Electronic Theses and Dissertation

Latar belakang: indonesia menempati urutan ke-37 dengan angka pernikahan dini tertinggi di dunia dan kedua di asean. di kabupaten gayo lues, tercatat 49 persalinan remaja dari 2.679 kunjungan ibu hamil pada tahun 2024. kehamilan remaja dapat dijelaskan melalui teori kognitif sosial yang dimodifikasi oleh conner, yang menekankan peran self-efficacy, outcome expectancies, dan faktor socio-structural dalam membentuk perilaku kesehatan. tujuan: menganalisis pengaruh self-efficacy, outcome expectancies, dan socio-structural terhadap kejadian kehamilan remaja di kabupaten gayo lues menggunakan pendekatan teori kognitif sosial. metode: penelitian kuantitatif dengan desain cross-sectional pada 305 remaja perempuan usia 10–19 tahun yang dipilih menggunakan cluster random sampling di empat wilayah puskesmas. data dikumpulkan melalui kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis menggunakan regresi logistik. hasil: ketiga variabel berpengaruh signifikan terhadap kejadian kehamilan remaja. outcome expectancies merupakan faktor paling dominan (or=2,697; p

Background: Indonesia ranks 37th globally and second in ASEAN for the prevalence of early marriage. In Gayo Lues Regency, adolescent pregnancy remains a significant public health concern, with 49 adolescent deliveries recorded among 2,679 maternal visits in 2024. Adolescent pregnancy can be explained using Conner’s modified Social Cognitive Theory, which emphasizes the roles of self-efficacy, outcome expectancies, and socio-structural factors in shaping health behavior. Objective: To analyze the influence of self-efficacy, outcome expectancies, and socio-structural factors on adolescent pregnancy in Gayo Lues Regency using the Social Cognitive Theory approach. Methods: This quantitative study employed a cross-sectional design involving 305 female adolescents aged 10–19 years selected through cluster random sampling from four community health center areas. Data were collected using a structured questionnaire that had been tested for validity and reliability and were analyzed using logistic regression. Results: The analysis demonstrated that All three variables significantly influenced adolescent pregnancy. Outcome expectancies emerged as the most dominant factor (OR=2.697; p