Factors Influencing Adolescent Pregnancy at Morodadi  Community Health Center

Titin Baso; Retno Dewi Prisusanti

doi:10.55606/detector.v3i2.5988

Authors

Titin Baso Institut Ilmu dan Teknologi Kesehatan RS dr. Soepraoen
Retno Dewi Prisusanti Institut Ilmu dan Teknologi Kesehatan RS dr. Soepraoen

DOI:

https://doi.org/10.55606/detector.v3i2.5988

Keywords:

Adolescent Pregnancy, Community Health Center, Family Support, Peer Influence, Reproductive Health Knowledge

Abstract

Adolescent pregnancy remains a significant public health issue due to its association with adverse maternal, neonatal, and social outcomes. Various individual, familial, and social factors contribute to the occurrence of early pregnancy among adolescents. This study aimed to analyze the factors influencing adolescent pregnancy in the working area of Morodadi Community Health Center. This research employed a quantitative analytic observational design using a cross-sectional approach. The study involved 30 adolescent girls aged 15–19 years selected through purposive sampling. Data were collected using a structured and validated questionnaire assessing reproductive health knowledge, family support, peer influence, educational background, and exposure to reproductive health information. Statistical analysis was conducted using SPSS software, including univariate analysis to describe respondent characteristics and bivariate analysis using the Chi-square test to examine relationships between variables, with a significance level set at p < 0.05.The results indicated that reproductive health knowledge, family support, and peer influence were significantly associated with adolescent pregnancy (p < 0.05). Adolescents with limited reproductive health knowledge, inadequate parental supervision, and strong exposure to high-risk peer groups were more likely to experience early pregnancy. Conversely, adolescents who reported supportive family environments and positive peer interactions demonstrated a lower risk of pregnancy. In conclusion, adolescent pregnancy at Morodadi Community Health Center is influenced by a complex interaction of individual knowledge, family dynamics, and social environment. Strengthening comprehensive reproductive health education, enhancing parental involvement, and promoting positive peer support systems are essential strategies for preventing adolescent pregnancy. Community health centers play a crucial role in implementing adolescent-friendly health services to support healthier reproductive outcomes.

Downloads

Download data is not yet available.

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.

Barker, G., et al. (2017). Adolescent pregnancy, gender norms, and social determinants of health. The Lancet Global Health, 5(11), e1134–e1145. https://doi.org/10.1016/S2214-109X(17)30313-3

Centers for Disease Control and Prevention. (2021). Teen pregnancy prevention. https://www.cdc.gov

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage Publications.

Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). Sage Publications.

Glanz, K., & Rimer, B. K. (2005). Theory at a glance: A guide for health promotion practice (2nd ed.). National Cancer Institute.

Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan kesehatan remaja di Puskesmas. Kemenkes RI.

Kirby, D. (2007). Emerging answers: Research findings on programs to reduce teen pregnancy. National Campaign to Prevent Teen Pregnancy.

Livingstone, S., et al. (2017). Children’s online risks and opportunities. Journal of Adolescent Health, 60(2), 146–153. https://doi.org/10.1016/j.jadohealth.2016.10.012

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Wolters Kluwer.

Polit, D. F., & Beck, C. T. (2021). Essentials of nursing research (9th ed.). Wolters Kluwer.

Pratiwi, N. L., & Hargono, R. (2019). Family support and adolescent reproductive behavior. Kesmas: National Public Health Journal, 14(1), 45–52.

Prisusanti, R. D. (2021). Reproductive health education as a strategy to improve adolescent health outcomes. Journal of Midwifery and Reproductive Health, 9(2), 215–223.

Prisusanti, R. D. (2024). Pengembangan instrumen pelaksanaan pencatatan dan pelaporan register kohort kesehatan ibu dan anak (KIA) di wilayah kerja Puskesmas Kabupaten Malang. Jurnal Kesehatan Amanah, 7(2), 46–54. https://doi.org/10.57214/jka.v7i2.742

Prisusanti, R. D., & Mulyaningsih, T. (2023). Family and social determinants of reproductive health among adolescents. Indonesian Journal of Midwifery Research, 6(1), 1–10.

Prisusanti, R. D., Putri, S. I., & Ka'arayeno, A. J. (2024). Efforts to increase mothers' knowledge about the importance of early mobilization of postpartum mothers. Contribution: Journal of Research and Community Service, 4(2), 247–255. https://doi.org/10.53624/kontribusi.v4i2.364

Prisusanti, R. D., Widiatrilupi, R. M. V., Sulistiyah, N. K., & Rosyidah, R. (2025). An interactive technology-based educational approach to increasing postpartum mothers' awareness of preventing postpartum complications. JAMAS: Jurnal Abdi Masyarakat, 3(1), 725–730. https://doi.org/10.62085/jms.v3i1.164

Santrock, J. W. (2019). Adolescence (17th ed.). McGraw-Hill Education.

Sembiring, J. B. (2020). Factors influencing adolescent pregnancy in rural areas. Journal of Public Health Research, 9(2), 172–179.

United Nations Educational, Scientific and Cultural Organization. (2021). International technical guidance on sexuality education. UNESCO.

United Nations Population Fund. (2022). Adolescent pregnancy: Global trends and challenges. UNFPA.

Utami, R., Lestari, D., & Sari, P. (2022). Reproductive health education and adolescent pregnancy prevention. Indonesian Journal of Public Health, 17(3), 321–329.

World Health Organization. (2018). Adolescent pregnancy: Issues in adolescent health and development. WHO.

World Health Organization. (2020). WHO recommendations on adolescent sexual and reproductive health. WHO.

World Health Organization. (2022). Global accelerated action for the health of adolescents (AA-HA!). WHO.