SELF-DISCLOSURE OF ADOLESCENTS AS THE MOST INFLUENTIAL FACTOR IN THE PROVISION OF REPRODUCTIVE HEALTH INFORMATION TO ADOLESCENTS
Downloads
Introduction: Adolescents with all their characteristics make them are vulnerable to reproductive health problems. Parents have the responsibility to provide reproductive health information to adolescents, but 52.67% of parents have not conveyed it. Aims: This study aimed to analyze the factors that most influence parent-to-adolescent communication regarding reproductive health. Methods: This type of research uses cross-sectional, which was conducted offline in 2022 in Jrakah Boyolali Village. The population of this study was 422 parents of teenagers, and the sample was 230 parents with adolescents aged 11-19 years. The sampling technique used was proportional random sampling. Data collection was carried out using validated instruments. The independent variables were communication patterns, joint activities, and adolescents’ self-disclosure, with parents' behavior in providing reproductive health information as the dependent variable. Data analysis was carried out with multiple logistic regression tests, with a significance level of 5%. Results: The study found that adolescent self-disclosure to their parents was the most influential factor in the provision of reproductive health information by parents to their adolescent children (OR=2.537 (95% CI OR:1.423-4.522). Parents with teenagers who are less open about telling their parents can increase the risk 2.537 times of not communicating reproductive health to teenagers. Adolescents' openness to their parents can increase the closeness between parents and adolescents, making it more possible to discuss reproductive health between the two. Conclusion: Parents need to learn communication techniques with teenagers so that teenagers are not embarrassed to discuss things.
Aliyu, T.K. and Aransiola, J.O. (2023) ‘Parent-Adolescent Communication About Reproductive Health Issues in Nigeria’, SAGE Open, 13(2). https://doi.org/10.1177/21582440231166607
Aristyasari, Y.F., Nisa, M. and Indriastuti, N.A. (2021) ‘Peningkatan Kesadaran Kesehatan Reproduksi Perspektif Islam dan Medis bagi Remaja Pimpinan Cabang Nasyiatul Aisyiyah Ngawen Klaten’, Warta LPM, 24(2), pp. 342–353. https://doi.org/10.23917/warta.v24i2.13240
Baudat, S. et al. (2022) ‘How Do Adolescents Manage Information in the Relationship with Their Parents? A Latent Class Analysis of Disclosure, Keeping Secrets, and Lying’, Journal of Youth and Adolescence, 51(6), pp. 1134–1152. https://doi.org/10.1007/s10964-022-01599-0
Bekele, D. et al. (2022) ‘Parental communication on sexual and reproductive health issues to their adolescents and affecting factors at Asella town, Ethiopia: a community-based, cross-sectional study’, Reproductive Health, 19(1). https://doi.org/10.1186/s12978-022-01408-8
Boyolali Ministry of Religion Office (2021) ‘Recapitulation of Marriage, Divorce, Divorce and Reconciliation Events’. Boyolali.
Chimatiro, C.S., Hajison, P. and Muula, A.S. (2020) ‘The Role of Community Leaders on Adolescent’s HIV and Sexual Reproductive Health and Rights in Mulanje, Malawi’, Reproductive Health, 17, pp. 66. https://doi.org/10.1186/s12978-020-00917-8
Fachrudin, Z.F. (2020) ‘Hubungan pengungkapan diri (self disclosure) kepada teman sebaya dengan perilaku seks pranikah remaja skripsi’.
Fanta, M. et al. (2016) ‘Factors associated with adolescent – parent communication regarding reproductive health issues , among high school and preparatory students in Boditi town , Southern Ethiopia: a cross-sectional study’, Patient Intelligence, 8, pp. 57–70. https://doi.org/10.2147/PI.S97838
Febrianty, P. (2021) Jumlah Pernikahan Dini Anak di Jateng Meningkat Setiap Tahun, Pada 2020 Capai 12.972, SinarJateng.com.
Fideyah, N.A. et al. (2020) ‘The role of parents in providing sexuality education to their children’, Makara Journal of Health Research, 24(3), pp. 157–163. https://doi.org/10.7454/msk.v24i3.1235
Handriyani, A.P. and Kusumaningrum, T.A.I. (2023) ‘Faktor-Faktor yang Berhubungan dengan Niat Remaja untuk Berdiskusi Kesehatan Reproduksi dengan Orang Tua’, Jurnal Kesehatan Global, 6(1), pp. 37–46. https://doi.org/10.33085/jkg.v6i1
Khurun’in, I. et al. (2023) ‘Measuring The Role of Family Function in Promoting Adolescent Reproductive Health in East Java’, Jurnal Biometrika dan Kependudukan, 12(1), pp. 13–21. https://doi.org/10.20473/jbk.v12i1.2023.13-21
Kusumaningrum, T.A.I. et al. (2022) ‘Experiences of Getting Reproductive Health Information from Friends as the Most Influenced Factor on Human Immunodeficiency Virus (HIV) Risk Behavior in Adolescents’, Open Access Macedonian Journal of Medical Sciences, 10(E), pp. 428–434. https://doi.org/10.3889/oamjms.2022.7960
Kusumaningrum, T.A.I., Suci, D.L. and Wulandari, D. (2022) ‘Parents behavior for delivering adolescent reproductive health education’, International Journal of Public Health Science, 11(4), pp. 1202–1209. https://doi.org/10.11591/ijphs.v11i4.21440
Maimunah, S., Afiatin, T. and Febriani, A. (2023) ‘Sexual communication between parents-adolescents during covid-19 pandemic in Malang’, Jurnal Ilmiah Psikologi Terapan, 11(1), pp. 7–12. https://doi.org/10.22219/jipt.v11i1.18488
Manu, A., Kotoh, A.M. and Ankomah, A. (2016) ‘Factors associated with parental communication with young people about sexual and reproductive health : A cross-sectional study from the Brong Ahafo Article information ’:, Health Education, 116(6), pp. 595–610. https://doi.org/10.1108/HE-09-2015-0025
Mehus, C.J. et al. (2022) ‘Parents’ Sources of Adolescent Sexual Health Information and Their Interest in Resources From Primary Care’, Academic Pediatrics, 22(3), pp. 396–401. https://doi.org/10.1016/j.acap.2021.09.007
Mekie, M. et al. (2019) ‘Parental communication on sexual and reproductive health issues and its associated factors among preparatory school students in Debre Tabor, Northcentral Ethiopia: Institution based cross-sectional study’, BMC Research Notes, 12(1), pp. 1–6 https://doi.org/10.1186/s13104-019-4644-y
Morris, J.L. and Rushwan, H. (2015) ‘Adolescent sexual and reproductive health: The global challenges’, International Journal of Gynecology and Obstetrics, 131, pp. S40–S42. https://doi.org/10.1016/j.ijgo.2015.02.006
Murdiningsih et al. (2020) ‘The effect of adolescent reproductive health education on premarital sexual behavior’, International Journal of Public Health Science, 9(4), pp. 327–332. https://doi.org/10.11591/ijphs.v9i4.20444
National Population and Family Planning Agency, Central Statistics Agency and Ministry of Health (2018) Indonesian Demographic and Health Survey 2017-Youth Book. Jakarta.
Nisariati, N. and Kusumaningrum, T.A.I. (2022) ‘Hubungan Pengetahuan, Sikap dan Self Efficacy dengan Sexual Abstinence pada Remaja’, Jurnal Kesehatan, 15(2), pp. 214–223. https://doi.org/10.23917/jk.v15i2.14985
Nyirandegeya, J., Rugema, J. and Katende, G. (2022) ‘Communication between Adolescents and their Parents on Sexual Risk-Taking Behaviours and Facilitating factors in Rwanda’, Rwanda Journal of Medicine and Health Sciences, 5(1), pp. 20–33. https://doi.org/10.4314/rjmhs.v5i1.4
Purwanti, D.A. et al. (2021) ‘Parents’ Involvement in Sexual and Reproductive Health Education for Children: A Scoping Review’, Women, Midwives and Midwifery, 1(1), pp. 1–14. https://doi.org/10.36749/wmm.1.1.1-14.2021
Ram, S., Andajani, S. and Mohammadnezhad, M. (2020) ‘Parent ’ s Perception regarding the Delivery of Sexual and Reproductive Health ( SRH ) Education in Secondary Schools in Fiji : A Qualitative Study’, 2020. https://doi.org/10.1155/2020/3675684
Religious Affairs office (2021) Marriage Record Book. Selo, Boyolali.
Richards, N.K. et al. (2020) ‘Young women’s reproductive health conversations: Roles of maternal figures and clinical practices’, PLoS ONE, 15(1). https://doi.org/10.1371/journal.pone.0228142
Sagnia, P.I.G., Gharoro, E.P. and Isara, A.R. (2020) ‘Adolescent–parent communication on sexual and reproductive health issues amongst secondary school students in Western Region 1 of The Gambia’, African Journal of Primary Health Care & Family Medicine, 12(1). https://doi.org/10.4102/phcfm.v12i1.2437
Sanghirun, K. et al. (2020) ‘Perspectives of Parents regarding Sexual and Reproductive Health in Early Adolescents Perspectives of Parents regarding Sexual and Reproductive Health in Early Adolescents: A Qualitative Descriptive Study’, Pacific Rim International Journal of Nursing Research, 25(1), pp. 60–74.
Sanjiwani, I.A. and Pramitaresthi, I.G.A. (2021) ‘Parents Experience in Giving Sex Education to Adolescents in North Kuta’, Journal of A Sustainable Global South, 5(2). https://doi.org/10.24843/jsgs.2021.v05.i02.p06
Saskatchewan Prevention Institute (2017) Parents as Sexual Health Educators for Their Children: A Literature Review.
Sievwright, K.M. et al. (2023) ‘Adolescent–Parent Relationships and Communication: Consequences for Pregnancy Knowledge and Family Planning Service Awareness’, Journal of Adolescent Health, 73(1), pp. S43–S54. https://doi.org/10.1016/j.jadohealth.2022.09.034
Sleshi, S. et al. (2022) ‘Parent-adolescent discussion about reproductive health issues and associated factors among parents in Debre Markos town, Northwest, Ethiopia: a cross-sectional study’, Pan African Medical Journal, 41. https://doi.org/10.11604/pamj.2022.41.266.32447
Toru, T. et al. (2022) ‘Parent-adolescents communication on sexual and reproductive health issues and associated factors among students in high school and preparatory in Arekit, Southwest, Ethiopia, 2020’, International Journal of Africa Nursing Sciences, 17. https://doi.org/10.1016/j.ijans.2022.100509
Triyanto, E. et al. (2019) ‘Identification factors affecting adolescent ’ s reproductive health behavior : A qualitative study’, 8(3), pp. 672–678. https://doi.org/10.15562/bmj.v8i3.1539
Unesco. et al. (2018) International technical guidance on sexuality education : an evidence-informed approach. UNESCO.
Usonwu, I., Ahmad, R. and Curtis-Tyler, K. (2021) ‘Parent–adolescent communication on adolescent sexual and reproductive health in sub-Saharan Africa: a qualitative review and thematic synthesis’, Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01246-0
Weinstein, N., Huo, A. and Itzchakov, G. (2021) Parental Listening When Adolescents Self-Disclose: A Pre-Registered Experimental Study. Journal of Experimental Child Psychology, 209, 105178. https://doi.org/10.1016/j.jecp.2021.105178
Wudineh, K.G., Chekole, F.A. and Tesfu, A.A. (2021) ‘Adolescent-parent communication on sexual and reproductive health issues and associated factors among secondary school students in Woreta town, Northwest Ethiopia: An institutional based cross sectional study’, Heliyon, 7(3). https://doi.org/10.1016/j.heliyon.2021.e06528
Yadeta, T.A., Bedane, H.K. and Tura, A.K. (2014) ‘Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: A cross-sectional study’, Journal of Environmental and Public Health, 2014. https://doi.org/10.1155/2014/102579
Yibrehu, M.S. and Mbwele, B. (2020) ‘Parent - Adolescent communication on sexual and reproductive health: The qualitative evidences from parents and students of Addis Ababa, Ethiopia’, Reproductive Health, 17(1). https://doi.org/10.1186/s12978-020-00927-6
Zakaria, M. et al. (2019) ‘Reproductive health communication between mother and adolescent daughter in Bangladesh: a cross-sectional study’, Reproductive Health, 16(1), p. 114. https://doi.org/10.1186/s12978-019-0778-6
Copyright (c) 2025 The Indonesian Journal of Public Health

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The authors agree to transfer the transfer copyright of the article to The Indonesian Journal of Public Health effective if and when the paper is accepted for publication.
- Authors and other parties are bound to the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License for the published articles, legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA), implies that:
- Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial ” You may not use the material for commercial purposes.
- ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.