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All Journal Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Ismi Dwi Astuti Nurhaeni
Faculty of Social and Political Sciences, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Desy Eka Ilmiyah; Uki Retno Budihastuti; Ismi Dwi Astuti Nurhaeni; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.553 KB) | DOI: 10.26911/

Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java. Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program. Results: Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001). Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior highschool, parity ≥3, better knowledge, counseling by health worker, and husband support.
Multilevel Analysis on the Predictors of Safe Sexual Behavior among Girl Adolescents in Karanganyar, Central Java Melda Kumalaningrum; Eti Poncorini Pamungkasari; Ismi Dwi Astuti Nurhaeni
Journal of Health Promotion and Behavior Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.936 KB)

Abstract

Background: Studies have shown that the number of adolescents who have premarital sex is increasing. Unsafe sex can increase the risk of sexual transmitted disease, unwanted pregnancy, and suicide in adolescents. The study aimed to determine the associations between attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure, on safe sexual behavior among girl adolescents in Karanganyar, Central Java.Subjects and Method: This was an analytic and observational study with cross-sectional design. The study was conducted in 25 senior high schools in Karanganyar, Central Java, from Desember, 2017 to January, 2018. A total sampel of 200 girl adolescents were selected by stratified random sampling, consisting of 8 girl adolescents from each of the 25 senior high schools. The dependent variable was safe sexual behavior. The independent variables were attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure on safe sexual behavior. The data was collected using questionnaire and analyzed by multilevel analysis. The contextual effect of school, which distinguished rural and urban schools, on safe sex behavior was measured by intra-class correlation (ICC).Results: Positive attitude (b= 0.41; 95% CI= 0.14 to 0.69; p= 0.004), positive subjective norm (b=0.23; 95% Cl= 0.21 to 0.43; p= 0.031), strong perceived behavior control (b= 0.69; 95% Cl= 0.44 to 0.96 ; p< 0.001), equal gender relation (b= 0.41; 95% Cl =0.18 to 0.63; p<0.001), and exposure to media on safe sex behavior (b= 0.17; 95% Cl= -0.02 to 0.36; p= 0.085), predicted positively the likelihood of safe sexual behavior in girl adolescents. The contextual effect of school on safe sex behavior was small with ICC= 5.55%.Conclusion: Positive attitude, positive subjective norm, strong perceived behavior control, equal gender relation, and exposure to media on safe sex behavior, predict positively the likelihood of safe sexual behavior in girl adolescents.Keyword: predictor, safe sexual behavior, multilevel analysisCorrespondence: Melda Kumalaningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta. Email: melda.kumalanigrum@gmail.com. Mobile: 6282134359845.Journal of Health Promotion and Behavior (2017), 2(4): 323-331https://doi.org/10.26911/thejhpb.2017.02.04.04 
Co-Authors Ambar Mudigdo Desy Eka Ilmiyah Eti Poncorini Pamungkasari Melda Kumalaningrum Uki Retno Budihastuti