Predicting Contraceptive Use Behavior Using the Health Belief Model Theory


  • Retno Heru Setyorini Sekolah Tinggi Ilmu Kesehatan AKBIDYO
  • Riadini Wahyu Utami Sekolah Tinggi Ilmu Kesehatan Akbidyo



Although the achievement of the Modern Contraceptive Prevelance Rate in Indonesia is high, unmet need is still a target that has not been in accordance with the target that has been set. This still shows the low use of contraceptives by women of childbearing age. The purpose of this study was to determine the factors associated with the use of contraception. A cross sectional study was conducted from January to February 2022 in Sewon District, Bantul Regency. Data were collected using a questionnaire on 116 women of childbearing age who have children and have WhatsApp media. The sample size was calculated using the Raosoft Sample Size Calculator software with a 95% confidence level from 165 women of childbearing age. By using path analysis, it can be seen that perceived threat perception has a direct effect on contraceptive use behavior (b=1.26, 95% CI= 0.48 to 2.05, p=0.001). Perception of seriousness had an indirect effect on contraceptive use through perceived threat perception (b=2.14, 95% CI=1.12 to 3.15, p<0.001). Perceived severity had an indirect effect on contraceptive use through perceived threat perception (b=1.98, 95% CI=.93 to 3.04, p<0.001). Initiatives are needed to improve contraceptive use behavior. Furthermore, these findings can be considered in the formulation of health care policies to overcome problems that hinder the use of contraception by women of childbearing age.


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Ayuningrum IY & Murti B (2020) Path Analysis & Structual Equation Model Application with STATA. 2nd edn. Central Java: Bintang Fajar Offset.

Bahk, J. et al. (2015) ‘Impact of unintended pregnancy on maternal mental health: A causal analysis using follow up data of the Panel Study on Korean Children (PSKC)’, BMC Pregnancy and Childbirth, 15(1), pp. 1–12. doi: 10.1186/s12884-015-0505-4.

BKKBN (2020a) Dampak Covid-19 Terhadap Keluarga Berencana, Kesehatan Ibu, Dan Kekerasan Berbasis Gender. Available at:

BKKBN (2020b) Laporan Kinerja Instansi Pemerintah. Available at: BKKBN - TAHUN 2020.pdf.

Cedars, M. I. (2015) ‘Introduction: Childhood implications of parental aging’, Fertility and Sterility, 103(6), pp. 1379–1380. doi: 10.1016/J.FERTNSTERT.2015.04.011.

Dewi, A. V. N., Kamila, N. S. S. and Nurhidayati, S. (2021) ‘The Relationship Between Educational Level of Fertile Age Women and Contraception Knowledge to Prevent the Unwanted Pregnancy in the COVID-19 Pandemic Era’, PLACENTUM: Jurnal Ilmiah Kesehatan dan Aplikasinya, 9(3), p. 25. doi: 10.20961/placentum.v9i3.54858.

Dior, U. P. et al. (2013) ‘Association between number of children and mortality of mothers: results of a 37-year follow-up study $watermark-text $watermark-text $watermark-text’, Ann Epidemiol, 23(1), pp. 13–18. doi: 10.1016/j.annepidem.2012.10.005.

Glanz, K., Rimer, B. K. and Viswanath, K. (2008) Health Behavior And Health Education. Theory, Research, and Practice. 4TH Editio. Edited by Foreword by.C.Tracy Orleans. San Francisco: Jossey-Bass. Available at: (Accessed: 31 January 2019).

Hall, K. S. (2012) ‘The Health Belief Model Can Guide Modern Contraceptive Behavior Research and Practice’, Journal of Midwifery & Women’s Health, 57(1), pp. 74–81. doi: 10.1111/j.1542-2011.2011.00110.x.

Hernandez-correa, J. C. (2010) ‘Economic and Risk Factors Associated with Sexual and Reproductive Health’.

Hogan, M. C. et al. (2010) ‘Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5’, The Lancet, 375(9726), pp. 1609–1623. doi: 10.1016/S0140-6736(10)60518-1.

Islam, A. Z., Mostofa, M. G. and Islam, M. A. (2016) ‘Factors affecting unmet need for contraception among currently married fecund young women in Bangladesh’, European Journal of Contraception and Reproductive Health Care, 21(6), pp. 443–448. doi: 10.1080/13625187.2016.1234034.

Kriel, Y. et al. (2019) ‘Male partner influence on family planning and contraceptive use: Perspectives from community members and healthcare providers in KwaZulu-Natal, South Africa’, Reproductive Health, 16(1), pp. 1–15. doi: 10.1186/s12978-019-0749-y.

Lampinen, R., Vehviläinen-Julkunen, K. and Kankkunen, P. (2009) ‘A Review of Pregnancy in Women Over 35 Years of Age’, The Open Nursing Journal, 3, pp. 33–38. doi: 10.2174/1874434600903010033.

Lombardi, S. et al. (2017) ‘Generalized structural equations improve sexual-selection analyses’, PLoS ONE, 12(8), pp. 1–20. doi: 10.1371/journal.pone.0181305.

Mak, H. W., Kim, J. and Wang, S. (2019) ‘The Role of Parent-Adolescent Relationships in the Development of (Pre)Hypertension in Young Adulthood in the U.S.’, Journal of Adolescent Health, 64(2), pp. 258–264. doi: 10.1016/j.jadohealth.2018.08.009.

Mandiwa, C. et al. (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), pp. 1–8. doi: 10.1186/s40834-018-0065-x.

Molla, M. et al. (2015) ‘Impacts of maternal mortality on living children and families: A qualitative study from Butajira, Ethiopia’, Reproductive Health, 12(1), pp. 1–9. doi: 10.1186/1742-4755-12-S1-S6.

Motlaq, M. E. et al. (2013) ‘Contraceptive use and unmet need for family planning in Iran’, International Journal of Gynecology and Obstetrics, 121(2), pp. 157–161. doi: 10.1016/j.ijgo.2012.11.024.

Mubarak, W. . (2011) Promosi Kesehatan Masyarakat untuk Kebidanan. Jakarta: Salemba Medika.

Nurjasmi, E. (2014) Anggapan ‘Banyak Anak Banyak Rezeki’ Masih Jadi Hambatan Program KB.

Steele, J. S. (2017) Path Analysis Introduction and Example A simple example. Available at: (Accessed: 9 September 2021).

Suplee, P. D., Dawley, K. and Bloch, J. R. (2007) ‘Tailoring peripartum nursing care for women of advanced maternal age’, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36(6), pp. 616–623. doi: 10.1111/J.1552-6909.2007.00197.X.

Tessema, Z. T. et al. (2021) ‘Pooled prevalence and determinants of modern contraceptive utilization in East Africa: A Multi-country Analysis of recent Demographic and Health Surveys’, PLoS ONE, 16(3 March), pp. 1–16. doi: 10.1371/journal.pone.0247992.

Wang, S. et al. (2020) ‘Changing trends of birth weight with maternal age: a cross-sectional study in Xi’an city of Northwestern China’, BMC Pregnancy and Childbirth, 20(1), pp. 1–8. doi: 10.1186/s12884-020-03445-2.

WHO (2020) SDG 3: Ensure healthy lives and promote wellbeing for all at all ages. Available at: (Accessed: 29 July 2020).







How to Cite

Retno Heru Setyorini, Utami RW. Predicting Contraceptive Use Behavior Using the Health Belief Model Theory. J Keskom [Internet]. 2022 Sep. 30 [cited 2023 Oct. 4];8(2):372-80. Available from: