The Relationship Between Reproductive Health Literacy and Risky Sexual Behavior Among Adolescents in Gedog Kulon Village, Turen District, Malang Regency

Amelia Putri Cahyono; Heny  Astutik; Retno  Dumilah; Ibnu  Fajar

doi:10.58222/jkm.v5i1.2040

Authors

Amelia Putri Cahyono Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia
Heny Astutik Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia
Retno Dumilah Jurusan Kebidanan, Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia
Ibnu Fajar Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Malang, Indonesia

DOI:

https://doi.org/10.58222/jkm.v5i1.2040

Keywords:

Reproductive Health Literacy, Risky Sexual Behavior, Adolescents

Abstract

Background : Risky sexual behavior among adolescents remains a significant public health issue that can lead to various adverse consequences, including unintended pregnancy, sexually transmitted infections (STIs), and psychological as well as social problems. Low reproductive health literacy is considered one of the factors influencing risky sexual behavior among adolescents. Method : This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 131 adolescents in Gedog Kulon Village, Turen District, Malang Regency, selected using proportional random sampling. The research instruments were the Health Literacy Measure for Adolescents (HELMA) questionnaire and the Risky Sexual Behavior Index. Data were analyzed using the Spearman Rank correlation test. Result : The results showed that 74% of the respondents had a high level of reproductive health literacy, while 64.1% were categorized as having no risky sexual behavior. Statistical analysis revealed a p-value of 0.002 (<0.05) and a correlation coefficient of r = -0.269, indicating a statistically significant negative relationship between reproductive health literacy and risky sexual behavior. Conclusion : Lower levels of reproductive health literacy may reduce adolescents' ability to make appropriate decisions regarding their sexual behavior. Therefore, improving reproductive health literacy is expected to contribute to the prevention of risky sexual behavior among adolescents

References

Agung, S., Sari, A. F., Susiloningtyas, I., Islam, U., & Agung, S. (2025). Gambaran Perilaku Seksual Beresiko Pada Remaja Pranikah Di Sma Negeri 10 Semarang. *16*, 51–57. https://doi.org/10.30659/jmhsa.v4i1.64

Anjeli, A. M. R., Dwi, N., Budiono, P., Inayah, Z., & Mindiharto, S. (2026). Literasi Kesehatan Digital Dan Perilaku Kesehatan Reproduksi Remaja : Analisis Dari Perspektif Kesehatan Masyarakat Digital Health Literacy And Adolescent Reproductive Health Behaviors : A Public Health Perspective.

Aziz, A. R., Guna, S. D., Keperawatan, P. S., Riau, U., & Baru, S. (2025). Perilaku Pencegahan Seksual Berisiko Pada Remaja. *13*(1), 25–30.

Baião, P., Ii, P., Alves, H., & Sampaio, D. C. (n.d.). Functional Health Literacy : Reflections And Concepts On Its Impact On The Interaction Among Users , Professionals And The Health System.

BPS. (2024). Statistik Indonesia 2024. Jakarta: Badan Pusat Statistik.

Ghanbari, S., Ramezankhani, A., Montazeri, A., & Mehrabi, Y. (2016). Health Literacy Measure For Adolescents (Helma ): Development And Psychometric Properties. 1–12. https://doi.org/10.1371/journal.pone.0149202

Hariadi, F., Puspita, A. T., Daud, M. M., & Fieldhathama, F. (2025). Risky Sexual Behavior Among Foster Care Adolescents : A Social Cognitive Theory Perspective. *20*(2). https://doi.org/10.14710/jpki.20.2.89-95

Hermawati, S. A., & Imanuddin, B. (2023). Hubungan Tingkat Pengetahuan Dan Akses Informasi Kesehatan Reproduksi Dengan Perilaku Seksual Remaja 1. *12*(2), 211–216. https://doi.org/10.37048/kesehatan.v12i2.287

Kamasuta Bertali. (2024). Data Kasus IMS dan HIV/AIDS di Kabupaten Malang Tahun 2024. Malang: Dinas Kesehatan Kabupaten Malang.

Kamasuta Bertali. (2025). Data Pernikahan Dini di Kecamatan Turen Tahun 2025. Malang: Kantor Urusan Agama Kecamatan Turen.

Nurvitasari, L. A., & Wahyudi, T. (2025). Hubungan Tingkat Pengetahuan Tentang Kesehatan Reproduksi Dengan Perilaku Seksual Remaja Di Sma Negeri 2 Sukoharjo. *6*(September), 13739–13747.

Nutbeam, D. (2025). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, *15*(3), 259-267.

Purnowo, H., Agustin, E. A., & Priliana, W. K. (2024). Psikologi Remaja Dan Permasalahannya.

Rahma, A., Rahman, F., Arifin, S., Anggraini, L., Seambaga, A. A., Shafarina, H., Adila, N. A., & Cahyani, S. (2025). Peningkatan Pengetahuan Kesehatan Reproduksi Remaja Melalui Edukasi Interaktif Di Sman 5 Banjarbaru Improving Adolescent Reproductive Health Knowledge Through Interactive Education At Sman. *4*(1), 114–122.

Rahmadhani, S., Agustina, & Wardiati. (2023). Determinan Literasi Kesehatan Reproduksi Pada Siswi Di Smp N 10 Fajar Harapan Kota Banda Aceh. *4*, 820–827.

Saleh, M. S., Nurfatimah, N., & Setiawan, A. (2024). Pengaruh Teman Sebaya terhadap Perilaku Seksual Berisiko pada Remaja. Jurnal Kesehatan Reproduksi, *11*(2), 112-125.

Sari, R. P., Wulandari, D., & Kusuma, A. (2023). Hubungan Literasi Kesehatan Reproduksi dengan Perilaku Pencegahan Infeksi Menular Seksual pada Remaja. Jurnal Ilmiah Kesehatan, *15*(1), 45-54.

Sugiyono. (2023). Metode Penelitian Kuantitatif Kualitatif Dan R&D. Bandung: Alfabeta.

Syahdila, L., & Effendi, L. (2026). Determinan Perilaku Seks Pranikah Pada Remaja Meurut Social Cognitive Theory ( Sct ): Tinjauan Pustaka. *3*(2), 56–62.

Tukan, S. T. T. (2023). Hubungan Sikap , Keterpaparan Media , Dan Teman Sebaya Dengan Perilaku Seksual Beresiko Pada Remaja. *03*, 550–560. https://doi.org/10.53801/sjki.v3i1.176

Wardiati, W., Septiani, R., & Agustina, A. (2023). Reproductive Health Literacy Of Adolescents At Public Islamic School : A Cross - Sectional Study In Indonesia. *15*(June), 12–22. https://doi.org/10.24252/A1

WHO. (2025). Sexually transmitted infections (STIs). Retrieved from https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)

Yolanda. (2024). Health Literacy Reproduksi Dalam Pendidikan Seks Terhadap Pencegahan Perilaku Seksual Berisiko Pada Remaja Di Smpn 4 Kota Payakumbuh.