Associations of Reproductive Health Knowledge and Attitudes with Menstrual Hygiene Behaviors among Adolescent Girls at Al Muflihun Islamic Boarding School, Malang

Hazna Dinda Tyafarda; Ratih Paramita Suprapto; Ningrum Paramita Sari; Lilik Indahwati

doi:10.30994/jnp.v9i4.833

Authors

Hazna Dinda Tyafarda Department of Midwifery, Faculty of Medicine, Universitas Brawijaya, Indonesia
Ratih Paramita Suprapto Physiology Department, Faculty of Medicine, Universitas Brawijaya, Indonesia
Ningrum Paramita Sari Department of Midwifery, Faculty of Medicine, Universitas Brawijaya, Indonesia
Lilik Indahwati Department of Midwifery, Faculty of Medicine, Universitas Brawijaya, Indonesia

DOI:

https://doi.org/10.30994/jnp.v9i4.833

Keywords:

Attitude, Behavior, Knowledge, Menstrual Hygiene, Reproductive Health

Abstract

Background: Adolescents' emotional responses to menarche tend to vary, including anxiety, confusion, and embarrassment, often linked to their knowledge. Lack of knowledge about reproductive health can influence adolescents’ attitudes and behaviors during menstruation. For example, inadequate menstrual hygiene practices may lead to various health issues. Purpose: This study aimed to examine whether reproductive health knowledge predicts adolescents' attitudes and menstrual hygiene behaviors, and whether attitudes predict menstrual hygiene behaviors among female students at Al Muflihun Islamic Boarding School in Malang.

Methods: This study used a cross-sectional design with an analytic observational approach. A total of 48 female students aged 10–17 years were selected through total sampling. Data were collected using structured questionnaires and analyzed using regression-based path analysis.

Results: Results showed that 68.8% of respondents had good knowledge, 25.0% had moderate knowledge, and 6.3% had poor knowledge. Additionally, all respondents (100%) demonstrated positive attitudes and good behaviors in dealing with menstruation. Regression-based path analysis using continuous questionnaire scores showed that reproductive health knowledge significantly predicted attitude (β=0.675; p=0.000) and behavior (β=0.334; p=0.032), while attitude also predicted behavior (β=0.392; p=0.013).

Conclusion: These findings support Lawrence Green’s theory, which states that predisposing factors such as knowledge and attitude affect health behavior. Therefore, more intensive and continuous reproductive health education in schools can improve awareness and menstrual hygiene practices among adolescent girls.

Downloads

Download data is not yet available.

References

Amanda, Dea, and Fajar Ariyanti. 2020. “Perilaku Menstrual Hygiene Remaja: Studi Pada Santriwati Di Pondok Pesantren Modern Kota Depok.” Jurnal Publikasi Kesehatan Masyarakat Indonesia 7(2):23–29. doi: 10.20527/jpkmi.v7i2.10169.

Ismail, Febrien Dian, and Dewi Yanti Handayani. 2022. “Hubungan Pengetahuan Personal Hygiene Dengan Terjadinya Gejala Infeksi Saluran Kemih Pada Remaja Wanita Fk Uisu Angkatan 2020.” Ibnu Sina: Jurnal Kedokteran Dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara 21(1):26–31. doi: 10.30743/ibnusina.v21i1.183.

Lisa S. Lewis, EdD, MSN, RN, CNE1 , Lisa M. Rebeschi, PhD, MSN, RN, CNE2, and CNE and Ellie Hunt, DNP, RN-BC, CPHIMS. 2022. “The Many Faces of Nursing – Practice Update.” Nursing Education Practice Update 2022: Competency-Based Education in Nursing 8:1–6. doi: 10.1177/23779608221140774.

Manase, Pebrianti, Siti Nurbaya, and Susi Sastika Sumi. 2022. “Hubungan Pengetahuan Dan Sikap Remaja Putri Terhadap Kesiapan Menghadapi Menarche.” Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan 2:424–32.

Meinarisa, Meinarisa, Lisa Anita Sari, and Bella Mardiantika. 2021. “Hubungan Pengetahuan, Kedekatan Ibu Dan Pola Asuh Terhadap Kesiapan Remaja Menghadapi Menstruasi Pertama (Menarche) Di SMP Negeri 04, 06, Dan 17 Kota Jambi.” Jurnal Ilmiah Ners Indonesia 2(2):99–107. doi: 10.22437/jini.v2i2.15572.

Mohammed, Issah, Abdul-Samed Mohammed, Amankwa Abdul-Mumin, Albert Ajapoak Atuga, Abass Yakubu, Safura Seidu, Faustina Yin Yariga, Belinda Nana Ama Abankwah, and Edwin Akomaning. 2023. “Knowledge and Practices of Menstrual Hygiene Management: A Descriptive Cross-Sectional Study among Adolescent Girls in North Gonja District in the Savannah Region of Ghana.” European Journal of Health Sciences 8(2):50–61. doi: 10.47672/ejhs.1389.

Mukarramah. 2020. “Hubungan Pengetahuan Dan Sikap Remaja Putri Terhadap Perilaku Personal Hygiene Saat Menstruasi.” Jurnal Kesehatan Luwu Raya 7(1):88–95.

Nasution, Iqbal Pahlevi Adeputra, and Binsyah Sari Indah Gajah Manik. 2020. “Tingkat Pengetahuan, Sikap, Dan Perilaku Remaja Tentang Kesehatan Reproduksi Di SMK Negeri 8 Medan.” SCRIPTA SCORE Scientific Medical Journal 2(1):38–43. doi: 10.32734/scripta.v2i1.3424.

Pamangin, Lisda Oktavia Madu. 2023. “Perilaku Konsumsi Tablet Tambah Darah (TTD) Pada Remaja Putri.” Jurnal Promotif Preventif 6(2):311–17. doi: https://doi.org/10.47650/jpp.v6i2.746.

Pratiwi, Ratih. 2023. “Hubungan Pengetahuan Dan Sikap Dengan Perilaku Vulva Hygiene Saat Menstruasi Pada Siswi Smp Muhammadiyah 06 Palembang Tahun 2022.” MESINA (Medical Scientific Journal) 4(2):54. doi: 10.32502/msj.v4i2.7289.

Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018. Kementrian Kesehatan. Online: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018.

Septina, Yona, Anisa Nurohmah, Siti Nunung Nurjannah, and Anggit Kartikasari. 2021. “Hubungan Antara Pengetahuan Dengan Sikap Remaja Dalam Menghadapi Menarche Di Desa Ragawacana Kecamatan Kramatmulya Kabupaten Kuningan.” Journal of Midwifery Care 1(02):117–24. doi: 10.34305/jmc.v1i02.262.

Singh Nisha, Rajput Sapana, and Jaiswar (2022). “Somatic Mitochondrial DNA D ‑ Loop Mutations in Meningioma Discovered : A Preliminary Data A Comprehensive Overview of Mitochondrial DNA 4977-Bp.” Journal of Cancer Research and Therapeutics 14(7):1525–34. doi: 10.4103/jcrt.JCRT.

Sirupa, Tirsa A., John J. E. Wantania, and Eddy Suparman. 2016. “Pengetahuan, Sikap, Dan Perilaku Remaja Tentang Kesehatan Reproduksi.” E-CliniC 4(2). doi: 10.35790/ecl.4.2.2016.14370.

Susanti, D., & Lutfiyati, A. (2020). Hubungan Pengetahuan Remaja Putri Dengan Perilaku Personal Hygiene Saat Menstruasi the Relationship of Adolescent Knowledge With Personal Hygiene Behavior When Menstruation. Jurnal Kesehatan “Samodra Ilmu” 11(02):166–72.