Early Sexual Initiation Among Adolescent Girls in Indonesia

  • Aenaya Delavera Bagian Kesehatan Masyarakat, Universitas Indonesia, Depok
  • Tris Eryando Bagian Kesehatan Masyarakat, Universitas Indonesia, Depok
    (ID) http://orcid.org/0000-0001-9053-3174


Early sexual initiation is a public health problem and is now common worldwide, especially in developing countries. This can have many negative impacts on female adolescence, so it is very important to do prevention. This study aimed to determine the determinants of early sexual initiation among female adolescence in Indonesia. The subjects of the study were never-married women aged 15 – 24. This research was quantitative using secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS) with a cross-sectional research design. The results of the logistic regression showed that age, education, alcohol consumption, smoking, peer influence, boyfriend ownership, wealth, and media exposure were associated with early sexual initiation. Peer influence (AOR=27,127; p < 0.001) and education (AOR=10,909; p=0.003) are the most dominant factors were associated with early sexual initiation. This study suggests the establishment of a comprehensive reproductive and sexual health (RSH) education mechanism both inside and outside schools; use the media to reach a wider range of youth, and programs to assist parents in optimizing their role in supervising adolescence.


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Author Biographies

Aenaya Delavera, Bagian Kesehatan Masyarakat, Universitas Indonesia, Depok
Departement Biostatistics, Faculty of Public Health
Tris Eryando, Bagian Kesehatan Masyarakat, Universitas Indonesia, Depok
Department Biostatistics


Abate, B. B., Kassie, A. M., & Kassaw, M. W. (2020). Prevalence and determinants of early initiation of sexual intercourse among youth girls in Ethiopia. Journal of pediatric nursing. http://doi.org/10.1016/j.pedn.2020.06.008

Adamek, K., Meckstroth, A., Inanc, H., Ochoa, L., O'Neil, S., McDonald, K., & Zaveri, H. Conceptual Models to Depict the Factors that Influence the Avoidance and Cessation of Sexual Risk Behaviors Among Youth (No. bbc3741c9fbe4963b6e053933f768528). Mathematica Policy Research. https://ideas.repec.org/p/mpr/mprres/bbc3741c9fbe4963b6e053933f768528.html

Arefaynie, M., Yalew, M., Damtie, Y., & Kefale, B. (2020). Determinants of early sexual initiation among female youth in Ethiopia: a multilevel analysis of 2016 Ethiopian Demographic and Health Survey. BMC women's health, 20(1), 1-8. https://doi.org/10.1186/s12905-020-01069-4

Bizu, D., Aderaw, Z., & Kassa, G. M. (2015). Assessment of early sexual initiation and associated factors among preparatory school students of FaggetaLekoma District, Awi Zone, Northwest Ethiopia, 2015. International Journal of Clinical Medicine, 6(08), 521. http://doi.org/10.4236/ijcm.2015.68070

Citrariana, S., Paramawidhita, R. Y., Suryadini, H., Dawam, M., & Awumistiko, A. (2021). Determinasi Kejadian Perilaku Seksual Pranikah dalam Aktivitas Pacaran Remaja di Kalimantan Tengah. Jurnal Surya Medika (JSM), 7(1), 39-47. https://doi.org/10.33084/jsm.v7i1.2232

Dini, A. Y. R., & Nurhelita, V. F. (2020). Hubungan Pengetahuan Remaja Putri Tentang Pendewasaan Usia Perkawinan Terhadap Risiko Pernikahan Usia Dini. Jurnal Kesehatan, 11(1), 50-59. https://doi.org/10.38165/jk.v11i1.197

Gonçalves, H., Soares, A. L. G., Bierhals, I. O., Machado, A. K., Fernandes, M. P., Hirschmann, R., & Menezes, A. M. (2017). Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort. Journal of affective disorders, 221, 259-266. https://doi.org/10.1016/j.jad.2017.06.033

Habito, C. M., Vaughan, C., & Morgan, A. (2019). Adolescent sexual initiation and pregnancy: what more can be learned through further analysis of the demographic and health surveys in the Philippines?. BMC public health, 19(1), 1-13. http://doi.org/10.1186/s12889-019-7451-4

Kassahun, E. A., Gelagay, A. A., Muche, A. A., Dessie, A. A., & Kassie, B. A. (2019). Factors associated with early sexual initiation among preparatory and high school youths in Woldia town, northeast Ethiopia: a cross-sectional study. BMC public health, 19(1), 1-8. https://doi.org/10.1186/s12889-019-6682-8

King, M. (2019). Stigma in psychiatry seen through the lens of sexuality and gender. BJPsych international, 16(4), 77-80. https://doi.org/10.1192/bji.2019.12

Kopetz, C. E., Woerner, J. I., & Briskin, J. L. (2018). Another look at impulsivity: Could impulsive behavior be strategic?. Social and Personality Psychology Compass, 12(5), e12385. https://doi.org/10.1111/spc3.12385

Lee, R. L. T., Yuen Loke, A., Hung, T. T. M., & Sobel, H. (2018). A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities. Journal of clinical nursing, 27(3-4), 478-501. https://doi.org/10.1111/jocn.13933

Mohammadi, F., Kohan, S., Mostafavi, F., & Gholami, A. (2016). The Stigma of Reproductive Health Services Utilization by Unmarried Women. Iranian Red Crescent Medical Journal, 18(3). http://doi.org/10.5812/ircmj.24231

Mulati, D., & Lestari, D. I. (2019). Hubungan Penggunaan Media Sosial Dan Pengaruh Teman Sebaya Dengan Perilaku Seksual Remaja. Jurnal Untuk Masyarakat Sehat (JUKMAS), 3(1), 24-34. http://ejournal.urindo.ac.id/index.php/jukmas/article/view/592

Peҫi, B. (2017). Peer influence and adolescent sexual behavior trajectories: links to sexual initation. European Journal of Multidisciplinary Studies, 2(3), 96-105. http://doi.org/10.26417/ejms.v4i3.p96-105

Pringle, J., Mills, K. L., McAteer, J., Jepson, R., Hogg, E., Anand, N., & Blakemore, S. J. (2017). The physiology of adolescent sexual behaviour: A systematic review. Cogent social sciences, 3(1), 1368858. http://doi.org/10.1080/23311886.2017.1368858

Project SOAR (2021) Impulsiveness , Depression , Sexual Behavior , and Sexually Transmitted Infections and HIV-related Outcomes among Out-of-school Adolescent Girls and Young Women in Rural Southern Malawi. Washington DC.

Rizkianti, A., Maisya, I. B., Kusumawardani, N., Linhart, C., & Pardosi, J. F. (2020). Sexual intercourse and its correlates among school-aged adolescents in Indonesia: analysis of the 2015 Global School-based Health Survey. Journal of preventive medicine and public health, 53(5), 323. http://doi.org/10.3961/JPMPH.20.028

Song, S., Zilverstand, A., Gui, W., Li, H. J., & Zhou, X. (2019). Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis. Brain stimulation, 12(3), 606-618. https://doi.org/10.1016/j.brs.2018.12.975

Tapia-Rojas, C., Carvajal, F. J., Mira, R. G., Arce, C., Lerma-Cabrera, J. M., Orellana, J. A., & Quintanilla, R. A. (2018). Adolescent binge alcohol exposure affects the brain function through mitochondrial impairment. Molecular neurobiology, 55(5), 4473-4491. https://doi.org/10.1007/s12035-017-0613-4

Techasrivichien, T., Darawuttimaprakorn, N., Punpuing, S., Musumari, P. M., Lukhele, B. W., El-Saaidi, C., & Kihara, M. (2016). Changes in sexual behavior and attitudes across generations and gender among a population-based probability sample from an urbanizing province in Thailand. Archives of sexual behavior, 45(2), 367-382. http://doi.org/10.1007/s10508-014-0429-5.

Turi, E., Merga, B. T., Fekadu, G., & Abajobir, A. A. (2020). Why too soon? Early initiation of sexual intercourse among adolescent females in Ethiopia: evidence from 2016 Ethiopian Demographic and Health Survey. International journal of women's health, 12, 269. https://dx.doi.org/10.2147%2FIJWH.S244621

UNFPA (2017) Teenage Pregnancy and Early Marriage in Timor-Leste. https://plan-international.org/tpem-report

United Nations (2018) World Youth Report : Youth and the 2030 Agenda for Sustainable Development. New York.

World Health Organization & UNFPA (2012) Preventing Early Pregnancy And Poor Reproductive Outcomes Among Adolescents In Developing Countries: What The Evidence Says.

World Health Organization (2017) Leaving no adolescent behind in health and development in Indonesia. https://www.who.int/life-course/partners/innov8/indonesia-adolescents/en/

World Health Organization (2020) Adolescent Pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

Yakubu, I., & Salisu, W. J. (2018). Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reproductive health, 15(1), 1-11. https://doi.org/10.1186/s12978-018-0460-4

Yosef, T., Nigussie, T., Getachew, D., & Tesfaye, M. (2020). Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia. BioMed Research International, 2020. https://doi.org/10.1155/2020/8855276

How to Cite
Delavera, A., & Eryando, T. (2021). Early Sexual Initiation Among Adolescent Girls in Indonesia. Al-Sihah: The Public Health Science Journal, 13(2), 161-175. https://doi.org/10.24252/al-sihah.v13i2.22404
Volume 13, Nomor 2, July-December 2021
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