Determinants of Contraceptive Use at The First Sexual Intercourse among Unmarried Adolescents in Indonesia: 2017 IDHS Analysis

Authors

  • Restya Sri Sugiarti Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia
  • Helda Helda Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia
  • Kholisotul Hikmah Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol20.Iss1.684

Keywords:

Adolescent, Contraceptive, Unmarried

Abstract

Adolescents confront boundaries in obtaining contraception counting prohibitive policies and adolescents possess failure to obtain contraceptives since of information, transportation, and monetary limitations. The objective of this study is to assign the variables which impact on the use of contraception for the first sexual intercourse among unmarried adolescents. Quantitative research employing cross sectional analysis was implemented in this study, by processing 2017 Indonesian Health Demographic Survey (IDHS) data. Cox regression was utilized to examine the association between sociodemographic, peer and social influences, contraceptive knowledge and contraceptive use. The study populace encompassed 705 single young people; 15 to 24 years old. The study resulted that contraceptive use at the primary sexual intercourse by single young people in Indonesia was approximately 50.35%. After bivariate analysis was applied, it was revealed that there is a significant relationship between education with the contraceptive use at the first sexual intercourse among unmarried adolescents in Indonesia (p-value = 0.049). In the final model, we discovered that the level of education and contraceptive use was statistically significant, and the contraceptive use was higher in adolescents with high education than adolescents with middle and primary education (PR 1.51, 95% CI 1.09 – 2.07, p = 0.012). Therefore, this finding provides information that education is a prominent variable for understanding contraceptive use in adolescents.

Downloads

Download data is not yet available.

References

Adedini, S. A., Mobolaji, J. W., Alabi, M., & Fatusi, A. O. (2021). Changes in contraceptive and sexual behaviours among unmarried young people in Nigeria: Evidence from nationally representative surveys. PLoS ONE, 16(2): e0246309. https://doi.org/10.1371/journal.pone.0246309 DOI: https://doi.org/10.1371/journal.pone.0246309

Adilah, Y., Mutahar, R., & Sari, I. P. (2017). Determinan Penggunaan Kondom Pada Hubungan Seksual Pertama Kali Oleh Remaja Belum Menikah Di Indonesia (Analisis Data SDKI KRR 2012). Jurnal Ilmu Kesehatan Masyarakat, 8(2), 91–99. https://doi.org/10.26553/jikm.2016.8.2.91-99 DOI: https://doi.org/10.26553/jikm.2016.8.2.91-99

Agha, S., Morgan, B., Archer, H., Paul, S., Babigumira, J. B., & Guthrie, B. L. (2021). Understanding how social norms affect modern contraceptive use. BMC Public Health, 21(1), 1–11. https://doi.org/10.1186/s12889-021-11110-2 DOI: https://doi.org/10.1186/s12889-021-11110-2

Ahinkorah, B. O. (2020). Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: a multilevel mixed effects analysis. PloS one, 15(8), e0236352. https://doi.org/10.1371/journal.pone.0236352 DOI: https://doi.org/10.1371/journal.pone.0236352

Badan Kependudukan dan Keluarga Berencana Nasional. (2017). Survei Demografi Dan Kesehatan: Kesehatan Reproduksi Remaja 2017. Badan Kependudukan Dan Keluarga Berencana Nasional.

Budiharsana, M. (2017). Contraceptive Services Available to Unmarried Sexually Active Adolescents. Makara Journal of Health Research, 21(2), 68–74. https://doi.org/10.7454/msk.v21i2.7231 DOI: https://doi.org/10.7454/msk.v21i2.7231

Chernick, L. S., Schnall, R., Higgins, T., Stockwell, M. S., Castaño, P. M., Santelli, J., & Dayan, P. S. (2015). Barriers to and enablers of contraceptive use among adolescent females and their interest in an emergency department based intervention. Contraception, 91(3), 217-225. https://doi.org/10.1016/j.contraception.2014.12.003 DOI: https://doi.org/10.1016/j.contraception.2014.12.003

Decat, P., De Meyer, S., Jaruseviciene, L., Orozco, M., Ibarra, M., Segura, Z., Medina, J., Vega, B., Michielsen, K., Temmerman, M., & Degomme, O. (2015). Sexual onset and contraceptive use among adolescents from poor neighbourhoods in Managua, Nicaragua. European Journal of Contraception and Reproductive Health Care, 20(2), 88–100. https://doi.org/10.3109/13625187.2014.955846 DOI: https://doi.org/10.3109/13625187.2014.955846

Durojaye, E. (2011). Access to contraception for adolescents in Africa: a human rights challenge. The Comparative and International Law Journal of Southern Africa, 44(1), 1–29. Retrieved from https://journals.co.za/doi/10.10520/EJC24722

Habito, C. M., Vaughan, C., & Morgan, A. (2019). Adolescent sexual initiation and pregnancy: what more can be learned through further analysis of the demographic and health surveys in the Philippines?. BMC public health, 19, 1142. https://doi.org/10.1186/s12889-019-7451-4 DOI: https://doi.org/10.1186/s12889-019-7451-4

Kementerian Kesehatan Republik Indonesia. (2018). Survei Demografi dan Kesehatan Indonesia Tahun 2017. Jakarta: Kementerian Kesehatan Republik Indonesia.

Lee, J. (2017). Factors Affecting Contraceptive Use among Adolescent Girls in South Korea. Child Health Nursing Research, 23(3), 259–267. https://doi.org/10.4094/chnr.2017.23.3.259 DOI: https://doi.org/10.4094/chnr.2017.23.3.259

Lindberg, L. D., Firestein, L., & Beavin, C. (2021). Trends in U.S. adolescent sexual behavior and contraceptive use, 2006-2019. Contraception: X, 3, 100064. https://doi.org/10.1016/j.conx.2021.100064 DOI: https://doi.org/10.1016/j.conx.2021.100064

Lopez, L. M., Grey, T. W., Tolley, E. E., & Chen, M. (2016). Brief educational strategies for improving contraception use in young people. In Cochrane Database of Systematic Reviews, 3. https://doi.org/10.1002/14651858.CD012025.pub2 DOI: https://doi.org/10.1002/14651858.CD012025.pub2

Mandiwa, C., Namondwe, B., Makwinja, A., & Zamawe, C. (2018). Factors associated with contraceptive use among young women in Malawi: analysis of the 2015–16 Malawi demographic and health survey data. Contraception and Reproductive Medicine, 3(1), 1–8. https://doi.org/10.1186/s40834-018-0065-x DOI: https://doi.org/10.1186/s40834-018-0065-x

Mulubwa, C., Munakampe, M. N., Namakula, H., Hernandez, A., Ssekamatte, T.,… & Tetui, M. (2021). Framing Contraceptive Use Motivations Among Adolescents and Young Adults Living in Informal Settlements in Kira Municipality, Wakiso District, Uganda. Frontiers in Global Women’s Health, 2:658515. https://doi.org/10.3389/fgwh.2021.658515 DOI: https://doi.org/10.3389/fgwh.2021.658515

Munakampe, M. N., Zulu, J. M., & Michelo, C. (2018). Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC health services research, 18(1), 1-13. https://doi.org/10.1186/s12913-018-3722-5 DOI: https://doi.org/10.1186/s12913-018-3722-5

Nyarko, S. H. (2015). Prevalence and correlates of contraceptive use among female adolescents in Ghana. BMC women's health, 15(60), 1-6. https://doi.org/10.1186/s12905-015-0221-2 DOI: https://doi.org/10.1186/s12905-015-0221-2

Oppong, F. B., Logo, D. D., Agbedra, S. Y., Adomah, A. A., Amenyaglo, S., Arhin-Wiredu, K., ... & Ae-Ngibise, K. A. (2021). Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study. BMJ open, 11(2), e043890. https://doi.org/10.1136/bmjopen-2020-043890 DOI: https://doi.org/10.1136/bmjopen-2020-043890

Prendergast, L. E., Leung, R., Toumbourou, J. W., Taft, A., McMorris, B. J., & Catalano, R. F. (2017). Sexual behaviour in early adolescence: a cross-national comparison of Australian and United States youth. Australian journal of psychology, 69(1), 3–11. https://doi.org/10.1111/ajpy.12118 DOI: https://doi.org/10.1111/ajpy.12118

Upadhyay, U. D., Raifman, S., & Raine-Bennett, T. (2016). Effects of relationship context on contraceptive use among young women. Contraception, 94(1), 68–73. https://doi.org/10.1016/j.contraception.2016.02.025 DOI: https://doi.org/10.1016/j.contraception.2016.02.025

World Health Organization. (2004). Contraception Issues in Adolescent Health and Development. Geneva: World Health Organization.

World Health Organization. (2020). Adolescent Pregnancy. Geneva: World Health Organization.

World Health Organization. (2021). Adolescent and young adult health. Geneva: World Health Organization.

Young, H., Burke, L., & Nic Gabhainn, S. (2018). Sexual intercourse, age of initiation and contraception among adolescents in Ireland: Findings from the Health Behaviour in School-aged Children (HBSC) Ireland study. BMC Public Health, 18(1), 1–17. https://doi.org/10.1186/s12889-018-5217-z DOI: https://doi.org/10.1186/s12889-018-5217-z

Downloads

Published

2022-06-27

How to Cite

Sugiarti, R. S. ., Helda, H., & Hikmah, K. . . (2022). Determinants of Contraceptive Use at The First Sexual Intercourse among Unmarried Adolescents in Indonesia: 2017 IDHS Analysis. JURNAL INFO KESEHATAN, 20(1), 60–72. https://doi.org/10.31965/infokes.Vol20.Iss1.684
Abstract viewed = 100 times