PENGGUNAAN KONTRASEPSI PADA WANITA PREMENOPAUSE DI INDONESIA: PREVALENSI DAN DETERMINAN BERDASARKAN SUSENAS 2022

Authors

DOI:

https://doi.org/10.58185/jkr.v15i1.155

Keywords:

contraceptive prevalence, hormonal methods, premenopausal women

Abstract

Prevalence and Determinants of Contraceptive Use Among Premenopausal Women in Indonesia: Evidence from the 2022 Indonesia National Socioeconomic Survey (SUSENAS)

Background: Premenopausal women encounter distinct reproductive health challenges characterized by irregular menstrual cycles and hormonal fluctuations, making them susceptible to unwanted pregnancies and associated health problems. Understanding the contraceptive needs and preferences of premenopausal women is essential for effective family planning strategies. Objective: This study examined the prevalence and socioeconomic determinants of contraceptive use among premenopausal women.  Method: We analyzed the National Socio-Economic Survey (Susenas) 2022 data, including 126,444 premenopausal married women aged 35-49 years.  Prevalence was measured using percentages, and the factors of contraceptive use in premenopausal women were investigated using multinomial logistic regression analysis. Results: The prevalence of contraceptive use in premenopausal women was 55%. Hormonal methods, comprising 44.2%, emerged as the predominant method. A multinomial logistic regression revealed that contraceptive use was associated with age, education level, place of residence, type of insurance membership and household economic status.  Conclusion: More than half of premenopausal women in Indonesia use contraception. The type of contraception used in this population needs to be carefully examined, particularly for short-term hormonal. Comprehensive information and education regarding the side effects and impacts of each contraceptive method are important and must be provided to all prospective clients, whatever their background, before using contraception.

References

Towner MC, Nenko I, Walton SE. Why do women stop reproducing before menopause? A life-history approach to age at last birth. Philos Trans R Soc B Biol Sci. 2016 Apr;371(1692). https://doi.org/10.1098/rstb.2015.0147

Bakour SH, Hatti A, Whalen S. Contraceptive methods and issues around the menopause: an evidence update. Obstet Gynaecol. 2017;19(4):289–97. https://doi.org/10.1111/tog.12416

Wellings K, Jones KG, Mercer CH, Tanton C, Clifton S, Datta J, et al. The prevalence of unplanned pregnancy and associated factors in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet. 2013;382(9907):1807–16. https://doi.org/10.1016/S0140-6736(13)62071-1

Matthews TJ, Hamilton BE. First births to older women continue to rise. NCHS data brief. 2014.

Gottschalk MS, Eskild A, Tanbo TG, Bjelland EK. Childbirth close to natural menopause: does age at menopause matter? Reprod Biomed Online. 2019 Jul;39(1):169–75. https://doi.org/10.1016/j.rbmo.2019.03.209

BPS, BKKBN, Kemenkes U. Survei Demografi Dan Kesehatan. Badan Kependud dan Kel Berencana Nas. 2017;1–606.

Glick I, Kadish E, Rottenstreich M. Management of pregnancy in women of advanced maternal age: Improving outcomes for mother and baby. Int J Womens Health. 2021;13:751–9. https://doi.org/10.2147/IJWH.S283216

Grandi G, Di Vinci P, Sgandurra A, Feliciello L, Monari F, Facchinetti F. Contraception During Perimenopause: Practical Guidance. Int J Womens Health. 2022;14:913–29. https://doi.org/10.2147/IJWH.S288070

Ogawa K, Urayama KY, Tanigaki S, Sago H, Sato S, Saito S, et al. Association between very advanced maternal age and adverse pregnancy outcomes: A cross sectional Japanese study. BMC Pregnancy Childbirth. 2017 Oct;17(1):1–10. https://doi.org/10.1186/s12884-017-1540-0

Mehari MA, Maeruf H, Robles CC, Woldemariam S, Adhena T, Mulugeta M, et al. Advanced maternal age pregnancy and its adverse obstetrical and perinatal outcomes in Ayder comprehensive specialized hospital, Northern Ethiopia, 2017: A comparative cross-sectional study. BMC Pregnancy Childbirth. 2020 Jan;20(1). https://doi.org/10.1186/s12884-020-2740-6

Tyas BD, Lestari P, Aldika Akbar MI. Maternal Perinatal Outcomes Related to Advanced Maternal Age in Preeclampsia Pregnant Women. J Fam Reprod Heal. 2020 Apr;13(4):191. https://doi.org/10.18502/jfrh.v13i4.2646

Correa-De-Araujo R, Yoon SS. Clinical Outcomes in High-Risk Pregnancies Due to Advanced Maternal Age. J Women’s Heal. 2021 Feb;30(2):160–7. https://doi.org/10.1089/jwh.2020.8860

Fajarningtiyas DN, Sulistiawan D, Naibaho MMP, Arifa RF. Pattern and determinant of contraceptive use among women in indonesia from 2007 to 2017: Evidence from demographic and health survey. Open Access Maced J Med Sci. 2021;9:1363–70. https://doi.org/10.3889/oamjms.2021.7417

Statistics Indonesia; National Population and Family Planning Board; Ministry of Health; USAID. Indonesian Demographic and Health Survey 2017. Jakarta; 2018.

Bujawati E, Damayati D, Aeni S, Nurmaghfirawati N, Basri S. The Relationship Between Hormonal Contraception Use with the Occurrence of Hypertension Among Women at reproductive age at Kassi-Kassi Health Center Makassar. 2019; https://doi.org/10.4108/eai.26-10-2018.2288623

Wahidin M, Djuwita R, Adisasmita A. Oral contraceptive and breast cancer risks: A case control study in six referral hospitals in Indonesia. Asian Pacific J Cancer Prev. 2018;19(8):2199–203.

Nindrea RD, Anwar SL, Harahap WA, Lazuardi L, Dwiprahasto I, Aryandono T. Oral contraceptive used more than 5 years is associated with increased risk of breast cancer: A meta-analysis of 28,776 South east Asian women. Syst Rev Pharm. 2019;10(2):137–48. https://doi.org/10.21203/rs.2.17486/v1

Iversen L, Fielding S, Lidegaard Ø, Hannaford PC. Contemporary hormonal contraception and cervical cancer in women of reproductive age. Int J Cancer. 2021;149(4):769–77. https://doi.org/10.1002/ijc.33585

Zuwariah N, Amalia R, Ainiyah S. Cervical Cancer Incidence Correlation With Hormonal Contraceptive Use. J Heal Sci. 2021;14(1):63–7. https://doi.org/10.33086/jhs.v14i1.1210

Afriyanti N, Pamungkasari EP, Prasetya H. Path Analysis on the Effect of Hormonal Contraceptive Use on the Risk of Depression in Women of Reproductive Age in Gunungkidul, Yogyakarta. J Matern Child Heal. 2020;5(6):651–62. https://doi.org/10.26911/thejmch.2020.05.06.05.

Idris H. Factors Affecting the Use of Contraceptive in Indonesia: Analysis from the National Socioeconomic Survey (Susenas). J Kesehat Masy. 2019;15(1):117–23. https://doi.org/10.15294/kemas.v15i1.14098

Gayatri M, Utomo B. Contraceptive method use in Indonesia: Trends and determinants between 2007, 2012 and 2017. Indian J Public Heal Res Dev. 2019;10(12):1818–23. https://doi.org/10.37506/v10/i12/2019/ijphrd/192130

Gafar A, Suza DE, Efendi F, Pramono AP, Susanti IA, Mishbahatul E. Determinants of contraceptive use among married women in Indonesia [ version 1 ; peer review : 2 approved ]. F1000Research. 2020;6(APR):1–9. https://doi.org/10.12688/f1000research.22482.1

Sari DN. Sex Preference on Child and Modern Contraception Use in Fertile Age Women in Indonesia (Analysis of Idhs 2017). J Biometrika dan Kependud. 2020;9(1):77. https://doi.org/10.20473/jbk.v9i1.2020.77-86

Gayatri M, Fajarningtiyas DN. Unmet Need for Contraception Among Young Women: Evidence From Indonesia. J Popul Soc Stud. 2022;31:170–85. https://doi.org/10.25133/JPSSv312023.010

Mas’udah AF, Pristya TYR, Andarmoyo S. Parity and marital status as factors influencing contraceptive use among adolescents in Indonesia. Kesmas. 2021;16(1):33–8. https://doi.org/10.21109/kesmas.v16i1.3276

Hamoda H, Sharma A. Premature ovarian insufficiency, early menopause, and induced menopause. Best Pract Res Clin Endocrinol Metab. 2024 Jan;38(1):101823. https://doi.org/10.1016/j.beem.2023.101823

Spagnoletti BRM, Bennett LR, Kermode M, Wilopo SA. ‘The final decision is with the patient’: reproductive modernity and preferences for non-hormonal and non-biomedical contraceptives among postpartum middle class women in Yogyakarta, Indonesia. Asian Popul Stud. 2019 Jan;15(1):105–25. https://doi.org/10.1080/17441730.2019.1578532

Takyi A, Sato M, Adjabeng M, Smith C. Factors that influence modern contraceptive use among women aged 35 to 49 years and their male partners in Gomoa West District, Ghana: a qualitative study. Trop Med Health. 2023 Dec;51(1):1–12. https://doi.org/10.1186/s41182-023-00531-x

Burgin J, Bailey J V. Factors affecting contraceptive choice in women over 40: A qualitative study. BMJ Open. 2022 Nov;12(11). https://doi.org/10.1136/bmjopen-2022-064987

Mosorin ME, Haverinen A, Ollila MM, Nordström T, Jokelainen J, Keinänen-Kiukaanniemi S, et al. Current use of combined hormonal contraception is associated with glucose metabolism disorders in perimenopausal women. Eur J Endocrinol. 2020;183(6):619–26. https://doi.org/10.1530/EJE-20-0406

Williams JS, MacDonald MJ. Influence of hormonal contraceptives on peripheral vascular function and structure in premenopausal females: A review. Am J Physiol - Hear Circ Physiol. 2021 Jan;320(1):H77–89. https://doi.org/10.1152/ajpheart.00614.2020

Ontiri S, Ndirangu G, Kabue M, Biesma R, Stekelenburg J, Ouma C. Long-acting reversible contraception uptake and associated factors among women of reproductive age in rural Kenya. Int J Environ Res Public Health. 2019;16(9):1–11. https://doi.org/10.3390/ijerph16091543

Rahman MM, Mostofa MG, Hoque MA. Women’s household decision-making autonomy and contraceptive behavior among Bangladeshi women. Sex Reprod Healthc. 2014;5(1):9–15. https://doi.org/10.1016/j.srhc.2013.12.003

Nadeem M, Malik MI, Anwar M, Khurram S. Women Decision Making Autonomy as a Facilitating Factor for Contraceptive Use for Family Planning in Pakistan. Soc Indic Res. 2021;156(1):71–89. https://doi.org/10.1007/s11205-021-02633-7

Darroch JESS; NJ. Contraception : An Investment in Lives , Health and Development Women ’ s ability to practice contraception is essential to protect-. Br. 2015;(5).

McDougal L, Singh A, Kumar K, Dehingia N, Barros AJD, Ewerling F, et al. Planning for work: Exploring the relationship between contraceptive use and women’s sector-specific employment in India. PLoS One. 2021 Mar;16(3 March). https://doi.org/10.1371/journal.pone.0248391

Rohmah N, Yusuf A, Hargono R, Laksono AD, Masruroh, Sujoso ADP, et al. Barrier to contraceptive use among childbearing age women in rural Indonesia. Malaysian Fam Physician. 2021 Nov;16(3):16–22. https://doi.org/10.51866/oa1020

Teplitskaya L, Ross R, Dutta A. Has Indonesia’s National Health Insurance Scheme Improved Family Planning Use? Washington DC; 2018.

Gayatri M. Determinants of Contraceptive Use in Rural Poor Areas: Evidence From Indonesia. Indones J Public Heal. 2023;18(1):34–46. https://doi.org/10.20473/ijph.v18i1.2023.34-46

Published

2024-06-30

How to Cite

Arifa, R. F., & Sulistiawan, D. (2024). PENGGUNAAN KONTRASEPSI PADA WANITA PREMENOPAUSE DI INDONESIA: PREVALENSI DAN DETERMINAN BERDASARKAN SUSENAS 2022 . JURNAL KESEHATAN REPRODUKSI, 15(1), 104–118. https://doi.org/10.58185/jkr.v15i1.155