Premarital sexual activities among adolescents in prostitution circumstance and influencing factors

Dedik Sulistiawan


Background: Lifestyle in globalization era gives negative impacts on adolescent's premarital sexual activities. The wide gap between the age of menarche and marriage encourages an increase in premarital sexual activities, especially in socially vulnerable areas. This research presented premarital sexual activities among adolescents in the prostitution area and the influencing factors.

Methods: This study was an analytical observational study with a cross-sectional design, involving as many as 70 adolescents who lived in the Dolly prostitution area of Surabaya, the second biggest city in Indonesia. The dependent variable in this study was adolescent premarital sexual activities. The independent variables were age, sex, education level, knowledge towards reproductive health, attitude, social-economic status, the onset of puberty categories, closeness to parents, access to sexual media, and peer pressure. Data were analyzed using simple and multiple logistic regressions.

Results: The results showed that sociosexual behavior (sexual activity with partners) was significantly influenced by knowledge (OR=59.05; 95% CI=1.12-3114.22; p= 0.04). Adolescents who had less knowledge of reproductive health were more likely to engage in sociosexual behavior.

Conclusions: The right knowledge about reproductive health is essential for adolescents. The government must implement a more effective intervention in order to increase adolescent’s knowledge about the accurate reproductive health information in socially vulnerable areas.


Adolescent, Free sex, Prostitution, Risky behavior

Full Text:



McMichael AJ, Beaglehole R. The changing global context of public health. Lancet. 2000;356:495–9.

Ergin E, Akin B. Globalization and its Reflections for Health and Nursing. Int J Caring Sci. 2017;10(1):607–13.

BPS BKKBN Kementerian Kesehatan dan ICF International. Survei Demografi dan Kesehatan Indonesia 2012: Kesehatan Reproduksi Remaja. Jakarta, Indonesia: BPS, BKKBN, Kemenkes and ICF International; 2013. Available at: on 10 July 2019.

Low WY. Malaysian youth sexuality: Issues and challenges. J Heal Transl Med. 2009;12(1):3–14.

Techasrivichien T, Darawuttimaprakorn N, Punpuing S, Musumari PM, Lukhele BW, El-saaidi C, et al. Changes in Sexual Behavior and Attitudes Across Generations and Gender Among a Population-Based Probability Sample From an Urbanizing Province in Thailand. Arch Sex Behav. 2016;45(2):367–82.

Fuller TD, Chamratrithirong A, Apipornchaisakul K. The correlates and gender differences of sexual behavior of single young adults in Thailand. J Popul Soc Stud. 2017;25(4):328–42.

BPS dan Macro International. Survei Kesehatan Reproduksi Remaja Indonesia 2007. Calverton, Maryland, USA: BPS dan Macro International; 2008.

Rahyani KY, Utarini A, Wilopo SA, Hakimi M. Perilaku Seks Pranikah Remaja. Kesmas Natl Public Heal J. 2012;7(4):180.

Purdy CH. Fruity, Fun, and Safe: Creating a Youth Condom Brand in Indonesia. Reprod Health Matters. 2006;14(28):127–34.

Utomo ID, McDonald P. Adolescent reproductive health in Indonesia: Contested values and policy inaction. Stud Fam Plann. 2009;40(2):133–46. Waspada, 10 persen PSK Dolly Penular HIV/AIDS. 2013. Available at: Penular-HIVAIDS. Accessed on 10 July 2019.

Shaluhiyah Z, Suryoputro A, Setyawati A. The Needs of Information Services on Reproductive Health, STIs, and HIV in Middle Adolescence. J Kesehat Masy. 2017;12(2):96–105.

Wardhani Y, Tamtomo D, Demartoto A. Effect of sexual knowledge and attitude, exposure to electronic media pornography, peer group, and family intimacy, on sexual behaviors among adolescents in Surakarta. J Heal Promot Behav. 2017;2:138–47.

Morales A, Vallejo-medina P, Abello-luque D, Saavedra-roa A, García-roncallo P, Gomez-lugo M, et al. Sexual risk among Colombian adolescents : knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior. BMC Public Health. 2018;18(1377):1–13.

Putri S, Shaluhiyah Z, Prabamurti PN. Faktor - Faktor yang Berhubungan dengan Perilaku Seksual Remaja yang Tinggal di Lingkungan Resosialisasi Argorejo Kota Semarang. J Kesehat Masy. 2017;5:1092–101.

Bandura A. Social Learning Theory. New Jersey: Prentice-Hall Inc; 1977.

Sommer M, Mmari K. Addressing Structural and Environmental Factors for Adolescent Sexual and Reproductive Health in Low- and Middle-Income Countries. Am J Public Health. 2015;105(10):1973–81.

Chandra-mouli V, Lane C. 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. 2015;3(3):333–40.

Denno DM, Hoopes AJ, Chandra-Mouli V. Effective Strategies to Provide Adolescent Sexual and Reproductive Health Services and to Increase Demand and Community Support. J Adolesc Heal. 2015;56(1):22–41.

Godia PM, Olenja JM, Lavussa JA, Quinney D, Hofman JJ, van ven Broek N. Sexual reproductive health service provision to young people in Kenya ; health service providers ’ experiences. BMC Health Serv Res. 2013;13(476):1–13.