Journal for Quality in Women's Health DOI : https://doi.
org/10.
30994/jqwh.
https://jqwh.
ISSN: 2615-6660 .
2615-6644 .
Vol.
8 No 1.
March 2025.
Page.
The Influence Of Peer Group Support On Knowledge And Personal Hygiene Attitudes During Menstruation In Adolescent Girls At Smp Negeri 2 Tumpang.
Malang District Eri Puji Kumalasari1.
Imawati2 .
Devy Putri Nursanti3 .
Miftakhur Rohmah 4.
Asasih Villasari5 1,2,3,4Midwifery Professional Study Program.
STRADA Indonesia University.
Kediri City.
Indonesia *Corresponding author: ery21021989@gmail.
ABSTRACT
Prevention of poor menstrual hygiene practices in adolescent girls can be done through behavior change interventions starting from providing guidelines, management, developing communication media, information and education.
Method peer group support as a means for exchanging ideas, mutual discussions, counseling or health education related to the problems being faced, so that groups can achieve success, satisfaction while making life more The aim of this research is to analyze the influence peer group support to knowledge and attitudes.
The research design used in this research is Pre-experimental method with research design one grup pretest posttest design and the sample in this research is young women with a sample size of 80 respondents at SMP N 2 Tumpang, the sampling method in this research uses the technique simple random sampling.
Test statistics using Wilcoxon-test with an value <0.
Data collection using a questionnaire sheet.
There is a significant influence between before it is done peer group support with after it is done peer group support on the knowledge of young women at SMP N 2 Tumpang with statistical test results obtained with a value of p=0.
There is a significant influence between before it is done peer group support with after it is done peer group support towards the attitudes of young women at SMP N 2 Tumpang with statistical test results obtained with a value of p=0.
Method peer group support It is hoped that this will be able to raise awareness among young women to improve practice personal hyigiene during menstruation.
Keywords: Menstruation.
Peer Group Support.
Personal Hygiene.
Young Women Journal for Quality in Women's Healt.
63 Journal for Quality in Women's Health ( JQWH) INTRODUCTION Poor menstrual hygiene practices among adolescent girls can have a negative impact on reproductive health.
The menstrual health aspect is an important part of a woman's reproductive health, not only covering physical health aspects, but also mental, spiritual and social health aspects.
young woman needs to know the pattern, distance, amount of blood from each The obligation to maintain health and hygiene related to menstruation is often ignored.
Many factors cause this, including teenagers' ignorance or lack of attention about reproductive health.
Apart from that, support for personal hygiene needs is inadequate, especially in public places such as schools, dormitories, mosques and places of worship, tourist attractions, hospitals, stations, markets and others (Sinaga et al.
, 2.
Poor menstrual hygiene practices cause a teenager to be 1.
4 to 25.
times at risk of developing Reproductive Tract Infection (RTI) (Sumpter and Torondel, 2.
World Health Organization (WHO) have surveyed in several countries and found that many adolescent girls aged 10-14 years experience reproductive health problems, among the problems experienced are reproductive tract infections, mostly in teenagers .
-42%) and young adults .
3%).
The prevalence of the most common diseases is candidiasis .
-50%), bacterial vaginosis .
-40%) and trichomoniasis .
%).
Globally, many women and girls face difficulties in managing their menstrual hygiene (Indonesian Ministry of Health's Communication and Community Services Bureau, 2.
The prevalence of poor menstrual hygiene practices is 27.
5-40% in Nepal (Yadav et al.
, 2.
5% in Bangladesh (Asha et al.
, 2.
It also ranged 7% in different studies conducted in India (Kumar et al.
, 2.
The prevalence of poor menstrual hygiene practices is 45.
45% in Uganda (Nakirya, 2.
, 74.
7% in Nigeria (Yalew et al.
, 2.
8% in Kenya (Korir et al.
, 2.
in Ghana (Boakye-Yiadom et al.
, 2.
Statistical data in 2017 in Indonesia shows that the menstrual hygiene behavior of teenagers aged 10-14 years is still in the poor This condition is supported by the tropical climate in Indonesia which is quite hot and tends to be humid, making it more susceptible to infections in the reproductive Problems that arise when genital hygiene is not good include vaginal discharge, irritation of the genital skin .
, allergies, and even urinary tract infections (UTI).
According to the 2017 Indonesian Health Demographic Survey (SDKI), the menstrual hygiene behavior of adolescent girls is still poor, namely 63 percent due to lack of knowledge and information about personal hygiene during menstruation, so that adolescent girls do not have a proper understanding of menstrual hygiene (Gunawan, 2.
Data from East Java Province shows that the number of ISR cases in East Java, such as candidiasis and cervicitis, which occurred in young women reached 86.
5%, found in Surabaya and Malang (East Java Province Health Profile, 2.
Lack of skills in maintaining hygiene during menstruation has resulted in 88.
of teenage girls experiencing vaginal discharge with a frequency of 61% "often".
As many as 42.
9% of female teenagers practice poor personal hygiene during This is caused by a lack of information about hygiene during the first menstruation, regarding how to clean sanitary napkins and dealing with symptoms such as pain or odor (Hanissa et , 2.
One of the efforts of the government of the Republic of Indonesia to reduce reproductive health problems is by establishing adolescent reproductive health as one of the government programs listed in the Government Regulation of the Republic of Indonesia Number 61 of 2014 concerning Reproductive Health where in article 11 paragraph 1 point b which reads "adolescent Journal for Quality in Women's Healt.
64 Journal for Quality in Women's Health ( JQWH) reproductive health services aim to prepare adolescents to live a healthy and responsible reproductive life" and article 11 paragraph 3 which states "the provision of adolescent reproductive health services must be adapted to the problems and stages of adolescent growth and development and pay attention to justice and gender equality, considering moral, religious values, mental development, and based on statutory provisions" (BKKBN, 2.
In adolescence, a teenager will be closer to their peers than to their own parents, they spend more than 40% of their time with peers .
eer group suppor.
The amount of time a student spends with his friends will influence his mindset (Hakim, 2.
Peers have an important role in the social life and development of adolescents.
The positive influence of peers includes teenagers getting information, knowledge, and social support from their peer group.
Peer group support is peer support, namely by providing information, assistance, or materials obtained from familiar peers.
Peer support makes someone feel cared for, appreciated, loved, helped, encouraged and accepted when they are in trouble.
Peer group support .
eer group suppor.
is one of the supports and networks from PIK-R (Youth Information and Counseling Cente.
PIK-R is a forum for reproductive health information and counseling services as well as preparation for family life managed by teenagers (BKKBN, 2.
Based on the results of an initial study conducted by interviews with 10 female students at SMP N 2 Tumpang regarding personal hygiene during menstruation, it was found that the personal hygiene carried out was still in the poor category in terms of the use of sanitary napkins, which on average were only done 2-3 times a day, which should be changed every 4 hours, with a percentage of 20% changing sanitary napkins less than 4 times a day.
And for the use of underwear, a percentage of 90% of those used are tight underwear made from spandex, not cotton, which is more absorbent and more comfortable when Personal hygiene, such as hair care, is still in the inadequate category because as many as 80% still do not wash their hair during their menstrual period, and will wash their hair after menstruation or even wash their hair according to the condition of their hair.
Method peer group support It is hoped that this will be able to raise awareness among young women to improve menstrual understanding of the concept of behavior and information, and behave correctly in menstrual hygiene practices so that researchers want to research the "Influence of Peer Group Support Towards Knowledge And Attitude Personal Hygiene During Menstruation in Adolescent Girls at SMP Negeri 2 Tumpang.
Malang Regency.
METHODS
In this research the author used a quantitative approach.
Creswell .
The approach that will be taken in this research is a quantitative analysis approach based on statistical information.
A research approach that answers research problems requires careful measurement of the variables of the object under study to produce conclusions that can be generalized regardless of the context of time, place and situation.
This type of research is quantitative research with a pre-experimental research According to Sugiyono .
, experimental research methods can be interpreted as research methods used to find the effect of certain treatments on others under controlled conditions.
The type of design used in this research is pre experimental with one group pretest-posttest This type of design only uses one group of subjects, measurements are taken before and after treatment (Novita, 2.
According to (Novita et al, 2.
the form of the one group pretest posttest plan is as Journal for Quality in Women's Healt.
65 Journal for Quality in Women's Health ( JQWH) Total Figure 4.
1 Research design one group pretestpostest design Source: Novita et al, 2016 Based on table 4.
4 above, it shows that the characteristics of the menstrual status of young women at SMP Negeri 2 Tumpang are almost all known to have menstruated .
5%).
Information :
First intervention peer group support .
= Treatment or experiment after Variable Characteristics research has been carried out Knowledge Before Giving = Second measurement after Intervention Peer Group Support administering the intervention peer group Table 4.
5 Frequency Distribution support .
Knowledge Adolescent Girls RESULTS SMP N 2 Tumpang Respondent Characteristics Before Being Given Intervention Peer Based on Respondent's Age.
Group Support Table 4.
3 Frequency Distribution of Knowledge Age Characteristics of Good Young Women at SMP Enough Negeri Tumpang.
Not enough Malang Regency Total Age 13 years 14 years Total Based on table 4.
3 above, it shows that almost all of the young women at SMP Negeri 2 Tumpang are known to have the characteristics of the age of 13 years .
5%).
Based on Menstrual History.
Table 4.
4 Frequency Distribution of Menstrual Status Characteristics Adolescent Girls at SMP Negeri Tumpang.
Malang Regency Menstrual Status Not yet Already Based on table 4.
5 above, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang before being given intervention peer group support It is known that almost half are in the .
8%).
Knowledge After Being Given Intervention Peer Group Support Table 4.
6 Frequency Distribution of Knowledge in Adolescent Girls at SMP N 2 Tumpang After Being Given Intervention Peer Group Support Knowledge F Good Enough Not enough Journal for Quality in Women's Healt.
66 Journal for Quality in Women's Health ( JQWH) Total Attitu Positi Negati Total Positi Negati Total Attitude Before Intervention Peer Group Support Table 4.
7 Frequency Distribution of Attitudes Adolescent Girls at SMP N 2 Tumpang Before Being Given Intervention Peer Group Support Based on table 4.
6 above, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang after being given intervention peer group support known to most with good knowledge .
0%).
Attitu Based on table 4.
7 above, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang before being given intervention peer group support Most people have a negative attitude .
5%).
Attitude After Being Given Intervention Peer Group Support Table 4.
8 Frequency Distribution of Attitudes in Adolescent Girls at SMP N 2 Tumpang After Being Given Intervention Peer Group Support Based on table 4.
8 above, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang after being given intervention peer group support almost all of them had a positive attitude .
0%).
AGE
MENSTRUA
L STATUS
13 TH
NOT
YET
ALRE
ADY
KNOWLEDGE PRETEST
NOT
GOO
ENO
ENOU
UGH
Cross Tabulation Age Characteristics.
Menstrual Status Characteristics with Knowledge Table 4.
9 Cross Tabulation of Age Characteristics.
Menstrual Status and Knowledge of Adolescent Girls at SMP N 2 Tumpang Based on table 4.
9 above, it shows that of the 80 respondents .
%) of young women at SMP N 2 Tumpang, it is known that almost half of them are in the sufficient knowledge category .
8%) who are around the age of 13 years and almost all of them are known to have menstruated .
5%).
Journal for Quality in Women's Healt.
67 Journal for Quality in Women's Health ( JQWH) Cross Tabulation of Age Characteristics.
Menstrual Status and Attitude Table 4.
10 Cross Tabulation of Age Characteristics.
Menstrual
Status and Attitudes of Young
Women at SMP N 2 Tumpang
AGE
MENSTRUA
L STATUS
AGE
MENSTRUA
L STATUS
13 TH
NOT
YET
ALRE
ADY
13 TH
NOT
YET
ALRE
ADY
ATTITUDE PRETEST
NEGAT
POSITIVE
IVE
AGE
MENSTRUA
L STATUS
ATTITUDE POSTTEST
POSITI
POSITIVE
Based on table 4.
10 above, it shows that of the 80 respondents .
%) of young women at SMP N 2 Tumpang, it is known that the majority with negative attitudes .
5%) are around the age of 13 years and almost all of them are known to have menstruated .
5%).
Statistical Test Results Knowledge Table 4.
11 Distribution of Average Results Pretest
And Posttest
Knowledge Before and After Providing Intervention Peer
Group Support
In Young
Women at SMP N 2 Tumpang
Test Statisticsa
WITH
Asymp.
Sig.
-taile.
KnowledgeAfter KnowledgeBefore Test Statisticsa Attitude After Attitude Before WITH Asymp.
Sig.
-taile.
Wilcoxon Signed Ranks Test Based on positive ranks.
Wilcoxon Signed Ranks Test Based on positive ranks.
Based on table 4.
11 statistical test results Wilcoxon obtained a p value = 000, it is concluded that there is a significant influence between before it is carried out peer group support with after it is done peer group support on the knowledge of young women at SMP N 2 Tumpang.
Attitude Table 4.
12 Distribution of Average Results Pretest And Posttest Attitudes Before and After Providing Intervention Peer Group Support In Young Women at SMP N 2 Tumpang Based on table 4.
12 statistical test results Wilcoxon obtained a p value = 0.
it is concluded that there is a significant influence between before it is carried out peer group support with after it is done peer group Journal for Quality in Women's Healt.
68 Journal for Quality in Women's Health ( JQWH) support towards the attitudes of young women at SMP N 2 Tumpang.
DISCUSSION
Based on the research results, it shows that 80 respondents .
%) of young women at SMP Negeri 2 Tumpang before being given intervention peer group support Almost half of them were known to be in the sufficient knowledge category .
8%), in the age category almost all were known to be 14 years old .
5%), in the menstrual status category almost all were known to have menstruated .
5%).
In line with Aulia Putri's research .
, the results of her research also showed that the results of the characteristics of respondents showed that as many as 30 respondents .
%) were in the early teens category .
-14 year.
and at least 6 respondents .
%) were in the late teens category .
-20 year.
Knowledge is the result of knowing, occurs after people sense a particular object (Retnaningsih, 2.
In its understanding, knowledge has six levels.
Know (Kno.
Understand (Comprehensio.
Application (Applicatio.
Analysis .
Synthesis (Synthesi.
, and Evaluation (Evaluatio.
(Notoatmodjo.
According assumptions, the lack of awareness among young women regarding hygiene practices during menstruation is due to lack of To overcome this, interventions need to be carried out further upstream, namely to groups of teenagers and young adults by increasing teenagers' knowledge about personal hygiene during menstruation through peer education or peer group suport in adolescents in high school and college.
Based on the research results, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang after being given intervention peer group support known to most with good knowledge .
0%).
In line with Alfi Afandi's .
research on his research after it was carried out peer group support in the treatment group there was an increase in knowledge with statistical test scores wilcoxon test p=0.
When intervention is carried out on respondents, a learning process occurs for each respondent.
This is in accordance with theoretical studies that the learning process is an effort to obtain new knowledge or knowledge that is not yet The learning process can be realized in the form of guidance and social interaction which is the goal peer group Peer group support serves as a source of information for respondents.
Deep problem presentation method peer group support make respondents convey their problems so that the problem is clarified and various respondents who have problems get additional information and solutions.
This can increase respondents' knowledge of knowledge (Grover, 2.
According assumptions, in accordance with theory, the majority of respondents experienced an increase in knowledge after being given it peer group support.
This happens because the information is conveyed well with feedback so that the information is more relevant.
However, respondents did not experience changes in knowledge.
This could be caused by the respondent not paying attention to the facilitator and of course requiring more However, if the information provided is not properly absorbed by the human senses, then the chances of it being absorbed are also smaller.
Based on the research results, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang before being given intervention peer group support Most people have a negative attitude .
5%).
Notoatmodjo .
states that attitude is a reaction or response that is still closed from a person to a stimulus or object.
Attitude is not yet a practice or activity, but is a predisposition to practice a behavior.
Knowledge, thinking, beliefs and emotions Journal for Quality in Women's Healt.
69 Journal for Quality in Women's Health ( JQWH) play an important role in determining a complete attitude.
Attitudes have levels ranging from accepting, responding, appreciating, and being responsible.
person's attitude cannot just change without an underlying process.
Through education there will be a process of changing a person's way of thinking because there is open dialogue or discussion to express their own According to (Ridwan Maulana.
Opdenakker, and Bosker 2.
attitudes are actions that are based on beliefs based on existing norms in society and usually religious norms.
However, the actions that humans will take usually depend on what the problem is and are truly based on their own beliefs or beliefs.
According assumptions, respondents with a negative attitude category were because they had not knowledge about the importance of personal hygiene during menstruation.
Based on the research results, it shows that out of 80 respondents .
%) young women at SMP Negeri 2 Tumpang after being given intervention peer group support almost all of them had a positive attitude .
0%).
Based on behavioral science, behavioral changes occur gradually, starting with changes in knowledge, then changes in attitudes, and after internalization, changes in skills or actions/practices emerge (Green & Kreuter, 2.
Researchers assume that attitudes are still negative with personal hygiene influenced by the receipt of the stimulus given and the response is still indifferent so that discussing menstruation with friends or other people and even inviting or influencing other people to respond is still lacking, or because the attitude of young women who have just grown up is still very closed and shy when talking about menstruation.
Based on statistical test results Wilcoxon obtained a p value = 0.
000, it is concluded that there is a significant influence between before it is carried out peer group support with after it is done peer group support on the knowledge of young women at SMP N 2 Tumpang.
This means that this research is in the same direction and in accordance with previous research conducted by Ridwan Maulana.
Opdenakker, and Bosker .
that through education it can bridge the gap between health knowledge, attitudes and behavior and health education motivates someone to receive health information and act according to this information so that they become more informed and have a more positive attitude.
As explained by Sri .
, that Peer Group Discussion has the advantage of attracting attention, respondents can obtain information through various sources, sharing or discussing with each other.
Based on statistical test results Wilcoxon obtained a p value = 0.
000, it is concluded that there is a significant influence between before it is carried out peer group support with after it is done peer group support towards the attitudes of young women at SMP N 2 Tumpang.
Researchers' assumptions, peer group support as a health education method by forming discussion groups it plays a role in changing attitudes to be more positive peer group support as where group members provide themselves as good listeners, respondents get psychological support.
Psychological support is able to change a person's attitude, in accordance with Azwar's .
statement that the influence and support of other people is one of the factors forming attitudes.
CONCLUSION
The respondent's level of knowledge before being given the treatment peer group support It is known that almost half are in the sufficient knowledge category .
8%).
Respondent's level of knowledge after being given treatment peer group support known to the majority with good knowledge .
0%).
Respondent's attitude before being given peer group support Most people have a Journal for Quality in Women's Healt.
70 Journal for Quality in Women's Health ( JQWH) negative attitude .
5%).
Respondent's attitude after being given peer group support almost all of them had a positive attitude .
0%).
There is a significant influence between before it is done peer group support with after it is done peer group support on the knowledge of young women at SMP N 2 Tumpang with statistical test results obtained with a value of p=0.
There is a significant influence between before it is done peer group support with after it is done peer group support towards the attitudes of young women at SMP N 2 Tumpang with statistical test results obtained with a value of p=0.
REFERENCES