Application of Health Belief Model on Factors Influencing Long-Term Contraceptive Use
Background: Family planning is one of the strategies to reduce maternal mortality. Data in 2017 shows that in Indonesia, out of 37,338,265 couples of reproductive age there were 18.63% who did not do family planning. Women of reproductive age (WRA) who have not done family planning can affect reproductive health. This study aimed to analyze factors influencing long-term contraceptive method (LTCM) using health belief model theory.
Subjects and Method: This was a cross sectional study conducted in Sleman, Central Java, from March to April 2019. A sample of 220 women of reproductive age was selected by quota sampling. The dependent variable was LTCM use. The independent variables were perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, and culture. The data was collected by questionnaire and analyzed by a multiple logistic regression.
Results: Perceived severity (OR= 8.02; 95% CI= 2.62 to 24.51; p<0.001), perceived susceptibility (OR= 12.16; 95% CI= 3.65 to 40.42; p<0.001), perceived benefit (OR= 6.05; 95% CI= 2.10 to 17.40; p= 0.001), cues to action (OR= 6.98; 95% CI= 2.30 to 21.18; p= 0.001), self-efficacy (OR= 3.60; 95% CI= 1.23 to 10.52; p= 0.019), education (OR= 2.50; 95% CI= 1.40 to 10.41; p= 0.029), culture (OR= 6.65; 95% CI= 2.14 to 20.62; p= 0.001) increased long-term contraceptive use.
Conclusions: Perceived severity, perceived susceptibility, perceived benefit, cues to action, self-efficacy, education, culture increase long-term contraceptive use.
Keywords: family planning, long-term contraceptive, health belief model
Correspondence: Ayu Dhiah Pitaloka. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: firstname.lastname@example.org. Mobile: +62812266896291
Journal of Health Promotion and Behavior (2019), 4(1): 55-63
Aulia D (2016). Health beliefs model (HBM) of cervical cancer early detection behavior with IVA method on childbearing woman in Padang Pasir. Primary Health Center 2016, 2(1); 213-221. https://doi.org/10.1186/s13104.015.09746
Blackstone SR, Nwaozuru, U, Iwelunmor J (2017). Factors influencing contraceptive use in subsaharan Africa: a systematic review. International Quarterly of Community Health Education, 37(2):79-91. https://doi.org/10.1177/0272684X16685254.
BPS RI (2018). Statistik Indonesia 2018 (Indonesia Statistics 2018). Badan Pusat Statistik.
Brown A (2010). Longterm contraceptives. Best Practice and Research: Clinical Obstetrics and Gynaecology, 24 (5): 617-631. https://doi.org/10.1016/j.bpobgyn.2010.04.005
Chipeta EK, Chimwaza W, Kalilani PL (2010). Contraceptive knowledge, beliefs and attitudes in rural malawi: misinformation, misbeliefs and misperceptions. Malawi Medical Journal, 22(2): 38-41. https://doi.org/10.4314/mmj.v22i2.58790
Hoopes AJ, Ahrens KR, Gilmore K, Cady J, Haland WL, Oelschlager AMA, Prager S (2016). Knowledge and acceptability of longacting reversible contraception among adolescent women receiving schoolbased primary care services. Journal of Primary Cere and Community Health, 7(3): 165-170. https://doi.org/10.1177/2150131916641095
Kementerian Kesehatan RI (2018). Data dan informarsi profil kesehatan Indonesia 2017 (Indonesian health profile data and information 2017).
Luchowski AT, Anderson BL, Power ML, Raglan GB, Espey E, Schulkin J (2014). Obstetrician gynecologists and contraception: long-acting reversible contraception practices and education. Contraception, 89(6): 573-83. https://doi.org/10.1016/j.contraception.2014.02.004
Maghfiroh A, Budihastuti UR, Nurhaeni IDA (2019). Path analysis on factors affecting the choice of female surgical contraceptive method in Kendal, Central Java. Journal of Maternal and Child Health, 4(3): 146-157. https://doi.org/10.26911/thejmch.2019.04.03.02
Morse J, Freedman L, Speidel JJ, Thompson KMJ, Stratton L, Harper CC (2012). Postabortion contraception: qualitative interviews on counseling and provision of longacting reversible contraceptive methods. Perspectives on Sexual and Reproductive Health, 44(2): 100-6. https://doi.org/10.1363/4410012
Murti B (2018). Teori perilaku dan promosi kesehatan (1st ed.) (Behavioral theory and health promotion (1st ed.)). Surakarta: Universita Sebelas Maret.
Nugrahani RR, Budihastuti UR, Pamungkasari EP (2017). Health belief model on the factors associated with the use of HPV vaccine for the prevention of cervical cancer among women in Kediri, East Java. Journal of Epidemiology and Public Health, 2(1): 123-131. https://doi.org/10.26911/jepublichealth.2017.02.01.07
Pinter B, Hakim M, Seidman DS, Kubba A, Kishen M, Di Carlo C (2016). Religion and family planning. European Journal of Contraception and Reproductive Health Care, 21(6): 486-495. https://doi.org/10.1080/13625187.2016.1237631
RamosOrtiz ALD, Beth SA (2019). Using the theory of planned behavior and self-identity to explore women’s decision-making and intention to switch from combined oral contraceptive pill (COC) to longacting reversible contraceptive (LARC). BMC Women’s Health, 19(82): 324-654. https://doi.org/https://doi.org/10.1186/s1290501907728
RoderiqueDavies G, McKnight C, John B, Faulkner S, Lancastle D (2016). Models of health behaviour predict intention to use longacting reversible contraception. BMC Women’s Health, 12(6): 507512. https://doi.org/10.1177/1745505716678231
Shimeka Teferra A (2015). Determinants of longacting contraceptive use among reproductive age women in Ethiopia: evidence from EDHS 2011. Science Journal of Public Health, 3(1): 143-149. https://doi.org/10.11648/j.sjph.20150301.33
Tariku Tesfaye Haile BBA (2018). The prevalence and determinants of preference of long term contraceptive methods among married women in arba minch town, Ethiopia. International Journal of Biomedical materials research, 2(6): 26-34. https://doi.org/10.11648/j.ijbmr.20180602.11
Turok DK, Gawron LM, dan Lawson S (2016). New developments in longacting reversible contraception: the promise of intrauterine devices and implants to improve family planning services. Fertility and Sterility, 106(6): 1273-1281. https://doi.org/10.1016/j.fertnstert.2016.09.034
Wijaya VF , Rahardjo SS, dan Adriani RB (2019). Religious belief, social support, and the acceptance of intrauterine device among women of reproductive age in Klaten, Central Java. Journal of Maternal and Child Health, 4(3): 201-211. https://doi.org/10.26911/thejmch.2019.04.03.07
Yakubu I, Salisu WJ (2018). Determinants of adolescent pregnancy in SubSaharan Africa: a systematic review. Reproductive Health, 5(1): 256-267. https://doi.org/10.1186/s12978-01804604
Yalew SA, Zeleke BM, Teferra AS (2015). Demand for long acting contraceptive methods and associated factors among family planning service users, Northwest Ethiopia: a health facility based cross sectional study. BMC Research Notes. https://doi.org/10.1186/s13104-015-0974-6