The Effect of Instagram Social Media on Improving Reproductive Health Behavior Among Students of SMK Negeri 1 Labuan
DOI:
https://doi.org/10.62872/dfr9y550Keywords:
Instagram, reproductive health, adolescent, health education, quasi-experiment.Abstract
Adolescent reproductive health remains a critical public health issue, particularly in Indonesia, where limited knowledge and unstructured health education continue to expose adolescents to reproductive health risks. This study aimed to determine the effect of Instagram social media on improving reproductive health behavior, encompassing knowledge, attitude, action, and motivation among students of SMK Negeri 1 Labuan, Donggala Regency, Central Sulawesi. A preliminary survey of 80 students revealed that only 41.3% had good reproductive health knowledge, 47.5% showed permissive attitudes toward risky behavior, and 87.5% had active Instagram accounts, yet no structured reproductive health education via social media had been implemented. A quasi-experimental study using the Nonequivalent Control Group Design was conducted from March to May 2026, involving 132 students divided equally into an intervention group (n=66) and a control group (n=66) through purposive sampling. The intervention consisted of structured Instagram-based reproductive health education delivered over six weeks. Data were collected using validated pre-post-test questionnaires and analyzed using the Wilcoxon Signed Ranks Test, Paired t-test, Mann–Whitney U Test, and multiple linear regression. The intervention group demonstrated highly significant improvements across all variables: knowledge (Z=−7.074, p=0.000), attitude (Z=−7.077, p=0.000), action (Z=−7.091, p=0.000), and motivation (Z=−7.078, p=0.000), while the control group showed no significant changes. Multiple linear regression confirmed that group assignment was the sole significant predictor of reproductive health action (B=25.322, R²=0.949, p=0.000). Instagram-based health education is an effective, scalable strategy for improving adolescent reproductive health behavior.
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References
Agustina, R., Sari, D. P., & Lestari, Y. (2023). Kualitas informasi kesehatan di media sosial dan pengaruhnya terhadap literasi kesehatan remaja. Jurnal Promosi Kesehatan Indonesia, 18(2), 115–124.
Ahmad Yani. (2016). Pengaruh intervensi edukasi dan pengingat terhadap perilaku tenaga kesehatan dalam program pengendalian penyakit tidak menular. Thesis. Universitas Hasanuddin.
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.
Bandura, A. (2021). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.
Bloom, B. S. (1956). Taxonomy of educational objectives: The classification of educational goals. New York: Longman.
Campbell, D. T., & Stanley, J. C. (1996). Experimental and quasi-experimental designs for research. Chicago: Rand McNally.
Chandra, R., Putra, A. R., & Lestari, W. (2024). Media sosial dan perilaku seksual berisiko pada remaja sekolah menengah. Jurnal Kesehatan Reproduksi, 15(1), 45–54.
Chen, X., et al. (2024). Social media-based health education and adolescent reproductive health knowledge and attitudes. Journal of Adolescent Health, 74(3), 112–120.
Dillon, W. R., & Goldstein, M. (1984). Multivariate analysis: Methods and applications. New York: Wiley.
Glanz, K., Rimer, B. K., & Viswanath, K. (2021). Health behavior and health education: Theory, research, and practice (5th ed.). San Francisco: Jossey-Bass.
Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach. New York: McGraw-Hill.
Guse, K., Levine, D., Martins, S., Lira, A., Gaarde, J., Westmorland, W., & Gilliam, M. (2012). Interventions using new digital media to improve adolescent sexual health: A systematic review. Journal of Adolescent Health, 51(6), 535–543.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2009). Multivariate data analysis (7th ed.). New Jersey: Pearson Education.
Kaplan, A. M., & Haenlein, M. (2021). Users of the world, unite! The challenges and opportunities of social media. Business Horizons, 64(1), 59–68.
Kementerian Kesehatan Republik Indonesia. (2022). Petunjuk teknis pelaksanaan program PANDU PTM. Jakarta: Kemenkes RI.
Kuss, D. J., & Griffiths, M. D. (2023). Social networking sites and addiction: Ten lessons learned. International Journal of Environmental Research and Public Health, 20(3), 1–12.
L'Engle, K. L., Mangone, E. R., Parcesepe, A. M., Agarwal, S., & Ippoliti, N. B. (2016). Mobile phone interventions for adolescent sexual and reproductive health: A systematic review. Journal of Adolescent Health, 58(1), 1–14.
Manisah, S., Rauf, S., & Hidayat, R. (2023). Paparan konten edukasi Instagram dan pengetahuan kesehatan reproduksi remaja di Sulawesi Tengah. Jurnal Kesehatan Masyarakat, 19(2), 134–142.
Notoatmodjo, S. (2022). Ilmu perilaku kesehatan. Jakarta: Rineka Cipta.
Pew Research Center. (2023). Teens and social media use: What's the landscape? Washington, DC: Pew Research Center.
Putri, A., & Handayani, L. (2023). Pengaruh program edukasi kesehatan reproduksi terstruktur terhadap perilaku remaja. Jurnal Kesehatan Remaja, 5(2), 89–97.
Putri, A., et al. (2025). Interactive features of Instagram as reproductive health education tools for adolescents. Journal of Digital Health, 7(1), 45–53.
Rahmawati, D., et al. (2022). Kerentanan remaja SMK terhadap permasalahan kesehatan reproduksi. Jurnal Kesehatan Masyarakat, 18(1), 22–30.
Rahmadini, F., & Ernawaty, D. (2024). Media sosial sebagai sarana promosi kesehatan reproduksi remaja. Jurnal Pendidikan Kesehatan, 12(1), 25–33.
Rosenberg, M. J., & Hovland, C. I. (1960). Cognitive, affective, and behavioral components of attitudes. In Attitude organization and change. New Haven: Yale University Press.
Sari, N., & Nugroho, B. (2023). Profil kesehatan reproduksi siswa SMK. Jurnal Promosi Kesehatan Indonesia, 19(1), 45–52.
Sari, D., et al. (2022). Perubahan pengetahuan dan sikap kesehatan reproduksi tanpa intervensi edukasi. Jurnal Kesehatan Reproduksi, 14(2), 78–86.
Stang. (2014). Statistik kesehatan. Jakarta: Mitra Wacana Media.
Surya, A., Handayani, L., & Prasetyo, E. (2022). Efektivitas media sosial Instagram sebagai sarana edukasi kesehatan pada masa pandemi COVID-19. Jurnal Promosi Kesehatan Indonesia, 17(1), 1–9.
Tsabitha, N., & Rahman, F. (2024). Edukasi kesehatan reproduksi berbasis media sosial dan peningkatan pengetahuan remaja. Jurnal Kesehatan Remaja, 6(1), 10–18.
Umaroh, A. K., Suryani, D., & Fitriani, A. (2023). Efektivitas Instagram sebagai media promosi kesehatan reproduksi pada remaja. Jurnal Media Kesehatan, 15(2), 98–106.
World Health Organization. (2024). Adolescent sexual and reproductive health. Geneva: WHO.
World Health Organization. (2025). Reproductive health strategy. Geneva: WHO.
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
