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All Journal International Journal of Public Health Science (IJPHS) Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Jurnal Bina Praja JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Arifa, Riza Fatma
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Humanities Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Public Health Social Sciences

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HIV KNOWLEDGE AND SEXUAL RELATIONSHIP NEGOTIATION AMONG INDONESIAN WOMEN LIVING IN AREAS WITH HIGH VS LOW HIV PREVALENCE Sitohang, Marya Yenita; Arifa, Riza Fatma
Jurnal Biometrika dan Kependudukan Vol. 13 No. 2 (2024): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v13i2.2024.192-201

Abstract

The prevalence of HIV in Indonesia is increasing, particularly among certain regions and married women. Such disparities have a significant impact on regional development. Knowledge of HIV and the ability to negotiate sexual relationships with their spouses can help prevent the spread of HIV in the population. This study aims to compare the HIV knowledge, stigma, sexual relationship negotiation, and attitudes toward negotiating safer sexual relationships of Indonesian married women in high and low HIV prevalence areas (Papua and West Sulawesi). Percentages, t-tests, and logistic regression were conducted using the 2017 Indonesian Demographic and Health Survey (IDHS) to analyze the differences between the two regions. The study found that HIV knowledge and negotiating skills differed between the two regions. Married women in the region with the highest HIV prevalence had better HIV knowledge but lower ability to negotiate sexual relationships with their husbands compared to married women living in the lowest HIV prevalence. The differences in HIV knowledge and ability to negotiate sexual relationships may be linked to gender disparities as well as efforts to prevent HIV transmission in the regions. Further studies are needed to explore the experiences and perspectives of married women in negotiating sexual relationships to develop more effective strategies to prevent HIV transmission in this population group.
Individual and community factors of early sexual debut among adolescents in Indonesia: Evidence from demographic and health survey Sulistiawan, Dedik; Arifa, Riza Fatma; Matahari, Ratu; Chakranon, Pairote
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 2, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss2.art5

Abstract

Background: Early sexual debut by adolescents is a major public health issue with long-term consequences for sexual and reproductive health. Research has highlighted the role of social skills, peer influence, and social norms in shaping the risk of early sexual initiation among adolescents. However, there is still insufficient evidenceto contextualize the contributing factors in socio-ecological framework, especially in the era of disruptive technologies in Indonesia.Objective: This study was to examine the individual and community-level factors associated with early sexual debut in adolescents socio-ecological framework.Methods: This cross-sectional study utilizing data from the 2017 Indonesia Demographic and Health Survey (IDHS). Individual-level factors included gender, age, work and school participation, dating experience, perceived peer pressure and access to sexual and reproductive health (SRH) information. Factors at community level include the area of residence and community internet access. Multilevel logistic regression was used, with effect sizes reported as odds ratios (OR) and 95% confidence intervals (CI).Results: Adolescents with dating experience (OR: 18.41; 95% CI: 8.14–41.62), those with friends who had an early sexual debut (OR: 6.24; 95% CI: 4.81–8.09), and those who had a good understanding of pregnancy prevention (OR: 1.73; 95% CI: 1.41–2.11) were more likely to experience early sexual debut. Protective factors included discussing SRH with teachers (OR: 0.76; 95% CI: 0.64–0.90) and first exposure to SRH education at the junior (OR: 0.60; 95% CI: 0.47–0.77) or senior high school level (OR: 0.41; 95% CI: 0.23–0.74). An analysis at Community-level has shown that adolescents in areas with high internet accessare 59% less likely to engage in early sexual debut than their counterparts.Conclusion: Individual and community-level factors, including internet access, influence adolescent early sexual debut. Reinforcing sexual and reproductive health education in formal education systems is essential, especially in areas with limited acces to internet.
Perkembangan Reduksi Asap Rokok dalam Rumah Menuju Kabupaten/Kota Layak Anak: Fakta dari Survei Demografi dan Kesehatan Indonesia 2012 dan 2017 Puspitasari, Mardiana Dwi; Arifa, Riza Fatma
Jurnal Bina Praja Vol 15 No 1 (2023): City Branding
Publisher : Research and Development Agency Ministry of Home Affairs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21787/jbp.15.2023.193-206

Abstract

In 2017, only about 26.68 percent of Indonesian households were tobacco-free. Acute respiratory infections (ARIs) in children under the age of 5 have been linked to indoor tobacco smoke pollution. According to the Presidential Regulation number 25 of 2021, some indicators that should be met for the establishment of a child-friendly city/municipal (KLA) are child's rights to health and family environment. Data from the 2012 and 2017 Indonesia Demographic and Health Surveys (IDHS) was used to examine progress made in achieving tobacco-free households by estimating indoor tobacco smoking at the urban-rural area and regional levels. T-test analysis was used to determine the statistical significance. Findings revealed a higher prevalence of indoor tobacco smoking in rural areas. Over time, the prevalence of indoor tobacco smoking in Indonesian rural areas decreased by 0.84 percent. Between 2012 and 2017, there was no significant reduction in Kalimantan, Nusa Tenggara, or Maluku-Papua. Furthermore, Sulawesi experienced a significant increase of approximately 4.54 percent. From 2012 to 2017, the prevalence of indoor tobacco smoking was higher in households with children under the age of five, home crowding, poor households, and households with a low education household head. Therefore, interventions should focus on rural areas. Municipal governments in Sulawesi, Kalimantan, Nusa Tenggara, and Maluku-Papua should be more concerned about indoor tobacco smoke pollution. Raising family awareness about the dangers of indoor tobacco smoke pollution could be targeted at households with children under the age of 5, overcrowded households, low-income households, and households with a low-education household head.
Key influencers of puberty knowledge among Indonesian adolescents: the role of social networks Sulistiawan, Dedik; Arifa, Riza Fatma; Matahari, Ratu; Dirgantara, Syariatul; Chakranon, Pairote
International Journal of Public Health Science (IJPHS) Vol 14, No 4: December 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i4.26192

Abstract

Accurate reproductive health knowledge is essential for adolescents, yet many in Indonesia poorly informed, contributing to risky behaviors. While prior studies have focused on the effectiveness of reproductive health promotion media, limited research has explored the role of social networks in shaping adolescent reproductive health knowledge. This study aimed to investigate the key influencers within adolescents' social networks by analyzing the association between discussion partners on sexuality and knowledge of puberty-related traits. This cross-sectional study utilized data from the 2017 Indonesia Demographic and Health Survey, with a sample of 23,361 unmarried adolescents. We assessed knowledge of puberty onset traits and discussion partners on sexuality issues as predictors. Multiple logistic regression, adjusted for age, gender, wealth index, and residence, was employed to calculate odds ratios with 95% confidence intervals. Approximately half of the adolescents demonstrated a good knowledge of puberty-related traits. Engaging in discussions about sexuality with friends, mothers, relatives, teachers, and health professionals was positively associated with higher knowledge levels. Adolescents who engaged with these sources were more likely to have a better understanding of puberty-related traits. Utilizing key influencers within these networks can be crucial in promoting accurate reproductive health knowledge and reducing risky behaviors in this population.
Co-Authors Chakranon, Pairote Dedik Sulistiawan Dirgantara, Syariatul Puspitasari, Mardiana Dwi Ratu Matahari Sitohang, Marya Yenita