Parity and Marital Status as Factors Influencing Contraceptive Use among Adolescents in Indonesia

Anni Fithriyatul Mas'udah, Terry YR Pristya, Sulistyo Andarmoyo

Abstract


Adolescent pregnancy has a higher health risk compared to adult pregnancy. One approach to control pregnancy among adolescents is through contraceptive use. The data on contraceptive use has increased in 2018 and is still controversial among adolescents. Thus, it is necessary to determine the factors encou - rag ing the use of contraceptives among adolescents. This study aimed to determine the relation of parity and marital status on contraceptive use among adolescents. This quantitative study used a cross-sectional design. The population of this study was adolescents aged 15–19 years in Indonesia. The total sample of 936 adolescents was selected from the 2017 Indonesia Demographic and Health Survey (IDHS). Multivariate analysis using binary logistic regression was used to analyze the independent variables (parity and marital status) on the dependent variable (contraceptive use) with education, work status, region, and economic status as controls. The results showed relationship association between marital status and parity on contraceptive use in adolescents after being controlled by confounding variables , namely work status, economic status and region. The use of contraceptives was one way to control adolescent pregnancy. Counseling and guidance concerning the use of contraceptives should be provided to adolescents.

Keywords


adolescent, contraceptive, marital status, parity

Full Text:

PDF

References


 1. Mas’udah AF, Besral B, Djaafara BA. Risk of adolescent pregnancy toward maternal and infant health, analisys of IDHS 2012. Kesmas: National Public Health Journal. 2018 Feb 28; 12 (3): 120–6.

 2. World Health Organization. Adolescent sexual reproductive health. Geneva: World Health Organization; 2018.

 3. Maharaj P, Rogan M. Missing opportunities for preventing unwanted pregnancy: a qualitative study of emergency contraceptive. Journal of Family Planning and Reproductive Health Care. 2011; 37 (2): 89–96.

 4. Merali S. The relationship between contraceptive use and maternal and infant health outcomes in Tajikistan. Contraception. 2016 Mar 1;93 (3): 216–21.

 5. Ross J, Hardee K. Access to contraceptive methods and prevalence of use. Journal of Biosocial Science. 2013 Nov; 45 (6): 761–78.

 6. World Bank Group. Adolescent fertility rate (births per 1,000 women ages 15–19): data; 2019.

 7. World Health Organization. Family planning/contraceptive; 2019.

 8. The DHS Program: Demographic and Health Surveys. Indonesia: standard DHS 2017 [DHS final reports]; 2017.

 9. Badan Koordinasi Keluarga Berencana Nasional. Strategis R; 2015.

 10. Khan M, Hossain ME, Hoq MN. Determinants of contraception use among female adolescents in Bangladesh. Asian Social Science. 2012;8 (12).

 11. Coll CdVN, Ewerling F, Hellwig F, De Barros AJD. Contraceptive in adolescence: the influence of parity and marital status on contraceptive use in 73 low- and middle-income countries. Reproductive Health. 2019; 16: 21.

 12. Schwandt HM, Speizer IS, Corroon M. Contraceptive service provider imposed restrictions to contraceptive access in urban Nigeria. BMC Health Services Research. 2017; 17: 268.

 13. Chandra-mouli V, Mccarraher DR, Phillips SJ, Williamson NE, Hainsworth G. Contraceptive for adolescents in low and middle

income countries: needs, barriers, and access. Reproductive Health. 2014; 11 (1): 1–8.

 14. United Nations Fund for Population Activities. Girlhood, not motherhood preventing adolescent pregnancy. 2015.

 15. Raj A, Chandra-Mouli V. Family planning for married girls: lessons learned from ICFP. Girls Not Brides; 2016.

 16. Prijatni I. Kesehatan reproduksi dan keluarga berencana. Buletin Jendela Data dan Informasi Kesehatan; 2013.

 17. Badan Pusat Statistik, Badan Kependudukan dan Keluarga Berencana Nasional. Survei demografi dan kesehatan Indonesia 2012; 2013.

 18. Rizkianti A, Amaliah N, Rachmalina R. Penggunaan kontrasepsi pada remaja perempuan kawin di Indonesia (analisis Riskesdas 2013). Buletin Penelitian Kesehatan. 2017; 45 (4): 257–66.

 19. Ngome E, Odimegwu C. The social context of adolescent women’s use of modern contraceptives in Zimbabwe: a multilevel analysis. Reproductive Health. 2014 Dec 10; 11 (1): 64.

 20. Asiimwe JB, Ndugga P, Mushomi J, Manyenye Ntozi JP. Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Public Health. 2014;14 (1): 926.

 21. McNicholas C, Peipert JF. Long-acting reversible contraceptive for adolescents. Current Opinion in Obstetrics and Gynecology. 2012; 24(5): 293–8.

 22. Lunde B, Littman L, Stimmel S, Rana R, Jacobs A, Horowitz CR. ”Just wear dark underpants mainly”: learning from adolescents' and young adults' experiences with early discontinuation of the contraceptive implant. Journal of Pediatric and Adolescent Gynecology. 2017; 30(3): 395-9.

 23. Gai L, Jia Y, Zhang M, Gai P, Wang S, Shi H, et al. Effect of two kinds of different combined oral contraceptives use on bone mineral density in adolescent women. Contraception. 2012; 86 (4): 332–6.

 24. Scholes D, Ichikawa L, LaCroix AZ, Spangler L, Beasley JM, Reed S, Ott SM. Oral contraceptive use and bone density in adolescent and young adult women. Contraception. 2010; 81 (1): 35–40.

 25. Peraturan Pemerintah Republik Indonesia Nomor 61 Tahun 2014 Tentang Kesehatan Reproduksi; 2014.

 26. Gilliam ML, Neustadt A, Whitaker A, Kozloski M. Familial, cultural and psychosocial influences of use of effective methods of contraceptive among Mexican-American adolescents and young adults. Journal of Pediatric and Adolescent Gynecology. 2011 Apr 1; 24 (2):79–84.

 27. Adams MK, Salazar E, Lundgren R. Tell them you are planning for the future: gender norms and family planning among adolescents in Northern Uganda. International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics. 2013 Nov 1; 123 (Suppl 1): e7-10.

 28. Kane S, Kok M, Rial M, Matere A, Dieleman M, Broerse JE. Social norms and family planning decisions in South Sudan. BMC Public Health. 2016 Dec 22; 16 (1): 1183.

 29. Salam RA, Faqqah A, Sajjad N, Lassi ZS, Das JK, Kaufman M, Bhutta ZA. Improving adolescent sexual and reproductive health: a systematic review of potential interventions. Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine. 2016; 59 (4S): S11–28.

 30. Chandra-Mouli V, Patel SV, Ippoliti NB, Engle KL, Zacharasiewicz A, Sarkar A, et al. Community based reproductive health interventions for young married couples in resource constrained settings: a systematic review. Reproductive Health. 2016; 14 (1): 1–8.

 31. Sedekia Y, Jones C, Nathan R, Schellenberg J, Marchant T. Using contraceptives to delay first birth: a qualitative study of individual, community and health provider perceptions in southern Tanzania. BMC Public Health. 2017 Oct 3; 17 (1): 768




DOI: http://dx.doi.org/10.21109/kesmas.v16i1.3276

Refbacks

  • There are currently no refbacks.