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External determinants of adolescent sexual behavior among Islamic Boarding School Students in Bali Feni Sulistyawati; Rury Narulita Sari; Ni Putu Widarini; Ni Putu Shinta Utari Dewi; Abdul Hakim
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).384-398

Abstract

Background: Risky sexual behavior among adolescents is a significant concern for sexual health, even in religious settings such as Islamic boarding schools. Although these institutions provide intensive religious education, students remain exposed to external influences that can shape their sexual behavior. Understanding these external determinants is crucial to addressing sexual risk and promoting the psychosocial well-being of adolescents in pesantren environments. Objectives: To analyze the influence of external factors including parental supervision, peer influence, and access to information on adolescent sexual behavior in Islamic boarding schools in Bali. Methods: This study used a quantitative design with a cross-sectional approach. A total of 127 students with varying lengths of stay in Islamic boarding schools and ages ranging from 15-19 years from two Islamic boarding schools in Bali were selected using a total sampling technique. Data were collected using a structured questionnaire that had been tested for validity and reliability. The variables used in this study include independent variables, namely external factors consisting of access to information, parental supervision, and peer influence. The independent variable is sexual behavior with three categories: normal, moderate, and severe. Data analysis was carried out using frequency distribution, crosstabulation, and multinomial logistic regression with the non-risk category as a comparison. Results: Access to information and peer influence have a significant effect on severe risky sexual behavior with a p value <0.05. Adolescents with negative access to information were 6.7 times more likely (OR=6.711; 95% CI=1.797-25.065) to engage in high-risk sexual behavior, while those with negative peer influence were 14.8 times more likely (OR=14.838; 95% CI=1.238-177.883). Conclusions: Access to information and peer influence are the main determinants of high-risk sexual behavior among adolescents in Islamic boarding schools in Bali. Prevention efforts need to be directed at strengthening appropriate literacy and establishing peer educators.
Suspected chikungunya outbreak in Klungkung, Bali: Environmental and behavioral risk factors Ni Luh Rahayu Widaryati; Ni Putu Widarini; Putu Dwi Adi
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

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Abstract

Chikungunya outbreaks in communities with no prior recorded transmission history remain poorly studied in Indonesia, where delayed case detection and low community health literacy present distinct epidemiological challenges. This study investigated a suspected chikungunya extraordinary event in Banjar Jumpai Kangin, Desa Jumpai, Kabupaten Klungkung, Bali, between April and May 2025, with the aim of describing the epidemiological characteristics of the outbreak and identifying the environmental and behavioral risk factors associated with transmission. A case-control design was employed, with data collected through structured interviews, direct environmental observation, and secondary data review. A total of 36 suspected cases were identified, peaking at 8 cases on 8 May 2025, with the majority being female (58.3%) and aged 5 to 14 years (33.3%). All cases presented with fever (100%), followed by arthralgia (91.7%) and rash (83.3%). Bivariate analysis identified four significant risk factors, including the absence of routine water storage container draining (p less than 0.001), the absence of mosquito nest eradication practices (p = 0.046), the presence of mosquito larvae in the household (p = 0.032), and the lack of personal protective behavior against mosquito bites (p = 0.018). Community knowledge of chikungunya was uniformly poor across both case and control groups. Delayed case reporting substantially prolonged the period before any public health response was initiated. These findings underscore the need for proactive community-based surveillance in areas with no prior chikungunya history, and support policy interventions targeting household vector control practices and health literacy as the primary levers for outbreak prevention.