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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Riza Hayati Ifroh
School of Psychology, Northeast Normal University, Changchun, China
Health Professions Nursing Public Health

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Exposure to Internet Pornography: A Cross-sectional Study among Primary School-aged Children in Java Ratih Indraswari; Bagoes Widjanarko; Riza Hayati Ifroh
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i3.6946

Abstract

Introduction: In today's times, generation Z has extraordinary skills in finding information. This generation is very good at using gadgets to learn, play, and even earn their own income. Pornographic content often appears accidentally and begins to be known by children. Curiosity is often the reason teenagers access pornography and then end up with the practice of premarital sexual intercourse. This study aims to understand how primary school-age children behave in accessing pornographic content. Methods: This cross-sectional study sampled 63 students in fifth grade at a public primary school, using by total population sampling technique. Data was collected using a self-administered questionnaire technique. The data obtained were then analyzed using univariate analysis and linear regression. Results: Most respondents in this study were 11-year-olds (82.5%), comprising 41.3% boys and 58.7% girls, and not experienced puberty yet (60.3%). Of 39.7% have been accessing porn through handphone (41.3%) and laptop (1.6%). As many as 3.2% of children have accessed pornography since the age of < 7 years. About 17.5% of pornographic content accessed is in real motion. The content accessed is mostly pictures of naked people and kissing scenes. As many as 19% of children admitted to accessing pornography accidentally and immediately closed the access. Conclusion: The health department of Family Health and School Health needs to partner with parents to improve supervision and communication between parents and children. Providing healthy living skills training for children needs to be embedded into the educational curriculum so that skills can be carried out routinely and continuously.
Path Analysis of Healthy Cognitive Life Skills Effect on Children’s Self-Esteem, Knowledge, Critical Thinking, and Decision-Making Skills Ratih Indraswari; Bagoes Widjanarko; Riza Hayati Ifroh
Jurnal Keperawatan Soedirman Vol 21 No 2 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.2.15020

Abstract

Early engagement in risky sexual behavior among Indonesian adolescents is often associated with limited reproductive health knowledge and environmental factors. This study evaluated the effectiveness of a Healthy Cognitive Life Skills (HCLS) educational model using interactive games to improve children's reproductive health knowledge, self-esteem, critical thinking skills, decision-making skills, and attitude toward reproductive health. A quasi-experimental study with a non-equivalent control group pretest-posttest design was conducted among 254 children aged 9-10 years from two elementary schools in Semarang City, Indonesia. Data were collected using validated questionnaires and analyzed using partial least squares structural equation modeling (PLS-SEM). The HCLS educational model did not demonstrate a significant direct effect on cognitive life skills. However, it significantly improved self-esteem, which subsequently mediated improvements in reproductive health knowledge, critical thinking skills, and decision-making skills. The intervention did not directly improve attitudes toward reproductive health, although cognitive life skills and self-esteem were positively associated with attitudes. These findings suggest that game-based HCLS education primarily enhances children’s cognitive skills through strengthening self-esteem rather than through direct educational effects. Incorporating strategies that specifically target the affective domain may further improve attitudes toward reproductive health.
Co-Authors Bagoes Widjanarko Bagoes Widjanarko Ratih Indraswari Ratih Indraswari