Perceived susceptibility, perceived barriers, and cues to action as determinant factors of reproductive health behavior

Abstract

Adolescents faced many reproductive health problems due to risky behavior. This study aimed to analyze reproductive health behavior in female adolescents using a health belief model. This research was a survey study with a cross-sectional approach, carried out in September 2020 at MAN 1 Malang. Data were collected through independent questionnaires by 152 female high school students who were selected by simple random sampling. Data were analyzed using logistic regression. The results showed that there was a relationship between perceived susceptibility (p-value= <0.001, OR=11.46, 95%CI=2.96-44.30), perceived severity (p-value= 0.012, OR=5.14, 95%CI=1.44-18.36), perceived benefits (p-value =0.001, OR=9.41, 95%CI=2.37-37.29), perceived barriers (p-value=<0.001, OR=27.85, 95%CI=6.47-119.89), cues to action (p-value =<0.001, OR=16.79, 95%CI=4.21-66.89), and self-efficacy (p-value=0.008, OR=5.88, 95%CI=1.59-21.67) with reproductive health behavior. The goodness of fit test showed that the data fit with the logistic regression model (p-value 0.917) and 79.7% of reproductive health behavior is related to these six variables (R-square 0.797). Perceived susceptibility, perceived barriers, and cues to action as a determinant factor of reproductive health behavior. Adolescents must have the knowledge and motivation to behave in a healthy manner related to their reproductive health, so they have a high perception of adolescent reproductive health problems.