Exposure to Internet Pornography: A Cross-sectional Study among Primary School-aged Children in Java

                                                                         

Ratih Indraswari1*, Bagoes Widjanarko2, Riza Hayati Ifroh3

1Faculty of Public Health, Universitas Diponegoro, Jawa Tengah, Indonesia

2Faculty of Public Health, Universitas Diponegoro, Jawa Tengah, Indonesia

3School of Psychology, Northeast Normal University, Changchun, China

 

*Corresponding Author: E-mail: ratih.indraswari@gmail.com  

 

ARTICLE INFO

ABSTRACT

 

Manuscript Received: 23 Nov, 2024

Revised: 04 Feb, 2025

Accepted: 05 Feb, 2025

Date of Publication: 06 Mar, 2025

Volume: 8

Issue: 3

DOI: 10.56338/mppki.v8i3.6946

 

Introduction: In today's times, generation Z has extraordinary skills in finding information. This generation is very good at using gadgets to learn, play, and even earn their own income. Pornographic content often appears accidentally and begins to be known by children. Curiosity is often the reason teenagers access pornography and then end up with the practice of premarital sexual intercourse. This study aims to understand how primary school-age children behave in accessing pornographic content.

Methods: This cross-sectional study sampled 63 students in fifth grade at a public primary school, using by total population sampling technique. Data was collected using a self-administered questionnaire technique. The data obtained were then analyzed using univariate analysis and linear regression.

Results: Most respondents in this study were 11-year-olds (82.5%), comprising 41.3% boys and 58.7% girls, and not experienced puberty yet (60.3%). Of 39.7% have been accessing porn through handphone (41.3%) and laptop (1.6%). As many as 3.2% of children have accessed pornography since the age of < 7 years. About 17.5% of pornographic content accessed is in real motion. The content accessed is mostly pictures of naked people and kissing scenes. As many as 19% of children admitted to accessing pornography accidentally and immediately closed the access.

Conclusion: The health department of Family Health and School Health needs to partner with parents to improve supervision and communication between parents and children. Providing healthy living skills training for children needs to be embedded into the educational curriculum so that skills can be carried out routinely and continuously.

KEYWORDS

 

Access to Pornography;

Primary School;

Children;

Puberty;

Reproductive Health

Publisher: Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Palu

 

 

 

INTRODUCTION

Growth and reproductive development in adolescents are some of the factors that influence adolescent behavior, especially sexual behavior in adolescents. Based on the results of a previous survey on the sexual behavior of adolescents aged 15-24 years in big cities in Indonesia, it was reported as much as 44% of respondents claimed to have experienced first sex in the age range of 16-18 years and 16% of respondents experienced first sex in the age range of 13-15 years. Data shows that 15 million female adolescents aged 15-19 years give birth every year, and around 15-20% of school-age teenagers in Indonesia have had sexual relations before marriage. Risky sex practices carried out by adolescents will cause a negative impact on health and non-health aspects (1). The high rate of premarital sex among adolescents is closely related to the increasing number of abortions. The number of abortions is currently around 2.3 million and 15-20% of them are done by teenagers. This condition also causes high maternal and neonatal mortality rates in Indonesia (2).

Curiosity is a common reason stated by teenagers to practice sex (3–5). Preliminary studies conducted by researchers on adolescents who experience unwanted pregnancy revealed that they are inspired and eager to try practicing sex with their partners after accessing pornography through videos or reading books such as porn comics. Research conducted on high school students found that the results regarding accessing pornographic sites were 10.1% in the low category, 88.4% in the medium category, and 1.4% in the high category. In the variable premarital sexual attitude of adolescents, it was found that 76.8% had traits that tended to be positive or had a tendency to approach premarital sexual behavior, and 23.2% had negative traits or tendencies to avoid and dislike premarital sexual behavior (6).

Based on data obtained from the Indonesian Adolescent Reproductive Health Survey in 2012 showed that the percentage of adolescents who had premarital sex at the age of 15-19 years was 4.5% of men and 0.7% of women and increased from previous data in 2007 (7). Based on research conducted by Syamsulhuda on adult adolescents aged 18-24 years, it was found that 11.9% of 362 respondents engaged in risky premarital sex behavior or premarital sex. The results of the study said that adult adolescents who had a more permissive attitude were found to have a risk of premarital sex behavior at risk of unwanted pregnancy 3,473 times greater than adult adolescents whose attitude was less permissive (8).

Early exposure to pornography can have a significant impact on school-age children, both psychologically and in terms of long-term behavior. Children who are exposed to pornography tend to be more likely to engage in earlier or riskier sexual behaviors (9). Children exposed to pornography are also more likely to develop unrealistic perceptions of sexuality. This can lead them to consider the behavior or norms displayed in pornography to be standard (10). Early exposure to pornography can lead to anxiety, fear, or confusion regarding interpersonal relationships and sexuality. In addition, other dangerous psychological problems can also arise as a result of exposure to pornography, namely emotional problems such as anxiety, depression or low self-esteem, low self-esteem, and desensitization to sexual problems, which can make children feel less sensitive to violence or harmful behavior in relationships (10,11).

Research from various countries shows a high prevalence of pornography access among adolescents. Some very high prevalence rates up to 98% have been reported in Germany, Sweden, Poland, and Italy (12–14). European countries, such as Belgium, Switzerland, Netherlands, Greece, and the Czech Republic reported 36% to 57% prevalence rate of porn access (10).  In the United States, the numbers have highly fluctuated (15).

In contrast to Western countries, pornography is considered taboo and inappropriate in most Eastern countries. The taboo culture related to pornography in Eastern countries varies greatly because it is influenced by factors such as different religions, traditions, and social values. In Indonesia, especially in Javanese tribe, pornography is considered something that violates the norms of religion and morality that apply in Indonesian society. Therefore, the production, distribution, and consumption of pornography are prohibited in Indonesia (16). Nevertheless, a survey conducted on 4,500 adolescents in 12 major cities in Indonesia found that access to pornographic content almost reached 100%. The reasons or factors that motivated them to access and watch pornographic content were due to just fun (27%). From data owned by the National Commission for Child Protection, it is also stated that of the total of 2,812 students, 60% of them have accessed pornography (17).

The Ministry of Education and Culture of the Republic of Indonesia said that pornographic material can be easily obtained by anyone today. In the guidelines for parents issued by the Indonesian Ministry of Education and Culture, it is stated that the sources of pornographic content include newspapers, comics, story books, games, magazines, television, videos, images, as well as websites and social media (18). Of 97% of junior and senior high school students had accessed pornographic content. Primary school children already know that accessing pornography is not allowed (19).

Accessing adult content that is found a lot at the age of 10-19 years can affect health and social life. This age group is the age of adolescents who have high curiosity, and the occurrence of changes, both in emotional changes, physical changes, and psychological changes (20). Pornographic content can be easily accessed by anyone, especially Generation Z who are very good at using gadgets to access any information. It is very difficult to stem the flow of negative information that can harm children, so the most potential strategy to overcome this problem is to strengthen children not to be affected by the environment and negative information. For this reason, research is needed that aims to understand how primary school-age children behave in accessing pornographic content.

 

METHOD

This study is a quantitative study using a descriptive approach. This research raises the topic of pornography which is considered a sensitive and taboo topic in Java, so an approach is needed that ensures data confidentiality to schools and parents. Based on this, this study uses a cross-sectional study design so that data collection is carried out quickly and does not interfere with school hours. The population that became the subject of this research were students in fifth grade at a public primary school in Semarang which amounted to only 63 children who had obtained the consent of their parents and schools to take data. The sample in this study is determined using a total population sampling technique.

The data in this study were taken using a questionnaire filled directly by the children after the school activities were over in August 2023. The independent variable in this study is children's characteristics (sex, age, and puberty status), while the dependent variable is the behavior of pornography consumption (content, context, onset, frequency, media, duration, reason, and peer influence). The instrument of each variable revealed good internal consistency. Each question is reliable (Cronbach alpha>0.60). Kolmogorov Smirnov's test shows that all questions are valid. The data obtained were then analyzed using univariate analysis and linear regression.

 

Ethical Approval

This research has been approved by the ethics committee of the Faculty of Public Health, Universitas Diponegoro No. 609/EA/KEPK-FKM/2023.

 

RESULTS

Most respondents in this study were 11-year-olds (82.5%), comprising 41.3% boys and 58.7% girls. Table 1 shows that 60.3% of children are not yet pubescent. Some respondents in this study were pubescent at the age of 8 years (1.6%), 9 years (3.2%) and 10 years (11.1%). This is in accordance with the results of this study illustrated in table 1. A total of 39.7% of primary school-age children have accessed pornography, but 19% of them were exposed to pornography accidentally. They are exposed to pornography while accessing the internet for various purposes above. Pornographic links in the form of pop-ups or advertisements appear unintendedly. Some children felt uncomfortable and immediately closed the link because of feelings of guilt. Some of them began to be curious and ventured to explore further.

 

Table 1.  The Category of Children’s Characteristic

Characteristic

n

%

Age

10 years

11 years

 

11

52

 

17.5

82.5

Sex

Boy

Girl

 

26

37

 

41.3

58.7

Status of puberty

Puber

Not puber yet

 

25

38

 

39.7

60.3

Age of puberty

8 years

9 years

10 years

11 years

 

1

2

7

15

 

1.6

3.2

11.1

23.8

 

Table 2.  The Distribution Frequency of Children’s Access to Pornography

Accessing Porn

n

%

Has been accessing porn

25

39.7

The first age of accessing porn

<7 years

7 years

8 years

9 years

10 years

11 years

 

2

2

1

5

7

8

 

3.2

3.2

1.6

7.9

11.1

12.7

Media to access porn

Handphone

Laptop

 

26

1

 

41.3

1.6

Frequency

Once a week

2-3 times a week

4-5 times a week

>5 times a week

 

21

1

3

1

 

33.3

1.6

4.8

1.6

Duration

<5 second

5-30 second

30-60 second

>1 minute

 

13

9

2

2

 

20.6

14.3

3.2

3.2

Type

Writing

Real people and freeze figure

Real motion

Animation motion

 

5

4

11

7

 

7.9

6.3

17.5

11.1

Content

Naked

Genital

Kiss on the cheek

Kiss on the lip

Necking

Girl’s breast

Petting

Vaginal sex

Oral sex

 

11

2

10

9

1

1

1

2

1

 

17.5

3.2

15.9

14.3

1.6

1.6

1.6

3.2

1.6

The reason for accessing porn

Unintended

Curiosity

Peer influence

 

12

12

1

 

19.0

19.0

1.6

Number of friends accessing porn

I don’t know

1

2-3

>3

 

43

10

5

5

 

68.3

15.9

7.9

7.9

The respondent of this study admitted that they had accessing porn since they were toddler. Most of them are exposed to pornography through their parents’ handphone. As many as 33.3% of children access pornography at least once a week. As many as 20.6% of children admitted that they were exposed to pornographic content for less than 5 seconds because they immediately closed the link that appeared once after they noticed it. However, some other children began to be curious and watched longer. This is very dangerous because it can be addictive and trigger the practice of sex. Most children do not know how many of their friends also access pornography, but as many as 7.9% of children can name more than 3 of their friends who they know are also accessing pornography. The pornographic content they access is generally images of naked people and scenes of kissing cheeks or lips. Some children have also watched scenes or pictures depicted about vaginal and oral sex. About 17.5% of pornographic content accessed is in real motion (see table 2).

 

Table 3. Cross-tabulation between Children’s Characteristics and Accessing Porn

Variable

Accessing porn

Total

n (%)

p-value

Risky

n (%)

Very risky

n (%)

Age

10 years

11 years

6 (16.2)

31 (83.8)

5 (19.2)

21 (80.8)

 

11 (17.5)

52 (82.5)

 

0.756

Sex

Boy

Girl

15 (40.5)

22 (59.5)

11 (42.3)

15 (57.7)

26 (41.3)

37 (58.7)

0.888

Status of puberty

Puber

Not puberty yet

16 (43.2)

21 (56.8)

9 (34.6)

17 (65.4)

25 (39.7)

38 (60.3)

0.491

 

Table 3 shows that primary school-age children who access pornography with the very risky category are children who are older/11 years old (80.8%), girls (57.7%) and have not experienced puberty (65.4%). There is no influence between age, sex, and status of puberty and pornography access behavior in primary shool-age children (see table 4).

 

Table 4. The Result of Multivariate Analysis on The Variable of Accessing Porn

Variable

B

SE

Wald

P-value

OR (95% CI)

Age

-0.023

0.189

-0.017

0.905

-0.400, 0.355

Sex

-0.032

0.136

-0.032

0.813

-0.304, 0.240

Status of puberty

-0.084

0.141

-0.084

0.551

-0.366, 0.197

 

DISCUSSION

Children in late childhood experience emotional and social changes that allow them to form stronger, more complex friendships with peers. This affects the formation of his personality. Children of this age need to have friends, especially of the same sex. Thus, of course, they are very likely to experience more peer pressure. In terms of thinking and learning, children in this age group may face more academic challenges in school, become more independent from their families, and begin to see other people's points of view more clearly (21,22).

Puberty in girls is characterized by menstruation, while in boys have wet dreams. Most children enter puberty by age 15. The average age of puberty for girls in Indonesia is 12.5 years, while boys experience wet dreams at an average age younger than girls (23). However, some respondents in this study were pubescent at the age of 8 years (1.6%), 9 years (3.2%) and 10 years (11.1%). Thus, they have been able to experience conception at a very young age (24). Children who experience early maturation are associated with faster improvement in attention skills during adolescence for both boys and girls. In addition, early maturation predicted poorer self-control among girls but not boys. This needs more attention because adolescence is a period full of vulnerabilities and opportunities (25). Therefore, children need to be equipped with cognitive life skills to save themselves from the negative impacts of their social environment such as the influence of access to pornography (26).

At the beginning of accessing pornography, children often feel guilty and ashamed because they know that what they see is inappropriate or not in accordance with the values they adhere to. These feelings can trigger anxiety and fear if they are caught. Pornography often presents inaccurate or unrealistic information about sexuality. This can make children feel confused and unsure about what is normal or healthy in sexual relationships. Children who are exposed to pornography may begin to compare themselves or others to what they see in videos or pictures. This can lead to feelings of insecurity, low self-esteem, and anxiety about their sexual appearance or performance (10,27).

The impact of addiction can make changes in the brain. Some studies suggest that excessive exposure to pornography can cause changes in brain structure and function, especially in areas related to pleasure, motivation, and self-control. These changes can make children more susceptible to addiction. Compulsive behavior begins to appear in children who are addicted to pornography. They find it difficult to control their desire to watch or search for pornographic material, spending a lot of time and energy doing so, even if it interferes with other activities in their lives (10,27).

Nowadays, the internet has also become a child's daily life. Even schools use gadgets and the internet as one of the media in learning. Internet users in Indonesia alone in 2017 reached 143.26 million people or around 54.68% of the total population of Indonesia. The penetration rate of internet users in Indonesia itself in 2017 was 77.63%, with internet users aged 10-14 years amounting to 768,000 people (28). Of 76% of the primary school-age children in Indonesia reported that the mobile phone belongs to them personally, hence they do not share its use with their siblings. Most children have a mobile phone at the age of ten, while 2% reported that they already own one from the age of five (29).

Most children mainly use the internet for entertainment. They use the Internet to play online games (49.5%); 20% of the children said they use the internet mainly for chatting; 10.9% use it mainly to browse for school assignments; and 10.1% for downloading information, including song lyrics, information about one’s favorite sports club, or favorite artist/idol. A small portion of the respondents claim to mainly use the Internet for sending/receiving email (4.2%), designing something (2.7%), or reading the news (2.5%); 10% indicate they have accessed an adult site at least once (29). This is even more terrible with the data shown by the national survey from Ireland which states that 18% of children aged 9 to 17 years say that they have seen sexual messages on the internet in the past 12 months. As much as 5% of children aged 9-10 say they have seen images of this kind. This increases to 11% for 11–12-year-olds, 19% for 13–14-year-olds, and one-third (33%) of 15–17-year-olds report having received such images. Gender differences are notable with more boys than girls (21% vs. 16%) reporting exposure to sexual content. For comparison, the EU Kids Online 2020 study of 19 European countries reported an average of 33% of 9–16-year-olds seeing images in the past year. This ranges from the lowest finding of 21% in France to 43% in Czech Republic (30).

Some children were exposed to pornography accidentally. They are exposed to pornography while accessing the internet for various purposes. Pornographic links in the form of pop-ups or advertisements appear unintendedly. Some children felt uncomfortable and immediately closed the link because of guilt. Some of them began to be curious and ventured to explore further. Pornography and sexual issues are not commonly discussed among children in Indonesia because of taboo presumptions. This has become a value taught by families and schools so that children generally know that it is not right and is not allowed (19).

Children in Indonesia are getting to know the internet at a very young age. Most start to know the internet at the age of 6-8 years, but not a few have started to know the internet at a younger age, namely 3 years. The majority of them know the internet through their own families, namely their parents, siblings, and grandparents. The most widely used location to access the internet is at home. Children at the age of 9-11 years are still mostly classified as light users in using the internet. That is, they only access the internet for less than 7 hours per week. Only 9% of them become high users, especially accessing the internet for a long duration on weekends (31). The use of the internet or online communication is becoming a trending phenomenon, especially among teenagers. Today, many teenagers are involved in online social networks, both as producers and as users of online information. However, the use of the internet is often used by teenagers to provide information about their personality to others who may not be very well known. Teenagers, who use the internet to communicate online with strangers, will pose risks to the teens themselves, such as sexual harassment carried out online or direct access to harmful content and content that violates privacy (32).

Premarital sex behavior is significantly associated with access to pornography. Access to magazines, books, pornographic films, and pornoaction films that expose the pleasure of sex causes early adolescents to begin trying to do so (33,34). Previous research stated that 60.6% of adolescents access pornography at least 1 time per day with the majority using personal cellphone media (59.2%) and done at home. In fact, 1.2% of adolescents begin to be exposed to pornography from the age of 5-8 years (17). When compared based on sex, there is no significant difference between boys and girls in accessing pornography (35). This is consistent with the finding that reports no influence between age, sex, and status of puberty and pornography access behavior in primary school-age children.

Indonesia has experienced rapid growth in internet and smartphone penetration. This has led to increased access to information and entertainment but also poses challenges in regulating content and protecting children. There is a gap in digital literacy among parents and children, making it difficult to navigate the online world safely and identify inappropriate content. This is further exacerbated by parents who may not be actively involved in monitoring their children's online activities, due to work commitments or a lack of awareness (36).

Indonesian society generally holds conservative views on sexuality, with open discussions often considered taboo. This can lead to a lack of comprehensive sex education for children. After that,  children may turn to online sources to seek information about sexuality due to a lack of guidance at home or school. The easy availability of pornography and other sexual content online can normalize such material for children, potentially leading to risky behaviors. This can expose them to inaccurate or harmful content (37).

It is important to note that these are complex issues with no easy solutions. A multi-faceted approach involving parents, educators, policymakers, and technology companies is needed to create a safer online environment for children in Indonesia. The Indonesian government has launched programs to promote digital literacy and provide guidelines for online safety. Organizations and NGOs are working to educate parents about the importance of monitoring their children's online activities and engaging in open communication about sexuality. Health offices and education offices are still struggling to gradually incorporate literacy and sex education into their curriculum.

This study faced a limitation in the form of a small number of samples. This is due to the sensitive topic and the age of the respondents who are still classified as children, so an intensive approach is needed to schools and parents to convince them to give consent for their children to be the sample in this study. Further research can improve the results of this study by increasing the number of samples. In addition, research related to the content accessed by children can be more detailed so that it can be used as a recommendation to the government in restricting porn content.

 

CONCLUSIONS

Primary school-age children face greater challenges than ever. They have been exposed to pornography inadvertently since they were less than 7 years old. Almost all of them access pornography through mobile phones connected to the internet. To avoid bad influences, the Health Department of Family Health and School Health needs to partner with parents to improve supervision and communication between parents and children so that children can be responsible and avoid things that can harm their lives. Primary health care must work with PKK (Empowerment of Family Welfare Organization) and primary schools to strengthen this effort by equipping children with healthy living skills. Meanwhile, the government must be more decisive through recent legislation to create amendments and proposals for greater regulation of children’s access to pornography online, such as age-inappropriate. In addition, the Digital Services Act, which will have a direct effect in Indonesia, places an obligation on providers of online platforms to ensure the online safety of children. 

 

AUTHOR’S CONTRIBUTION STATEMENT

RI and BW: concepts, design, definition literature concept, data analysis, statistical analysis, manuscript preparation. RHI: literature research, data acquisition. All: manuscript preparation, editing, review.

 

CONFLICTS OF INTEREST

Confirms that the authors have declared any potential conflicts that could influence the impartiality of the research. The authors explicitly state that they have no financial or personal relationships with entities that might unduly affect their objectivity. This declaration ensures the integrity of the study by transparently addressing any possible influences on the research outcomes, contributing to the credibility and trustworthiness of the article.

SOURCE OF FUNDING STATEMENTS

Thanks to Diponegoro University for their generous support (No. 609-51/UN7.D2/PP/VIII/2023).

 

ACKNOWLEDGMENTS

The authors thank all the respondents who had been contributing to this study.

 

BIBLIOGRAPHY

1.       De Groot R, Kuunyem MY, Palermo T. Child marriage and associated outcomes in northern Ghana: a cross-sectional study on behalf of the Ghana LEAP 1000 evaluation team. BMC Public Health. 2018;18(285):1–12.

2.       Rahma M. The Relation between Sexuality Knowledge and Sexual Behavior of Adolescents. Adv Soc Sci Educ Humanit Res. 2019;343:322–6.

3.       Muche AA, Kassa GM, Berhe AK, Fekadu GA. Prevalence and Determinants of Risky Sexual Practice in Ethiopia: Systematic Review and Meta-analysis. Reprod Health. 2017;14(113):1–11.

4.       Shaluhiyah Z, Suryoputro A, Novelira A, Indraswari R. Exploring Adolescent Characteristics, Experiences and Socio-environmental Responses on Premarital Pregnancy in Central Java Indonesia. E3S Web Conf [Internet]. 2020 Nov;202:12029. Available from: https://www.e3s-conferences.org/10.1051/e3sconf/202020212029

5.       Indraswari R, Shaluhiyah Z, Widjanarko B, Suryoputro A. Health Risk Behaviors and Life Skills of Indonesian Children: A Qualitative Analysis Using Social Cognitive Theory. Southeast Asian J Trop Med Public Health [Internet]. 2023;53(Supplement 2):29–51. Available from: https://journal.seameotropmednetwork.org/index.php/jtropmed/article/view/743/491

6.       Hadiati, Thea ID. The relationship between pornography access toward premarital sex attitude in adolescent [Internet]. 2016. Available from: http://digilib.unisayogya.ac.id/2192/1/naskah publikasi dora.pdf

7.       The DHS Program. Indonesia Special, 2012 - Adolescent Reproductive Health Final Report [Internet]. 2013. Available from: https://dhsprogram.com/publications/publication-fr281-other-final-reports.cfm

8.       Musthofa SB, Winarti P. Factors Influencing Premarital Sexual Behavior of Students in Pekalongan 2009 – 2010. J Kesehat Reproduksi. 2010;1(1):33–41.

9.       Adarsh H, Sahoo S. Pornography and Its Impact on Adolescent/Teenage Sexuality. J Psychosexual Heal [Internet]. 2023 Jan 9;5(1):35–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0190740918310156

10.     Andrie EK, Sakou II, Tzavela EC, Richardson C, Tsitsika AK. Adolescents’ Online Pornography Exposure and Its Relationship to Sociodemographic and Psychopathological Correlates: A Cross-Sectional Study in Six European Countries. Children [Internet]. 2021 Oct 16;8(10):925. Available from: https://www.mdpi.com/2227-9067/8/10/925

11.     Štulhofer A, Buško V, Schmidt G. Adolescent exposure to pornography and relationship intimacy in young adulthood. Psychol Sex [Internet]. 2012 May;3(2):95–107. Available from: http://www.tandfonline.com/doi/abs/10.1080/19419899.2010.537367

12.     Dwulit AD, Rzymski P. The Potential Associations of Pornography Use with Sexual Dysfunctions: An Integrative Literature Review of Observational Studies. J Clin Med [Internet]. 2019 Jun 26;8(7):914. Available from: https://www.mdpi.com/2077-0383/8/7/914

13.     Pizzol D, Bertoldo A, Foresta C. Adolescents and web porn: a new era of sexuality. Int J Adolesc Med Health [Internet]. 2016 May 1;28(2):169–73. Available from: http://www.tandfonline.com/doi/full/10.3109/13625187.2010.536922

14.     Giordano AL, Cashwell CS. Cybersex Addiction Among College Students: A Prevalence Study. Sex Addict Compulsivity [Internet]. 2017 Apr 3;24(1–2):47–57. Available from: https://www.tandfonline.com/doi/full/10.1080/10720162.2017.1287612

15.     Rothman EF, Beckmeyer JJ, Herbenick D, Fu T-C, Dodge B, Fortenberry JD. The Prevalence of Using Pornography for Information About How to Have Sex: Findings from a Nationally Representative Survey of U.S. Adolescents and Young Adults. Arch Sex Behav [Internet]. 2021 Feb 4;50(2):629–46. Available from: http://link.springer.com/10.1007/s10508-020-01877-7

16.     Giriani NP, Hapsarani D. A Discourse on Sexuality and Power in Two Indonesian Contemporary Movies. Adv Soc Sci Educ Humanit Res. 2020;593:194–200.

17.     Gayatri S, Shaluhiyah Z, Indraswari R. Factors Associated with the Frequency of Access to Ponography and Its Impact on Sexual Behavior of Adolescents in Bogor City. J Kesehat Masy. 2020;8(3):410–9.

18.     Ministry of Education and Culture of the Republic of Indonesia. Parent Education Series; Accompanying Children in Facing the Dangers of Pornography. Jakarta; 2017.

19.     Indraswari R, Widjanarko B, Shaluhiyah Z, Suryoputro A, Musthofa SB. Exploration of Javanese Children’s Knowledge and Attitudes about Puberty and Reproductive Health. J Kesehat Masy [Internet]. 2023 Oct 18;19(2):178–85. Available from: https://journal.unnes.ac.id/nju/index.php/kemas/article/view/43932

20.     Evi, Nasir S, Suriah. Sexual Behaviour in Adolescents who are Dating in West Seram District. J MKMI. 2013;Desember:250–6.

21.     Lee YA, Park HG, Cheon JE, Rice KG, Kim Y-H. Mediating role of social skills in the longitudinal relationship between intrapersonal perfectionism and psychological well-being of preadolescents. J Sch Psychol [Internet]. 2024 Feb;102:101257. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022440523000857

22.     Rubio-Codina M, Attanasio O, Grantham-McGregor S. Mediating pathways in the socio-economic gradient of child development. Int J Behav Dev [Internet]. 2016 Nov 9;40(6):483–91. Available from: http://journals.sagepub.com/doi/10.1177/0165025415626515

23.     Wahab A, Mada UG, Wilopo S, Mada UG, Hakimi M, Mada UG. Declining age at menarche in Indonesia: a systematic review and meta-analysis. Int J Adolesc Med Health. 2018;(September):1–9.

24.     Swanson RJ, Liu B. Conception and pregnancy. In: Fertility, Pregnancy, and Wellness [Internet]. Elsevier; 2022. p. 53–71. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780128183090000113

25.     Chaku N, Hoyt LT. Developmental Trajectories of Executive Functioning and Puberty in Boys and Girls. J Youth Adolesc [Internet]. 2019 Jul 15;48(7):1365–78. Available from: http://link.springer.com/10.1007/s10964-019-01021-2

26.     Shaluhiyah Z, Indraswari R, Kusumawati A, Musthofa SB. Life Skills Education to Improvement of Teenager’s Knowledge, Attitude, Self-efficacy and Risk Health Behavior. J Kesehat Masy [Internet]. 2021 Jul 24;17(1):1–8. Available from: https://journal.unnes.ac.id/nju/index.php/kemas/article/view/22474

27.     Adarsh H, Sahoo S. Pornography and Its Impact on Adolescent/Teenage Sexuality. J Psychosexual Heal [Internet]. 2023 Jan 9;5(1):35–9. Available from: https://journals.sagepub.com/doi/10.1177/26318318231153984

28.     Siste K, Suwartono C, Nasrun MW, Bardosono S, Sekartini R, Pandelaki J, et al. Validation study of the Indonesian internet addiction test among adolescents. Lin C-Y, editor. PLoS One [Internet]. 2021 Feb 4;16(2):e0245833. Available from: https://dx.plos.org/10.1371/journal.pone.0245833

29.     Hendriyani, Hollander E, D’Haenens L, Beentjes JWJ. Views on children’s media use in Indonesia: Parents, children, and teachers. Int Commun Gaz. 2014;76(4–5):322–39.

30.     National Advisory Council for Online Safety. Report of a National Survey of Children, their Parents and Adults regarding Online Safety [Internet]. 2021. Available from: https://www.gov.ie/pdf/?file=https://assets.gov.ie/204409/b9ab5dbd-8fdc-4f97-abfc-a88afb2f6e6f.pdf#page=null

31.     Nirwana, Mappapoleonro AM, Chairunnisa. The Effect of Gadget Toward Early Childhood Speaking Ability. IJECES. 2018;7(2):85–90.

32.     Kosasih CE, Solehati T, Utomo W, Heru H, Sholihah AR. Determinants Factors of High-risk Sexual Behavior Pregnancy among Adolescent in Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Nov 14;9(T6):69–79. Available from: https://oamjms.eu/index.php/mjms/article/view/7338

33.     Donevan M, Mattebo M. The relationship between frequent pornography consumption, behaviours, and sexual preoccupancy among male adolescents in Sweden. Sex Reprod Healthc. 2017;12(June):82–7.

34.     Shek D, Ma C. A Six-Year Longitudinal Study of Consumption of Pornographic Materials in Chinese Adolescents in Hong Kong. J Pediatr Adolesc Gynecol. 2016;29(1):12–21.

35.     Indraswari R, Kusumawati A, Handayani N. The Differences between Male and Female Pupils in Accessing Porn. J Promkes [Internet]. 2023 Mar 10;11(1):47–55. Available from: https://e-journal.unair.ac.id/PROMKES/article/view/36643

36.     Widjanarko B, Indraswari R, Kusumawati A, Handayani N. Perspectives on Reproductive Health Education among Javanese Parents. Kesmas. 2022;17(3):212–9.

37.     Situmorang DDB. Implementation of Sex Education in Indonesia: A “Sine Qua Non” in Taboo. Bul Psikol [Internet]. 2024 Jun 28;32(1):101. Available from: https://jurnal.ugm.ac.id/buletinpsikologi/article/view/95836