Mediawati Ati Surya, Yosep Iyus, Mardhiyah Ai
Department of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Indonesia.
Department of Psychiatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Indonesia.
Belitung Nurs J. 2022 Apr 26;8(2):132-138. doi: 10.33546/bnj.1950. eCollection 2022.
Adolescents require life skills and individual and interpersonal abilities to grow into adults with a healthy lifestyle. Although the majority of the literature indicates that life skills increase teenagers' cognitive, social, and emotional abilities, there is a lack of data correlating life skills to sexual risk behaviors.
This study aimed to examine the relationship between life skills and sexual risk behaviors among adolescents aged 15-19 in Bandung, Indonesia.
This study was conducted using a cross-sectional survey of 480 adolescents from April to May 2021. A representative sample was drawn from the students aged 15-19 years. The participants were selected using simple random sampling generated by computer software. Life Skill Training Questionnaire High School (LSTQ-HS) and sexual risk behaviors instruments were used for data collection, and logistic regression was used for data analysis.
From a total of 480 respondents, about 23.3% had masturbation experience, 25.8% had petting experience, 8.3% had sexual intercourse, 5% had sex before 18 years of age, and 4.2% had oral sex experience. Sexual risky behaviors were associated with unfavorable refusal skill (AOR = 6.46, 95% CI = 2.37, 17.53), assertiveness skill (AOR = 3.51, 95% CI = 1.32, 4.33), problem-solving skill (AOR = 5.35, 95% CI = 2.88, 11.39), and self-control skill (AOR = 7.31, 95% CI = 2.79, 17.24).
Life skills are important protective aspects for those who engage in sexually risky behavior. Considering the study findings, tailored life skills programs are critical for adolescent wellbeing and risk reduction. Nurses who take a proactive role in providing sexual and reproductive health services may provide more accurate information and provide early screening and assessment for sexual and reproductive behavior to reduce risky sexual behavior among adolescents. Schools are also encouraged to work with local health departments to conduct sexual education counseling programs.
青少年需要生活技能以及个人和人际能力，才能成长为拥有健康生活方式的成年人。尽管大多数文献表明生活技能能提高青少年的认知、社交和情感能力，但缺乏将生活技能与性风险行为相关联的数据。
本研究旨在调查印度尼西亚万隆15至19岁青少年的生活技能与性风险行为之间的关系。
本研究于2021年4月至5月对480名青少年进行了横断面调查。从15至19岁的学生中抽取具有代表性的样本。参与者通过计算机软件生成的简单随机抽样进行选择。使用生活技能培训问卷高中版（LSTQ-HS）和性风险行为工具进行数据收集，并使用逻辑回归进行数据分析。
在总共480名受访者中，约23.3%有自慰经历，25.8%有亲昵行为经历，8.3%有性交经历，5%在18岁之前有性行为，4.2%有口交经历。性风险行为与不良拒绝技能（优势比[AOR]=6.46，95%置信区间[CI]=2.37，17.53）、自信技能（AOR=3.51，95%CI=1.32，4.33）、解决问题技能（AOR=5.35，95%CI=2.88，11.39）和自我控制技能（AOR=7.31，95%CI=2.79，17.24）相关。
生活技能是从事性风险行为者的重要保护因素。考虑到研究结果，量身定制的生活技能项目对青少年的健康和风险降低至关重要。积极参与提供性与生殖健康服务的护士可以提供更准确的信息，并对性与生殖行为进行早期筛查和评估，以减少青少年中的危险性行为。还鼓励学校与当地卫生部门合作开展性教育咨询项目。
