Department of Health Education & Behavioral Sciences, Faculty of Public Health Universitas Indonesia, D Building Kampus Baru UI, Depok, 16424, Indonesia.
BMC Public Health. 2019 Mar 11;19(1):286. doi: 10.1186/s12889-019-6587-6.
Adolescents face many problems due to risky behavior. As a result, they require special consideration through the administration of health education and reproductive health services. However the utilization of adolescent reproductive health service programs in Makassar is still relatively low. The purpose of this study, then, was to identify the rates at which adolescent reproductive health services are utilized and to analyze the determinants affecting such utilization.
This research was a quantitative project with a cross-sectional design, and it was conducted in March to May of 2018 in Makassar City. Data were collected via the independent completion of questionnaires by 383 senior high school students randomly selected from a total of six schools. Data were analyzed using chi-square testing and multiple logistic regression using SPSS.
This study found that only 24.3% of the students took advantage of adolescent reproductive health services. The results of the analysis proved that knowledge of reproductive health and available services (OR = 1.74; 95% CI = 1.040-2.911) are related to the utilization of those services. It was found that students with high levels of knowledge are nearly twice as likely to utilize adolescent reproductive health services as those with low levels of knowledge after the results were controlled for the variables of family and peer support.
It is necessary to promote socialization between students and parents on a regular basis, disseminate information through online media/social networking, administer peer educator training, and establish school organizations in the field of reproductive health to increase awareness and utilization of adolescent reproductive health services.
青少年由于行为风险而面临诸多问题。因此，需要通过提供健康教育和生殖健康服务对他们给予特别关注。然而，在马卡萨尔，青少年生殖健康服务的利用率仍然相对较低。因此，本研究旨在确定青少年生殖健康服务的利用率，并分析影响利用率的决定因素。
这是一项具有横断面设计的定量研究，于 2018 年 3 月至 5 月在马卡萨尔市进行。共从六所学校中随机抽取 383 名高中生独立完成问卷收集数据。采用卡方检验和 SPSS 多逻辑回归分析数据。
本研究发现，只有 24.3%的学生利用了青少年生殖健康服务。分析结果表明，生殖健康知识和可用服务（OR=1.74；95%CI=1.040-2.911）与服务的利用有关。结果表明，在控制家庭和同伴支持等变量后，知识水平高的学生利用青少年生殖健康服务的可能性几乎是知识水平低的学生的两倍。
有必要定期促进学生和家长之间的社会化，通过在线媒体/社交网络传播信息，对同伴教育者进行培训，并在生殖健康领域建立学校组织，以提高青少年生殖健康服务的意识和利用率。
