Determinants of Adolescent Premarital Sexual Behavior Based on The Theory of Health Belief Model (HBM)
Background: Premarital sexual behavior refers to sexual activities conducted without the formal process of marriage, as recognized by law, religion, or belief systems. Premarital sexual behavior has become a phenomenon and a growing issue commonly encountered in society. Such behavior is feared to contribute to sexually transmitted diseases, and unwanted pregnancies, and may encourage child marriage practices. The Health Belief Model can predict individuals in making health-related decisions, including the prevention of premarital sexual behavior. Objective: This study aims to analyze the determinants of premarital sexual behavior among adolescents based on the Health Belief Model. Methods: This study was descriptive quantitative research using a cross-sectional design. The sample consisted of 90 participants, selected randomly using proportional random sampling. Data were collected through questionnaires at a senior high school in Menganti District, Gresik Regency. Results: The results showed that 4.4% of respondents engaged in premarital sexual behavior. The perceived severity value was p=0.005, perceived barriers value was p=0.006, perceived susceptibility (p=1.000), perceived benefits (p=1.000), perceived self-efficacy (p=0.050), and cues to action (p=1.000). Conclusions: The conclusion of this study is that there is a significant relationship between perceived severity and perceived barriers to premarital sexual behavior among adolescents. However, perceived susceptibility, perceived benefits, perceived self-efficacy, and cues to action do not have a significant relationship with premarital sexual behavior among adolescents. It is suggested that adolescents enhance their understanding of premarital sexual behavior by seeking accurate and reliable information, and by choosing friends and social environments wisely to avoid negative influences or the desire to engage in premarital sexual behavior.
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