User

Path Analysis on Factors Affecting the Choice of Female Surgical Contraceptive Method in Kendal, Central Java

Ainul Maghfiroh, Uki Retno Budihastuti, Ismi Dwi Astuti Nurhaeni

Abstract

Background: Indonesia is one of the developing countries with a high rate of population growth. The government established a Family Planning program in overcoming this problem with effective use of the female surgery contraception. This study aimed to analyze the determinants of female surgery contraceptive method using path analysis model.

Subject and method: A retrospective case-control study was conducted in Kendal, Central Java. A sample of 200 women was selected for this study by fixed diseases sampling. The dependent variable was the choice of female surgery contraceptive method. The independent variables were age, education, number of children alive, employment, knowledge, attitude, self-efficacy, husband support, and perception of gender equality. The data were collected by questionnaire and analyzed by path analysis.

Results: The choice of female surgery contraception method was directly and positively associated with good knowledge (b= 1.91; 95% CI= 0.80 to 3.02; p= 0.001), positive attitude (b= 1.56; 95% CI= 0.45 to 2.66; p= 0.006), good gender equality perception (b= 1.25; 95% CI= 0.18 to 2.32; p= 0.021), high self efficacy (b= 1.61; 95% CI= 0.48 to 2.74; p= 0.005), high education (b= 1.18; 95% CI= 0.02 to 2.35; p= 0.045), strong husband support (b= 1.24; 95% CI= 0.14 to 2.39; p= 0.027), working outside the home (b= 1.14; 95% CI= 0.06 to 2.21; p= 0.037 ), number of children alive ≥3 (b= 1.74; 95% CI= 0.61 to 2.88; p= 0.003), and maternal age ≥35 years (b= 1.57; 95% CI = 0.34 to 2.75; p= 0.012). It was indirectly associated with age and education.

Conclusions: The choice of female surgery contraception method is directly and positively associated with good knowledge, positive attitude, good gender equality perception, high self-efficacy, high education, strong husband support, working outside the home, number of children alive ≥3, and maternal age ≥35 years. It is indirectly associated with age and education.

Keywords: female surgery contraceptive method, determinant, path analysis

Correspondence: Ainul Maghfiroh. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Ainulmaghfiroh0504@gmail.com. Mobile: +6285641012090.

Journal of Maternal and Child Health (2019), 4(3): 146-157
https://doi.org/10.26911/thejmch.2019.04.03.02

Full Text:

PDF

References

Anguzu R, Sekandi JN, Muhumuza C, Serwadda D, Tweheyo R, Zalwango V, Tusiime S (2014). Knowledge and attitudes towards use of long acting reversible contraceptives among of reproductive age in lubaga division, kampala distric, Uganda. BMC Research Notes, 7 (153). https://doi.org/ 10.1186/175605007153

Arifiana R, Budihastuti UR, Qadrijati I (2018). Biopsychosocial determinants of longterm contraceptive use in women of reproductive age in Surakarta, Central Java. Journal of Health Promotion and Behavior, 3(1): 37–47. https://doi.org/10.26911/thejhpb.2018.03.01.03

Bentley R, Kavanagh AR (2016). Gender equity and women's contraception use. Australian Journal of Social Issue. 43(1); 65-80. https://doi.org/ 10.1002/j.18394655.2008.tb00090.x

BKKBN (2005). Peningkatan partisipasi pria dalam KB dan KR. Jakarta: BKKBN

Dhungana A, Nanthamongk S, Pitikultang S (2016). Factors related to intention to undergo female sterilization among married women in Rural Kathmandu, Nepal. Nepal journal Epidemiologi. 6(1): 539.

Fahim MA, Ranjan DP, Namita (2017). A study on sociodemographic and cultural factors influencing women undergoing laparoscopic tubectomy in laparoscopic tubectomy camps conducted at UHTC, Aam Talaab, Raichur. Indian Journal of Forensic and Community Medicine, 4(1): 31-35. https://doi.org/10.18231/2394-6776 .2 017.0006

Fitriyani (2016). Peran perempuan dalam penggunaan alat kontrasepsi. Journal Masyarakat, Kebudayaan dan Politik. 29(3): 1-10.

Gebre Egziabher D, Medhanyie AA, Alemayehu m, Tesfay FH (2017). Prefalence and Predictore of implanon utilization among women Reproductive age group in Tgray Region, Northern Ethipia. Reproductive Health, 11(24). https://dx.doi.org/10.1186/s1297801703207

Hanifah, Asyik, Zulkarnaen (2014). Pengaruh pendidikan, pekerjaan, usia kawin pertama, penggunaan alat kontrasepsi terhadap jumlah anak. Jurnal Penelitian Geografi. 2(8); 1-10.

Herlinawati, Maya F, Santosa, Heru (2013). Faktor yang berhubungan dengan pemakaian kontrasepsi tubektomi pada pasangan usia subur di RSUD Dr. Pirngadi Medan. Gizi, Kesehatan Reproduksi dan Epidemiologi. 2(3). http://jurnal.usu.ac.id/index.php/gkre/article/view/3642 .

Kemenkes RI (2017). Data dan Informasi Profil Kesehatan Indonesia 2016. Pusat Data Dan Informasi Kementrian Kesehatan 2017.

Kalra R, Phadnis S, Joshi A (2015). Perceptual analysis of women on tubectomy and other family planning services: a qualitative study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 4(1):94-99. https://.doi.org/10.5455/23201770.ijrcog20150218.

Kohls A, Kuehnle E, Brodowski L, Staboulidau I (2017). Female sterilization as a method of contra ception: women's acceptance and know ledgea review. Medical Research Archives, 5(9).

Lakshmi SG, Radharani PA (2015). A study on Factors Influencing the choice of Permanent Method of Family Planning, 14(6): 16–22. https://doi.org /10.9790/0853146516 22.

Medforth, Battersby, Evans, Marsh, Walker (2013). Oxford handbook of midwifery. EGC: Jakarta

Mutombo N, Bakibinga P (2014). The effect of joint contraceptive decisions on the use of Injectables, Long-Acting and Permanent Methods (ILAPMs) among married female (15–49) contraceptive users in Zambia: a cross-sectional study, Journal Reproductive Health 11(1): 1–8. https://doi: 10.1186/174247551151.

Nuraini (2013). Keluarga berencana berkeadilan gender sebagai upaya pembentukan keluarga sakinah. https://digilib.uinsuka.ac.id/id/eprint/8546.

Pandey A, Singh KK (2015). Contraceptive use before first pregnancy by women in India (2005–2006): determinants and differentials. BMC Public Health; 15(13):16.

Putri CP (2014). Kesetaraan gender dalam program keluarga berencana di Dusun Sawahan Kabupaten Mojokerto. Repository Poltekkes Majapahit Open Journal System.

Saskara, Marhaeni (2015). Pengaruh faktor sosial ekonomi dan demografi terhadap penggunaan kontrasepsi di Denpasar. Jurnal Ekonomi kuantitatif Terapan.8(2): 155-161.

Sufiati F, Mardjan H, Saleh I (2014). Faktor-faktor yang berhubungan dengan pemakaian alat kontrasepsi tubektomi pada pasangan usia subur. Jurnal Mahasiswa dan Penelitian Kesehatan 2(1): 151-127.

Sundari A, Sulaiman E, Murti B (2018). Health promotion on the choice of long term contraception methode in Kendal, Central Java. Journal Promotion and health https://doi.org /10.26911/mid.icph.2018.02.05.

Takele A, Degu G, Yitayal M (2012) Demand for long acting and permanent methods of contraceptives and factors for non use among married women of Goba Town, Bale Zone, South East Ethiopia. Reproductive Health, 9(1): 11. http://dx.doi.org/10.1186/17424755926.

Thulaseedharan JV (2018). Contraceptive use and preferences of young. Open Access Journal of Contraception. (9): 1-10.

Zenebe CB, Adefris M, Yenit MK, Gelaw YA (2017). Factors associated with utilization of long-acting and permanent contraceptive methods among women who have decided not to have more children in Gondar city. BMC Women’s health. 17(75): 1-7 https://doi.org/10.1186/s1290501704329

Refbacks

  • There are currently no refbacks.