (p=0,343), pengetahuan HIV yang komprehensif (p=0,145), dan tempat tinggal (p=0,356). Kesimpulan penelitian ini tingkat pendidikan berhubungan signifikan dengan perilaku seksual berisiko, sementara variabel lainnya seperti status pekerjaan, indeks kekayaan, paparan media, pengetahuan HIV yang komprehensif dan tempat tinggal tidak berhubungan signifikan dengan perilaku seksual berisiko.

References

Ahinkorah, B., Hagan, J., Seidu, A., Budu, E., Mensah, G., Adu, C., & Schack, T. (2021). Understanding The Association Between Exposure To Family Planning Messages And Consistent Condom Use Among Never Married Men In Ghana. PLOS ONE, 16(8), E0255325. Https://Doi.Org/10.1371/JOURNAL.PONE.0255325

Ajaero, C., Onuh, J., Amoo, E., & Adewoyin, Y. (2020). Contextual Correlates Of Risky Sexual Behavior Among Migrant And Non-Migrant Men In Nigeria. SAGE Open, 10(2), 2158244020919532–2158244020919532. Https://Doi.Org/10.1177/2158244020919532

Ali, M., Merdad, L., & Bellizzi, S. (2021). Socioeconomic Variations In Risky Sexual Behavior Among Adolescents In 14 Sub-Saharan Africa Countries Who Report Ever Having Had Sex. International Journal For Equity In Health, 20(1), 1–7. Https://Doi.Org/10.1186/S12939-020-01352-8/TABLES/3

Andriani, R., Suhrawardi, & Hapisah. (2022). Hubungan Tingkat Pengetahuan Dan Sikap Remaja Dengan Perilaku Seksual Pranikah. Jurnal Inovasi Penelitian, 2(10), 3441–3446. Https://Doi.Org/10.47492/JIP.V2I10.1341

Andriyani, M., & Ardina, M. (2021). Pengaruh Paparan Tayangan Pornografi Melalui Media Sosial Terhadap Perilaku Mahasiswa Di Yogyakarta. Jurnal Audiens, 2(1), 143–153. Https://Doi.Org/10.18196/JAS.V2I1.11138

Asmin, E., & Mainase, J. (2020). Penggunaan Media Massa Dan Sosial Ekonomi Orang Tuaterhadap Perilaku Seksual Remaja. Molucca Medica, 13(1), 24–28. Https://Doi.Org/10.30598/MOLMED.2020.V13.I1.24

Badan Kependudukan Dan Keluarga Berencana Nasional, Badan Pusat Statistik, & Kementerian Kesehatan. (2018). Survei Demografi Dan Kesehatan Indonesia 2017 Buku Remaja. 405.

Balogun, & Ajide. (2018). Knowledge Of HIV And Intention To Engage In Risky Sexual Behaviour And Practices Among Senior School Adolescents In Ibadan, Nigeria. Archives Of Basic And Applied Medicine, 6(1), 3 – 8–3 – 8. Http://Ojshostng.Com/Index.Php/Abam/Article/View/2147

Bilquis, L., & Hidayat, N. (2020). Kekuasaan Dan Pengetahuan: Diskursus Mitos Maskulinitas Pada Seksualitas Pemuda. Jurnal Sosiologi Pendidikan Humanis, 5(2), 168. Https://Doi.Org/10.17977/Um021v5i2p168-179

Bolarinwa, O., Ajayi, K., & Sah, R. (2022). Association Between Knowledge Of Human Immunodeficiency Virus Transmission And Consistent Condom Use Among Sexually Active Men In Nigeria: An Analysis Of 2018 Nigeria Demographic Health Survey. PLOS Global Public Health, 2(3), E0000223. Https://Doi.Org/10.1371/JOURNAL.PGPH.0000223

Brown, A., Simons, L., & Gibbons, F. (2022). How Economic Stress Impacts Risky Sex Among African American Adolescents. Journal Of Youth And Adolescence, 51(6), 1074–1088. Https://Doi.Org/10.1007/S10964-021-01529-6/TABLES/5

Chawla, N., & Sarkar, S. (2019). Defining “High-Risk Sexual Behavior” In The Context Of Substance Use. Journal Of Psychosexual Health, 1(1), 26–31. Https://Doi.Org/10.1177/2631831818822015

Coyne, S., Ward, M., Kroff, S., Davis, E., Holmgren, H., Jensen, A., Erickson, S., & Essig, L. (2019). Contributions Of Mainstream Sexual Media Exposure To Sexual Attitudes, Perceived Peer Norms, And Sexual Behavior: A Meta-Analysis. Journal Of Adolescent Health, 64(4), 430–436. Https://Doi.Org/10.1016/J.JADOHEALTH.2018.11.016

Crandall, A., Magnusson, B., Novilla, L., Novilla, L., & Dyer, J. (2017). Family Financial Stress And Adolescent Sexual Risk-Taking: The Role Of Self-Regulation. Journal Of Youth And Adolescence, 46(1), 45–62. Https://Doi.Org/10.1007/S10964-016-0543-X

Darteh, E., Dickson, K., & Amu, H. (2020). Understanding The Socio-Demographic Factors Surrounding Young Peoples’ Risky Sexual Behaviour In Ghana And Kenya. Journal Of Community Health, 45(1), 141–147. Https://Doi.Org/10.1007/S10900-019-00726-6

Dickson, K., Seidu, A., Adde, K., Okyere, J., Akpeke, M., Wahab, A., & Bashiru, A. (2021). Does Having Comprehensive HIV And AIDS Knowledge Affect The Risky Sexual Behaviour Of Young People In Sub-Saharan Africa: Pooled Analysis Of Demographic And Health Surveys. Research Square. Https://Doi.Org/10.21203/Rs.3.Rs-197456/V1

Diress, G., Adane, S., Linger, M., Merchaw, A., & Mengist, B. (2022). Individual And Community-Level Determinates Of Risky Sexual Behaviors Among Sexually Active Unmarried Men: A Multilevel Analysis Of 2016 Ethiopian Demographic And Health Survey. Plos ONE, 17(7), 1–16. Https://Doi.Org/10.1371/Journal.Pone.0270083

Dizechi, S., Brody, C., Tuot, S., Chhea, C., Saphonn, V., Yung, K., Kim, S., & Yi, S. (2018). Youth Paying For Sex: What Are The Associated Factors? Findings From A Cross-Sectional Study In Cambodia. BMC Public Health, 18(1), 1–11. Https://Doi.Org/10.1186/S12889-017-4999-8/TABLES/3

Etrawati, F., Martha, E., & Damayanti, R. (2017). Psychosocial Determinants Of Risky Sexual Behavior Among Senior High School Students In Merauke District. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 11(3), 127–132. Https://Doi.Org/10.21109/KESMAS.V11I3.1163.G542

Febriani, I., & Miden, D. (2022). Adollescent Characteristics Relation With Premarital Sex Attitudes. Science Midwifery, 10(5), 3999–4006. Https://Doi.Org/10.35335/MIDWIFERY.V10I5.966

Fetene, N., & Mekonnen, W. (2018). The Prevalence Of Risky Sexual Behaviors Among Youth Center Reproductive Health Clinics Users And Non-Users In Addis Ababa, Ethiopia: A Comparative Cross-Sectional Study. PLOS ONE, 13(6), E0198657. Https://Doi.Org/10.1371/JOURNAL.PONE.0198657

França, M., & Frio, G. (2018). Factors Associated With Family, School And Behavioral Characteristics On Sexual Initiation: A Gender Analysis For Brazilian Adolescents. PLOS ONE, 13(12), E0208542. Https://Doi.Org/10.1371/JOURNAL.PONE.0208542

González, R., Kadengye, D., & Mayega, R. (2019). The Knowledge-Risk-Behaviour Continuum Among Young Ugandans: What It Tells Us About SRH/HIV Integration. BMC Public Health, 19(1), 1–10. Https://Doi.Org/10.1186/S12889-019-6809-Y/TABLES/4

Hasanah, D., Utari, D., Chairunnisa, & Purnamawati, D. (2020). Faktor Internal Dan Eksternal Yang Mempengaruhi Perilaku Seksual Pranikah Remaja Pria Di Indoensia (Analisis SDKI 2017). Muhammadiyah Public Health Journal, 1(1), 1–9. Https://Jurnal.Umj.Ac.Id/Index.Php/MPHJ/

Hindiarti, Y. I. (2017). Faktor-Faktor Yang Berhubungan Dengan Perilaku Seks Pada Pekerja Remaja Di Kawasan Perbelanjaan “X” Kota Yogyakarta Tahun 2015. Medika Respati : Jurnal Ilmiah Kesehatan, 12(3), 39–51. Https://Doi.Org/10.35842/Mr.V12i3.163

Isnadia, H., & Azinar, M. (2021). Indonesian Journal Of Public Health And Nutrition Perbedaan Perilaku Seksual Pranikah Remaja Menurut Kedekatan Tempat Tinggal Dengan Lokalisasi Article Info. Indonesian Journal Of Public Health And Nutrition, 1(1), 115–124. Http://Journal.Unnes.Ac.Id/Sju/Index.Php/IJPHN

Jahanfar, S., & Pashaei, Z. (2022). Sexual Attitudes And Associated Factors Of Risky Sexual Behaviors Among University Students. Brain And Behavior, 12(8). Https://Doi.Org/10.1002/BRB3.2698

Julia, T., Sitorus, R., & Mahriani, R. (2022). Determinan Usia Pertama Kali Berhubungan Seksual Pada Kelompok Usia 15-24 Tahun Belum Menikah. JPP (Jurnal Kesehatan Poltekkes Palembang), 17(1 Juni), 1–8. Https://Doi.Org/10.36086/JPP.V17I1.1266

Kartikasari, D., Ariwinanti, D., & Hapsari, A. (2019). Gambaran Pengetahuan Kesehatan Reproduksi Siswa Smk Wisnuwardhana Kota Malang. Preventia: The Indonesian Journal Of Public Health, 4(1), 36–41. Https://Doi.Org/10.17977/UM044V4I1P36-41

Kementerian Kesehatan Republik Indonesia. (2022). Laporan Situasi Perkembangan HIV AIDS Dan PIMS Di Indonesia Triwulan I.

Lapau, B. (2015). Metodologi Penelitian Kebidanan (I. Banu (Ed.); 1st Ed.). Yayasan Pustaka Obor Indonesia. Https://Www.Google.Co.Id/Books/Edition/Metodologi_Penelitian_Kebidanan/-X9idaaaqbaj?Hl=En&Gbpv=0

Lin, W., Liu, C., & Yi, C. (2020). Exposure To Sexually Explicit Media In Early Adolescence Is Related To Risky Sexual Behavior In Emerging Adulthood. Plos ONE, 15(4). Https://Doi.Org/10.1371/JOURNAL.PONE.0230242

Lucas, A., & Wilson, N. (2018). Schooling, Wealth, Risky Sexual Behaviour, And HIV/AIDS In Sub-Saharan Africa. Journal Of Development Studies, 55(10), 2177–2192. Https://Doi.Org/10.1080/00220388.2018.1493195

Lukaszek, M. (2022). Patterns Of University Students’ Risky Sexual Experiences And Their Characteristics. International Journal Of Environmental Research And Public Health, 19(21), 14239. Https://Doi.Org/10.3390/IJERPH192114239

Magnusson, B., Crandall, A., & Evans, K. (2019). Early Sexual Debut And Risky Sex In Young Adults: The Role Of Low Self-Control. BMC Public Health, 19(1), 1–8. Https://Doi.Org/10.1186/S12889-019-7734-9/FIGURES/4

Matahari, R., & Utami, F. (2018). Kesehatan Reproduksi Remaja Dan Infeksi Menular Seksual. In R. Sofianingsih (Ed.), Kesehatan (1st Ed.). Pustaka Ilmu.

Maulida, H., Rahman, H., Nugroho, S., Andayani, S., & Wahid, A. (2020). Pengalaman Disfungsi Seksual Pada Klien Pria Dengan Ulkus Diabetikum. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 4(3), 138–149. Http://Www.Jurnal-Ppni.Org/Ojs/Index.Php/Jppni/Article/View/187

Melesse, D., Mutua, M., Choudhury, A., Wado, Y., Faye, C., Neal, S., & Boerma, T. (2020). Adolescent Sexual And Reproductive Health In Sub-Saharan Africa: Who Is Left Behind? BMJ Global Health, 5(1), E002231. Https://Doi.Org/10.1136/BMJGH-2019-002231

Mersha, A., Teji, K., Darghawth, R., Gebretsadik, W., Shibiru, S., Bante, A., Worku, T., Merdekios, A., Kassaye, A., Girma, A., Goitom, B., & Abayneh, N. (2018). Risky Sexual Behaviors And Associated Factors Among Preparatory School Students In Arba Minch Town, Southern Ethiopia. Journal Of Public Health And Epidemiology, 10(12), 429–442. Https://Doi.Org/10.5897/JPHE2018.1073

Muchiri, E., & Odimegwu, C. (2020). Trends And Gender Differences In Age At Sex Debut Among Adolescents And Young Adults In Urban Cape Area, South Africa. African Health Sciences, 19(4), 2964–2972. Https://Doi.Org/10.4314/Ahs.V19i4.17

Nguyen, P., Gilmour, S., Le, P., Onishi, K., Kato, K., & Nguyen, H. (2021). Progress Toward HIV Elimination Goals: Trends In And Projections Of Annual HIV Testing And Condom Use In Africa. AIDS, 35(8), 1253–1262. Https://Doi.Org/10.1097/QAD.0000000000002870

Ningsih, E. (2022). Hubungan Pengetahuan Dan Sikap Berpacaran Terhadap Perilaku Seksual Pranikah Remaja. Indonesian Journal For Health Sciences, 6(1), 28–34.

Odimegwu, C., & Ugwu, N. (2022). A Multilevel Mixed Effect Analysis Of Neighbourhood And Individual Level Determinants Of Risky Sexual Behaviour Among Young People In South Africa. Reproductive Health, 19, 1–18. Https://Doi.Org/10.1186/S12978-022-01407-9

Oladeji, D., & Ayangunna. (2017). Media Influence As Predictors Of Adolescent’s Sexual Risky Behaviour In Nigeria. Medcrave Online Journal Of Women’s Health, 5(1), 192–196. Https://Doi.Org/10.15406/Mojwh.2017.05.00112

Pidah, A., Kalsum, U., Sitanggang, H., & Guspianto. (2021). Determinan Perilaku Seks Pranikah Pada Remaja Pria (15-24 Tahun) Di Indonesia (Analisis SDKI 2017). Jurnal Kesmas Jambi, 5(2).

Puplampu, A., Afagbedzi, S., Dery, S., Puplampu, D., & Guure, C. (2021). Determinants Of Higher-Risk Sexual Behavior In Some Selected African Countries. Scientifica, 2021, 13. Https://Doi.Org/10.1155/2021/8089293

Purnama, L., Sriati, A., & Maulana, I. (2020). Gambaran Perilaku Seksual Pada Remaja. 14(2), 301–309.

Seidu, A., Darteh, E., Kumi-Kyereme, A., Dickson, K., & Ahinkorah, B. (2020). Paid Sex Among Men In Sub-Saharan Africa: Analysis Of The Demographic And Health Survey. SSM -Population Health, 11. Https://Doi.Org/10.1016/J.SSMPH.2019.100459

Sharma, B., & Nam, E. (2018). Condom Use At Last Sexual Intercourse And Its Correlates Among Males And Females Aged 15–49 Years In Nepal. International Journal Of Environmental Research And Public Health 2018, Vol. 15, Page 535, 15(3), 535. Https://Doi.Org/10.3390/IJERPH15030535

Simons, L., & Steele, M. (2020). The Negative Impact Of Economic Hardship On Adolescent Academic Engagement: An Examination Parental Investment And Family Stress Processes. Journal Of Youth And Adolescence, 49(5), 973–990. Https://Doi.Org/10.1007/S10964-020-01210-4

Soeroso, S. (2016). Masalah Kesehatan Remaja. Sari Pediatri, 3(3), 189. Https://Doi.Org/10.14238/Sp3.3.2001.189-97

Sutton, T., Simons, L., Simons, R., & Cutrona, C. (2017). Psychological Distress, Couple Interactions, And Parenting: A Dyadic Analysis Of African American Couples. Journal Of Marriage And Family, 79(3), 850–864. Https://Doi.Org/10.1111/JOMF.12352

Syafitriani, D., Trihandini, I., & Irfandi, J. (2022). Determinan Of Premarital Sex Behavior Adolescents (15-24 Years) In Indonesia (Analysis IDHS 2017). Jurnal Kesehatan Komunitas, 8(2), 205–218. Https://Doi.Org/2548-8538

Tekletsadik, E., Ayisa, A., Mekonen, E., Workneh, B., & Ali, M. (2022). Determinants Of Risky Sexual Behavior Among Undergraduate Students At The University Of Gondar, Northwest Ethiopia. Cambridge University Press., 1–6. Https://Doi.Org/10.1017/S0950268821002661

Triyanto, E., Prabandari, Y., Yuniarti, K., & Werdati, S. (2019). Faktor-Faktor Multisistem Yang Mempengaruhi Perilaku Seksual Remaja. Journals Of Ners Community, 10(2), 197–210. Https://Doi.Org/10.55129/JNERSCOMMUNITY.V10I2.913

UNAIDS. (2014). 90-90-90: An Ambitious Treatment Target To Help End The AIDS Epidemic.

UNAIDS. (2021). Indonesia HIV And AIDS Estimates 2021.

UNESCO. (2018). International Technical Guidance On Sexuality Education. In United Nations Educational Scientific And Cultural Organization Sdgs. United Nations Educational, Scientific And Cultural Organization (UNESCO.

Wagner, B. (2019). Marriage, Cohabitation, And Sexual Exclusivity: Unpacking The Effect Of Marriage. Social Forces; A Scientific Medium Of Social Study And Interpretation, 97(3), 1231. Https://Doi.Org/10.1093/SF/SOY082

Wahyuningrum, A., Issabella, C., Puspadewi, Y., Wartisa, F., Wijaya, Y. M., Umar, L. A., Desriva, N., Badi’ah, A., Dhamanik, R., Khayati, N., & Utari, M. (2022). Kesehatan Reproduksi Remaja Dan Prakonsepsi (Y. S. Rosyad (Ed.)). Media Sains Indonesia.

Wand, H., Bryant, J., Worth, H., Pitts, M., Kaldor, J., Delaney, D., & Ward, J. (2017). Low Education Levels Are Associated With Early Age Of Sexual Debut, Drug Use And Risky Sexual Behaviours Among Young Indigenous Australians. Sexual Health, 15(1), 68–75. Https://Doi.Org/10.1071/SH17039

Yulindra, E. (2018). Dinamika Decision Making Perilaku Seksual Pranikah: Studi Kasus Pada Mahasiswa Dewasa Awal [Academic Press Inc.]. In Social Science Research (Vol. 52). Https://Doi.Org/10.1016/J.SSRESEARCH.2015.01.005

Zulaikhah, A., & Ronoatmodjo, S. (2021). Determinan Konsistensi Penggunaan Kondom Pada Laki-Laki Seks Dengan Laki-Laki (LSL) Non-Pekerja Seks: Studi Potong Lintang. Jurnal Epidemiologi Kesehatan Indonesia, 5(1), 35–42. Https://Doi.Org/10.7454/Epidkes.V5i1.3430