The Effectiveness of Audiovisual-Based Reproductive Health Education in Preventing Risky Sexual Behavior Among Junior High School Adolescents in Urban Communities
Main Article Content
Jetty Mongdong
Kartini Estelita Tungka
Jolie Febri Ponamon
Background: Adolescence is a transitional period from childhood to adulthood characterized by psychological instability and increased susceptibility to negative influences when adequate supervision and education are lacking. Inadequate reproductive health knowledge may increase the likelihood of engaging in risky sexual behaviors. This study aimed to analyze the effect of reproductive health education delivered through audiovisual media on the prevention of risky sexual behavior among junior high school adolescents in urban areas.
Methods: A quantitative study with a pre-experimental one-group pretest-posttest design was conducted among 33 junior high school students. Data were collected using a questionnaire assessing efforts to prevent risky sexual behavior. Participants received reproductive health education through audiovisual media. Data were analyzed using the Wilcoxon signed-rank test.
Results: Among the participants, most were 13 years old (63.6%), Christian (63.6%), and had two siblings (48.5%). Before the intervention, 66.7% of respondents demonstrated a moderate level of risky sexual behavior prevention efforts, while 33.3% were categorized as poor. After the intervention, 81.8% of respondents achieved a good level of prevention efforts and 18.2% remained in the moderate category. The Wilcoxon signed-rank test showed a statistically significant improvement in prevention efforts following the intervention (Z = -4.916, p < 0.001)
Conclusion: Reproductive health education delivered through audiovisual media significantly improved the prevention of risky sexual behavior among junior high school adolescents in urban areas. Audiovisual media can be considered an effective educational approach for promoting reproductive health awareness and preventive behaviors among adolescents.
Ahmed Khan, Z., Adnan, J., & Adnan Raza, S. (2023). Cognitive Learning Theory and Development: Higher Education Case Study. https://doi.org/10.5772/intechopen.110629
Ahn, J., & Yang, Y. (2023). Relationship Between Self-Esteem and Risky Sexual Behavior among Adolescents and Young Adults: A Systematic Review. American Journal of Sexuality Education, 18(3), 484–503. https://doi.org/10.1080/15546128.2022.2118199
Al Hussaini, M. H., & Arcelus-Ulibarrena, J. M. (2023). Exploring the Influence of Audiovisual Tools on Youth and their Social Adaptation in Elementary Education. International Journal of Learning Reformation in Elementary Education, 2(02), 95–103. https://doi.org/10.56741/ijlree.v2i02.352
Fajobi, O., Esimai, O. A., Akinwumi, A. F., & Olugbade, O. T. (2026). Social media engagement and risky sexual behaviours among out-of-school adolescents in Ile-Ife, South-west, Nigeria. Vulnerable Children and Youth Studies, 21(1), 135–149. https://doi.org/10.1080/17450128.2025.2478161
Hasanica, N., Ramic-Catak, A., Mujezinovic, A., Begagic, S., Galijasevic, K., & Oruc, M. (2020). The Effectiveness of Leaflets and Posters as a Health Education Method. Materia Socio-Medica, 32(2), 135–139. https://doi.org/10.5455/msm.2020.32.135-139
Hegde, A., Chandran, S., & Pattnaik, J. I. (2022). Understanding Adolescent Sexuality: A Developmental Perspective. Journal of Psychosexual Health, 4(4), 237–242. https://doi.org/10.1177/26318318221107598
Hsu, Y.-M., Chang, T.-S., Chu, C.-L., Hung, S.-W., Wu, C.-J., Yeh, T.-P., & Wang, J.-Y. (2022). Effectiveness of Multimedia-Based Learning on the Improvement of Knowledge, Attitude, and Behavioral Intention toward COVID-19 Prevention among Nurse Aides in Taiwan: A Parallel-Interventional Study. Healthcare, 10(7), 1206. https://doi.org/10.3390/healthcare10071206
Khasanah, N., Vidayanti, V., Liliana, A., & Wahyuningsih, M. (2024). The effect of health promotion based on audiovisual media on man’s contraception used in rural areas : A quasi-experimental study. Jurnal Kebidanan Indonesia, 15(2), 13. https://doi.org/10.36419/jki.v15i2.1084
Kooloos, J. G. M., Bergman, E. M., Scheffers, M. A. G. P., Schepens‐Franke, A. N., & Vorstenbosch, M. A. T. M. (2020). The Effect of Passive and Active Education Methods Applied in Repetition Activities on the Retention of Anatomical Knowledge. Anatomical Sciences Education, 13(4), 458–466. https://doi.org/10.1002/ase.1924
Meherali, S., Rehmani, M., Ali, S., & Lassi, Z. S. (2021). Interventions and Strategies to Improve Sexual and Reproductive Health Outcomes among Adolescents Living in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Adolescents, 1(3), 363–390. https://doi.org/10.3390/adolescents1030028
Nagy-Pénzes, G., Vincze, F., & Bíró, É. (2022). A School Intervention’s Impact on Adolescents’ Health-Related Knowledge and Behavior. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.822155
Nørgaard, N., van Leeuwen, T., & Jepsen, C. (2023). Visual design for sexual and reproductive health promotion: a global perspective. Visual Communication, 22(3), 421–428. https://doi.org/10.1177/14703572231170481
Paulus, K. (2025). How We Communicate Behavior Matters: Adolescent Sexual Behavior in the Era of Streaming Television. Temple University.
Putri, Y., Maryati, I., & Solehati, T. (2025). Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review. Risk Management and Healthcare Policy, Volume 18, 105–116. https://doi.org/10.2147/RMHP.S490395
Shangase, N., Kharsany, A. B. M., Ntombela, N. P., Pettifor, A., & McKinnon, L. R. (2021). A Systematic Review of Randomized Controlled Trials of School Based Interventions on Sexual Risk Behaviors and Sexually Transmitted Infections Among Young Adolescents in Sub-Saharan Africa. AIDS and Behavior, 25(11), 3669–3686. https://doi.org/10.1007/s10461-021-03242-8
Steed, E. A., Shapland, D., & Leech, N. (2022). Early Childhood Teachers’ Perceptions of the Effectiveness of Their Elementary School’s Approach to Social Emotional Learning: A Mixed Methods Study. Early Childhood Education Journal, 50(7), 1121–1132. https://doi.org/10.1007/s10643-021-01248-4
Suing, A., Arrobo-Agila, J.-P., Coronado-Otavalo, X., Galarza-Ligña, V., & Reascos-Trujillo, A. (2023). Audiovisual Competences in Times of COVID-19: The Role of Educational Actors in Media and Digital Learning of Adolescents. Sustainability, 15(7), 6323. https://doi.org/10.3390/su15076323
Suwarni, L., Ismail, D., Prabandari, Y. S., & Adiyanti, M. G. (2015). Perceived parental monitoring on adolescence premarital sexual behavior in Pontianak City, Indonesia. Int J Public Health Sci, 4(4), 211–219.
Yeh, Y.-C. (2022). Student Satisfaction with Audio-Visual Flipped Classroom Learning: A Mixed-Methods Study. International Journal of Environmental Research and Public Health, 19(3), 1053. https://doi.org/10.3390/ijerph19031053
Zhang, J., Oh, Y. J., Lange, P., Yu, Z., & Fukuoka, Y. (2020). Artificial Intelligence Chatbot Behavior Change Model for Designing Artificial Intelligence Chatbots to Promote Physical Activity and a Healthy Diet: Viewpoint. Journal of Medical Internet Research, 22(9), e22845. https://doi.org/10.2196/22845
