Path Analysis on Factors Affecting the Willingness to Accept Vasectomy among Men in Sanden Community Health Center, Bantul, Yogyakarta, Indonesia
Abstract
Background: Family Planning Program 0r Program Keluarga Berencana (KB) is a program initiated by the government to improve the quality of life in Indonesia. One of contraception methods for men is MOP (Operation Method Man) or a vasectomy. Most of society norms regard that family planning is the area of women and men do not need to be involved is also one reason for the lack of participation of men in family planning. This study aimed to investigate of path analysis affecting the willingness of husband as vasectomy acceptors.
Subjects and Method: This was observational analytic study with case control design. This was conducted in Puskesmas Sanden Bantul, Indonesia. A total sample of 90 respondents was selected by Fixed Disease Sampling. Data analysis used Path Analysis.
Results: There is no direct correlation between attitude and willingness of husband as an acceptor of vasectomy (b= 3.21; 95% CI= 1.74 to 4.69; p <0.001), an indirect correlation between subjective norms and husband’s willingness as vasectomy acceptors (b= 2.08; 95% CI= 0.44 to 3.72; p= 0.013), perceived behavioral (b= 1.73; 95% CI= 0.25 to 3.20; p= 0.021), a direct correlation between the perception of behavioral control and a husband’s willingness as an acceptor of vasectomy (b= 1.49; 95 % CI= 0.36 to 3.62; p= 0.010) intention and willingness husband's vasectomy using (the value of coefficient b= 2.13; 95 % CI=1.00 to 3.27; p <0.001).
Conclusion: There is an indirect and direct correlation of husband’s willingness as an acceptor of vasectomy by Theory of Planned Behaviour.
Keywords: attitude, subjective norms, perceived behavioral, intention, willingness
Correspondence: Dechoni Rahmawati. School of Health Jenderal Ahmad Yani, Yogyakarta.
Journal of Health Promotion and Behavior (2016), 1(1): 26-31
https://doi.org/10.26911/thejhpb.2016.01.01.04
References
Addah AO (2014). To Determine The Knowledge and Attitudes on Modern Contraceptive Use Amongst Antenatal Attendees At The Niger Delta University Teaching Hospital, Okolobiri, South South, Nigeria. IOSR Journal of Dental and Medical Sciences (IOSRJDMS). 13 (4): 01-07.
Agarwal K (2011). Family Planning and Reproductive Health, Paper Council on Foreign Relations: 1-14.
Arum DSN, Sujiyati (2009). Panduan Lengkap Pelayanan KB Terkini. Yogyakarta: Nuha Medika.
Badrujaman A (2008). Sosiologi Untuk Mahasiswa Keperawatan. Jakarta: Trans Info Media.
BKKBN (2011). Kajian Implementasi Kebijakan Penggunaan Kontrasepsi IUD. Pusat Penelitian dan Pengembangan KBKS, Badan Kependudukan dan Keluarga Berencana Nasional.
-------- (2007). Badan Pusat Statistik Kementerian Kesehatan, Survei Demografi dan Kesehatan Indonesia.
-------- (2011). Sterilisasi Kurang Mendongkrak Penurunan Fertilitas. Pusat Penelitian dan Pengembangan KBKS, Badan Kependudukan dan Keluarga Berencana Nasional.
Budisantoso (2009). Partisipasi Pria dalam Keluarga Berencana di Kecamatan Jetis Kabupaten Bantul. Jurnal Promosi Kesehatan Indonesia: 4 (2).
Bunce A (2007). Factors Affecting Vasectomy Acceptability in Tanzania. International Family Planning Perspectives: 33 (1).
Christina, Sonachi, Chinomso (2014), Knowledge and Attitude of Men Abour Vasectomy as a Method of Family Planning among married man woking in Babcock University, Ogun State, Nigeria. International Journal of Nursing and Midwifery 7 (3): 30-35
Conner M (2002). Health Behaviors. Journal University of Leeds UK.
Creswell JW (2008). Educational Research: Planning, Conducting, And Evaluating Qualitative And Qualitative Research (3rd ed.). (New Jersey: Pearson Merill. Prentice Hall).
Fitri M, Wantouw B, Tendean L (2013). Pengaruh Vasektomi terhadap Fungsi Seksualitas Pria. Jurnal e-Biomedik (eBM): 1 (1).
Ghozali I (2011). Model Persamaan Struktural dan Aplikasi dengan Program Amos 21. Semarang: Badan Penerbit Universitas Diponegoro.
Hanum M (2009). Sosiologi dan Antropologi Kesehatan. Yogyakarta: Nuha Medika.
Hartanto H (2010). Keluarga Berencana and Kontrasepsi, Pustaka Sinar Harapan, Jakarta.
Heejung SK, David KS, Shelley ET (2008). Culture and Sociap Support. American Psychologist.
Hidayati R (2009). Asuhan Keperawatan pada Kehamilan Fisiologis dan Patologis. Jakarta: Salemba Medika.
Indonesia Demographic and Health Survey (IDHS) (2013). Statistics Indonesia National Population and Family Planning Board Ministry of Health. MEASURE DHS: ICF International
Isnawati D, Suhariadi F (2013). Hubungan antara Dukungan Sosial dengan Penyesuaian Diri Masa Persiapan Pensiun pada Karyawan PT Pupuk Kaltim. Jurnal Psikologi Industri dan Organisasi 2 (1): 1-6.
Jones RK (2011). Beyond Birth Control: The Overlooked Benefits of Oral Contraceptive Pills. New York: Guttmacher Institute.
Kavanaugh ML, Anderson RM (2013). Contraception and Beyond: The Health Benefits of Services Provided at Family Planning Centers. New York: Guttmacher Institute.
Mahat K, Pacheun O, Taechaboonsermsak P (2010). Intention to Accept Vasectomy among Married Men in Kathmandu, Nepal. Asia Journal of Public Health, 1(1)
Murti B (2003). Prinsip dan metode riset epidemiologi. Edisi Kedua, Jilid Pertama. Yogyakarta: Gajah Mada University Press.
--------(2013). Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif di bidang kesehatan. Cetakan ketiga. Yogyakarta: Gajah Mada University Press.
Nugroho T, Utama BI (2014). Masalah Kesehatan Reproduksi Wanita. Yogyakarta: Nuha Medika.
Pinem S (2009). Kesehatan reproduksi dan kontrasepsi. Jakarta: Trans Info Media.
Prawirohardjo S (2009). Ilmu Kebidanan. Jakarta: YBPSP.
Rayala BZ, Viera AJ (2013). Common Questions About Vasectomy. American Family Physician 88 (11).
Samandari G, Speizer IS, O’Connell K (2010). The Role of Social Support and Parity on Contraceptive use in Cambodia. International Perspectives on Sexual and Reproductive Health, 26(3).
Sarafino EP (2006). Health Psychology, Biopsychological Interaction. New York: John Wiley & Sons.
Sarason GI, Sarason RB (2009). Social support: Mapping the construct. Journal Vo. 26 Number 1.
Skinner BF (1938). The Behavior of Organisms: An Experimental Analysis. Cambridge, Massachusetts: B.F. Skinner Foundation.
Stright, Barbara R (2004). Keperawatan Ibu Bayi Baru Lahir. Jakarta: EGC.
Suratun (2008). Pelayanan Keluarga Berencana dan Kontrasepsi. Jakarta: Trans Infomedia.
Tukiran (2010). Keluarga Berencana dan Kesehatan Reproduksi. Yogyakarta: Nuha Medika.
Undang-Undang Republik Indonesia Nomor 52 Tahun 2009 Tentang Perkembangan Kependudukan dan Pembangunan Keluarga.
Winardi (2007). Manajemen Perilaku Organisasi. Cetakan kedua. Jakarta: Kencana Prenada Media Group.
Winner B (2012). Effectiveness of Long Acting Reversible Contraception. The New England Journal of Medicine.
