How Do School Nurse Programs Influence Premarital Sexual behavior In Adolescents?

Abstract

Background: Teens are very vulnerable to premarital sexual behavior. The impact includes unwanted
teen pregnancy and sexually transmitted infections. Prevention efforts need to be done effectively and one
important way is through school nurse programs.
Objective: This study aimed to identify the effects of school nurse programs on prevention premarital
sexual behavior.
Method: This research was a quantitative, quasi-experimental study with a nonequivalent (pretest and
posttest) control group design. This research was conducted in two schools from January to February 2017.
Schools were determined based on preliminary studies with predetermined criteria. Determination of School
A as the intervention group and School B for the control group used a simple random sampling method. The
purposive sampling method was used to select 68 students for the intervention group and 66 students for
the control group. The data were analyzed by paired t-tests. Ethical approval was given with permit number
Ref: KE/FK950/EC/2015.
Results: After the school nurse program, the values of healthy dating behavior, behavior of saying no
to premarital sex and behavioral decision-making ability in the intervention group were higher than in
the control group: 0.200±0.42 vs. -0.203±0.20, p = 0.000; 0.193±0.40 vs. 0.032±0.43, p = 0.029; and
0.032±0.18 vs. -0.251±0.23, p = 0.000 which were significantly difference (p < 0.05). Meanwhile, there was
also an increase in the value of self-efficacy in adolescents in both the intervention and the control groups:
0.017±0.22 vs. 0.053±0.19, p = 0.315, but the differences in the two groups were not significant.
Conclusion: School nurse programs can effectively reduce premarital sexual behavior, especially by
increasing healthy dating behaviors, the behavior of saying no to premarital sex and behavioral decisionmaking
abilities in adolescents.