Factors Affecting Interests of Adolescent Visit in Poly PKPR (Health Care Service) Public Health Gondang Legi

A person's interest in services is related to the ability of these service providers to provide care. Interest in adolescents to take advantage of adolescent health care services is influenced by several factors, including perceptions, peers and the role of health workers in the service at puskesmas. The purpose of this study was to analyze the factors that influence the interest of teenage return visits at the PKPR (Youth Caring Health Services) Gondang Legi Health Center in Malang Regency. The design of this study was an observational quantitative study with a cross sectional approach with the focus of the research directed to be analyzing perceptions, the role of peers and the role of health workers on the interest of teenage return visits at the PKPR (Youth Care Health Services) Gondang Legi Public Health Center Malang Regency with a population of 167 respondents and a sample of 113 respondents taken by accidental sampling technique. The findings found that the majority of respondents had less categories of perception as many as 57 respondents (50.4%). In addition, the majority of respondents had the role of less peer categories of 45 respondents (51.3%). In addition, most respondents had the role of health workers in the good category of 59 respondents (52.2%). While the majority of respondents had a high interest category of 62 respondents (54.9%). The results of the study using the Logistic Regression Test showed that a p-value of 0,000 <0.05 then H1 was accepted so it was concluded that there was simultaneously the influence of perception, the role of peers and the role of health workers on the interest of teenage returnees in the PKPR (Youth Care Health Services) ) Gondang Legi Health Center in Malang Regency. The perspective of the patient regarding the available health services raises their perceptions. All friends will make an impact on individuals. And the provision of special services to adolescents through special treatment tailored to the desires, tastes and needs of adolescents has not been implemented

information provided cannot be justified, for example because it is incomplete, incorrect, incorrect and misleading. Another factor of the lack of adolescent access to information about reproductive health is social and cultural barriers.
Adolescent health programs are currently more engaged in providing information. The provision of special services to adolescents through special treatment tailored to the desires, tastes, and needs of adolescents has not been implemented. Thus, adolescents need to be actively involved in planning, implementing, and evaluating services. Ideas and concrete actions of adolescents will be more striking in planning and implementing services because they understand their needs. (Ministry of Health RI. 2018).

METHOD
In this study, researchers used a quantitative analytic design with a cross sectional approach which is a study to study the dynamics of the correlation between risk factors and effects, by way of approach, observation or data collection at a time (point time approach), that is, each subject the study was only observed once and measurements were made on the character status or subject variables at the time of examination. This study will analyze the factors that influence the interest of teenage return visits at the PKPR (Youth Caring Health Care) Clinic in Gondang Legi Health Center, Malang Regency. Total population of 167 respondents and a sample of 113 respondents taken by accidental sampling technique. Data analysis uses the Logistic Regression test.

Multivariat
Based on the results of the Binary Logistic Regression analysis the peer role variable to interest shows that a p-value of 0.006 <0.05 then H0 is rejected and H1 is accepted so it is concluded that the peer role variable is most influential on the interest of teenage returnees in the PKPR (Health Care Services) Teens) Gondang Legi Health Center in Malang Regency.

Youth Perception in PKPR (Youth Care Health Services) Gondang Legi Community Health Center, Malang Regency
The results showed that the majority of respondents had less category perceptions of 57 respondents (50.4%). Whereas 56 respondents (49.6%) had good category perceptions. Based on the results of cross tabulation between sex and perception, it was found that almost half of respondents who were female had good category perceptions of 38 respondents (33.6%). In addition, a number of 36 respondents (31.9%) who were female had a perception of the less category. In addition, a number of 21 respondents (18.6%) who were male had a poor perception of the category. While 18 respondents (15.9%) who were male had a good category perception.
Based on the results of cross tabulation between age and perception it was found that a small proportion of respondents aged 20-21 years had good category perceptions of 24 respondents (21.2%). In addition, a number of 23 respondents (20.4%) who were 16-17 years old had less category perceptions. In addition, a number of 21 respondents (18.6%) who were 18-19 years old had less category perceptions. In addition, a number of 18 respondents (15.9%) aged 18-19 years had good category perceptions. In addition, a number of 14 respondents (12.4%) aged 16-17 years had good category perceptions. While a number of 13 respondents (11.5%) aged 20-21 years had less perception of the category.
According to researchers, perception is a direct response to an absorption or process someone knows several things through sensing. Perception is also a process of observing a person towards the environment by using the senses that he has so that he becomes aware of everything in his environment. Which is if a person encounters something then he will judge in his own way. Based on the results of the study, it was found that the majority of respondents had inaccurate perceptions about adolescent health care services at the Gondang Legi Health Center in Malang Regency. Where the respondents considered that the activity was less needed and the respondents also considered that it was easier to find information from social media compared to the PKPR Poly. However, among those who rated it, almost half of the respondents rated that the existence of the PKPR Poly made it easy for teens to find good and correct information about health related to male and female adolescents. So many have good category perceptions.
Based on the results of the cross tabulation it can be explained that more female patients tend to have good perception. But there are also many female patients who have less perception. Poor perception of female sex is caused by high emotions in female patients. Where patients with female sex are more sensitive to feel the service that is felt less or better than health facilities provided. Whereas in the age characteristics, patients with the age of 20-21 years tend to have good perception, but at the age of 16-19 years tend to have more perceptions where it is caused at an age that tends to be younger still lacks the right attitude in using PKPR health facility.

The Role of Teenage Peers in PKPR (Youth Care Health Services) Gondang Legi Health Center in Malang Regency
The results showed that the majority of respondents had the role of peer categories less than 45 respondents (51.3%). While a number of 55 respondents (48.7%) had the role of peers in both categories. Based on the results of cross tabulation between sexes and the role of peers it was found that almost half of the respondents who were female had the role of peers in the less category category of 40 respondents (35.4%). In addition, a number of 34 respondents (30.1%) who were female had the role of peers in the good category. In addition, a number of 21 respondents (18.6%) who were male had a good category of peer role. While a number of 18 respondents (15.9%) who are male have the role of peers in the less category.
Based on the results of cross tabulation between age and the role of peers it was found that a small proportion of respondents aged 16-17 years had the role of peers in the less category category by 25 respondents (22.1%). In addition, a number of 23 respondents (20.4%) aged 18-19 years had the role of peers in the good category. In addition, a number of 20 respondents (17.7%) aged 20-21 years had the role of peers in the good category. In addition, a number of 17 respondents (15%) aged 20-21 years had the role of peer categories less. In addition, a number of 16 respondents (14.2%) aged 18-19 years had the role of peers in the less category. Whereas 12 respondents (10.6%) aged 16-17 years had the role of peers in the good category.
According to researchers in peer groups, someone tries to find his own concept. Here he is judged by his peers without regard to sanctions. Peer groups provide an environment, which is a world where adolescents do socialization where the values that apply are not values set by adults, but by peers.
Based on the results of the study it was found that many respondents who have the role of peers in the less category where it is caused because peers tend to suggest doing something less useful for the future and tend to do negative activities more often. Where adolescent peers are more open to issue all their complaints and do fun activities together to make stress coping from school burdens and burdens in the home environment. However, almost half of the respondents also have the role of good peers where the activities undertaken tend to be positive and help one another when one of the themes experiences a problem. So peers will advise you to check with the PKPR Poli if there are perceived irregularities related to adolescent reproductive health.

The Role of Health Officers in Adolescents in the PKPR (Youth Caring Health Services) Gondang Legi Health Center in Malang Regency
The results showed that the majority of respondents had the role of health workers in the good category of 59 respondents (52.2%). While a number of 54 respondents (47.8%) had the role of health workers in the less category.
According to researchers responsible health workers must be able to play an active role in improving the quality of the health of surrounding communities. In this based on the results of the study found that the majority of respondents said the role of health workers in the good category where it can be seen in terms of services that always provide good and friendly service. Health workers also often provide advice and input so that teens often go to the PKPR Poli so they can monitor their health regularly. However, there are some respondents who assess the role of health workers each less where it is due to the limited access of health workers to be able to reach directly to schools where there are many adolescents who have bad eating patterns, sleep patterns and patterns of activity to the association.

Interest in Teenage Return Visit at PKPR (Youth Care Health Services) Gondang Legi Community Health Center, Malang Regency
The results showed that the majority of respondents had a high interest category of 62 respondents (54.9%). Whereas 51 respondents (45.1%) had low interest categories. Based on the results of cross tabulation between sexes and interests it was found that almost half of respondents who were female had a high interest category of 40 respondents (35.4%). In addition, 34 respondents (30.1%) who were female had a low interest category. In addition, a number of 22 respondents (19.5%) who were male had a high interest category. While 17 respondents (15%) who were male had a low interest category.
Based on the results of cross tabulation between age and interest it was found that a small proportion of respondents aged 20-21 years had high interest categories of 24 respondents (21.2%). In addition, a number of 23 respondents (20.4%) aged 18-19 years had high interest categories. In addition, a number of 22 respondents (19.5%) who were 16-17 years old had low interest categories. In addition, a number of 16 respondents (14.2%) aged 18-19 years had low interest categories. In addition, a number of 15 respondents (13.3%) who were 16.17 years old had a high interest category. Whereas 13 respondents (11.5%) aged 20-21 years had low interest categories.
According to health service researchers must have a variety of basic requirements, namely the basic requirements that affect the community, especially adolescents in determining their choice of the use of health services. Services needed by adolescents in general are health services that are easily accessible and sustainable, health services must be reasonable and can be received by adolescents, locations easily accessible to the public, services provided are affordable and perfection of health services organized. Good service will attract people who want to use health facilities repeatedly without worrying about things they don't want.
Based on the results of the study, it was found that the majority of respondents had high interest which was due to their perception of health services to adolescents in the PKPR Poli. In addition, because a friend invited him to the PKPR Poli, the respondents felt happy to conduct an examination at the Poli. However, there are some respondents whose interest is low where it is caused because respondents feel better looking for their own information to social media than having to bother going to the PKPR Poly.
Based on the results of the cross tabulation it can be explained that patients who are female tend to have high interest, but there are still many female respondents who have low interest. Where this is due to the sensitivity of the perception of female patients in terms of absorbing services provided by health workers, female patients want the health services provided to be better.

Influence of Perception on Interest in Teenage Re-Visitation at PKPR (Youth Caring Health Services) Gondang Legi Community Health Center, Malang Regency
Based on the results of the analysis Based on the results of the Binary Logistic Regression analysis of the perception variable of interest shows that the p-value of 0.007 <0.05 then H1 is accepted so it is concluded that there is an effect of perception on the interest of teenage returnees at the PKPR (Youth Caring Health Services) Gondang Legi Health Center Malang Regency.
Based on the results of the cross tabulation between the variables of perception with interest it was found that almost half of respondents who had a good category perception also had a high interest category of 40 respondents (35.4%). In addition, a number of 35 respondents (31%) who had less category perceptions also had low interest categories. In addition, a number of 22 respondents (19.5%) who had less category perception also had high interest categories. Whereas 16 respondents (14.2%) who had good category perceptions also had low interest categories.
According to researchers the perspective of the patient regarding available health services raises their perceptions, good service will infer their perceptions or perspective as well. So therefore health facilities must arrange good services by prioritizing patient satisfaction so that patients feel satisfied with the services provided by health workers so that patients are interested in making a repeat visit to the nearest health facility without having to look for other health facilities. One's perception will affect one's interest in using a health service so that it is in accordance with the results of the study, which is the effect of perception on the interest of a teenage visit to the PKPR (Youth Care Health Services) Gondang Legi Health Center in Malang Regency.

The Influence of Peers' Role on Interest in Teenage Re-Visit in PKPR (Youth Caring Health Services) Gondang Legi Health Center in Malang Regency
Based on the results of the Binary Logistic Regression analysis the peer role variable to interest shows that a p-value of 0.006 <0.05 then H0 is rejected and H1 is accepted so it is concluded that there is the most significant influence of the peer role on the interest of teenage returnees in the PKPR (Health Services Poly) Youth Care) Gondang Legi Health Center, Malang Regency.
Based on the results of the cross tabulation between the variables of the role of peers with interest it was found that almost half of respondents who had the role of peers in the good category also had a high interest category of 45 respondents (39.8%). In addition, a number of 41 respondents (36.3%) who had the role of peers in the less category also had low interest categories. In addition, a number of 17 respondents (15%) who had the role of peers in the less category also had high interest categories. While 10 respondents (8.8%) who have the role of peers in the good category also have low interest categories.
According to researchers all friends will have an impact on individuals. If the theme is good, the individual will do good activities. Vice versa if he is friends with friends who are not good then the individual will tend to do negative activities as well. Where here the role of peers will greatly affect the night attitude individuals. Where according to the results of the study, there is an influence of the role of peers on the interest of teenage return visits at the PKPR (Youth Care Health Services) Gondang Legi Health Center in Malang Regency.

The Influence of the Role of Health Officers on Interest in Teenage Re-Visitation at PKPR (Youth Care Health Services) Gondang Legi Health Center, Malang Regency
Based on the results of the Binary Logistic Regression analysis the role of health workers variables towards interest shows that a p-value of 0.023 <0.05 then H0 is rejected and H1 is accepted so it is concluded that there is an influence of the role of health workers on the interest of teenage Factors Affecting Interests of Adolescent Visit in Poly PKPR.....