Renatha Widyarisa Kristiono, Joko Sapto Pramono, Dian Ardyanti

Pencegahan Infeksi Menular Seksual pada Perilaku Seks Multipartner Remaja di Kota Samarinda

Introduction

Pencegahan infeksi menular seksual pada perilaku seks multipartner remaja di kota samarinda . Analisis upaya pencegahan Infeksi Menular Seksual (IMS) pada remaja dengan perilaku seks multipartner di Samarinda. Pengetahuan baik, namun sikap dan praktik pencegahan masih rendah.

Abstract

Sexually Transmitted Infections (STIs) are infections transmitted through sexual contact and can be caused by bacteria, viruses, fungi, or parasites. STIs can affect anyone and may result in serious health consequences, particularly concerning the reproductive system. Adolescents are in a developmental phase characterized by high curiosity about sexual behavior, placing them at greater risk for unsafe sexual practices. Data shows that 59% of women and 74% of men have engaged in premarital sex. This study aims to examine STI prevention efforts among adolescents with multiple sexual partners in Samarinda City. This research employed a qualitative approach using a case study design. The study involved seven informants: one key informant, four main informants, and two supporting informants. Data were collected through in-depth interviews. Research shows that adolescents have good knowledge about sexually transmitted infections (STIs) and their types, but their attitude toward prevention remains low. Most informants did not use contraceptives during sexual intercourse. Lifestyle and external factors, such as peer influence and the use of online dating apps, also contribute to multi-partner sexual behavior. Adolescents' sexual activities range from physical intimacy, such as kissing, to engaging in sexual intercourse with more than one partner. Some informants consider this behavior to be common in modern relationships. Preventive measures taken by adolescents include using contraceptives during intercourse and maintaining genital hygiene. While adolescents demonstrate sufficient knowledge about STIs, their attitudes and preventive practices need significant improvement

Review

The study, "Pencegahan Infeksi Menular Seksual pada Perilaku Seks Multipartner Remaja di Kota Samarinda," addresses a critical public health concern regarding sexually transmitted infections (STIs) among adolescents engaging in multipartner sexual behavior in Samarinda City. The authors appropriately highlight the vulnerability of adolescents, characterized by high curiosity and a propensity for unsafe sexual practices, which places them at significant risk for STIs and their serious reproductive health consequences. The research aims to explore STI prevention efforts within this specific demographic, employing a qualitative approach via a case study design to delve into the nuances of their experiences and perceptions. Methodologically, the study gathered data through in-depth interviews with seven informants, comprising a key informant, four main informants, and two supporting informants. The findings reveal a concerning disparity: while adolescents demonstrate good knowledge about STIs and their types, their attitudes towards prevention are notably low, and contraceptive use during intercourse is infrequent. The research identifies lifestyle, peer influence, and the pervasive use of online dating applications as significant external factors contributing to multi-partner sexual behavior. Furthermore, it notes that sexual activities range from physical intimacy to intercourse with multiple partners, with some informants normalizing this behavior within modern relationship contexts. Although some preventive measures like contraceptive use and genital hygiene are recognized, their practical application appears inconsistent. This study's strength lies in its qualitative approach, which offers valuable insights into the complex interplay of knowledge, attitudes, and behaviors concerning STI prevention among a particularly vulnerable adolescent population. However, the small sample size of seven informants, while typical for in-depth qualitative case studies, inherently limits the generalizability of the findings across the broader adolescent population in Samarinda or elsewhere. The disconnect between sufficient knowledge and low preventive attitudes underscores the need for interventions that go beyond mere information dissemination, focusing instead on influencing behavioral change, challenging peer norms, and addressing the impact of digital platforms. Future research could benefit from mixed-methods approaches or larger-scale qualitative studies to provide a more comprehensive understanding and to develop targeted, effective public health strategies.

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