Kontakt 2023, 25(1):50-56 | DOI: 10.32725/kont.2023.004

The effect of comprehensive sexual education on improving knowledge, attitudes, and skills in preventing premarital sexual behavior in adolescentsSocial Sciences in Health - Original article

Siti Badriah1, 2, *, Fauziah Tambuala3, Lily Herlinah3, Dini Mariani1, 2, Lia Nurcahyani1, 2, Henri Setiawan4
1 Poltekkes Kemenkes Tasikmalaya, Department of Nursing, West Java, Indonesia
2 Center of Excellence Health and Disaster Emergency (HADE) Center, Poltekkes Kemenkes Tasikmalaya, Indonesia
3 Universitas Muhammadiyah Jakarta, Faculty of Nursing, Jakarta, Indonesia
4 STIKes Muhammadiyah Ciamis, Department of Nursing, West Java, Indonesia

Aim: This study aims to determine the effect of comprehensive sexual education on improving knowledge, attitudes, and skills in preventing premarital sexual behavior.

Design: Quasi-experimental pre-post-test design with a control group.

Methods: The participants in this study were SMKN 1 Cibadak students. 60 respondents were divided into two groups (intervention group = 30 and control group = 30). The purposive sampling technique selected participants with the following inclusion criteria: grade 9 students who are already dating. In the intervention group, comprehensive sexual education was conducted for six sessions, consisting of six main topics. The research instrument was a knowledge, attitudes, and skills questionnaire which had previously been tested for validity and reliability using the Shapiro-Wilk and Levene test. The collected data were processed using SPSS version 25.0 and analyzed by univariate (frequency and percentage), bivariate (paired t-test and independent t-test), and multivariate (linear regression test).

Results: Comprehensive sexual education significantly improved knowledge, attitudes, and skills in preventing premarital sexual behavior with a p-value = 0.000. The difference in each variable's mean and standard deviation significantly occurred between the intervention and control group with the results of knowledge (17.60 ± 3.86 vs. 11.33 ± 5.96), attitude (53.93 ± 13.92 vs. 28.53 ± 13.13), and skill (34.93 ± 3.78 vs. 16.87 ± 8.13).

Conclusions: Comprehensive sexual education has proven to be effective in increasing knowledge, attitudes, and skills to prevent premarital sexual behavior. Therefore, it can be used as a special intervention in public health centers for adolescents. This intervention approach can be achieved by a collaboration between health services and formal institutions, such as schools and communities (e.g., youth organizations).

Keywords: Attitude; Comprehensive sexual education; Knowledge; Premarital sexual behavior; Skill
Conflicts of interest:

The authors have no conflict of interests to declare, financial or otherwise.

Received: November 16, 2022; Revised: January 18, 2023; Accepted: February 8, 2023; Prepublished online: February 17, 2023; Published: March 30, 2023  Show citation

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Badriah S, Tambuala F, Herlinah L, Mariani D, Nurcahyani L, Setiawan H. The effect of comprehensive sexual education on improving knowledge, attitudes, and skills in preventing premarital sexual behavior in adolescents. Kontakt. 2023;25(1):50-56. doi: 10.32725/kont.2023.004.
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