Memprediksi Perilaku Penggunaan Kontrasepsi Menggunakan Theory Health Belief Model
DOI:
https://doi.org/10.25311/keskom.Vol8.Iss2.1221Abstrak
Latar Belakang: Meskipun capaian Modern Contraceptive Prevelance Rate di Indonesia termasuk tinggi, akan tetapi unmet need masih menjadi sasaran yang belum sesuai dengan target yang telah ditetapkan. Hal ini masih menunjukkan rendahnya penggunaan alat kontrasepsi oleh wanita usia subur. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan penggunaan kontrasepsi. Metode: Penelitian cross sectional dilakukan dari Januari hingga Februari 2022 di Kecamatan Sewon Kabupaten Bantul. Data dikumpulkan dengan menggunakan kuesioner pada 116 wanita usia subur yang telah memiliki anak dan mempunyai media WhatsApp. Besar sampel dihitung dengan Software Raosoft Sample Size Calculator dengan derajat kepercayaan 95% dari 165 wanita usia subur. Hasil: Dengan menggunakan analisis jalur, dapat diketahui bahwa persepsi ancaman yang dirasakan berpengaruh secara langsung terhadap perilaku penggunaan kontrasepsi (b=1,26, CI 95%= 0,48 hingga 2,05, p=0,001). Persepsi keseriusan berpengaruh tidak langsung terhadap penggunaan kontrasepsi melalui persepsi ancaman yang dirasakan (b=2,14, CI 95%=1,12 hingga 3,15, p<0,001). Persepsi keparahan berpengaruh tidak langsung terhadap penggunaan kontrasepsi melalui persepsi ancaman yang dirasakan (b=1,98, 95% CI=,93 hingga 3,04, p<0,001). Simpulan: Diperlukan inisiatif untuk meningkatkan perilaku penggunaan kontrasepsi. Selanjutnya hasil temuan ini dapat dipertimbangkan dalam perumusan kebijakan pelayanan kesehatan untuk mengatasi masalah yang menjadi hambatan penggunaan kontrasepsi oleh wanita usia subur.
Unduhan
Referensi
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: https://www.bkkbn.go.id/detailpost/dampak-covid-19-terhadap-keluarga-berencana-kesehatan-ibu-dan-kekerasan-berbasis-gender.
BKKBN (2020b) Laporan Kinerja Instansi Pemerintah. Available at: https://www.bkkbn.go.id/po-content/uploads/LAKIP-2020-2021/LAKIP 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: http://fhc.sums.ac.ir/files/salamat/health_education.pdf (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: http://web.pdx.edu/~joel8/resources/ConceptualPresentationResources/PathAnalysis_Intro_and_Walkthrough.pdf (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: https://www.who.int/sdg/targets/en/ (Accessed: 29 July 2020).
Unduhan
Telah diserahkan
diterima
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2022 Jurnal Kesehatan Komunitas
Artikel ini berlisensiCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium
