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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health JURNAL PENELITIAN PERAWAT PROFESIONAL
Handayani, Anggun Fitri
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Parental Communication as a Protective Factor Against Adolescent Risky Sexual Behavior: A Meta-Analysis Atmojo, Joko Tri; Handayani, Anggun Fitri; Widiyanto, Aris; Mubarok, Ahmad Syauqi; Anasulfalah, Hakim; Delimasari, Trisakti Halimah
Journal of Health Promotion and Behavior Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.03.05

Abstract

Background: Adolescence is a significant developmental stage marked by notable physical, psychological, and social changes. Adolescent reproductive health surveys show that a number of teenagers report engaging in premarital sexual intercourse without fully understanding its social and health consequences. Given this phenomenon, it is crucial to understand the factors that can protect them from risky sexual behaviors, particularly starting from the family. This study aimed to estimate the impact of family communication on risky sexual behavior in adolescents. Subjects and Method: This research is a meta-analysis and systematic review using the PRISMA diagram with PICO frame work (P= adolescent; I = parental communication; C= no parental communication; O= risky sexual behavior). Primary studies were searched through several indexing databases, including PubMed, Google Scholar, and ScienceDirect. Keywords used to facilitate the search for articles include: “parental participation,” or “parental communication,” or “family interaction,” or “sexual risk” or “sexual risk behavior” AND “adults” or “adolescents.” The inclusion criteria for this study are articles published using a cross-sectional study design up to 2024. The statistical analysis used in this study was conducted using the RevMan 5.4 meta-analysis program with both fixed effect and random effect approaches to present the data in the form of forest plots and funnel plots. Results: A total 9 Articles were included in the meta-analysis. The results of the study show that adolescents with low family participation in sexual education, or in the absence of parental communication, are 1.46 times more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication, and this result is statistically significant (aOR= 1.46; CI 95%= 1.43 to 1.49; p<0.001). Conclusion: adolescents with low family participation in sexual education, or in the absence of parental communication are more likely to engage in risky sexual behavior compared to adolescents who receive sexual education or have parental communication.
Co-Authors Ambarsari, Anggraini Aminuyati Anasulfalah, Hakim Ariska, Yovita Galuh Eka Atika Mima Amalin Atmojo, Joko Tri Azizah, Alfi Makrifatul Bhisma Murti Damalita, Annisa Fitriana Damayanti, Siti Delimasari, Trisakti Halimah Eti Poncorini Pamungkasari Firda, Fathiyyatu Assa'diy Furqon, Mashaf Fahrur Murdo Hafida, Salsabilla Luthfiana Ayu Hanisah, Hanisah Hastuti, Rela Ika Yulianti Khairunnisa1, Khairunnisa Maftuchah Maftuchah Minawati, Atika Dwi Mirshanti, Farahdila Mubarok, Ahmad Syauqi Novianto, Fajar Ode, Diana Pamilih, Ayu Trisni Putra, Gilang Pamungkas Ardi Ramadhani, Dinda Nur Asri Mutiara Rosid, Sultonnur Royhanaty, Isy Umar, Alwan Dhafi Widiantoro, Reza Widiyanto, Aris Wijayanti, Dwi Nina yulia lanti retno dewi