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Path Analysis on the Effect of Hormonal Contraceptive Use on the Risk of Depression in Women of Reproductive Age in Gunungkidul, Yogyakarta

Neta Afriyanti, Eti Poncorini Pamungkasari, Hanung Prasetya

Abstract

Background:  The choice of contraceptive use is based on regulating birth spacing or those who no longer want offspring. Although hor­mo­nal contraceptives have been available for more than 50 years, many do not know that hor­monal contraceptives also have psy­cho­lo­gi­cal effects on hormonal contraceptives and their biological mechanisms. This study aims to analyze the effect of hormonal family planning on symptoms of depression in women of re­pro­duc­tive age in Gunungkidul, Yogyakarta.

Subjects and Method: This cross-sectional study was conducted in Gunungkidul, Yogya­karta, from December 2019 to January 2020. A sample of 200 women of re­pro­ductive age was selected by pur­po­sive sampling. The dependent variable was depression symptoms in women of repro­duc­tive age. In contrast, the independent varia­bles were education, age, duration of use, em­ploy­ment status, family income, and hor­monal contra­ceptives. Data were collected using the Beck Depression Inventor II (BDI II) ques­tion­naire and analyzed with path analysis using the Stata 1.3 application.

Results: The incidence of depression sym­ptoms in women of reproductive age increased with duration of use ≥36 months (b= 1.84; 95% CI= 0.86 to 2.83; p <0.001) and contraceptives use (b=  1.31; 95% CI= 0.47 to 2.15; p= 0.001). The incidence of depression symptoms in women of reproductive age decreased with age ≥29 years (b= -2.05; 95% CI= -3.04 to -1.07; p= <0.001), family income ≥ IDR 1,571,000 (b= -3.06; 95% CI= - 3.06 to -1.41; p<0.001), ≥high school edu­cation (b= -1.67; CI 95%= -2.54 to -0.18; p= <0.001), and employment status (work outside the home) (b= -0.98; CI95 %= -1.78 to -0.18; p= 0.016).

Conclusion: Duration of use, contraceptive use, age, family income, education, employ­ment status affect depression symptoms in wo­men of reproductive age.

Keywords: ­hormonal contraceptives, dep­res­sion symptoms, path analysis

Correspondence: Neta Afriyanti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: neta.­fri­yan­ti16­@­gmail.­com

Journal of Maternal and Child Health (2020), 05(06): 651-662
https://doi.org/10.26911/thejmch.2020.05.06.05.

 

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