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Sexual wellbeing in early adolescence: a cross-sectional assessment among girls and boys in urban Indonesia.

作者信息

Kågesten Anna E, Pinandari Anggriyani Wahyu, Page Anna, Wilopo Siswanto Agus, van Reeuwijk Miranda

机构信息

Global and Sexual Health, Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18A, 17177, Stockholm, Sweden.

Center for Reproductive Health, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Reprod Health. 2021 Jul 20;18(1):153. doi: 10.1186/s12978-021-01199-4.


DOI:10.1186/s12978-021-01199-4
PMID:34284792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8290574/
Abstract

BACKGROUND: Early adolescence (ages 10-14) is a critical period of physical, cognitive, social and emotional development, which affect sexual and reproductive health and rights (SRHR). Yet, little is known about positive or healthy aspects of sexuality development during this period of life, especially in South East Asia where sexual norms remain restrictive. The objective of this study is to assess the prevalence and correlates of sexual wellbeing among early adolescent girls and boys ages 10-14 years in Indonesia. METHODS: Data for this cross-sectional study were collected as part of the Global Early Adolescent Study via a school-based survey in three Indonesian urban sites in 2018 (N = 4309). We assessed the prevalence of multiple indicators of sexual wellbeing (e.g. SRHR knowledge and communication, gender attitudes, body satisfaction, self-efficacy, freedom from violence) and tested for differences by sex using Chi-square, Student t-test, and Wilcoxon rank-sum test. Multivariable logistic regression models were used to assess the adjusted odds ratio of selected indicators in relation to sociodemographic factors, romantic relationship status, and sexual activities. RESULTS: The mean age of students was 12 years (53% girls); 90% had started puberty. SRHR knowledge and communication was low overall, but higher among boys than girls. Boys were more likely than girls to report high body satisfaction, less feelings of guilt in relation to sexuality, but also to have experienced physical peer violence. In contrast, girls were more likely to hold gender equal attitudes, greater perceived self-efficacy to say 'no', and to report being bullied by boys. In multivariable models, romantic relationship experiences, perceived voice (boys and girls) and decision-making (girls) were associated with three or more indicators of sexual wellbeing. CONCLUSIONS: While young adolescents in Indonesia score high on some aspects of sexual wellbeing, misconceptions, feelings of guilt and uncertainties related to sexuality are common, with clear gender differences. These findings confirm the need for comprehensive sexuality education that begins early in adolescence.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4c/8290574/1c82687fd591/12978_2021_1199_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4c/8290574/1c82687fd591/12978_2021_1199_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4c/8290574/1c82687fd591/12978_2021_1199_Fig1_HTML.jpg

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[1]
Sexual wellbeing in early adolescence: a cross-sectional assessment among girls and boys in urban Indonesia.

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引用本文的文献

[1]
Beyond survey design: Lessons from conducting the National Adolescent Mental Health Surveys.

Child Adolesc Psychiatry Ment Health. 2025-7-31

[2]
Effectiveness of an online sexual and reproductive health educational program on knowledge, attitudes, and behaviours among senior primary school students: a cluster randomized controlled trial.

Reprod Health. 2025-7-3

[3]
Effect evaluation of a comprehensive sexuality education intervention based on socio-emotional learning among adolescents in Jakarta, Indonesia.

Front Public Health. 2023-10-2

[4]
Promoting sexual health in schools: a systematic review of the European evidence.

Front Public Health. 2023

[5]
"Such conversations are not had in the families": a qualitative study of the determinants of young adolescents' access to sexual and reproductive health and rights information in Rwanda.

BMC Public Health. 2022-10-7

[6]
Healthy sexuality development in adolescence: proposing a competency-based framework to inform programmes and research.

Sex Reprod Health Matters. 2021-12

[7]
Promoting gender equity in very young adolescents: targeting a window of opportunity for social emotional learning and identity development.

BMC Public Health. 2021-12-19

本文引用的文献

[1]
Body Satisfaction in Early Adolescence: A Multisite Comparison.

J Adolesc Health. 2021-7

[2]
Associations Between Agency and Sexual and Reproductive Health Communication in Early Adolescence: A Cross-cultural, Cross-sectional Study.

J Adolesc Health. 2020-9

[3]
The Public Health of Pleasure: Going Beyond Disease Prevention.

Am J Public Health. 2020-2

[4]
Gender-transformative programmes: implications for research and action.

Lancet Glob Health. 2020-2

[5]
Characteristics of successful programmes targeting gender inequality and restrictive gender norms for the health and wellbeing of children, adolescents, and young adults: a systematic review.

Lancet Glob Health. 2019-12-23

[6]
The State of Adolescent Sexual and Reproductive Health.

J Adolesc Health. 2019-12

[7]
The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development.

J Adolesc Health. 2019-12

[8]
Measuring agency as a dimension of empowerment among young adolescents globally; findings from the Global Early Adolescent Study.

SSM Popul Health. 2019-7-19

[9]
Catalyzing Gender Norm Change for Adolescent Sexual and Reproductive Health: Investing in Interventions for Structural Change.

J Adolesc Health. 2019-4

[10]
Measuring gender norms about relationships in early adolescence: Results from the global early adolescent study.

SSM Popul Health. 2018-10-31

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