{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:50:58Z","timestamp":1791471058498,"version":"4.3.4"},"reference-count":62,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Sexual and reproductive health literacy (SRHL) among adolescents is a global public health concern. Almost half of all new cases of sexually transmitted infections have been associated with health literacy among youth. Limited SRHL has led to negative behaviours and their impact on health-related outcomes. Therefore, the purpose of this study was to identify the determinants of SRHL among adolescents in Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This study drew on the most recent nationwide, population-based cross-sectional study and applied Nutbeam\u2019s functional health literacy framework. SRHL was determined as a composite index and classified into three levels: limited, inadequate, and adequate. Pearson\u2019s Chi-square test was used to determine the different proportions of SRHL. Binary logistic regression with a complex survey design was used to evaluate the factors associated with SRHL. The crude and adjusted odds ratios (AOR) along with 95% confidence intervals (CI) were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The magnitude of adequate literacy was 32.69% (95% CI, 31.92%\u201333.45%). Adolescents with advanced understanding and awareness of family function (AOR: 3.98; 3.36\u20134.72), female (AOR: 3.41; 2.90\u20134.02), internet usage (AOR: 3.07; 2.49\u20133.79), higher education (AOR: 2.96; 2.20\u20133.98), and dating experience (AOR: 2.52; 1.81\u20133.50) were associated with adequate SRHL in Indonesia. Moreover, parental knowledge (AOR: 2.03; 1.63\u20132.53), optimal information access (AOR: 2.35; 2.01\u20132.75), and liberal attitude toward early marriage (AOR: 2.16; 1.86\u20132.50) were more likely to have adequate literacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Comprehensive public health strategies, including integrating reproductive health education, strengthening parental communication, and leveraging digital media were suggested to improve adolescent\u2019s health literacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_92_26","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:02:04Z","timestamp":1788181324000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Determinant factors of sexual and reproductive health literacy among adolescents in Indonesia: A national population-based study"],"prefix":"10.4103","volume":"15","author":[{"given":"Wildan Satrio","family":"Darmawan","sequence":"first","affiliation":[{"name":"Department of Epidemiology Biostatistics Population and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia"},{"name":"Master Degree Program in Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigit Ari","family":"Saputro","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Biostatistics Population and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia"},{"name":"Center of Excellent for Patient Safety and Quality, Universitas Airlangga, Surabaya City, East Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukarno","family":"Sono","sequence":"additional","affiliation":[{"name":"Directorate of Family Planning Service Quality Management, Ministry of Population and Family Development\/National Population and Family Planning Board, Jakarta, Indonesia"},{"name":"Department of Family Science, Faculty of Human Ecology, IPB University, Bogor, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonius Yansen","family":"Suryadarma","sequence":"additional","affiliation":[{"name":"Department of Public Health, Preventive Medicine and Community Medicine, School of Medicine, Ciputra University, Surabaya, East Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monita","family":"Destiwi","sequence":"additional","affiliation":[{"name":"Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Special 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