Contraceptive Knowledge, Contraceptive Self-Efficacy and Contraceptive Use among Married Adolescent Women in Indonesia

Juwitasari, Hsu, Yu-Yun

ABSTRACT
Background: The contraceptive use became a recommended solution to minimize the maternal complications in married adolescent women who had an immature reproductive system. There was a limited study which identifies the demographic characteristics, health-related factors, contraceptive knowledge, and contraceptive self-efficacy in relation with contraceptive use and its determinant factors.
Purpose: This study investigated the associations of contraceptive knowledge, contraceptive self-efficacy, and contraceptive use among married adolescent women in Indonesia.
Methods: A cross sectional study recruited 204 married adolescent women (15-19 years old) from 2 sub-districts of Malang Regency, East Java, Indonesia. The demographic data, health-related factors, contraceptive use, and contraceptive knowledge were identified using thirteen items of a self-administered questionnaire from Indonesian Demographic Health Survey (IDHS) 2017. The married adolescent women contraceptive self-efficacy was assessed using 18-items of Family Planning Self-Efficacy Scale. Stepwise logistic regression was applied to identify the significant determinant factors of contraceptive use.
Results: Fifty-nine-point three percent of 204 participants used contraception. The mean of the contraceptive knowledge (range 0-13) was (7.31 ± 2.40) and the mean of the contraceptive self-efficacy (range 18-90) was (55.55 ± 14.17). The determinant factors of contraceptive use included the duration of married (OR: 2.20, 95% CI: 1.17 – 4.13), a plan to use contraception (OR: 29.04, 95% CI: 9.63 – 87.57), communication (OR: 1.10, 95% CI: 1.00 – 1.21), and contraceptive knowledge (OR: 1.41, 95% CI: 1.17 – 1.70).
Conclusion: Identification determinant factors of contraceptive use were essential in establishing the appropriate strategies to initiate married adolescent women-friendly contraceptive services. It was important to recommend the new policy which ensures the equality of qualified contraceptive access and services especially for married adolescent women in the rural area in Indonesia.
Keywords: married adolescent women, contraceptive knowledge, contraceptive self-efficacy, contraceptive use

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