Adolescent Pregnancy in Lampung Province (Analysis The Indonesian Survey Status Nutrition Data of 2022)

Talisa  Rahmawati; Elmi  Nuryati; Marlinda Marlinda

Talisa Rahmawati Universitas Muhammadiyah Pringsewu
Elmi Nuryati Universitas Muhammadiyah Pringsewu
Marlinda Marlinda Universitas Muhammadiyah Pringsewu

Keywords: Adolescent, pregnancy, Education level, Reproductive health

Abstract

Purpose: This study aimed to identify the factors influencing adolescent pregnancy in Lampung Province using data from the 2022 Indonesian National Nutrition Status Survey (SSGI), with a particular focus on the role of educational level.
Literature Review: Adolescent pregnancy remains a significant public health concern because it is associated with increased maternal and neonatal morbidity and mortality, school dropout, psychological problems, and limited socioeconomic opportunities. Previous studies have consistently identified low educational attainment as one of the strongest predictors of early pregnancy due to limited reproductive health knowledge and reduced access to health information.
Methodology: A quantitative cross-sectional design was employed using secondary data from the 2022 SSGI, involving 1,828 women who experienced their first pregnancy between the ages of 12 and 19 years. Data were analyzed using descriptive statistics and binary logistic regression.
Results: The findings revealed a significant association between educational level and adolescent pregnancy (p = 0.043; OR = 0.292; 95% CI: 0.089–0.960), indicating that adolescents with only basic education were more likely to experience early pregnancy than those with higher educational attainment.
Conclusions: Low educational level is an important determinant of adolescent pregnancy in Lampung Province.
Recommendations: Strengthening access to quality education, implementing comprehensive sexuality and reproductive health education in schools, and expanding community-based reproductive health promotion programs are recommended to reduce adolescent pregnancy.
Additional: Future research should investigate other contributing factors, such as socioeconomic status, early marriage, family support, contraceptive use, and access to reproductive health services, using longitudinal study designs to better establish causal relationships.

References

Banepa, A., Meo, M. L. N., & Gatum, A. M. (2017). Gambaran faktor-faktor yang mempengaruhi kehamilan remaja usia 14–19 tahun di Kelurahan Bakunase wilayah kerja Puskesmas Bakunase Kota Kupang. CHMK Nursing Scientific Journal, 1(2), 1–17.
Brosens, I., Muter, J., Gargett, C. E., Puttemans, P., Benagiano, G., & Brosens, J. J. (2017). The impact of uterine immaturity on obstetrical syndromes during adolescence. American Journal of Obstetrics and Gynecology, 217(5), 546–555. https://doi.org/10.1016/j.ajog.2017.05.059
Buton, S., Yusriani, & Idris, F. P. (2021). Dampak pernikahan dini terhadap kehamilan remaja putri suku Buton di Desa Simi Kecamatan Waisama Kabupaten Buru Selatan. Journal of Aafiyah Health Research (JAHR), 2(1), 25–41. https://doi.org/10.52103/jahr.v2i1.302
Darroch, J. E., Woog, V., & Bankole, A. (2016). Adding it up: Costs and benefits of meeting the contraceptive needs of adolescents. New York, NY: Guttmacher Institute.
Fauziah, P. S., Hamidah, H., & Subiyatin, A. (2022). Kehamilan tidak diinginkan di usia remaja. Muhammadiyah Journal of Midwifery, 3(2), 53–62. https://doi.org/10.24853/myjm.3.2.53-62
Govender, D., Naidoo, S., & Taylor, M. (2020). “I have to provide for another life emotionally, physically and financially”: Understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal, South Africa. BMC Pregnancy and Childbirth, 20(1), 1–22. https://doi.org/10.1186/s12884-020-03319-7
Haryani, D. S., Wahyuningsih, W., & Haryani, K. (2020). Peran orang tua berhubungan dengan perilaku seksual pra nikah remaja di SMKN 1 Sedayu. Jurnal Ners dan Kebidanan Indonesia, 3(3), 140–144. https://doi.org/10.21927/jnki.2015.3(3).140-144
Herrera, C., Sahn, D. E., & Villa, K. (2021). Teen fertility and labor market segmentation: Evidence from Madagascar. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.2895312
Husna, F., Aldika Akbar, M. I., & Amalia, R. B. (2021). Komplikasi kehamilan dan persalinan pada kehamilan remaja. Indonesian Midwifery and Health Sciences Journal, 3(2), 138–147. https://doi.org/10.20473/imhsj.v3i2.2019.138-147
Kementerian Kesehatan Republik Indonesia. (2023). Survei status gizi Indonesia. Jakarta: Kementerian Kesehatan RI.
Mokalu, V. R., & Boangmanalu, C. V. J. (2021). Teori psikososial Erik Erikson. Vox Edukasi: Jurnal Ilmiah Ilmu Pendidikan, 12(2), 180–192.
Nurhikmah, N., Carolin, B. T., & Lubis, R. (2021). Faktor-faktor yang berhubungan dengan pernikahan usia dini pada remaja putri. Jurnal Kebidanan Malahayati, 7(1), 17–24. https://doi.org/10.33024/jkm.v7i1.3110
Rexhepi, M., Besimi, F., Rufati, N., Alili, A., Bajrami, S., & Ismaili, H. (2019). Hospital-based study of maternal, perinatal and neonatal outcomes in adolescent pregnancy compared to adult women pregnancy. Macedonian Journal of Medical Sciences, 7(5), 760–766.
Rohmah, N., Yusuf, A., Hargono, R., Laksono, A. D., Masruroh, Ibrahim, I., & Walid, S. (2020). Determinants of teenage pregnancy in Indonesia. Indian Journal of Forensic Medicine and Toxicology, 14(3), 2080–2085. https://doi.org/10.37506/ijfmt.v14i3.10736
Stiyaningsih, H., Mulyani, W. P., & Sukamdi. (2023). Fertilitas remaja di Indonesia: Perbandingan antara wilayah perdesaan dan perkotaan. Jurnal Kependudukan Indonesia, 18(2), 139–150.
Sully, E. A., Biddlecom, A., Darroch, J. E., Riley, T., Ashford, L. S., Lince-Deroche, N., Firestein, L., & Murro, R. (2019). Adding it up: Investing in sexual and reproductive health 2019. New York, NY: Guttmacher Institute.
Tarsikah, T., Diba, D. A. A., & Didiharto, H. (2020). Komplikasi maternal dan luaran bayi baru lahir pada kehamilan remaja. Jurnal Kesehatan, 13(1), 54–68. https://doi.org/10.23917/jk.v13i1.11102
Victoria, C. G., & Eliasa, E. I. (2024). Memahami peran masyarakat sekolah sebagai kunci perkembangan pendidikan karakter siswa: Kajian teori ekologi Urie Bronfenbrenner. Innovative: Journal of Social Science R
esearch, 4(6), 4627–4638.
Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N., & Adhitya, D. (2021). Adolescent pregnancy prevention in rural Indonesia: A participatory action research. Rural and Remote Health, 21(3), 1–11.
Wulandari, R. D., Laksono, A. D., & Matahari, R. (2023). Teenage pregnancy in rural Indonesia: Does education level have a role? Jurnal Promkes, 11(1), 101–108. https://doi.org/10.20473/jpk.v11.i1.2023.101-108

World Health Organization. (2020). Adolescent pregnancy fact sheet.
Yusnia, N., Adisti, A. P., & Maryam, A. K. (2024). Faktor-faktor yang mempengaruhi kehamilan pada remaja. 13(1), 127–133.