YOUTH, BETWEEN DRUGS AND REPRODUCTIVE HEALTH

YOUTH, BETWEEN DRUGS AND REPRODUCTIVE HEALTH

(a brief overview of today's college student associations

associated with free sex and drugs)

dr. Made Oka Negara , S.Ked , M.Biomed

Prologue: This is taken from a true story..

Her name is Bulan, a high school student at one of the senior high schools in Denpasar, she is 17 years old, cute, slang and fashionable.

She has been with Tommy for three months now.

Tommy is also a high school student, he is 17 years old, his son is normal, not very cool, but his son is very confident, has a band that often performs and has recorded indie and it seems a bit bourgeois...

They love each other and feel that they love each other.

One day, Moon put ink in his diary.

If I'm not mistaken, Moon wrote like this..

February 8, 2005

As usual, Tommy came home today. When mom, dad and bli agung left. At first we chatted normally. He told me about plans to perform at my campus. Looks like he's been drinking too. So there's still a bit of highness left over. But then how come I saw that his eyes were a little different, and he started to change.. I don't know why, I can't say anything, even though I really don't want to. I can't really say anything, maybe it's because I'm getting carried away by the atmosphere.. Then he gets more and more different because I just keep quiet.. Until finally he forces him to do that. He says its a sign of proof of love. If you love, come on, if not, then no. Ouch.. I'm so confused. I love him, but if that's the case it can't be done. I'm still afraid of getting pregnant. But she said she wouldn't get pregnant because she only did it once... Everything just happened. Now what am I doing.. I'm a month late for my period..

In response to the cases faced by Bulan and Tommy above, it can be seen that there is a lack of understanding from our youth in filling time and interpreting the meaning of a courtship. Even their boundaries are still blurred about the understanding between love and sex. Though cases like this are not rare in number, but there are many others Bulan and Tommy who also experience almost the same story. In fact, it has happened since the age of high school and even junior high school. Is this really a portrait of our current teenage dating model?

Teenager In Fact

More than a quarter of the dating problems that go to telephone counseling by the KISARA (Kita Sayang Remaja) institution-an institution that is concerned with preventing the dangers of sex and drugs-are said to be related to sexual activity.

A example again , at the beginning 2005 , a private TV channels once showing about case rape committed by 2 persons a teenager who is not true is student to a traveler foreign after clubbing together at a bar. This is also loaded in some print media From the results inspection apparatus , behavior embarrassing this consequence influence from accompanied by drugs consume drink hard .

Temporary that , which also never it's over reported lately this is abuse drugs . Many studies show _ that use drugs among _ teenager tend increase . Narcotics Agency National in International Day _ Oppose Abuse and Circulation Dark Drugs June 26 , 2004 year then mention amount user drugs in Indonesia today this is a total of 4 million people. But NGOs and some expert precisely mention estimation more numbers _ big again , that is around 5 million people. From a number of that mentioned almost 80 % is originated from group teenager .

A 'junkies ' from one institution rehabilitation in Denpasar admitted that he Becomes user because follow his friends on campus . Originated from harmonious family and affluent economy _ _ he also contracted a house alone . He often treat friends his campus . Thus , it begins with eat , have fun , until finally he tempted buy putaw , which turned out to be more give pleasure in him . Because it has become addict , need money to buy putaw the more be-so and this push it To do thefts because money the parent 's post has run out bought putaw . state this continue continue and activities the more develop with To do association sex free without ignore the dangers that peek consequence his behavior . Moment this from his confession mentioned that he also has HIV positive .

If observed actually problem teenager age students not only only on two Thing earlier , that is  sexuality teenager with variety the problem and the problem drugs , both of which can also have an effect long to another thing that doesn't lose too seriously , for example HIV/AIDS infection . But still many again problems that will experienced by someone in through adolescence , for example just problem socialization with peers who will cause problem dating , problem with group association , problem search teak self , problems on campus with the learning process nor with lecturer , even to _ problem communication with parents . _ Still a lot again actually when want to inventoried . But from so much many that of course problem sex and drugs most often raised , because seems to have become a youth brand us . Although actually problem teenager far more from that and more complex again , but apparently two Thing just now have score sell alone as something the thing that interesting to report on , published in the mass media , and nothing it's over to talk about remember will the consequences of the problem the which is also enough complex . If see trend like that , actually is this it's time our start insightful self with influence globalization which also brings subculture  “ sex, drugs and alcohol” which turned out to be have impact enough big among _ teenager us ?

What 's Really Happening to Teenagers ?

It is very necessary for students and students to go back to the beginning to find out what happened in the early stages of their teenage years to their present age. Adolescence is a developmental phase between childhood and adulthood. In the period of adolescence there are very rapid changes in the physical, mental and social dimensions. This period is also a period of searching for self-identity, so teenagers are very easily influenced by the environment. Generally, the physical maturation process is faster than the psychosocial maturation. Because it is often an imbalance that causes adolescents to be very sensitive and prone to stress. The physical development of adolescents at this age, as well as the development of sexual maturity, undergoes very rapid changes and becomes a special concern for adolescents. Often we see teenagers standing in front of the mirror for hours to dress up and even a small pimple will be a concern. Emotionally teenagers are very sensitive to the views of their peers. If he is physically different from his friends (for example, a disability or growth that is too fast or too late), or is experience different from his friends, this can cause problems and cause embarrassment and will not be accepted in the group association. This situation is one of the causes or reasons for them to try experimenting with sexual activity, including trying to use drugs.

Curious too much . Teenagers become curious to know more, which if possible they want to try and feel the need to do experiments (experiments). Because of that the opportunity to get out of the home environment gives him the opportunity to discover new things. He is interested in extreme things. Although they also realize that experimentation always comes with danger and responsibility, they are constantly experimenting to find something that suits them. Ways of dressing, hairstyles, attitudes and opinions also change frequently. They dare to take risks and experiment, for example trying to smoke, drink alcohol and even use drugs. Whether teenagers will have a positive identity or become negative, it really depends on the success of the experiment.

Critical . If in childhood all information was taken for granted, now he becomes critical, so parents complain that teenagers are starting to be good at arguing. Adolescents tend to disapprove of the values of their parents' lives and they demand the freedom to seek self-identity and are often accompanied by distancing themselves from their parents. In an effort to find self-identity, adolescents often admire figures outside the family environment such as teachers, idol figures or other public figures. However, in the identification process, adolescents often experience disappointment so that they change their ideal figure from one figure to another. The emergence of student activists-especially the so-called demo activists also emerged because of the empowerment of this critical power.

Strong peer bond. Adolescents feel an attachment and togetherness with their peer group. Therefore, we often see the existence of youth culture, namely similarities in how to dress, how to speak using teenage slang, have the same hobbies and the same attitude and behavior. Teenagers do not want to be different from their peer group. Sometimes teenagers behave in certain ways just because they want to be accepted in their peer group, including drug abuse and promiscuity. Peer groups are much more meaningful and act as friends or partners. Through the life of a group, adolescents can play their role, experiment and channel self-expression. This is where they feel themselves accepted in all forms of success and failure.

Demand justice . Teenagers are very demanding of justice, but they tend to see things from their own side and group in black or white without considering other possibilities. Therefore they seem less tolerant and difficult to compromise. There may also be jealousy towards relatives or friends and tend to resolve in their own way. Sometimes they also violate school authorities which they consider unfair.

Labile behavior. At times they seem responsible, and at other times they seem indifferent. This shows that in adolescents there is a deep conflict, which requires understanding and wise handling. Teenagers are very sensitive and very aware of all the failures that they might do, so they become irritable, irritable and tend to explode . The more mature the teenager, then the above characteristics will decrease, eventually the teenager will develop and have a stable personality, so that he returns to respect his parents with all their advantages and disadvantages.

Abstract thinking. Since the beginning of adolescence, the way of thinking becomes more abstract, conceptual and begins to be oriented towards the future. Many of them show high creative abilities and manifest in various fields, such as arts, sports, science, humanity, morals, ethics and religion.

A number of Fact Again         

Consumers Foundation (YLKI) To do study perception sex free and health reproduction teenager on the moon March -May 2002. From the results research , it is known that 37 percent respondent women don't know reproductive organ function men , 36 percent respondent men don't know reproductive organ function women , and 34 percent do not know what that disease infectious sexual intercourse (STD). Whereas source information ultimate sex _ for this high school teenager are TV and magazines (39 percent ).

A number of study show that teenager thirsty will information about problem sexuality and health reproduction . Study Djaelani quoted _ Saifuddin (1999:6), states that 94% of teenagers state need advice about sex and health reproduction . However the trouble part big from teenager actually ca n't access source proper information . _

If they hard to get information through formal channels , especially from environment school and staff health , then emerging trend _ is try try alone look for informal sources . As displayed Elizabeth B. Hurlock (1994:226), information they try fulfill with method discuss together friends , books about sex or stage test with Street masturbating , making out or relate sexual .

The study was conducted by Joyce Djaelani Gordon and colleagues (Rapid Assessment on Drugs Abused & HIV/AIDS/HCV) since January 2000 on narcotics addicts in rehabilitation centers. Of the 57 respondents, 82.72% said that they first met narcotics through friends and this was done not because of coercion but because of curiosity, fun and pleasure and wanting to be accepted by friends. Judging from the background of family life, out of 54 respondents, 79.63% said that both parents live in harmony; 4.7% separated beds; 5.56% of both parents are divorced and only 1.85% are orphaned. So it is not always true that the reason for using narcotics is due to disharmony in the family (broken home family) . There is something interesting from this study where most of the respondents (52.63%) said they had very limited communication with their parents, as well as the lack of information about their development from their parents in addition to the demands from their parents which were also considered too burdensome regardless of their wishes. - the desire of the teenager himself.

Dadang Hawari , Great Teacher Faculty Many Medicines and Psychiatrists _ explore problem abuse drugs , teens very susceptible to influences external . This thing caused because in the process of searching teak themselves , they easy very vacillating and difficult very determine figure role model . Besides that , because condition unstable psyche , they are also very easy influenced and imitated style life the community around him . They tend choose Street shortcut and don't want headache thinking impact negative from his deeds . So , no too surprising if behavior sex free , abuse drugs so easy tempt them .

Sex Drive In Adolescence

Sex drive can be said to be the most responsible for sexual behavior carried out by adolescents. Actually this sex drive is natural, especially in adolescence, at an age filled with turmoil. Where when entering puberty, there has been maturity of the sex organs, including sex hormones. And this is what affects the occurrence of sex drive in boys and girls, whether they realize it or not, it must be channeled.

The increased sexual drive in adolescents which then leads to sexual behavior is often not balanced with psychosocial maturity (understanding the risk of behavior and being ready to accept it, the ability to manage impulses and the ability to make mature decisions). Meanwhile, bad influences from outside are very easy to form patterns of sexual behavior in adolescents, including:

1.    The circulation of pornographic vcd, internet, stencil books, tabloids and magazines that tend to be exploitative.

2.    Limited recreation space for teenagers (students and students).

3.    Lack of knowledge about reproductive health, premarital sex to damage to reproductive organs due to premature sexual activity.

4.    Escape from uncomfortable situations (home, school, place of residence, socio-economic conditions, etc.).

5.    Places that are conducive to sexual intercourse such as boarding houses, rented houses, empty houses, cheap lodging, etc.

According to Ahmad Taufik (1994) adolescent sexual behavior in Indonesia goes through several stages, namely, starting to show attention to the opposite sex, dating on a date, lips kissing, deep kissing, genital stimulation, petting and sexual intercourse. Sexual intercourse (HUS) has become a fairly routine thing in the lives (especially dating) of teenagers.

When it comes to channeling our sex drive, we are faced with two choices, such as this:

1. Switch to another activity

The existing sex drive is diverted to activities that are not only related to things that smell "sex". By doing activities with peers, organizing for example, or developing hobbies with friends, or you can also do sports that you like. So that our time, concentration and energy are taken up more for this activity.

2. Channeled through sexual behavior

This can also be divided again, the first is to do it yourself, for example, sexual fantasizing or masturbation. Or done with other people, for example kissing, hugging, sexual intercourse and others. This activity can be done with girlfriends, friends, sex workers or with others.

It is this latter distribution that most often invites problems among teenagers and it is time to get serious attention.

Why Do Teens Use Drugs?

There are many reasons. It could be due to emotional / psychological problems, namely to reduce anxiety, forget the problems at hand (escape from problems), overcome loneliness, to relax, and many other reasons. However, it turns out that it is also the biggest use of drugs because at first it was trial and error and eventually addicted. Using narcotics through injection needles not only results in the transmission of viruses, HIV/AIDS but also several other diseases that are transmitted through blood, for example, hepatitis B, hepatitis C. It turns out that there are many risks that are caused by the use of needles in adolescents.

Furthermore, between drugs themselves and sexual activity also has several correlations. According to dr. Mangku Karmaya, stated that there are at least four relationships between drug use and sex:

1.    Conscious drug use will increase sexual pleasure. Actually this is not entirely true, because most drugs actually have a bad effect on sexual function. Indeed, it is stated that hallucinogenic drugs such as marijuana and mescaline can increase sexual ability as desired, but it takes a larger dose. If you don't use it, it will only make things worse. Sex does not feel anymore aka tasteless.

2.    The influence of drugs makes sexual behavior unconscious. This is clearly because drugs make a person unaware of what he is doing, including in sexual relations, with whom and using what.

3.    The influence of drugs encourages uncontrollable sexual behavior. Alcohol can suppress the inhibition center in the brain so that a person becomes more confident in behavior to the point of being shameless and often aggressive. Including in his behavior in the sexual field.

4.    The influence of drugs can encourage someone to have risky sex to get drug rewards. When someone becomes poor, then anything will be done, including being a prostitute or serving homosexuals in order to get money to buy drugs.

Tips 1: Responsible Sexual Behavior

Teenagers who are already dating usually tend to get the urge or temptation to have sex. Most teenagers who have sex before marriage, the partner is a boyfriend. This is often due to the mistaken perception that sex is "a way of expressing love." In fact, sex can be a declaration of love if it is done with full responsibility, which means it is done in official bonds that are sacred in nature. For this reason, below are tips to prevent teenagers from having sex before marriage.

1.    Make a commitment together and work hard to keep that commitment. Commitment in this case is an agreement about the limits of sexual activity chosen in a courtship relationship. In making this decision, various things need to be considered such as norms, values, risks, benefits, etc.

2.    Avoid situations or places that are conducive to sexual fantasies or stimulation such as being alone in an uninhabited house, at the beach at night, a quiet and dark place, etc.

3.    Avoid the frequency of meetings because if you meet often without any definite and fixed activity, then the desire to try sexual activity usually gets stronger.

4.    Involve many friends or relatives to interact so that the opportunity to always be alone decreases. It also avoids over-dependence with girlfriends.

5.    Look for new activities/alternatives so you can find deep satisfaction from the interaction (not sexual satisfaction!).

6.    Seek as much information as possible about sexuality issues from reliable sources (not from BF, stencil books, etc.).

7.    Consider the risks of each selected sexual behavior.

8.    Get closer to God and try hard to live up to the norms or values that apply.

Tips 2: ABCDE

Based on the facts above, it is also necessary to develop an ABCDE concept approach, namely Abstinence, Be faithful, Condom, Don`t Inject and Education . As much as possible and teenagers should not have sex before marriage (abstinence). However, it is undeniable that there are fellow teenagers who are already sexually active. So to avoid the risk of transmission of sexually transmitted diseases, it is recommended that adolescents do not change partners or be faithful enough to only one partner (Be faithful). And the use of condoms (Condoms) is highly recommended for those who are used to having sex with multiple partners in addition to being given input to reconsider their very risky behavior . is a must for a teenager or student who is responsible for himself. The last is to diligently attend education and training, including seeking correct information about the world of youth, reproductive health problems and drugs, so that a teenager or student will be able to go through his teenage years to become a qualified adult so that success will also be more successful. young to achieve in the future.