Ayu, Elsa Jumasni
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Application of the Health Belief Model on the Reproductive Health Services Uptake in Adolescents: A Meta-Analysis Kusumawardani, Dyah Ayu; Ayu, Elsa Jumasni
Journal of Health Promotion and Behavior Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescence is a period of transition from childhood to adulthood and is characte­rized by changes in physical, psychological, and social behavior that can affect their lives at high risk. Various problems that occur in adolescents are influenced by various dimensions of life within them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. This study aimed to estimate the effect of the Health Belief Model, especially its construction of perceived vulnerability, perceived seriousness, and perceived benefits in the use of reproductive health services with a meta-analysis.Subjects and Method: This study is a review of meta-analytical studies. This research article was obtained from the electronic databases of PubMed, Springer Link, Elsevier and Google Scholar. The articles used in this study are articles published from 2011-2021. The search for articles was carried out by considering the eligibility criteria defined using the PICO model. P: adolescents. I: perceived vulnerability, perceived seriousness, perceived benefit. C: Low perceived vulnerability, perceived seriousness, perceived benefit. O: use of reproductive health services. The articles included in this study are full text articles with a Srocsectional study design. This article was analyzed using the Review Manager 5.3 application.Results: There are 9 articles in total. The results showed that there was high heterogeneity (I2= 82%; p <0.0001), so that the data analysis on the florest plot used a random effect model. The perception of vulnerability that is felt to be strong increases the likelihood of using reproductive health services by 2.42 times compared to the perception of vulnerability that is felt to be weak, and it is not statistically significant (aOR= 2.42; 95% CI= 1.60-3.67; p= 0.001).Conclusion: The use of reproductive health services is not statistically significant in predicting reproductive health in adolescents.Keywords: health belief model, belief, reproductive health service, reproductive health careCorrespondence:Dyah Ayu Kusumawardani. Universitas Muhammadiyah Surakarta, Central Java, Indonesia. Email: dijeayu16@gmail.com. Mobile: +6281466847498.Journal of Health Promotion and Behavior (2021), 06(04): 318-326DOI: https://doi.org/10.26911/thejhpb.2021.06.04.06 
Effects of Parental Monitoring and Communication on the Prevention of Sexual Risk Behavior in Adolescents: Meta-Analysis Ayu, Elsa Jumasni; Demartoto, Argyo; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2023.08.03.01

Abstract

Background: Risky sexual deviations in adolescents are habits that include having sex at an early age, using condoms that are inconsistent, having more than one sexual partner or being a commer­cial sex worker. Communication between parents and children plays an important role in fostering the relationship between the two and parents who are less able to communicate with their children will cause relationship conflict so that it can have an impact on adolescent sexual beha­vior. This study aims to estimate the influence of paren­tal monitoring and parental communication on sexual risk behavior in adolescents based on the results of primary research. Subjects and Method: This was a review of meta-analytic studies and this article was obtained from databases namely PubMed, Google Scholar, Elsevier, Spinger Link and Science Direct. The articles used in this study are articles published from 2012-2022. The article search was carried out by considering the eligibility criteria defined using the PICO model, namely P: Adole­scents, I: Parental monitoring and parental communication C: No parental monitoring and no paren­tal communication O: Sexual risky behavior. The articles included in this research are full text articles with a cross-sectional study design. This article was analyzed using the Review Mana­ger 5.3 application. Results: A total of 17 cross-sectional studies from 5 Americas, 1 Europe, 2 Asia and 9 Africa with a sample size of 13,404. The results of the meta-analysis showed that adolescents with parental monitoring reduced risky sexual behavior 0.84 times compared to those without parental monito­ring, but the effect was not statistically significant (aOR=0.84; 95% CI=0.61-1.17; p=0.300), adole­scents without parental communication has the possibility of having risky sexual behavior 1.26 times compared to adolescents who communicate with parents (aOR=1.26; 95% CI 0.81-1.95; p= 0.310) which is not statistically significant. The results of research on parental monitoring showed that there was high heterogeneity (I2=74%; p=0.001) and parental communication (I2=90%; p<0.001), so that the average effect estimation calculation on the forest plot used the random effect model. Conclusion: Parental monitoring and parental communication have no effect on sexual risk behavior in adolescents. Keywords: parental monitoring, parental communication, sexual risk behavior, youth.