Reducing Adolescents Risky Sexual Behavior In Urban And Rural Settings: What Should We Prioritize?

Abstract

Risky sexual behavior (RSB) among adolescents poses significant health hazards, including sexually transmitted infections (STIs) and unintended pregnancies. Understanding the factors influencing RSB is crucial for developing effective interventions. This study explores the correlation between factors (age, gender, media exposure, peer pressure, community figures, parental guidance, and perception of SAD (Smoking, Alcohol, and Drugs)-related lifestyle) and RSB among high-school adolescents. A cross-sectional comparative method involved 244 urban and 182 rural adolescents aged 15 to 19 years (mean = 16.8 years, SD = 1.2) from Tomohon City and Minahasa Regency. Data were collected via questionnaires. Significant correlations were found between RSB and factors such as age, urban residency, and perception of SAD-related lifestyle. Older age (β = 0.259, p < 0.001) and urban residency (β = 0.297, p < 0.001) were linked to higher RSB, while being female (β = -0.214, p < 0.001) and a negative perception of SAD-related lifestyle (β = -0.263, p < 0.001) reduced RSB. Logistic regression identified age (OR = 1.916, B = .650, Sig. = .001), influence of community figures (OR = .882, B = -.125, Sig. = .001), and rural location (OR = .312, B = -1.166, Sig. = .003) as key factors. Surprisingly, peers, media, and parents did not significantly affect RSB. The study highlights the importance of age, community figures, and lifestyle on RSB, recommending targeted interventions involving community figures and promoting healthier lifestyles against smoking, alcohol and drugs, particularly in urban areas.