THE RELATIONSHIP BETWEEN SEXUAL VIOLENCE AND MENTAL HEALTH AMONG ADOLESCENT FEMALES IN AN INDONESIAN ISLAMIC SCHOOL: A CROSS-SECTIONAL STUDY

Abstract

Background:  Sexual violence against adolescent females is a public health problem affecting well-being and psychosocial development. Evidence of mental health consequences is needed, particularly in faith-based schools. Purpose: Analyze relationship between sexual violence and mental health among adolescent females at State Islamic Senior High School 2 Semarang. Methods: An analytic correlational cross-sectional study of 225 tenth-grade female students used total sampling. Sexual violence was measured with a 33-item instrument based on Ministerial Regulation No. 30 of 2021; mental health was screened with the Self-Reporting Questionnaire-20 (SRQ-20). An SRQ-20 score of ≥6 indicates a positive result, suggesting symptoms of a possible mental health issue; but cannot establish a clinical diagnosis. Data was analyzed using descriptive statistics and Chi-square testing. Results: 89.8% of respondents reported one or more types of sexual violence, and 47.1% had a positive mental health screening. The association was not statistically significant (p = 0.091). The association was not significant (p = 0.091). However, those experiencing sexual violence had higher odds of positive screening (OR = 2.20; 95% CI: 0.87–5.57). Conclusion: No significant relationship was found between sexual violence and mental health outcomes. Nevertheless, both remain issues requiring attention.

Abstrak

Latar Belakang: Kekerasan seksual remaja putri merupakan masalah kesehatan masyarakat, memengaruhi kesejahteraan mental dan perkembangan psikososial. Bukti dampaknya diperlukan, khususnya di sekolah berbasis agama. Tujuan:  Menganalisis hubungan kekerasan seksual dan kesehatan mental remaja perempuan di MAN 2 Kota Semarang. Metode:  Studi analitik korelasional berdesain cross-sectional pada 225 siswi kelas X menggunakan total sampling. Kekerasan seksual diukur dengan instrumen 33 butir berdasarkan Peraturan Menteri No. 30 Tahun 2021, sedangkan kesehatan mental diskrining menggunakan Self-Reporting Questionnaire-20 (SRQ-20). Skor SRQ-20 ≥6 dikategorikan positif, menunjukkan gejala kemungkinan masalah kesehatan mental, namun tidak untuk menegakkan diagnosis klinis. Data dianalisis dengan statistik deskriptif dan uji Chi-square. Hasil:  89,8% responden melaporkan satu atau lebih bentuk kekerasan seksual, dan 47,1% memperoleh skrining kesehatan mental positif. Hubungan tidak bermakna secara statistik (p = 0,091).  Namun, responden dengan kekerasan seksual memiliki odds lebih tinggi memperoleh skrining positif (OR = 2,20; IK95%: 0,87–5,57). Kesimpulan:  Tidak ditemukan korelasi bermakna antara kekerasan seksual dan kesehatan mental. Meski demikian, keduanya tetap isu penting yang memerlukan perhatian lanjut