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 |
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.
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.
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 |
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.
RI and BW:
concepts, design, definition literature concept, data analysis, statistical
analysis, manuscript preparation. RHI: literature research, data acquisition.
All: manuscript preparation, editing, review.
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.
The authors thank
all the respondents who had been contributing to this study.
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