The Effect of Health Education Method Using Printed Booklet Media on Adolescents’ Knowledge Level About Sexually Transmitted Diseases (STDs): A Pre-Experimental Study Among Grade XI Students of SMAN 3 Surabaya, Indonesia
Abstract
Sexually Transmitted Diseases (STDs) are one of the reproductive health issues that remain a serious concern among adolescents. Lack of adequate knowladge, taboo perceptions within families, and exposure to unreliable information from the internet increase adolescents’ risk of STDs. Effectife health promotion effort are needed to improve adolescents’ knowladge, one of wich is through the use of educational media that is appropriate for the target audiance. This study aims to analyze the effect of health education using booklets on adolescents’ knwoladge of STDs. This study uses a pre-experimental design with a one-group pretest-posttest approuch. This study sampel consisted of high school students selected using total sampling technique. The intervention consisted of health education using booklets containing material on the definition of STDs, types of STDs, modes of transmission, sign and symptoms, and prevention effort. Data collection was conducted using a knowladge questionnaire administered before and after the intervention. Data analysis was performed using the wilcoxon test. The results showed a significant increase in students’ knowledge levels after receiving education through the booklet, with a p-value < 0.05. The majority of students were in the good knowledge category on the post-test, and no students were found to have poor knowledge. These findings indicate that booklets are effective as a health education tool to increase adolescents’ knowledge about STDs. The use of booklets can be an applicable and sustainable health promotion strategy in school.
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References
[1] Amita Diananda, “Psikologi remaja dan permasalahannya,” J. Istighna, vol. 1, 2020, doi: 10.33853/istighna.v1i1.20.
[2] Darsini, Fahrurrozi, and E. A. Cahyono, “Pengetahuan (artikel review),” J. Keperawatan, vol. 12, no. 1, p. 97, 2019.
[3] E. Rohaeni, “Faktor-faktor yang mempengaruhi perilaku beresiko remaja terhadap penyakit menular seksual,” J. Publ. Kebidanan AKBID YLPP Purwokerto, vol. 11, no. 2, pp. 82–92, 2020, [Online]. Available: https://ojs.stikesylpp.ac.id/index.php/JBP/article/view/531
[4] M. Tuntun, “Faktor Resiko Penyakit Infeksi Menular Seksual (IMS),” J. Kesehat., vol. 9, no. 3, pp. 419–426, 2018, [Online]. Available: https://doi.org/10.26630/jk.v9i3.1109
[5] U. Q. Karima, T. Y. R. Pristya, and C. K. Herbawani, “Information ‑ seeking behavior of reproductive health based on socio ‑ demographic among adolescents in Jakarta , Indonesia,” Educ. Heal. Promot., pp. 1–6, 2023, doi: 10.4103/jehp.jehp.
[6] H. Ernawati, “Penggunaan sistem informasi berbasis website pada remaja,” J. Univ. Airlangga, no. 10, pp. 194–202, 2021.
[7] S. Ilmy Nizar, “Systematic review hubungan komunikasi orang tua dan anak dengan pengetahuan kesehatan reproduksi pada remaja,” Borneo Student Res., vol. 2, no. 3, pp. 1669–1679, 2021.
[8] Farhana Umhaera Patty, Ronald Darlly Hukubun, Sitti Aisa Mahu, Natalia Tetelepta, and V. Linansera, “Sosialisasi Sex Education: Pentingnya Pengenalan Pendidikan Seks pada Remaja sebagai Upaya Meminimalisir Penyakit Menular Seksual,” ABDIKAN J. Pengabdi. Masy. Bid. Sains dan Teknol., vol. 1, no. 2, pp. 225–231, 2022, doi: 10.55123/abdikan.v1i2.293.
[9] B. Widodo, “Pendidikan kesehatan dan aplikasinya di SD/MI,” Madrasah, vol. 7, no. 1, p. 12, 2016, doi: 10.18860/jt.v7i1.3306.
[10] I. K. Swarjana, Buku konsep pengetahuan, sikap, perilaku, persepsi, stres, kecemasan, nyeri, dukungan sosial, kepatuhan, motivasi, kepuasan, pandemi covid-19, akses layanan kesehatan. 2022. [Online]. Available: https://books.google.co.id/books?id=aPFeEAAAQBAJ
[11] S. Hamidah and M. S. Rizal, “Edukasi kesehatan reproduksi dan perkembangan remaja di panti asuhan yatim Muhammadiyah Kecamatan Gresik Kabupaten Gresik Jawa Timur,” J. Community Engagem. Heal., vol. 5, no. 2, pp. 237–248, 2022, doi: 10.30994/jceh.v5i2.384.
[12] S. E. D. Jatmika, M. Maulana, Kuntoro, and S. Martini, Buku ajar pengembangan media promosi kesehatan. 2019. [Online]. Available: http://eprints.ukh.ac.id/id/eprint/852/1/6
[13] A. Nabila, “Effect of nutrition education through media booklet on increasing knowledge, attitude and behavior about anemia on adolescent girls in Junior High School Negeri 1 Simpang Tiga Aceh Besar,” JAND J. Appl. Nutr. Diet., vol. 2, no. 1, pp. 21–26, 2022, doi: 10.30867/jand.v2i1.221.
[14] F. N. LN Tambunan, “Health promotion effective via booklet to increased teen knowledge of the dangers of sexually transmitted infections in SMAN 3 Palangka Raya City Barriers in 2022,” J. Kebidanan Bestari, vol. 7, no. 01, pp. 14–22, 2023, doi: 10.31964/jkb.v7i01.105.
[15] N. E. Zhamita, H. Mansur, and N. W. D. Rosmalawati, “Pengaruh pendidikan kesehatan dengan media booklet terhadap peningkatan pengetahuan remaja tentang infeksi menular seksual (IMS) di SMAS Diponegoro Tumpang Kabupaten Malang,” Midwifery Care J., vol. 4, no. 4, pp. 151–157, 2023, doi: 10.31983/micajo.v4i4.10067.
[16] E. J. Wicaksana and A. Lukman, “Pengembangan booklet penyakit menular seksual pada usia remaja sekolah untuk SMA,” Bioedukasi J. Pendidik. Biol., vol. 13, no. 2, 2021, doi: 10.20961/bioedukasi-uns.v13i2.41630.
[17] et al Dian Ekawati, “Efektivitas penyuluhan tentang perubahan fisik pada masa pubertas terhadap peningkatan pengetahuan siswa di SDN No. 29 Cini Ayo Jeneponto,” J. Inov. Penelit., 2021, doi: 10.2307/40076689.
[18] Qalbi N, Ramlan, and Hengky K, “Hubungan tingkat pengetahuan, lingkungan sosial dan sumber informasi terhadap penyakit menular seksual (pms) pada remaja di SMA Negeri 3 Parepare,” J. Ilm. Mns. Dan Kesehat., vol. 4, no. 3, pp. 314–323, 2021, doi: 10.31850/makes.v4i3.392.
[19] B. Jaworski and M. Carey, “The sexually transmitted disease knowledge questionnaire,” J. AIDS Behav., vol. 11, pp. 557–574, 2007.
[20] H. Nilasari et al., “Developing an online reproductive health module on sexually transmitted infections for Indonesian adolescents: a qualitative mixed methods study,” Med. J. Indones., vol. 33, no. 4, pp. 245–253, 2024, doi: 10.13181/mji.oa.247635.
[21] J. Andri, L. Yanti, and R. Yanuarti, “Mengenal lebih dekat apa itu penyakit kelamin kondiloma akuminata,” J. Kesehat. Masy., pp. 763–770, 2024.
[22] A. G. Manuputty and V. Tentua, “Trikomoniasis pada remaja,” Molucca Medica, vol. 15, no. 1, pp. 21–28, 2022, doi: 10.30598/molmed.2022.v15.i1.21.
[23] T. Y. R. Pristya, U. Q. Karima, and C. K. Herbawani, “The comparassion of reproductive health knowledge between male and female adolscents in Jakarta,” Kesmas Indones., pp. 38–49, 2024, doi: 10.20884/1.ki.2024.16.1.9544.
[24] A. Ramadhani and M. L. Ramadani, “Pengaruh pendidikan kesehatan dengan metode ceramah dan audiovisual terhadap pengetahuan tentang infeksi menular seksual pada remaja,” J. Keperawatan Muhammadiyah, no. September, 2020, doi: 10.30651/jkm.v0i0.5658.
[25] F. Fujiana, A. Islamiati, and B. S. U. Adiningsih, “Efektivitas media booklet dengan audio visual terhadap tingkat pengetahuan tentang bahaya seks bebas pada remaja,” MAHESA Malahayati Heal. Student J., vol. 3, no. 5, pp. 1226–1239, 2023, doi: 10.33024/mahesa.v3i5.10284.
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Copyright (c) 2026 Nolla Aji Maydinanti , Endah Suprihatin, Sari Luthfiyah, Yessy Dessy Arna

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