Teman sebaya terhadap perilaku berisiko HIV pada remaja laki-laki di Indonesia
DOI: https://doi.org/10.33024/hjk.v20i6.3686
Adolescent Boys HIV Peers Risky Behavior
Abstract
Background: Risky sexual behavior among adolescent males is an increasingly concerning health issue, particularly regarding the transmission of HIV and other sexually transmitted infections (STIs). While various individual, social, and structural factors influence adolescent behavior, further understanding is needed to identify the specific factors that drive HIV-related risk behaviors among adolescents.
Purpose: To analyze the influence of peers on HIV-related risk behaviors among adolescent males.
Method: This A quantitative cross-sectional study using secondary data from the 2017 Indonesia Demographic and Health Survey. Data analysis involved univariate methods, chi-square tests, and logistic regression to identify factors independently associated with sexual status and contraceptive use. Associations are presented as odds ratios (OR) with 95% confidence intervals (95% CI).
Results: Tests showed that all variables examined were statistically significant in relation to sexual status (p < 0.001). Sexual motivation was the most significant factor influencing sexual status (OR = 5.517), followed by contraceptive use (OR = 6.679), sexual history (OR = 3.617 and OR = 2.92), age (OR = 0.334 and OR = 0.498), education (OR = 1.632), and place of residence (OR = 1.352 and OR = 1.983).
Conclusion: Individual, social, demographic, and structural factors influence HIV-risk behavior among adolescent males. Sexual motivation is the factor most closely associated with sexual status and contraceptive use.
Suggestion: Future research should utilize primary or up-to-date data to describe adolescent sexual behavior while taking current trends into account. Furthermore, such studies could analyze variables not examined in the present research—such as access to reproductive health information, communication with parents, the influence of social media, and cultural and religious norms—to gain a more comprehensive understanding of the factors contributing to risky sexual behavior among adolescents.
Keywords: Adolescent Boys; HIV; Peers; Risky Behavior.
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References
Ågmo, A., & Laan, E. (2024). Sexual incentive motivation and sexual behavior: The role of consent. Annual Review of Psychology, 75(1), 33-54.
Aima, S., & Erwandi, D. (2023). Determinan perilaku seksual pada remaja di indonesia: Sistematik review. Muhammadiyah Journal of Midwifery, 4(2), 85-93.
Anggraini, W., Ranggaini, D., Ariyani, A. P., & Sulistyowati, I. (2024). The Relationship between Stress Levels and Musculoskeletal Pain Levels in Dentists during the COVID-19 Pandemic. Malaysian Journal of Medicine & Health Sciences, 20, 46.
Arifiana, N. N. B. K., & Nugrahani, R. R. (2022). The Relationship Between Knowledge and Sexual Behavior Among Adolescents. Innovative: Journal Of Social Science Research, 2(1), 956-965.
Arifianingsih, A. (2021). Peran teman sebaya terhadap perilaku seksual berisiko di SMA X dan SMK Y Cibinong tahun 2018. Muhammadiyah Public Health Journal, 2(1), 1-16.
Bahdad, N., Towidjojo, V. D., Sari, P., & Asrinawaty, A. N. (2023). Hubungan Antara Tingkat Pengetahuan dan Perilaku Remaja Tentang Seksual Bebas. Jurnal Medical Profession (MedPro), 5(1), 53-58.
Carvalho, B. J. A., & da Cruz-Ferreira, A. M. (2023). Knowledge and risk behaviors regarding human immunodeficiency virus transmission among Portuguese healthcare students. Korean Journal of Family Medicine, 44(1), 35.
Deniati, E. N., Hanafi, A. S., &Saki, V. Y. (2020). Association of Knowledge and Family Support With HIV-AIDS Prevention Efforts Among Teenagers in Sungai Malang Village Central Amuntai Sub-District Hulu Sungai Utara District. In The 1st International Scientific Meeting on Public Health and Sports (ISMOPHS 2019) (pp. 139-143). Atlantis Press.
Di Zazzo, A., Coassin, M., Micera, A., Mori, T., De Piano, M., Scartozzi, L., Sgrulletta, R., & Bonini, S. (2021). Ocular surface diabetic disease: A neurogenic condition?. The Ocular Surface, 19, 218-223.
Fauziah, A. N., Maesaroh, S., Rokhmatun, P. N., & Sulistyorini, E. (2025). Factors Associated with Premarital Sexual Behavior in Adolescents. Gaster, 23(1), 83-94.
Fonner, V. A., Armstrong, K. S., Kennedy, C. E., O'Reilly, K. R., & Sweat, M. D. (2014). School based sex education and HIV prevention in low-and middle-income countries: a systematic review and meta-analysis. PloS one, 9(3), e89692.
Hermawati, S. A., & Imanuddin, B. (2023). Hubungan tingkat pengetahuan dan akses informasi kesehatan reproduksi dengan perilaku seksual remaja di SMAN 32 Kabupaten Tangerang. Jurnal Kesehatan, 12(2), 211-216.
Jimu, S. E., Ntoimo, L. F., & Okonofua, F. E. (2023). Prevalence and determinants of condom use among the youth in Malawi: evidence from the 2015/16 Malawi Demographic and Health Survey. Reproductive Health, 20(1), 170.
Justin, W. O. S., Anita, A., & Ruslan, W. A. (2025). Sexual Behavior, Knowledge Level, And Condom Use Among Msm And Transgender Communities In Baubau City: Sexual Behavior, Knowledge Level, And Condom Use. Indonesian Journal Of Health Sciences Research And Development (Ijhsrd), 7(2), 49-57.
Kairina, K., & Qomaruddin, M. B. (2025). Hubungan Pengetahuan Kesehatan Reproduksi Dengan Perilaku Seksual Bebas Remaja. Jurnal Kesehatan Tambusai, 6(2).
Karlina, L. (2020). Fenomena terjadinya kenakalan remaja. Jurnal Edukasi Nonformal, 1(1), 147-158.
Kementerian Kesehatan Republik Indonesia. (2025). Laporan Riskesdas 2025 Nasional. Diakses dari: http://scholar.google.com/scholar.
Li, H., Xue, L., Tucker, J. D., Wei, C., Durvasula, M., Hu, W., Kang, D., Liao, M., Tang, W., & Ma, W. (2017). Condom use peer norms and self-efficacy as mediators between community engagement and condom use among Chinese men who have sex with men. BMC Public Health, 17(1), 641.
Murti, F. A. K., & Sari, K. (2023). Rural-urban disparity of condom use at the last sex among Indonesian male adolescents. J Reprod Health, 14(2), 105-114.
Ndlovu, R., & Moyo, P. L. (2026). Exploring prevalence of risky sexual behaviour among adolescents in high schools: A systematic review. SAGE open medicine, 14, 20503121251413045.
Prasetyo, N. N., Maliangkay, K. S., Novianti, P. A., Pertiwi, R., & Annisa, S. R. (2023). Health accessibility in rural areas for the elderly in Indonesia. Jurnal Rumpun Ilmu Kesehatan, 3(2), 15-26.
Qi, L., Guo, R., Qu, Y., & Li, X. (2025). A cross-sectional survey about behavior of wearing condoms among college students who engage in sexual activity: the mediating role of attitudes of preventive behavior. Frontiers in public health, 13, 1544564.
Rimanda, Z., & Nugroho, A. C. (2025). Analisis Perilaku Ruang Terbuka Pada Kampung Kota Melalui Place-Centered Mapping: Studi Kasus Kaliawi, Kota Bandar Lampung. In Prosiding Seminar Nasional Ilmu Teknik Dan Aplikasi Industri Fakultas Teknik Universitas Lampung (Vol. 8, pp. 152-159).
Ross, J. A. (2021). Contraceptive use, access to methods, and program efforts in urban areas. Frontiers in Global Women's Health, 2, 636581.
Rosyida, L. M., Winarni, S., Agushybana, F., & Dharminto, D. (2025). The Evolution of Adolescent Sexual Practices in Indonesia: A Longitudinal Study. Jurnal Promosi Kesehatan Indonesia, 20(2), 96-101.
Rotermann, M., & McKay, A. (2020). Sexual behaviours, condom use and other contraceptive methods among 15-to 24-year-olds in Canada. Health Reports, 31(9), 1-11.
Sari, P. M., Soyanita, E., & Nataningtyas, C. D. (2025). Relationship Between The Level Of Education And Knowledge With The Use Of Intrauterine Device Contraceptives. Diakses dari: https://e-journal.unair.ac.id/IMHSJ/article/download/71247/33089.
Sejati, P. E., & Olimpia, T. R. (2023). The effect of peer group on sexual behavior of adolescent in high school state vocational school 1 pagerwojo tulungagung. Journal of Global Research in Public Health, 8(1), 126-131.
Siraj, J., Feyissa, D., Mamo, Y., Zewudie, A., Regesa, T., Ejeta, F., Feyisa, D., Hasen, G., Mohammed, T., & Aferu, T. (2021). Antiretroviral treatment failure and associated factors among HIV patients on the first-line antiretroviral therapy at Mizan-Tepi University teaching hospital, Southwest Ethiopia: A cross-sectional study. Medicine, 100(51), e28357.
Standar Diagnosis Keperawatan Indonesia. (2017). Definisi dan Indikator Diagnostik. EGC. Diakses dari:https://www.bps.go.id/id/statistics-table/1/MjExMSMx/laporan-survei-demografi-dan-kesehatan-indonesia.html.
Skakoon-Sparling, S., & Cramer, K. M. (2021). Sexual risk taking intentions under the influence of relationship motivation, partner familiarity, and sexual arousal. The Journal of Sex Research, 58(5), 659-670.
Suharto, I. P. S., Yunalia, E. M., & Mardiyana, M. (2025). Pengetahuan, Motivasi, Dan Perilaku Seksual Pranikah Pada Remaja. Journal Of Nursing And Public Health, 13(2), 199-204.
Sutrisnowati, S. A., Khotimah, N., Sumunar, D. R. S., Widyastuti, M., & Setyawati, S. (2019). Pengetahuan, sikap, dan perilaku seksual remaja anggota pusat informasi konseling remaja SMA Negeri 2 Bantul. Geomedia Majalah Ilmiah dan Informasi Kegeografian, 17(1).
Syam, A. D., & Mulyono, S. (2023). Perbandingan faktor risiko perilaku seksual berisiko remaja pedesaan dan perkotaan di Indonesia. Journal of Telenursing (JOTING), 5(2), 2222-2229.
Taqwin, H., & Dewi, A. (2024). Muliani. Teman Sebaya dan Paparan Pornografi Berhubungan dengan Perilaku Seksual Remaja, 3, 34-40.
Tarihoran, M. R., Nugrahaeni, D. K., Suhat, S., Mauliku, N. E., & Hendayani, S. N. E. (2025). Analisis Faktor-Faktor yang Berhubungan dengan Perilaku Seksual Berisiko pada Remaja. INSOLOGI: Jurnal Sains dan Teknologi, 4(3), 462-475.
Tremblay, F., Courtemanche, Y., Bélanger, R. E., & Turcotte-Tremblay, A. M. (2024). A systematic review of the association between history of sexually transmitted infections and subsequent condom use in adolescents. BMC Public Health, 24(1), 1000.
United Nations Programme on Human Immunodeiciency Virus/Acquired Immune Deficiency Syndrome. (2021). Global HIV & AIDS statistics—Fact sheet. Diakses dari: https://www.unaids.org/en/resources/fact-sheet.
Utami, T. F. C. T., Kismiyati, K., Sahiddin, M., & Sunarti, S. (2025). Pendampingan dan aktualisasi kader sebagai edukator pencegahan HIV/AIDS dan seks pranikah di Distrik Sentani, Papua. Jurnal PADE: Pengabdian & Edukasi, 7(1), 25-31.
Ward, P. R., & Fauk, N. K. (2025). Structural conditions, social networks, and the HIV vulnerability among Indonesian male labour migrants and motorbike taxi drivers. International Journal for Equity in Health, 24(1), 61.
Yamani, L. N., Astutik, E., Qurniyawati, E., Lusida, M. I., Getaneh, Y., & Kelly, M. (2025). Associations between socio-demographics, sexual knowledge and behaviour and sexually transmitted infections among reproductive-age women in Southeast Asia: Demographic Health Survey results. BMC Public Health, 25(1), 738.
Yang, F., Li, Z., Subramanian, S. V., & Lu, C. (2021). Assessment of knowledge of HIV/AIDS and association with socioeconomic disparities among young women in low-and middle-income countries, 2003 to 2018. JAMA network open, 4(1), e2035000.
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