Model EduSex-HIV Berbasis PLISSIT Untuk Pencegahan Kekerasan Seksual dan Penularan HIV Pada Remaja
Keywords:
remaja, edukasi seksual, kekerasan seksual, HIV-AIDS, PLISSIT
Abstract
Remaja merupakan kelompok yang rentan terhadap kekerasan seksual dan penularan HIV akibat rendahnya literasi kesehatan reproduksi serta terbatasnya edukasi seksual komprehensif di lingkungan sekolah. Penelitian ini bertujuan menganalisis efektivitas model Edusex-HIV berbasis PLISSIT dengan perspektif kesetaraan gender dalam meningkatkan pengetahuan dan sikap remaja terhadap pencegahan kekerasan seksual dan penularan HIV. Penelitian menggunakan desain quasi experiment dengan kelompok eksperimen dan kontrol. Penelitian dilaksanakan di SMA Negeri 2 Kota Gorontalo pada Maret–April 2025 dengan sampel 100 siswa menggunakan simple random sampling. Variabel utama penelitian adalah tingkat pengetahuan dan sikap siswa terkait pencegahan kekerasan seksual dan HIV. Intervensi edukasi dilakukan selama dua minggu melalui empat sesi berbasis model PLISSIT. Analisis data menggunakan uji independent t-test dengan tingkat signifikansi 0,05. Hasil penelitian menunjukkan bahwa kelompok eksperimen mengalami peningkatan pengetahuan dari mean 1,32 menjadi 1,80 dan sikap dari 1,18 menjadi 1,90, sedangkan kelompok kontrol hanya mengalami perubahan kecil pada pengetahuan (1,30 menjadi 1,34) dan sikap (1,20 menjadi 1,25). Uji Independent t-test menunjukkan perbedaan signifikan antara kedua kelompok baik pada pengetahuan maupun sikap (p = 0,001). Model Edusex-HIV berbasis PLISSIT efektif meningkatkan pengetahuan dan sikap remaja dalam pencegahan kekerasan seksual dan penularan HIV sehingga berpotensi diterapkan sebagai strategi edukasi kesehatan reproduksi di sekolah.
References
Adeomi, A.A. et al. (2014) ‘Evaluation of the Effectiveness of Peer Education in Improving HIV Knowledge, Attitude, and Sexual Behaviours among In-School Adolescents in Osun State, Nigeria.’, AIDS research and treatment, 2014, p. 131756. Available at: https://doi.org/10.1155/2014/131756.
Aguilar-Quesada, A. et al. (2025) ‘Effectiveness of digital interventions to reduce school-age adolescent sexual risks: A systematic review.’, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 57(2), pp. 342–353. Available at: https://doi.org/10.1111/jnu.13015.
Aini, S.S., Basir, I.S. and Rahim, N.K. (2025) ‘The Relationship Between Exposure to Pornographic Media and Risky Sexual Behavior in Adolescents at SMA Negeri 1 Bongomeme , Gorontalo Regency’, Kendari Journal of Maritime and Holistic Nursing, 5(1).
Annon, J.S. (1976) ‘The PLISSIT model: A proposed conceptual scheme for the behavioral treatment of sexual problems’, Journal of Sex Education and Therapy, 2(1), pp. 1–15. Available at: https://doi.org/10.1080/01614576.1976.11074483.
Chory, A. et al. (2023) ‘Gender differences in HIV knowledge among adolescents and young people in low-and middle-income countries: a systematic review.’, Frontiers in reproductive health, 5, p. 1154395. Available at: https://doi.org/10.3389/frph.2023.1154395.
Citra, Y. and Rukiyah (2025) ‘Pengembangan Media Activity Book Pendidikan Seksual’, VOX EDUKASI : Jurnal Ilmiah Ilmu Pendidikan, 16(April), pp. 281–290.
Dagadu, N.A. et al. (2022) ‘Fostering gender equality and reproductive and sexual health among adolescents: results from a quasi-experimental study in Northern Uganda.’, BMJ open, 12(3), p. e053203. Available at: https://doi.org/10.1136/bmjopen-2021-053203.
Daoud, N. et al. (2023) ‘Promoting Positive Masculinities to Address Violence Against Women: A Multicountry Concept Mapping Study.’, Journal of interpersonal violence, 38(9–10), pp. 6523–6552. Available at: https://doi.org/10.1177/08862605221134641.
Ezelote, C.J. et al. (2024) ‘Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria.’, BMC public health, 24(1), p. 1029. Available at: https://doi.org/10.1186/s12889-024-18536-4.
Fonner, V.A. et al. (2014) ‘School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis.’, PloS one, 9(3), p. e89692. Available at: https://doi.org/10.1371/journal.pone.0089692.
Gao, X. et al. (2012) ‘Effectiveness of school-based education on HIV/AIDS knowledge, attitude, and behavior among secondary school students in Wuhan, China.’, PloS one, 7(9), p. e44881. Available at: https://doi.org/10.1371/journal.pone.0044881.
Gourlay, A. et al. (2024) ‘Gender-transformative HIV and SRHR programme approaches for adolescents and young people: a realist review to inform policy and programmes.’, BMJ global health, 9(12). Available at: https://doi.org/10.1136/bmjgh-2023-014363.
Hasibuan, A., Maulana, M.F.Z. and Mauliah, S. (2024) ‘Melonjaknya Kasus HIV Dikalangan Remaja Indonesia’, Amsir Community Service Journal, 2(1), pp. 1–8. Available at: https://doi.org/10.62861/acsj.v2i1.392.
Hikmandayani et al. (2024) Psikologi Perkembangan Remaja. Purbalingga: EUREKA MEDIA AKSARA.
Hunta, F.A., Djamaluddin, N. and Rahim, N.K. (2024) ‘Kepuasan Penggunaan Mobile Application Safeheaven Sebagai Solusi Penanganan Kekerasan Seksual Di Kampus’, Journal of Language and Health, 5(3), pp. 1471–1480.
Joorbonyan, H., Ghaffari, M. and Rakhshanderou, S. (2022) ‘Peer-led theoretically Desinged HIV/AIDS prevention intervention among students: a case of health belief model.’, BMC public health, 22(1), p. 8. Available at: https://doi.org/10.1186/s12889-021-12445-6.
Khalajabadi Farahani, F., Darabi, F. and Yaseri, M. (2020) ‘The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial.’, Journal of reproduction & infertility, 21(3), pp. 194–206.
Manggul, M.S. et al. (2024) ‘Peningkatan Pengetahuan Dan Sikap Remaja Dalam Mencegah Seks Pranikah Dan Kehamilan Usia Dini’, Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(3), pp. 1166–1175.
Mayasari Putri Ardela et al. (2024) ‘Effectiveness of Health Education Using Peer Education and Audio Visual Methods on the Level of Knowledge of Teenage Girls About HIV/AIDS’, STRADA Jurnal Ilmiah Kesehatan, 13(1), pp. 15–23. Available at: https://doi.org/10.30994/sjik.v13i1.1105.
Muslimin, K.D. et al. (2022) ‘effect of HIV/AIDS education prevention using web-based she smart on knowledge, attitudes, and practice in adolescent girls’, International journal of health & medical sciences, 5(1), pp. 31–36. Available at: https://doi.org/10.21744/ijhms.v5n1.1830.
Nabunya, P. et al. (2021) ‘Gender, HIV knowledge and prevention attitudes among adolescents living with HIV participating in an economic empowerment intervention in Uganda.’, AIDS care, 33(7), pp. 888–896. Available at: https://doi.org/10.1080/09540121.2020.1844860.
Newman, P.A. et al. (2022) ‘Peer education interventions for HIV prevention and sexual health with young people in Mekong Region countries: a scoping review and conceptual framework.’, Sexual and reproductive health matters, 30(1), p. 2129374. Available at: https://doi.org/10.1080/26410397.2022.2129374.
Nguyen, H.H. et al. (2025) ‘The effectiveness of gender-based violence prevention among adolescents aged 10 to 19 years in Southeast Asia: a systematic review.’, International journal for equity in health, 24(1), p. 222. Available at: https://doi.org/10.1186/s12939-025-02514-2.
Rahim, N.K. et al. (2024) ‘Pendidikan Kesehatan Seksual Positif Pada Anak Usia PraSekolah Di TK Az-zahra Kota Gorontalo (Positive Sexual Health Education for Preschool Children at TK Az-Zahra, Gorontalo City)’, SERAMBI Jurnal Pengabdian Masyarakat, 1(1), pp. 17–25.
Rahim, N.K. and Purwanto, E. (2025) ‘A Plissit-Based Comprehensive Sexual Education Intervention On Attitudes Towards HIV Transmission Prevention In Adolescents: A Gender Equality Perspective’, Multidisciplinary Indonesian Center Journal (MICJO), 2(4), pp. 5800–5809. Available at: https://doi.org/10.62567/micjo.v2i4.1746.
Ratnawati, D. et al. (2024) ‘Meta-analysis of the effectiveness of educational programs about HIV prevention on knowledge, attitude, and behavior among adolescents.’, Narra J, 4(2), p. e870. Available at: https://doi.org/10.52225/narra.v4i2.870.
Saragih, K.M., Wahyunita, V.D. and Jambormias, J.L. (2024) ‘Optimalisasi Peran Guru Dan Orang Tua Dalam Pencegahan Kekerasan Seksual Anak Usia Dini Dengan Metode “Aku Mandiri”’, Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 4(1), pp. 447–457.
Solehati, T. et al. (2023) ‘Intervensi pencegahan kekerasan seksual pada remaja: Literature review’, Holistik Jurnal Kesehatan, 17(6), pp. 522–537. Available at: https://doi.org/10.33024/hjk.v17i6.12630.
Sudaryasa, W.A. et al. (2023) ‘Literature Review : Faktor Risiko Kekerasan Seksual Pada Remaja’, Jurnal Kesehatan Fakultas Universitas Dian Nuswantoro, 22(2), pp. 249–256.
Sudiyasa, I.K., Supriadi, D. and Handayani, L. (2024) ‘Pengaruh Adolescent Empowerment Terhadap Pencegahan HIV Pada Remaja: Sebuah Quasi Experimental’, Jurnal Keperawatan Tropis Papua, 07(02), pp. 126–132.
Sumartini, S. and Maretha, V. (2020) ‘Efektifitas Peer Education Method dalam Pencegahan HIV/AIDS terhadap Pengetahuan Dan Sikap Remaja’, Jurnal Pendidikan Keperawatan Indonesia, 6(1), pp. 77–84. Available at: https://doi.org/10.17509/jpki.v6i1.21130.
Tage, P.K.S. et al. (2024) ‘Penerapan Pembelajaran Berbasis Misi untuk Meningkatkan Pengetahuan Remaja SMA tentang HIV/AIDS di Kabupaten Kupang, Nusa Tenggara Timur’, Jurnal Abdi Masyarakat Indonesia, 4(5), pp. 1321–1332. Available at: https://doi.org/10.54082/jamsi.1317.
Tuncer, M. and Oskay, Ü.Y. (2022) ‘Sexual Counseling with the PLISSIT Model: A Systematic Review.’, Journal of sex & marital therapy, 48(3), pp. 309–318. Available at: https://doi.org/10.1080/0092623X.2021.1998270.
World Health Organization (2021) Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women, World Report on Violence and Health. Available at: https://www.who.int/publications/i/item/9789240022256.
World Health Organization (2023) ‘Epidemiological Fact Sheet: HIV statistics, globally and by WHO region, 2023.’, HIV Data and Statistics, p. Last accessed 14/04/2024. Available at: https://cdn.who.int/media/docs/default-source/hq-hiv-hepatitis-and-stis-library/j0294-who-hiv-epi-factsheet-v7.pdf?sfvrsn=5cbb3393_7.
Zhang, L. et al. (2021) ‘HIV/AIDS-Related Knowledge and Attitudes Among Chinese College Students and Associated Factors: A Cross-Sectional Study.’, Frontiers in public health, 9, p. 804626. Available at: https://doi.org/10.3389/fpubh.2021.804626.
Aguilar-Quesada, A. et al. (2025) ‘Effectiveness of digital interventions to reduce school-age adolescent sexual risks: A systematic review.’, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 57(2), pp. 342–353. Available at: https://doi.org/10.1111/jnu.13015.
Aini, S.S., Basir, I.S. and Rahim, N.K. (2025) ‘The Relationship Between Exposure to Pornographic Media and Risky Sexual Behavior in Adolescents at SMA Negeri 1 Bongomeme , Gorontalo Regency’, Kendari Journal of Maritime and Holistic Nursing, 5(1).
Annon, J.S. (1976) ‘The PLISSIT model: A proposed conceptual scheme for the behavioral treatment of sexual problems’, Journal of Sex Education and Therapy, 2(1), pp. 1–15. Available at: https://doi.org/10.1080/01614576.1976.11074483.
Chory, A. et al. (2023) ‘Gender differences in HIV knowledge among adolescents and young people in low-and middle-income countries: a systematic review.’, Frontiers in reproductive health, 5, p. 1154395. Available at: https://doi.org/10.3389/frph.2023.1154395.
Citra, Y. and Rukiyah (2025) ‘Pengembangan Media Activity Book Pendidikan Seksual’, VOX EDUKASI : Jurnal Ilmiah Ilmu Pendidikan, 16(April), pp. 281–290.
Dagadu, N.A. et al. (2022) ‘Fostering gender equality and reproductive and sexual health among adolescents: results from a quasi-experimental study in Northern Uganda.’, BMJ open, 12(3), p. e053203. Available at: https://doi.org/10.1136/bmjopen-2021-053203.
Daoud, N. et al. (2023) ‘Promoting Positive Masculinities to Address Violence Against Women: A Multicountry Concept Mapping Study.’, Journal of interpersonal violence, 38(9–10), pp. 6523–6552. Available at: https://doi.org/10.1177/08862605221134641.
Ezelote, C.J. et al. (2024) ‘Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria.’, BMC public health, 24(1), p. 1029. Available at: https://doi.org/10.1186/s12889-024-18536-4.
Fonner, V.A. et al. (2014) ‘School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis.’, PloS one, 9(3), p. e89692. Available at: https://doi.org/10.1371/journal.pone.0089692.
Gao, X. et al. (2012) ‘Effectiveness of school-based education on HIV/AIDS knowledge, attitude, and behavior among secondary school students in Wuhan, China.’, PloS one, 7(9), p. e44881. Available at: https://doi.org/10.1371/journal.pone.0044881.
Gourlay, A. et al. (2024) ‘Gender-transformative HIV and SRHR programme approaches for adolescents and young people: a realist review to inform policy and programmes.’, BMJ global health, 9(12). Available at: https://doi.org/10.1136/bmjgh-2023-014363.
Hasibuan, A., Maulana, M.F.Z. and Mauliah, S. (2024) ‘Melonjaknya Kasus HIV Dikalangan Remaja Indonesia’, Amsir Community Service Journal, 2(1), pp. 1–8. Available at: https://doi.org/10.62861/acsj.v2i1.392.
Hikmandayani et al. (2024) Psikologi Perkembangan Remaja. Purbalingga: EUREKA MEDIA AKSARA.
Hunta, F.A., Djamaluddin, N. and Rahim, N.K. (2024) ‘Kepuasan Penggunaan Mobile Application Safeheaven Sebagai Solusi Penanganan Kekerasan Seksual Di Kampus’, Journal of Language and Health, 5(3), pp. 1471–1480.
Joorbonyan, H., Ghaffari, M. and Rakhshanderou, S. (2022) ‘Peer-led theoretically Desinged HIV/AIDS prevention intervention among students: a case of health belief model.’, BMC public health, 22(1), p. 8. Available at: https://doi.org/10.1186/s12889-021-12445-6.
Khalajabadi Farahani, F., Darabi, F. and Yaseri, M. (2020) ‘The Effect of Theory-Based HIV/AIDS Educational Program on Preventive Behaviors Among Female Adolescents in Tehran: A Randomized Controlled Trial.’, Journal of reproduction & infertility, 21(3), pp. 194–206.
Manggul, M.S. et al. (2024) ‘Peningkatan Pengetahuan Dan Sikap Remaja Dalam Mencegah Seks Pranikah Dan Kehamilan Usia Dini’, Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(3), pp. 1166–1175.
Mayasari Putri Ardela et al. (2024) ‘Effectiveness of Health Education Using Peer Education and Audio Visual Methods on the Level of Knowledge of Teenage Girls About HIV/AIDS’, STRADA Jurnal Ilmiah Kesehatan, 13(1), pp. 15–23. Available at: https://doi.org/10.30994/sjik.v13i1.1105.
Muslimin, K.D. et al. (2022) ‘effect of HIV/AIDS education prevention using web-based she smart on knowledge, attitudes, and practice in adolescent girls’, International journal of health & medical sciences, 5(1), pp. 31–36. Available at: https://doi.org/10.21744/ijhms.v5n1.1830.
Nabunya, P. et al. (2021) ‘Gender, HIV knowledge and prevention attitudes among adolescents living with HIV participating in an economic empowerment intervention in Uganda.’, AIDS care, 33(7), pp. 888–896. Available at: https://doi.org/10.1080/09540121.2020.1844860.
Newman, P.A. et al. (2022) ‘Peer education interventions for HIV prevention and sexual health with young people in Mekong Region countries: a scoping review and conceptual framework.’, Sexual and reproductive health matters, 30(1), p. 2129374. Available at: https://doi.org/10.1080/26410397.2022.2129374.
Nguyen, H.H. et al. (2025) ‘The effectiveness of gender-based violence prevention among adolescents aged 10 to 19 years in Southeast Asia: a systematic review.’, International journal for equity in health, 24(1), p. 222. Available at: https://doi.org/10.1186/s12939-025-02514-2.
Rahim, N.K. et al. (2024) ‘Pendidikan Kesehatan Seksual Positif Pada Anak Usia PraSekolah Di TK Az-zahra Kota Gorontalo (Positive Sexual Health Education for Preschool Children at TK Az-Zahra, Gorontalo City)’, SERAMBI Jurnal Pengabdian Masyarakat, 1(1), pp. 17–25.
Rahim, N.K. and Purwanto, E. (2025) ‘A Plissit-Based Comprehensive Sexual Education Intervention On Attitudes Towards HIV Transmission Prevention In Adolescents: A Gender Equality Perspective’, Multidisciplinary Indonesian Center Journal (MICJO), 2(4), pp. 5800–5809. Available at: https://doi.org/10.62567/micjo.v2i4.1746.
Ratnawati, D. et al. (2024) ‘Meta-analysis of the effectiveness of educational programs about HIV prevention on knowledge, attitude, and behavior among adolescents.’, Narra J, 4(2), p. e870. Available at: https://doi.org/10.52225/narra.v4i2.870.
Saragih, K.M., Wahyunita, V.D. and Jambormias, J.L. (2024) ‘Optimalisasi Peran Guru Dan Orang Tua Dalam Pencegahan Kekerasan Seksual Anak Usia Dini Dengan Metode “Aku Mandiri”’, Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 4(1), pp. 447–457.
Solehati, T. et al. (2023) ‘Intervensi pencegahan kekerasan seksual pada remaja: Literature review’, Holistik Jurnal Kesehatan, 17(6), pp. 522–537. Available at: https://doi.org/10.33024/hjk.v17i6.12630.
Sudaryasa, W.A. et al. (2023) ‘Literature Review : Faktor Risiko Kekerasan Seksual Pada Remaja’, Jurnal Kesehatan Fakultas Universitas Dian Nuswantoro, 22(2), pp. 249–256.
Sudiyasa, I.K., Supriadi, D. and Handayani, L. (2024) ‘Pengaruh Adolescent Empowerment Terhadap Pencegahan HIV Pada Remaja: Sebuah Quasi Experimental’, Jurnal Keperawatan Tropis Papua, 07(02), pp. 126–132.
Sumartini, S. and Maretha, V. (2020) ‘Efektifitas Peer Education Method dalam Pencegahan HIV/AIDS terhadap Pengetahuan Dan Sikap Remaja’, Jurnal Pendidikan Keperawatan Indonesia, 6(1), pp. 77–84. Available at: https://doi.org/10.17509/jpki.v6i1.21130.
Tage, P.K.S. et al. (2024) ‘Penerapan Pembelajaran Berbasis Misi untuk Meningkatkan Pengetahuan Remaja SMA tentang HIV/AIDS di Kabupaten Kupang, Nusa Tenggara Timur’, Jurnal Abdi Masyarakat Indonesia, 4(5), pp. 1321–1332. Available at: https://doi.org/10.54082/jamsi.1317.
Tuncer, M. and Oskay, Ü.Y. (2022) ‘Sexual Counseling with the PLISSIT Model: A Systematic Review.’, Journal of sex & marital therapy, 48(3), pp. 309–318. Available at: https://doi.org/10.1080/0092623X.2021.1998270.
World Health Organization (2021) Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women, World Report on Violence and Health. Available at: https://www.who.int/publications/i/item/9789240022256.
World Health Organization (2023) ‘Epidemiological Fact Sheet: HIV statistics, globally and by WHO region, 2023.’, HIV Data and Statistics, p. Last accessed 14/04/2024. Available at: https://cdn.who.int/media/docs/default-source/hq-hiv-hepatitis-and-stis-library/j0294-who-hiv-epi-factsheet-v7.pdf?sfvrsn=5cbb3393_7.
Zhang, L. et al. (2021) ‘HIV/AIDS-Related Knowledge and Attitudes Among Chinese College Students and Associated Factors: A Cross-Sectional Study.’, Frontiers in public health, 9, p. 804626. Available at: https://doi.org/10.3389/fpubh.2021.804626.
Published
2026-02-28
How to Cite
Rahim, N., Purwanto, E., & Hafid, R. (2026). Model EduSex-HIV Berbasis PLISSIT Untuk Pencegahan Kekerasan Seksual dan Penularan HIV Pada Remaja. urnal romotif reventif, 9(1), 127-136. https://doi.org/10.47650/jpp.v9i1.2575
Section
Articles
Copyright (c) 2026 Nirwanto K. Rahim, Erwin Purwanto, Ridha Hafid
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
1.png)
