Differences in Menstrual Knowledge among Adolescents in Rural and Urban Areas

Authors

  • Sofiah Mutiara Maryani Universitas Muhammadiyah Surakarta, Surakarta
  • Ayu Khoirotul Umaroh Universitas Muhammadiyah Surakarta, Surakarta

DOI:

https://doi.org/10.53088/griyawidya.v5i2.2875

Keywords:

Menstruation Knowledge, Adolescent, Rural, Urban

Abstract

Background: Menstruation is an important physiological process for young women who need adequate knowledge to maintain reproductive hygiene and health. This study aims to analyze the difference in the proportion of knowledge about menstruation between adolescent girls in rural and urban areas.

Method : This comparative cross-sectional research was conducted at SMPN 1 Simo (urban) and SMPN 1 Kemusu (rural) by involving 150 students selected through clustered sampling techniques. Data was collected using a closed-ended questionnaire that had been tested for validity and reliability, with total scores categorized based on the mean value. Univariate analysis was used to describe respondent characteristics, while bivariate analysis used chi square test with continuity correction to compare the proportion of knowledge.

Result : The results showed that 59.3% of respondents had good category knowledge, with the proportion of good knowledge higher in urban areas (75.3%) than rural areas (42.5%) and statistically significant differences (p=0.001; OR = 4.1).

Implication : These findings show the important role of access to information, health literacy and social environment in shaping menstrual knowledge in rural and urban areas

Novelty : This study is one of the comparative studies that specifically compares the proportion of menstrual knowledge between adolescent girls in urban and rural areas in the SMPN 1 Simo and SMPN 1 Kemusu areas using clustered sampling techniques and chi square tests with continuity correction

 

References

Amalia, P., & Amrullah, Y. (2019). Tingkat pengetahuan remaja putri tentang menstruasi. Jurnal Kebidanan Malahayati, 5(3). https://doi.org/10.33024/jkm.v5i3.1423

Basniati, A., Sulastri, A., Si, P., & Bidan, P. (2023). Pengaruh Edukasi Personal Hygiene Saat Menstruasi Terhadap Perubahan Pengetahuan Dan Sikap Remaja Putri Pendahuluan. 10(1), 215–223.

Chang, F. C., Chang, C., & Tao, C. C. (2023). Adolescent pursuit of health information online during the COVID-19 pandemic: The roles played by eHealth literacy and psychological distress. Global Mental Health, 10. https://doi.org/10.1017/gmh.2023.44

Deade, F. M., Ernita, L., & Nugrahmi, M. A. (2022). Gambaran tingkat pengetahuan terhadap kesiapan remaja putri pra-pubertas dalam menghadapi menarche di Panti Asuhan Aisyiyah Bukittinggi Tahun 2021. Jurnal Ners, 6(1).

Ety, D., Suriah, S., & Fairus, F. (2019). Perilaku Personal Hygiene Remaja Putri Suku Nuaulu Dalam Tradisi Pinamu Di Kabupaten Maluku Tengah. Jurnal Ilmiah Kesehatan Diagnosis, 14(1), 31–35. https://doi.org/10.35892/jikd.v14i1.91

Intaniza, N., Tampubolon, N. R., & Bayhakki, B. (2023). Hubungan Antara Tingkat Pengetahuan Dengan Kecemasan Dalam Menghadapi Menarche Satu Tahun Pertama. JUKEJ : Jurnal Kesehatan Jompa, 2(2). https://doi.org/10.57218/jkj.vol2.iss2.900

Kemenkes RI. (2022). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.

Kistiana, S., Fajarningtiyas, D. N., & Lukman, S. (2023). Differentials in Reproductive Health Knowledge among Adolescents in Indonesia. Media Kesehatan Masyarakat Indonesia, 19(1). https://doi.org/10.30597/mkmi.v19i1.23641

M, Y., Trivedi, N. S., Damor, R., Patel, M., Ladani, H., Ramachandran, A., Vamja, R., & Surati, B. (2023). Assessment of Knowledge, Attitudes, and Practices Regarding Menstrual Hygiene Management Among Adolescent Schoolgirls (10–19 Years) in the Saurashtra Region, Gujarat. Cureus. https://doi.org/10.7759/cureus.50950

Manase, P., Nurbaya, S., & Sumi, S. S. (2023). Hubungan Pengetahuan Dan Sikap Remaja Putri Terhadap Kesiapan Menghadapi Remaja Menarche Pada Siswi Di Smp Negeri 2 Rantebua. JIMPK : Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 3(4).

Mardhiati, R. (2022). Variabel Pengetahuan Dalam Penelitian Kesehatan Masyarakat. IKRA-ITH HUMANIORA : Jurnal Sosial Dan Humaniora, 7(1), 163–171. https://doi.org/10.37817/ikraith-humaniora.v7i1.2286

Moudy J, & Syakurah R. (2020). Pengetahuan terkait Usaha Pencegahan Coronavirus Disease (Covid-19) di Indonesia. HIGEIA (Journal of Public Health Research and Development), 4.

Msovela, J., Shija, A. E., Ntuyeko, H., Imeda, C., Mugula, A., Mgina, E., & Egidio, A. A. (2025). Puberty and Menstruation Knowledge, Information Sources and Needs among Secondary School Adolescent Girls and Boys in Kibaha, Tanzania. PLOS Global Public Health, 5(3 March). https://doi.org/10.1371/journal.pgph.0004176

Murti, F. A. K., Utami, A. A., & Jangkang, G. G. (2024). Decomposition of HIV Knowledge In Urban-Rural Areas In Indonesia. Jurnal Ilmu Kesehatan Masyarakat, 15(2). https://doi.org/10.26553/jikm.2024.15.2.234-245

Nimbhorkar, S. P., Jumade, P. P., & Rahate, N. P. (2023). Knowledge, Perceptions, Taboos, and Practices of Menstrual Hygiene among Adolescent Girls in Urban and Rural Areas of Central India. Journal of South Asian Federation of Obstetrics and Gynaecology, 15(6). https://doi.org/10.5005/jp-journals-10006-2344

Nisman, W. A., Mutiawati, D. F., Nugraheni, M., & Milasari, I. (2019). The Influence of Health Education Through Booklet on Knowledge and Practice of Menstrual Hygiene. Jurnal Keperawatan Soedirman, 14(2). https://doi.org/10.20884/1.jks.2019.14.2.844

Nurachmah, E., Afiyanti, Y., Yona, S., Ismail, R., Padang, J. T., Suardana, I. K., Dewit, Y. I., & Kusuma Dharma, K. (2018). Mother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, Indonesia. Enfermeria Clinica, 28. https://doi.org/10.1016/S1130-8621(18)30061-5

Nurhayati, N., Khairunnisa, K., Assyifa, R., & Karera, A. I. (2024). Pentingnya Edukasi Seksual Dalam Kesehatan Reproduksi Remaja Berbasis Gender. Jurnal Kesehatan Tambusai, 5(4). https://doi.org/10.31004/jkt.v5i4.30597

Ratnawati, E. (2018). Kebutuhan Remaja Mempersiapkan Perawatan Kebersihan Menstruasi Di Daerah Pedesaan. Jurnal Kesehatan, 7(1). https://doi.org/10.46815/jkanwvol8.v7i1.81

Sadiman, S., & Islamiyati, I. (2019). Status Gizi dan Keterpaparan Media Meningkatkan Kejadian Menarche Dini pada Siswi. Jurnal Kesehatan Metro Sai Wawai, 12(1), 50. https://doi.org/10.26630/jkm.v12i1.1778

Sambeang Putra, M. O., Dhinny Novryanthi, & Eva Martini. (2024). Hubungan Tingkat Pengetahuan Kesehatan Reproduksi Remaja Putri dengan Perilaku Menstrual Hygiene. Jurnal Ventilator, 2(1). https://doi.org/10.59680/ventilator.v2i1.1000

Sari, M., & Wahyono, T. Y. M. (2024). Analisis Pengetahuan dan Perilaku Beresiko pada Remaja Terhadap Kesehatan Reproduksi. Jurnal Ners.

Solehati, T., Trisyani, M., & Kosasih, C. E. (2018). Gambaran Pengetahuan, Sikap, Dan Keluhan Tentang Menstruasi Diantara Remaja Puteri. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 4(2). https://doi.org/10.33755/jkk.v4i2.110

Sundari, E., Utami, S., & Ariestanti, Y. (2022). Faktor-Faktor yang Berperan pada Perilaku SADARI Wanita Usia Subur di Tempat Praktek Mandiri Bidan (TPMB) Endang Sundari Bekasi Tahun 2022. Jurnal Ilmiah Bidan, 6(4).

Susanto, T., Rahmawati, I., & Wantiyah. (2016). A community-based friendly health clinic: An initiative adolescent reproductive health project in the rural and urban areas of Indonesia. International Journal of Nursing Sciences, 3(4). https://doi.org/10.1016/j.ijnss.2016.11.006

Suttor, H., Yamayanti, K. P., Astiti, N. L. E. P., Dewi, T., Chenhall, R. D., Ansariadi, A., & Hennegan, J. (2023). Seeking and encountering online information for menstrual health: a qualitative study among adolescent schoolgirls in Gianyar Regency and Denpasar City, Bali, Indonesia. Sexual and Reproductive Health Matters, 31(4). https://doi.org/10.1080/26410397.2024.2445936

Suyanti, S., Evitasari, D., & Suteja, N. E. C. I. (2022). Hubungan pengetahuan dengan tingkat kecemasan remaja putri dalam menghadapi haid pertama (menarche) pada siswi kelas vii di mts negeri 7 sumedang tahun 2022. Bunda Edu-Midwifery Journal (BEMJ), 5(2). https://doi.org/10.54100/bemj.v5i2.69

Wahyuna, R., & Siregar, F. L. S. (2024). Pengetahuan dan Sikap Remaja Putri tentang Kebersihan Alat Kelamin pada Saat Menstruasi. Malahayati Nursing Journal, 6(10). https://doi.org/10.33024/mnj.v6i10.16869

WHO. (2025). WHO: Adolescent health. World Health Organization.

Wiendijarti, I. (2020). Komunikasi Interpersonal Orangtua dan Anak dalam Pendidikan Seksual. Jurnal Ilmu Komunikasi.

Wu, C., & Thompson, M. E. (2020). Stratified Sampling and Cluster Sampling. https://doi.org/10.1007/978-3-030-44246-0_3

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Published

2026-09-30

How to Cite

Maryani, S. M., & Umaroh, A. K. (2026). Differences in Menstrual Knowledge among Adolescents in Rural and Urban Areas. Griya Widya: Journal of Sexual and Reproductive Health, 5(2), 148–157. https://doi.org/10.53088/griyawidya.v5i2.2875