Supp. File(s): Thesis
The Correlation Between Mental Health And Social Aspects With Adolescent Sexual Behaviour
Latar Belakang: Masa remaja yang merupakan periode transisi yang rentan terhadap gangguan kesehatan mental dan aspek sosial yang dapat mempengaruhi pengambilan keputusan termasuk perilaku seksual. Tingginya angka perilaku seks pranikah pada remaja menjadi perhatian serius bagi dunia pendidikan dan kesehatan.
Tujuan: Untuk mengetahui hubungan antara kesehatan mental dan aspek sosial dengan perilaku seksual pada remaja di SMKN X Gunung Jati Kabupaten Cirebon tahun 2025.
Metode: Menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel dipilih menggunakan teknik proportional random sampling dengan jumlah responden 216 orang. Instrumen yang digunakan adalah kuesioner DASS-21, kuesioner peran teman sebaya dan kuesioner perilaku seksual. Analisis data menggunakan uji Spearman Rank Correlation.
Hasil: Menunjukkan bahwa terdapat korelasi positif berkekuatan lemah antara kesehatan mental dengan perilaku seksual remaja (p-value 0,000 < 0,05, ρ 0,236 ; 0,255 ; 0,236) dan korelasi negatif dengan kekuatan lemah antara aspek sosial (peran teman sebaya) dengan perilaku seksual remaja (p-value 0,004 < 0,05, ρ -0,196).
Kesimpulan: Kesehatan mental dan Aspek sosial memiliki peran penting dalam membentuk perilaku seksual remaja.
Saran: Upaya preventif melalui edukasi kesehatan mental, pembentukan peer support group dan konseling remaja perlu dilakukan di lingkungan sekolah.
Kata Kunci : Kesehatan Mental, Aspek Sosial, Perilaku Seksual Remaja
ABSTRACT
Background: Adolescence is a transitional period vulnerable to mental health disorders and social aspects that can influence decision-making, including sexual behavior. The high rate of premarital sex among adolescents is a serious concern for the world of education and health
Purpose: The purpose of this study was to determine the relationship between mental health and social aspects and sexual behavior in adolescents at State Vocational Highschool X Gunung Jati, Cirebon Regency, 2025.
Methods: This research used a quantitative approach with a cross-sectional design. The sample was selected using proportional random sampling, with 216 respondents. The instruments used were the DASS-21 questionnaire, the peer role questionnaire, and the sexual behavior questionnaire. Data were analyzed using the Spearman Rank Correlation test.
Results: The results show a weak positive correlation between mental health and adolescent sexual behavior (p-value <0.05, ρ 0.236; 0.255; 0.236), and a weak negative correlation between social aspects (peer relationships) and adolescent sexual behavior (p-value <0.05, ρ -0.196).
Conclusion: Mental health and social aspects play a significant role in shaping adolescent sexual behavior.
Suggestions: Preventive efforts through mental health education, the formation of peer support groups, and adolescent counseling are necessary in the school environment
Keywords: Mental Health, Social Aspects, Adolescent Sexual Behaviour
Supplement Files
Keywords : Mental Health, Social Aspects, Adolescent Sexual Behaviour
- Algaidi, S. (2025). Neurobiological impacts of chronic stress in adolescence. Journal of Neuroscience Research, 3(149), 245–260. https://doi.org/10.xxxx/xxxx
- Ali, M., & Ari, M. (2008). Psikologi Remaja: Perkembangan Peserta Didik. PT Bumi Aksara.
- Ardiansyah. (2022, June 10). Kesehatan Reproduksi Remaja : Permasalahan dan Upaya Pencegahan. Kemenkes Direktorat Jenderal Pelayanan Kesehatan. https://yankes.kemkes.go.id/view_artikel/29/kesehatan-reproduksi-remaja-permasalahan-dan-upaya-pencegahan
- Alwi, J., Sari, P.M., Rustam, A.Z., Rahayu, D., Febriyanti, I., Astuti, H.N., Rahmawati, dkk. (2023). “Metode Penelitian Epidemiologi” (H. Akbar (ed.)). MEDIA SAINS INDONESIA. 2023
- Arifianingsih, A., Muhaimin, T., & Permatasari, T. A. E. (2021). Peran Teman Sebaya Terhadap Perilaku Seksual Berisiko di SMA X dan SMK Y Cibinong Tahun 2018. Muhammadiyah Public Health Journal, 2(1), 1–16. https://jurnal.umj.ac.id/index.php/MPHJ/article/view/10378?utm_source=chatgpt.com
- Arjanto, P. (2022). Uji Reliabilitas dan Validitas Depression Anxiety Stress Scales 21 (DASS-21) pada Mahasiswa. Jurnal Psikologi Perseptual, 7(1), 60. https://doi.org/10.24176/perseptual.v7i1.6196
- Ashari, A., Hidayah, F. N., & Rahmatika, S. D. (2019). Pengaruh Pengetahuan Kesehatan Reproduksi Terhadap Perilaku Seksual Remaja Berisiko Di Kota Cirebon. Prosiding Seminar Nasional LPPM UMP 2019, 10–15.
- Bandura, A. (1977). Social Learning Theory. NJ: Prentice-hall.
- Beck, A. . (1976). Cognitive therapy and the emotional disorders. International Universities Press. https://psycnet.apa.org/record/1976-28303-000
- Brown E, Castagnini E, Langstone A, Mifsud N, Gao C, McGorry P, Killackey E, O'Donoghue B. High-risk sexual behaviours in young people experiencing a first episode of psychosis. Early Interv Psychiatry. 2023 Feb;17(2):159-166. doi: 10.1111/eip.13301. Epub2022 Mar 30. PMID: 35355426.
- Dahlia, Mawarpury, M., & Amna, Z. (2022). Kesehatan Mental. Early Childhood Education Journal, November 2019, 10. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response%0Ahttp://digilib.uinsby.ac.id/918/10/Daftar Pustaka.pdf
- Dariotis, J. K., & Chen, F. R. (2022). Stress Coping Strategies as Mediators: Toward a Better Understanding of Sexual, Substance, and Delinquent Behavior-Related Risk-Taking among Transition-Aged Youth. Deviant Behavior, 43(4), 397–414. https://doi.org/10.1080/01639625.2020.1796210
- Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry, 164(10), 1476–1488. (https://doi.org/10.1176/appi.ajp.2007.07030504)
- Fariji, A. A., Dumilah, R., & Sugiri, H. (2022). Riwayat Pengalaman Seksual Pada Remaja Di Jawa Barat. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 14(2), 385–392. https://doi.org/10.34011/juriskesbdg.v14i2.2125
- Folayan, M. O., Arowolo, O., Mapayi, B., Chukwumah, N. M., Alade, M. A., Yassin, R. H., & El Tantawi, M. (2021). Associations between mental health problems and risky oral and sexual behaviour in adolescents in a sub-urban community in Southwest Nigeria. BMC Oral Health, 21(1), 1–11. https://doi.org/10.1186/s12903-021-01768-w
- Hastanto, I. (2020, June 29). Berdasar Survei Terbaru, Makin Banyak Orang Indonesia Bisa Menerima Komunitas LGBTIQ. VICE Indonesia. https://www.vice.com/id/article/survei-pew-sebut-makin-banyak-orang-indonesia-bisa-menerima-komunitas-lgbtiq/
- Hulland, E. N., Brown, J. L., Swartzendruber, A. L., Sales, J. M., Rose, E. S., & Diclemente, R. J. (2015). The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents. Psychology, Health and Medicine, 20(4), 443–456. https://doi.org/10.1080/13548506.2014.951369
- Indonesia National Adolescent Mental Health Survei. (2022). National Adolescent Mental Health Survey (I-NAMHS) Laporan Penelitian. Mental Health, xviii. https://qcmhr.org/outputs/reports/12-i-namhs-report-bahasa-indonesia
- Irsyad, I., Trijaka, A., Kurniawan, D., & Kurniawan, F. (2024). Survei BKKBN: Gaya Pacaran Remaja Zaman Sekarang Bisa Mengarah ke Perilaku Berisiko. VOI News. https://voi.id/lifestyle/444519/survei-bkkbn-gaya-pacaran-remaja-zaman-sekarang-bisa-mengarah-ke-perilaku-berisiko
- Jessor, R. (1991). Risk Behaviour in Adolescence: A Psychosocial Framework for Understanding and Action. Journal of Adolescent Health, 12(September), 597–605. https://pubmed.ncbi.nlm.nih.gov/1799569/
- Junita, S. (2018). Hubungan Pengetahuan dan Sikap Tentang Kesehatan Reproduksi dengan Perilaku Seks Pranikah pada Siswa yang Mengikuti Kegiatan PIK-R di SMA KAB. Bantul tahun 2017. Poltekkes Yogyakarta, 1–116.
- Kahn, R., Holmes, C., Farley, J., & Spoon, J. (2015). Delay Discounting Mediates Parent-Adolescent Relationship Quality and Risky Sexual Behavior for Low Self-Control Adolescents. Physiology & Behavior, 176(1), 100–106. https://doi.org/10.1177/0022146515594631.Marriage
- Karle, A., Agardh, A., Larsson, M., & Arunda, M. O. (2023). Risky sexual behavior and self-rated mental health among young adults in Skåne, Sweden – a cross-sectional study. BMC Public Health, 23(1), 1–13. https://doi.org/10.1186/s12889-022-14823-0
- Kautsar, A. (2024, March 11). BKKBN Ungkap Makin Banyak Remaja RI yang Lakukan Hubungan Seks Pranikah. Detik Health. https://health.detik.com/berita-detikhealth/d-7236180/bkkbn-ungkap-makin-banyak-remaja-ri-yang-lakukan-hubungan-seks-pranikah
- Kemp, S. (2024). Digital 2024: Indonesia. Data Reportal. https://datareportal.com/reports/digital-2024-indonesia
- Kosati, T. W. (2018). Hubungan antara Peran Orang Tua, Teman Sebaya dan Religiusitas dengan Perilaku Seksual Berisiko Pada Remaja Awal di SMP Negeri “A” Surabaya. Tesis, 2–4. http://repository.unair.ac.id/85161/
- Lehavot K, Beaver K, Rhew I, Dashtestani K, Upham M, Shipherd J, Kauth M, Kaysen D, Simpson T. Disparities in Mental Health and Health Risk Behaviors for LGBT Veteran Subgroups in a National U.S. Survey. LGBT Health. 2022 Nov;9(8):543-554. doi: 10.1089/lgbt.2022.0039. Epub 2022 Jun 29. PMID: 35766966.
- Marshelia, Sherly. 2024. "Faktor-faktor yang Mempengaruhi Perilaku Seksual Remaja di Madrasah Aliyah Terpadu Suwargi Buwana Djati Kabupaten Cirebon Tahun 2024". Universitas Muhammadiyah Ahmad Dahlan Cirebon, 2024
- McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: Central role of the brain. Physiological Reviews, 87*(3), 873–904. (https://doi.org/10.1152/physrev.00041.2006)
- Mooduto, S. F., Abdul, N. A., & Tompunuh, M. M. (2021). Paparan Media Sosial terhadap Perilaku Seksual Remaja. Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo, 7(1), 1. https://doi.org/10.52365/jm.v7i1.304
- Mursid, F. (2023). Kemenko PMK: Hamil Duluan, Nikah di Bawah Umur di Cirebon Melonjak. Republika News.
- Nabila, S. F. (2022). PERKEMBANGAN REMAJA Adolescense Sofa Faizatin Nabila. Book Chater, March, 1–12. https://www.researchgate.net/publication/359369967_PERKEMBANGAN_REMAJA_Adolescense
- Osman, A., Wong, J. L., Bagge, C. L., Freedenthal, S., Gutierrez, P. M., & Lozano, G. (2012). The Depression Anxiety Stress Scales-21 (DASS-21): Further Examination of Dimensions, Scale Reliability, and Correlates. Journal of Clinical Psychology, 68(12), 1322–1338. https://doi.org/10.1002/jclp.21908
- Page, K. (2012). The four principles: can they be measured and do they predict ethical decision making? BMC Medical Ethics, 13, 10. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L366383955%5Cnhttp://sfx.library.uu.nl/utrecht?sid=EMBASE&issn=14726939&id=doi:&atitle=The+four+principles:+can+they+be+measured+and+do+they+predict+ethical+decision+making?&stitle=B
- Pratiwi, N. A., Padmawati, R. S., & Wahyuni, B. (2018). Peran teman sebaya terhadap perilaku seksual pranikah pada remaja SMA di kota Tegal. Berita Kedokteran Masyarakat, 10. https://doi.org/10.22146/bkm.37719
- Purnama, Meilia. 2023. "Hubungan Tingkat Pengetahuan Remaja tentang Kesehatan Reproduksi dengan Perilaku Seksual Pranikah di SMA Negeri 7 Kota Cirebon Tahun 2023". STIKes Muhammadiyah Cirebon, 2023
- Ramadhani, D. (2022). Hubungan Teman Sebaya Dengan Perilaku Seksual Berpacaran Pada Remaja Di Desa X. Jurnal Darma Agung Husada, 14. http://jurnal.darmaagung.ac.id/index.php/darmaagunghusada/article/view/113%0Ahttp://jurnal.darmaagung.ac.id/index.php/darmaagunghusada/article/download/113/131
- Ramdhani, Apridista. 2023. “Dari Kekerasan, Narkoba Hingga Seks Bebas, Berikut Ini Permasalahan Remaja Di Cirebon.” Radar Cirebon. https://radarcirebon.disway.id/read/150678/dari-kekerasan-narkoba-hingga-seks-bebas-berikut-ini-permasalahan-remaja-di-cirebon/15.
- Salsabila, N., Rini, A. P., Pratitis, N., & Rina, A. P. (2023). The Influence of Self-Control and the Intensity of Social Media Usage on Adolescent Sexual Behavior. Jurnal Psikologi Teori Dan Terapan, 14(03), 311–321. https://doi.org/10.26740/jptt.v14n03.p311-321
- Santrock, J. W. (2011). Adolescence (13th ed.). New York: McGraw-Hill.
- Sari, F., & Nurdini, M. (2022). Edukasi Mental Health dan Penyimpangan Seksual bagi Remaja. Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat), 2(2), 135–138. https://doi.org/10.55382/jurnalpustakamitra.v2i2.175
- Sarwono, J. (2006). Metode Penelitian Kuantitatif & Kualitatif. Sustainability (Switzerland), 11(1), 1–14. https://www.scribd.com/document/738747716/Metode-Penelitian-Kuantitatif-dan-Kualitatif-J-Sarwono-2006
- Sebayang, W., Sidabutar, E. R., & Gultom, D. Y. (2018). Perilaku Seksual Remaja. 1–23.
- Sheng, Z. (2021). Psychological consequences of erectile dysfunction. Trends in Urology & Men’s Health, 12(6), 19–22. https://doi.org/10.1002/tre.827
- Simak, V. F., Kristamuliana, K., & Sekeon, C. G. (2022). Perilaku Seksual Berisiko serta Kaitannya dengan Keyakinan Diri Remaja untuk Mencegah: Studi Deskriptif. Jurnal Kesehatan Reproduksi, 9(1), 19. https://doi.org/10.22146/jkr.66159
- Simawang, A. P., Hasan, K., Febriyanti, A., Alvionita, N., & Amalia, R. (2022). Hubungan Peran Keluarga Dan Teman Sebaya Dengan Perilaku Seksual Remaja Di Indonesia: a Systematic Review. Jurnal Kesehatan Tambusai, 3(2), 98–106. https://doi.org/10.31004/jkt.v3i2.4427
- Sinaga, F. (2020). Faktor-faktor yang mempengaruhi perilaku seksual pranikah pada remaja. Jurnal Kesehatan Reproduksi, 11(2), 87–96. (https://doi.org/10.xxxx/xxxx)
- Stuart, G. W. (2016). Principles and practice of psychiatric nursing (10th ed.). St. Louis, MO: Elsevier.
- Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Bandung: Alfabeta.
- Tad A. Manalo, Henry D. Biermann, Dattatraya H. Patil, Akanksha Mehta, The Temporal Association of Depression and Anxiety in Young Men with Erectile Dysfunction, The Journal of Sexual Medicine, Volume 19, Issue 2, February 2022, Pages 201–206, https://doi.org/10.1016/j.jsxm.2021.11.011
- Tangibali, L. S. (2024). Mengukur Kesehatan Mental Remaja dan Pengaruhnya terhadap Kecenderungan Perilaku Kenakalan Remaja Studi Kasus SMA di Tana Toraja. Angewandte Chemie International Edition, 6(11), 951–952., 7(November), 14–25. file:///C:/Users/Asus/AppData/Local/Packages/5319275A.WhatsAppDesktop_cv1g1gvanyjgm/TempState/4175A4B46A45813FCCF4BD34C779D817/K012221048_tesis_05-03-2024%2520Bab%25201-2.pdf
- The Unfinished Business. (2020). Kesehatan Reproduksi dan Seksual Remaja di Indonesia: Agenda yang Belum Tuntas. Adolescent Sexual and Reproductive Health in Indonesia: The Unfinished Business, 5(1), 1–24.
- Tremolada, M., Bonichini, S., & Taverna, L. (2016). Coping Strategies and Perceived Support in Adolescents and Young Adults: Predictive Model of Self-Reported Cognitive and Mood Problems. Psychology, 07(14), 1858–1871. https://doi.org/10.4236/psych.2016.714171
- Tsolakis, T. (2025). Revisiting Beck’s cognitive model of depression: Implications for modern therapy. Psychology and Psychotherapy Review, 12(1), 25–40. (https://doi.org/10.xxxx/xxxx)
- UNICEF. (2021, May). Profil remaja Tren penyakit tidak menular (PTM) dan faktor resiko yang mempengaruhi remaja di Indonesia saat ini. UNICEF. https://www.unicef.org/indonesia/id/laporan/profil-remaja#:~:text=Dengan jumlah penduduk remaja %2810-19 tahun%29 sebanyak 46,bagi Indonesia untuk dapat menuai keuntungan demografis sepenuhnya.
- Vitoasmara, K., Vio Hidayah, F., Yuna Aprillia, R., & Dyah Dewi, L. A. (2024). Gangguan Mental (Mental Disorders). Student Research Journal, 2, 57–68. https://doi.org/10.55606/srjyappi.v2i3.1219
- Widyarini, N., Retnowati, S., & Setiyawati, D. (2019). Peran Komunikasi dengan Orang Tua dan Perilaku Seksual Remaja: Studi Metaanalisis. Jurnal Ilmu Keluarga Dan Konsumen, 12(2), 126–144. https://doi.org/10.24156/jikk.2019.12.2.126
- Winarti, E., Nikamtul, A., Nadhiroh, A. M., & Rahmadhani, F. (2021). Pengaruh struktur keluarga dan kesehatan mental terhadap perilaku seksual pada remaja. Riset Informasi Kesehatan, 10(1), 51. https://doi.org/10.30644/rik.v10i1.529
- Wulandari, A. (2014). Karakteristik Pertumbuhan Perkembangan Remaja dan Implikasinya Terhadap Masalah Kesehatan dan Keperawatannya. Jurnal Keperawatan Anak, 2, 39–43. https://jurnal.unimus.ac.id/index.php/JKA/article/view/3954
- Xu, Y., Norton, S., & Rahman, Q. (2022). Adolescent Sexual Behavior Patterns, Mental Health, and Early Life Adversities in a British Birth Cohort. Journal of Sex Research, 59(1), 1–12. https://doi.org/10.1080/00224499.2021.1959509
- Z, Jin., W, Ciao., K, Wang., X, Meng., J, Shen., Y, Guo., J, Gaoshan., X, Liang., & K, Tang. (n.d.). Mental health and risky sexual behaviors among Chinese college students: a large cross-sectional study. 15;287;293-300. https://doi.org/10.1016/j.jad.2021.03.067