Voluntary Counselling and Testing (VCT) is a service that is very useful to detect someone's HIV status early. It is hoped that someone who engages in risky sexual behavior can take advantage of VCT services. The purpose of this study was to analyze the relationship of sex, experiences in obtaining reproductive health information from parents, community, community leaders, access to reproductive health information through social media, participation in organizations, experiences of risk behavior with the intention of VCT in adolescents in Surakarta. This research was conducted with a crosssectional approach in April 2019. The study population was adolescents aged 15-19 years in five sub-districts in Surakarta, Indonesia (Laweyan, Banjarsari, Serengan, Pasar Kliwon, and Jebres). The number of samples in this study was 450 adolescents who were taken with a quota sampling technique. Bivariate analysis was performed using chi-square and Fisher exact and multivariate analysis using logistic regression analysis. The results showed a relationship between getting reproductive health information from parents (p-value 0.003) and community leaders (p-value 0.027) with the intention of VCT in adolescents. The experience of getting reproductive health information from parents is the most influential factor in the intention of VCT in adolescents (OR = 0.565, CI = 0.385-0.830). Efforts are needed to provide information to adolescents about VCT services to understand that VCT is very important for follow-up care if HIV test results are reactive. Adolescents also need to be given information regarding how to increase self-efficacy to utilize VCT.
BACKGROUND: Adolescents are a vulnerable group to reproductive health and sexuality problems. The problem of drug use and premarital sexual behavior is the focus of attention for adolescents because it can be a risk of HIV transmission. Providing information from various parties regarding reproductive health is expected to reduce adolescents risk of carrying out HIV risk behaviors. AIM: This study purpose was to analyze the experience of obtaining reproductive health information (from friends, parents, community, community leaders, social media, and organizations) that most influence HIV risk behavior in adolescents. METHODS: This cross-sectional study was conducted on adolescents aged 15–19 years living with their parents in Surakarta. The research sample was 450 teenagers. The sampling used convenience sampling technique and data collection using a questionnaire. Data analysis was performed using Chi-square and Fisher’s exact test in bivariate analysis and logistic regression in multivariate analysis. RESULTS: Information from friends is the most influential factor on HIV risk behavior in adolescents (OR = 0.314, CI = 0.090–1.102). Teenagers who get information from friends tend to carry out HIV risk behaviors because the information is not credible and comprehensive and is more toward the negative, namely, pornography. CONCLUSION: Reproductive health information from friends is not necessarily correct. Efforts to improve the skills of adolescents to find credible sources of information on reproductive health and sexuality are needed to reduce the risk of HIV transmission.
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