Relationship of Self-Confidence, Perception of Barriers, and Partner Support with Providing Reproductive Health and Sexuality Information from Parents to Adolescents

Tanjung Anitasari Indah Kusumaningrum, Diah Laras Suci, Dini Wulandari


Adolescence is a period of searching for identity that requires information on reproductive health and sexuality so as not to fall into premarital sexual behavior. Parents play an important role in providing reproductive health information to adolescents, but parents are often reluctant to provide this information due to lack of support, and lack of confidence in providing reproductive health information. The purpose of this study was to determine the most influential factors between partner support, perceived barriers, and self-confidence in adolescent reproductive health education. The research method used analytical observation with a cross sectional approach which was conducted online in June-August 2020 to 300 parents who have teenagers aged 15-19 years in Surakarta. The sampling technique is Double Sampling using a self-confidence, partner support, perceived barriers and behavior in providing reproductive health information questionnaire that has been tested for validity. Bivariate analysis was performed using chi square and multivariate analysis was performed using logistic regression test. The results showed that parents' self-confidence was the most influential factor in reproductive health education for adolescents (OR=3.052, CI=1.534-6.071). Parents who have low self-confidence tend not to provide comprehensive reproductive health information to adolescents. Lack of skills to explain the topic of sexuality to teenagers is one of the things that affects parents' self-confidence. The lack of knowledge of the material that will be given and the shame when conveying sexuality material also affects the self-confidence of the parents. Training efforts are needed for parents on how to provide information on reproductive health to adolescents.


WHO, “Adolescent Health: The missing population in Universal Health Coverage,” Www.Who.Int, pp. 1–32, 2018.

Badan Pusat Statistik, “Jumlah Penduduk Menurut Wilayah, Kelompok Umur, dan Jenis Kelamin, Indonesia 2020,” Indonesia, 2021.

WHO, WHO recommendations on adolescent sexual and reproductive health and rights. 2018.

KEMENKES RI, “Infodatin HIV AIDS,” Kesehatan, pp. 1–8, 2020, [Online]. Available: AIDS.pdf.

Dinas Kesehatan Kota Surakarta, “Profil Kesehatan Kota Surakarta Tahun 2018,” 2019.

Dinas Kesehatan Kota Surakarta, “Profil Kesehatan Kota Surakarta,” 2020.

P. Idele et al., “Epidemiology of HIV and AIDS among adolescents: Current status, inequities, and data gaps,” J. Acquir. Immune Defic. Syndr., vol. 66, no. SUPPL. 2, 2014, doi: 10.1097/QAI.0000000000000176.

Pusat Data dan Informasi Kementerian Kesehatan RI, “Situasi Kesehatan Reproduksi Remaja,” Situasi Kesehatan Reproduksi Remaja. p. 1, 2017.

J. L. Morris and H. Rushwan, “Adolescent sexual and reproductive health: The global challenges,” Int. J. Gynecol. Obstet., vol. 131, pp. S40–S42, 2015, doi: 10.1016/j.ijgo.2015.02.006.

Y. T. N. Oo, K. K. Zaw, K. K. Than, T. M. Mg, K. K. Mar, and S. S. Aye, “Do parents and adolescents talk about reproductive health? Myanmar adolescents’ perspective,” South East Asia J. Public Heal., vol. 1, no. 1, pp. 40–45, 2013, doi: 10.3329/seajph.v1i1.13219.

T. A. I. Kusumaningrum, N. Rohmawaty, and H. Selena, “Reproductive Health Information from Parents : A Dominant Factor of Voluntary Counselling and Testing ( VCT ) HIV Intention on Adolescents,” J. Med. Chem. Sci., vol. 4, pp. 172–182, 2021, doi: 10.26655/JMCHEMSCI.2021.2.8.

L. Widman, R. Evans, H. Javidi, and S. Choukas-Bradley, “Assessment of Parent-Based Interventions for Adolescent Sexual Health: A Systematic Review and Meta-analysis,” JAMA Pediatr., vol. 173, no. 9, pp. 866–877, 2019, doi: 10.1001/jamapediatrics.2019.2324.

D. K. Cahyaningtyas, A. W. Astuti, and U. Hani, “Parents involvement and barriers of programme interventions to reduce adolescent pregnancy,” J. Heal. Technol. Assess. Midwifery, vol. 3, no. 2, pp. 73–86, 2020, doi: 10.31101/jhtam.1312.

P. I. G. Sagnia, E. P. Gharoro, and A. R. Isara, “Adolescent-parent communication on sexual and reproductive health issues amongst secondary school students in Western Region 1 of The Gambia,” African J. Prim. Heal. care Fam. Med., vol. 12, no. 1, pp. 1–7, 2020, doi: 10.4102/phcfm.v12i1.2437.

A. Febriana and S. Mulyono, “Parent-Adolescent Communication On Reproductive Health and Sexual Of Adolescent,” J. Keperawatan, vol. 10, no. 2, pp. 81–85, 2020, doi: 10.22219/jk.v10i2.8063.

A. Othman et al., “Parent–child communication about sexual and reproductive health: perspectives of Jordanian and Syrian parents,” Sex. Reprod. Heal. Matters, vol. 28, no. 1, 2020, doi: 10.1080/26410397.2020.1758444.

K. Motsomi, C. Makanjee, T. Basera, and P. Nyasulu, “Factors affecting effective communication about sexual and reproductive health issues between parents and adolescents in zandspruit informal settlement, Johannesburg, South Africa,” Pan Afr. Med. J., vol. 25, pp. 1–7, 2016, doi: 10.11604/pamj.2016.25.120.9208.

M. Mekie, D. Addisu, A. Melkie, and W. Taklual, “Parent-adolescent communication on sexual and reproductive health issues and its associated factors in Ethiopia: a systematic review and meta-analysis,” Ital. J. Pediatr., vol. 46, no. 1, pp. 1–13, 2020, doi: 10.1186/s13052-020-00921-5.

S. Thongmixay, D. R. Essink, T. de Greeuw, V. Vongxay, V. Sychareun, and J. E. W. Broerse, “Perceived Barriers in Accessing Sexual and Reproductive Health Services for Youth in Lao People’s Democratic Republic,” PLoS One, vol. 14, no. 10, pp. 1–16, 2019, doi: 10.1101/656843.

M. T. Nu Noe et al., “Barriers between mothers and their adolescent daughters with regards to sexual and reproductive health communication in Taunggyi Township, Myanmar: What factors play important roles?,” PLoS One, vol. 13, no. 12, pp. 1–16, 2018, doi: 10.1371/journal.pone.0208849.

L. J. Kajula, N. Sheon, and H. De Vries, “Dynamics of Parent – Adolescent Communication on Sexual Health and HIV / AIDS in Tanzania,” AIDS Behav, vol. 18, pp. 69–74, 2014, doi: 10.1007/s10461-013-0634-6.

T. A. I. Kusumaningrum and B. A. Sholekhah, “Akses Informasi Mengenai HIV/AIDS pada Mahasiswa Universitas Muhammadiyah Surakarta,” in Seminar nasional kesehatan masyarakat UMS, 2019, pp. 73–85, [Online]. Available:

V. Chandra-Mouli, C. Lane, and S. Wong, “What does not work in adolescent sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices,” Glob. Heal. Sci. Pract., vol. 3, no. 3, pp. 333–340, 2015, doi: 10.9745/GHSP-D-15-00126.

E. Nurachmah, S. Yona, R. Ismail, Y. Afiyanti, and S. Khariroh, “Adolescent- -parent communication about sexual and reproductive health among junior high school students in five areas with the highest prevalence of HIV in Indonesia : A qualitative study ଝ,” Enferm. Clin., vol. 29, no. Insc 2018, pp. 194–198, 2019, doi: 10.1016/j.enfcli.2019.04.053.

B. W. Maina, B. A. Ushie, and C. W. Kabiru, “Parent-child sexual and reproductive health communication among very young adolescents in Korogocho informal settlement in Nairobi, Kenya,” Reprod. Health, vol. 17, no. 1, pp. 1–14, 2020, doi: 10.1186/s12978-020-00938-3.

G. Charness, A. Rustichini, and J. van de Ven, “Self-confidence and strategic behavior,” Exp. Econ., vol. 21, no. 1, pp. 72–98, 2018, doi: 10.1007/s10683-017-9526-3.

V. Raghupathi and W. Raghupathi, “The influence of education on health : an empirical assessment of OECD countries for the period 1995 – 2015,” Arch. Public Heal., vol. 5, pp. 1–18, 2020, doi: 10.1186/s13690-020-00402-5.

S. Busi and N. Chea, “Barriers of Discussion Concerning Sexual and Reproductive Health Issues Among Adolescents and Parents, Hawassa, SNNPR, Ethiopia,” Biomed. J. Sci. Tech. Res., vol. 1, no. 7, pp. 1947–1953, 2017, doi: 10.26717/bjstr.2017.01.000591.

K. G. Wudineh, F. A. Chekole, and A. A. Tesfu, “Adolescent-parent communication on sexual and reproductive health issues and associated factors among secondary school students in Woreta town, Northwest Ethiopia: An institutional based cross sectional study,” Heliyon, vol. 7, no. 3, p. e06528, 2021, doi: 10.1016/j.heliyon.2021.e06528.

A. M. Ashcraft and P. J. Murray, “Talking to Parents About Adolescent Sexuality,” Pediatr. Clin. North Am., vol. 64, no. 2, pp. 305–320, 2017, doi: 10.1016/j.pcl.2016.11.002.

M. S. Yibrehu and B. Mbwele, “Parent - Adolescent communication on sexual and reproductive health: The qualitative evidences from parents and students of Addis Ababa, Ethiopia,” Reprod. Health, vol. 17, no. 1, pp. 1–9, 2020, doi: 10.1186/s12978-020-00927-6.

T. A. Yadeta, H. K. Bedane, and A. K. Tura, “Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: A cross-sectional study,” J. Environ. Public Health, vol. 2014, 2014, doi: 10.1155/2014/102579.

J. Wamoyi, A. Fenwick, M. Urassa, B. Zaba, and W. Stones, “Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people’s sexual health interventions,” Reprod. Health, vol. 7, no. 1, pp. 1–18, 2010, doi: 10.1186/1742-4755-7-6.

J. M. Grossman, L. J. Jenkins, and A. M. Richer, “Parents ’ Perspectives on Family Sexuality Communication from Middle School to High School,” Int. J. Environ. Res. Public Health, vol. 15, no. 1, p. 107, 2018, doi: 10.3390/ijerph15010107.

UNESCO, International Technical Guidance on Sexuality Education. Paris: United Nations Educational, Scientific and Cultural Organization (UNSESCO), 2018.

M. Zakaria, J. Xu, F. Karim, and F. Cheng, “Reproductive health communication between mother and adolescent daughter in Bangladesh: a cross-sectional study,” Reprod. Health, vol. 16, no. 1, p. 114, 2019, doi: 10.1186/s12978-019-0778-6.

A. K. Abdallah, R. J. Magata, and J. N. Sylvester, “Barriers to parent-child communication on sexual and reproductive health issues in East Africa: A review of qualitative research in four countries,” J. African Stud. Dev., vol. 9, no. 4, pp. 45–50, 2017, doi: 10.5897/jasd2016.0410.

M. L. A. Ghaffar and T. A. I. Kusumaningrum, “Hubungan Norma Sosial dan Dukungan Teman Sebaya terhadap Niat Pantang Perilaku Seksual ( Sexual Abstinence ) pada Remaja,” J. Ilmu Kesehat. Masy. Berk., vol. 3, no. 1, pp. 70–79, 2021, doi: 10.32585/jikemb.v3i1.1615.

V. Vongsavanh, V. T. H. Lan, and V. Sychareun, “Sexual and reproductive health communication between parents and high school adolescents in Vientiane Prefecture, Lao PDR,” Glob. Health Action, vol. 13, no. sup2, 2020, doi: 10.1080/16549716.2020.1785145.



  • There are currently no refbacks.

International Journal of Public Health Science (IJPHS)
p-ISSN: 2252-8806, e-ISSN: 2620-4126

View IJPHS Stats

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.