Description of adolescent behaviour regarding the prevention of unintended pregnancy in senior high schools in Manado City

Authors

  • Theodora Siregar Fakultas Kedokteran, Universitas Sam Ratulangi
  • Zwingly Christian Jefferson Gerard Porajow Bagian Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Sam Ratulangi
  • Tyrsa Christine Natalia Monintja Bagian Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/jkkt.v13i2.65677

Keywords:

adolescent behaviour, Knowledge, Attitude, unintended pregnancy, prevention

Abstract

Background: Unintended pregnancy among adolescents remains a major public health concern both globally and in Indonesia. In Manado City, recent data on adolescent behaviour related to the prevention of unintended pregnancy are still limited.

Aim: This study aimed to describe adolescent behaviour regarding the prevention of unintended pregnancy in senior high schools in Manado City.

Methods: A quantitative descriptive study with a cross-sectional design was conducted. A total of 403 students were selected through cluster random sampling from two schools: SMA A and SMA B, Manado. Data were collected using a structured questionnaire that had been tested for validity and reliability (Cronbach’s alpha: knowledge = 0.931; attitude = 0.736). Data were analysed using univariate methods.

Results: Overall, 76.2% of adolescents demonstrated good knowledge, 22.8% had sufficient knowledge, and 1.0% had poor knowledge regarding the prevention of unintended pregnancy. With respect to attitudes, 70.7% of respondents exhibited a positive attitude, while 29.3% showed a negative attitude.

Conclusion: The majority of adolescents in Manado City possess good knowledge and hold positive attitudes toward the prevention of unintended pregnancy.

References

1. World Health Organization. Adolescent health. World Health Organization. 2025. https://www.who.int/health-topics/adolescent-health

2. Soni U, Sharma R, Sharma M, et al. Impulsivity and risk-taking behavior in school-going adolescents. Cureus. 15(6):e40728. doi:10.7759/cureus.40728

3. UNICEF. Early childbearing and teenage pregnancy rates by country. UNICEF Data. 2024. https://data.unicef.org/topic/child-health/early-childbearing/

4. World Health Organization. Adolescent pregnancy. 2024. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

5. BKKBN: Angka kelahiran pada remaja usia 15-19 tahun alami kenaikan. 2023. https://www.antaranews.com/berita/3631623/bkkbn-angka-kelahiran-pada-remaja-usia-15-19-tahun-alami-kenaikan

6. Maziyah R, Ratna M, Budiantara IN. Pemodelan ASFR di Indonesia menggunakan regresi nonparametrik spline truncated. J Sains Dan Seni ITS. 2019;8(2). doi:10.12962/j23373520.v8i2.45666

7. Badan Pusat Statistik Provinsi Sulawesi Utara. Persentase penduduk perempuan yang umur kehamilan pertamanya lebih dari atau sama dengan 19 tahun menurut kabupaten/kota di Provinsi Sulawesi Utara. Badan Pusat Statistik Provinsi Sulawesi Utara. 2022. https://sulut.bps.go.id/id/statistics-table/2/MTUxNSMy/persentase-penduduk-perempuan-yang-umur-kehamilan-pertamanya-lebih-dari-atau-sama-dengan-19-tahun-menurut-kabupaten-kota-di-provinsi-sulawesi-utara.html

8. Ita Suari Dewi PK. Gambaran pengetahuan dan sikap remaja usia 15-19 tahun tentang pencegahan kehamilan tidak diinginkan di Banjar Juga Mas Ubud Gianyar [Skripsi]. Denpasar: Poltekkes Denpasar;2021. https://repository.poltekkes-denpasar.ac.id/7724/

9. Ningrum DAR, Sinaga M, Sir AB. Knowledge and attitude of adolescents about unwanted pregnancy in SMA Negeri 8 Kupang. J Community Health. 2022;4(3):191-197. doi:10.35508/ljch.v4i3.4892

10. Sinaga M, Kandou GD, Lampus BS. Gambaran perilaku remaja terhadap seks pranikah di SMA Negeri 1 Manado. J Kedokt Komunitas Trop. 2015;3(1):6-10.

11. Franky Ongela, Max R. Rarung, Juneke J. Kaeng. Sikap dan pengetahuan tentang kehamilan remaja di 3 SLTA Manado. E-Clin. 2014;2. doi:10.35790/ecl.2.1.2014.3740

12. Ointu N, Engkeng S, Asrifuddin A. Faktor-faktor yang berhubungan dengan pencegahan perkawinan usia muda pada peserta didik di SMK Negeri 3 Manado. J KESMAS. 2020;9(1).

13. Darsini D, Fahrurrozi F, Cahyono EA. Pengetahuan; artikel review. J Keperawatan. 2019;12(1):95-107. Available from URL: https://lppmdianhusada.ac.id/e-journal/index.php/jk/article/view/96

14. Batubara JR. Adolescent development (perkembangan remaja). Sari Pediatri. 2016;12(1):21-29. doi:10.14238/sp12.1.2010.21-9

15. Palandeng H, Porajow Z, Munajang H. Kajian epidemiologis perkembangan fisik anak dan remaja di Kecamatan Eris, Kabupaten Minahasa, Sulawesi Utara: sebuah analisis data. Ibnu Sina. 2025;24(2):503-510. doi:https://doi.org/10.30743/ibnusina.v24i2.922

16. Santrock JW. Adolescence. Seventeenth edition. McGraw-Hill Education; 2019.

17. Murtiyarini I, Nuryaningsih N, Subiyatin A, et al. Kehamilan remaja: menghadapi stigma, menjaga harapan. 1st ed. Cilacap, Jawa Tengah: Media Pustaka Indonesia; 2025.

18. Fariana YRN, Novita A, Nina N. Pengaruh peran teman sebaya, self esteem, dan penggunaan media sosial dengan perilaku seks pranikah pada remaja. J Ilmu Kesehat Masy. 2024;13(02):192-203. doi:10.33221/jikm.v13i02.2667

19. WHO. Sexual, reproductive, maternal, newborn, child and adolescent health: report on the 2023 policy survey. Accessed November 1, 2025. https://www.who.int/publications/i/item/9789240100176

20. Zurizah Y. Pengaruh orang tua, pengetahuan dan teman sebaya terhadap perilaku seksual remaja. J Kebidanan J Ilmu Kesehat Budi Mulia. 2020;10(1):66-72. doi:10.35325/kebidanan.v10i1.226

21. Promosi kesehatan dan ilmu perilaku. Accessed November 29, 2025. https://fik.um.ac.id/wp-content/uploads/2020/10/2.-PROMOSI-KESEHATAN-DAN-ILMU-PERILAKU.pdf

22. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179-211. doi:10.1016/0749-5978(91)90020-T

23. Arsad S, Dwisetyo B, Hi.Baco N. Hubungan kekuatan keluarga dengan perilaku seksual beresiko pada remaja di Kelurahan Bailang Lingkungan V Kecematan Bunaken Kota Manado. J Rumpun Ilmu Kesehat. 2022;2(1):42-51. doi:10.55606/jrik.v2i1.526.

24. Porajow ZCJG. Dokter lima bintang untuk kesehatan mental remaja: peran dokter keluarga. J Kedokt Komunitas Trop. 2024;12(1):515-6. https://ejournal.unsrat.ac.id/index.php/JKKT/article/view/56257

Published

2025-12-31

How to Cite

1.
Siregar T, Porajow ZCJG, Monintja TCN. Description of adolescent behaviour regarding the prevention of unintended pregnancy in senior high schools in Manado City. J Kedokt Komunitas Trop [Internet]. 2025 Dec. 31 [cited 2026 Jan. 10];13(2):735-42. Available from: https://ejournal.unsrat.ac.id/v3/index.php/JKKT/article/view/65677

Issue

Section

Articles

Similar Articles

1 2 3 4 5 6 7 8 9 > >> 

You may also start an advanced similarity search for this article.