The effect of health education via Whatsapp on teenagers' knowledge and attitudes toward premarital sex at High School, Medan

Leny Suarni *, Sri Wahyuni and Leli Herawati

Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Sehat Medan, Jalan Gaperta Ujung Tanjung Gusta, Kecamatan Medan Helvetia, Kota Medan, Indonesia.
 
Research Article
World Journal of Advanced Science and Technology, 2025, 07(02), 025–029.
Article DOI: 10.53346/wjast.2025.7.2.0017
Publication history: 
Received on 02 April 2025; revised on 10 May 2025; accepted on 12 May 2025
 
Abstract: 
Introduction: Indonesian teenagers appear to be more tolerant toward premarital sexual lifestyles or premarital sex. Many factors influence this behavior, one of which is their knowledge and attitudes toward premarital sex. Knowledge and attitudes can be improved through counseling or health education. This study aims to determine the effect of health education on teenagers' knowledge and attitudes toward premarital sex.
Methods: This research was a pre-experimental study using a one-group pre-test post-test design. The sample consisted of 29 students from a high school in Medan, selected using purposive sampling. The research instrument was a questionnaire. Data analysis included univariate and bivariate analysis, using the paired sample t-test.
Results: The results showed an increase in the number of respondents with good knowledge before and after health education, with an average change of 4.65 (±1.69) and a p-value of <0.001. There was also an increase in the number of respondents with a positive attitude before and after health education, with an average change of 23.2 (±11.2) and a p-value of <0.001.
Conclusion: The results of the study showed that health education affected students' knowledge and attitudes toward premarital sex.
 
Keywords: 
Health Education; Knowledge; Attitude; Premarital Sex
 
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