Abstract: Among adolescent classified as a high risk group and prone to the danger of

transmission of sexually transmitted diseases such as hepatitis b. current hepatitis b remains a

worldwide health problem because it can cause chronic liver disease to hepatocelluler carcinoma.
Premarital sexual intercourse is a causative factor which can transmit the hepatitis B virus. This
Research aimed to find out the level of knowledge and attitude of student SMAN 1 Teluk
Belitung of transmission of hepatitis b through sexual intercourse before marriage before and
after counseling.The research method used was a pre-experimental (one group pra-post test
design). The research population was the entire students in grade II IPS of SMAN 1 Teluk
Belitung. Total samples of this research much as 110 person. The measuring instrument used was
a questionnaire, the data obtained were processed using the Marginal Homogeneity dan
Mcnemar with a significancy level p = < 0,005. The results showed there is an effect of
counseling on level of knowledge and attitude of students SMAN 1 Teluk Belitung, based on
Marginal Homogeneity dan Mcnemar obtained p= 0,000, which meant p was smaller than
(0,05). The conclusion of this research there was a effect counseling on level of knowledge and
attitude of student SMAN 1 Teluk Belitung of transmission of hepatitis b through premarital
sexual intercourse.