Kecemasan pada Remaja yang Hamil di Luar Nikah
DOI:
https://doi.org/10.35790/msj.v7i2.56534Abstract
Abstract: Teenagers with premarital pregnancy can experience more stress, feelings of helplessness, hopelessness, depression, suicidal willingness, feelings of failure, and loss of self-esteem. This study aimed to analyze the anxiety in teenagers who were pregnant before marriage in Manado. This was a mixed method study with quantitative sampling technique using total sampling (67 samples). The instrument used for quantitative research was the PASS questionnaire. Qualitative samples obtained from the results of quantitative research with purposive sampling technique, the type of research used phenomenology. Quantitative data were analyzed univariately and bivariately. The results showed that the highest percentages were found in age 15-18 years (71.6%), senior high school education (59.7%), gestational age of second trimester of pregnancy (46.3%) and third trimester of pregnancy (44.8%). The qualitative analysis obtained four major themes, namely: the anxiety of adolescents with premarital pregnancy, the impact of pregnancy, the experience of adolescents, the factors of premarital pregnancy. The chi-square test for the relationship between anxiety level and premarital pregnancy had a p-value of 0.040. In conclusion, there is a relationship between anxiety level and premarital pregnancy in adolescents in Manado. The contributing factors are inappropriate parents and couple support, and readiness for being pregnancy.
Keywords: anxiety; adolescents; pre-marital pregnancy
Abstrak: Remaja hamil di luar nikah lebih mengalami stres, perasaan tidak berdaya, putus asa, depresi, keinginan bunuh diri, merasa diri gagal, serta kehilangan harga diri. Penelitian ini bertujuan untuk menganalisis kecemasan pada remaja hamil di luar nikah di Kota Manado. Penelitian ini menggunakan mixed method dengan pendekatan explanatory sequential design. Populasi dan sampel yakni remaja usia 15-24 tahun yang hamil di luar nikah di Kota Manado. Desain kuantitatif yaitu deskriptif analitik. Pengambilan sampel kuantitatif menggunakan total sampling berjumlah 67 sampel. Instrumen penelitian yaitu kuesioner PASS. Sampel kualitatif berasal dari hasil penelitian kuantitatif dengan purposive sampling, dan jenis penelitian fenomenologi. Analisis data kuantitatif secara univariat dan bivariat. Hasil penelitian mendapatkan persentase tertinggi pada kategori usia remaja 15-18 tahun (71,6%), pendidikan SMA (59,7%), serta usia kehamilan trimester II (46,3%) dan trimester III (44,8%). Hasil analisis kualitatif mendapatkan empat tema besar, yaitu: kecemasan remaja yang hamil di luar nikah, dampak hamil, pengalaman remaja, dan faktor terjadinya kehamilan di luar nikah. Hasil uji chi-square terhadap hubungan antara tingkat kecemasan dengan hamil di luar nikah mendapatkan nilai p=0,040. Simpulan penelitian ini terdapat hubungan bermakna antara tingkat kecemasan dengan remaja hamil di luar nikah di Kota Manado. Faktor yang memengaruhi kecemasan pada remaja hamil yakni kurangnya dukungan keluarga dan pasangan, dan kesiapan menjalani kehamilan.
Kata kunci: kecemasan; remaja; hamil di luar nikah
References
Uyun Z’, Novarianto D, Saputra W, Pabelan JAY. Kecemasan pada remaja hamil di luar nikah (Studi Kasus Remaja Surakarta Tahun 2011). 2012. Availablle from: http://publikasiilmiah.ums.ac.id/handle/11617/2188
World health organization (WHO). Adolescent pregnancy. Adolescent Health. World Health Statistics|Maternal and Reproductive Health. 2019. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/3215
Riskesdas. Riset Kesehatan Dasar 2018. Available from: http//:www.kemkes.go.id
Alifah AP, Apsari NC, Taftazani BM. Faktor yang mempengaruhi remaja hamil di luar nikah. Jurnal Penelitian Dan Pengabdian Kepada Masyarakat (JPPM). 2022;2(3):529. Doi: 10.24198/JPPM.V2I3.38077
Ayuni ID, Islami D, Jannah M, Putri A, Nurhasanah. Hubungan pengetahuan remaja putri terhadap bahaya kehamilan pada usia remaja. Indonesia Journal of Midwifery Sciences. 2022;1(2):47–52. Doi: 10.53801/IJMS.V1I2.17
Sari NLPMR, Parwati NWM, Indriana NPRK. Hubungan antara tingkat pengetahuan ibu dan dukungan suami dengan tingkat kecemasan ibu hamil trimester III dalam menghadapi persalinan. Jurnal Riset Kesehatan Nasional. 2023;7(1):35–44. Doi: 10.37294/jrkn.v7i1.469
Singh R, Mukherjee P. Push out, pull out, or opting out? Reasons cited by adolescents for discontinuing education in four low- and middle-income countries. In: Lansford JE, Banati P (Editors) Handbook of Adolescent Development Research and Its Impact on Global Policy. Oxford: Oxford University Press; 2018. Available from: https://doi.org/10.1093/oso/9780190847128.003.0012
Murphy-Graham E, Cohen A, Montoya D. School dropout, child marriage, and early pregnancy among adolescent girls in rural Honduras. Comparative Education Review. 2020;64:000–000. Doi: 10.1086/710766.
Te Lindert L, van der Deijl M, Elirehema A, van Elteren-Jansen M, Chitanda, R, van den Akker T. Perceptions of factors leading to teenage pregnancy in Lindi Region, Tanzania: a grounded theory study. Am J Tropical Med Hyg. 2021;104(4):1562–68. Doi: 10.4269/ajtmh.20-0151
Dunor H, Urassa JK. Access to reproductive health services and factors contributing to teenage pregnancy in Mtwara Region, Tanzania. Developing Country Studies. 2017;7(5):30. Available from: https://www.iiste.org/journals/index.php/DCS/article/view/36837
Undie C-C, Birungi H. What to expect when girls are expecting: psychosocial support challenges and opportunities in the context and aftermath of teenage pregnancy in Kenya. Reproductive Health. 2022;19(1): 228. Doi: 10.1186/s12978-022-01544-1
Radu MC, Manolescu LS, Chivu R, Zaharia C, Boeru,C, Pop-Tudose E, et al. Pregnancy in teenage Romanian mothers. Cureus. 2022;14(1):e21540. Doi: https: 10.7759/cureus.21540
Panda A, Parida J, Jena S, Pradhan A, Pati S, Kaur H. Perception, practices, and understanding related to teenage pregnancy among the adolescent girls in India: a scoping review. Reproductive Health. 2023;20(1):93. Doi: 10.1186/s12978-023-01634-8
Birhanu BE, Kebede DL, Kahsay AB, Belachew AB. Predictors of teenage pregnancy in Ethiopia: a multilevel analysis. BMC Public Health. 2019;19(1):601. Doi: 10.1186/s12889-019-6845-7.
Byonanebye J, Brazauskas R, Tumwesigye N, Young S, May T, Cassidy L. Geographic variation and risk factors for teenage pregnancy in Uganda. Afr Health Sci. 2020;20(4):1898–1907. Doi: 10.4314/ahs.v20i4.48
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Widya Rahayu, Farida Kartini, Askuri Askuri
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
