The Use of Contraception and Adolescent Fertility in Indonesia

Authors

  • Hery Ernawati Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gajah Mada, Yogyakarta, Indonesia; Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Ponorogo, Indonesia
  • Anni Fithriyatul Mas'udah Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Ponorogo, Indonesia
  • Ova Emilia Department of Medical Education and Bioethics, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, Indonesia
  • Lely Lusmilasari Department of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Laily Isroin Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Ponorogo, Indonesia
  • Metti Verawati Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Ponorogo, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7096

Keywords:

Contraception, Fertility, Adolescent

Abstract

INTRODUCTION: Fertility in adolescents is closely related to the incidence of early marriage which will have an impact on increasing the incidence of pregnancy in adolescents so that it will directly affect the health of mothers and babies. The younger the age at marriage, the higher the fertility rate.

AIM: This study aimed to determine the relationship between contraception and fertility among ado­lescents.

METHODS: This quantitative study used a cross-sectional design. The population of this study was adolescents aged 15–19 years in Indonesia. The total sample of 7,547 adolescents was selected from the 2017 Indonesia Demographic and Health Survey (IDHS). Multivariate analysis using binary logistic regression was used to analyze the independent variable (contraception use) on the dependent variable (fertility) with education, work status, region, age at first sexual intercourse, economic status, and marital status as the controlled variables.

RESULTS: Multiple logistic regression analysis was used to report the relationship between independent and dependent variables controlled by potential confounder variables. The results showed that the odds ratio of contraceptives users was 46 times compared to non-user after being controlled by confounding variables (AOR=4.8; 95%CI 33.857 – 441.046) after controlled by economic status, age at first exual intercourse, and marital status.

CONCLUSION: The relationship between contraceptive use and fertility in adolescents is affected by confounding variables such as age at first sexual intercourse, economic status, and marital status. In addition, the odds ratio of contraceptives users was 46 times compared to non-users after being controlled by confounding variables.

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References

World Health Organization. Agenda for Sustainable Development. Geneva: World Health Organization; 2019.

BPS. Adolescents Population; 2019.

World Health Organization. Adolescent Fertility. Geneva: World Health Organization; 2019.

Mas’udah AF, Besral B, Djaafara BA. Risk of adolescent pregnancy toward maternal and infant health, analisis of IDHS 2012. Kesmas Natl Public Health J. 2018;12(3):120-6. Available from: http://www.jurnalkesmas.ui.ac.id/kesmas/article/view/1691 [Last accessed on 2019 Jul 31]. DOI: https://doi.org/10.21109/kesmas.v12i3.1691

Ernawati H, Verawati M, Kesehatan FI, Ponorogo UM. Kesehatan ibu dan bayi pada pernikahan dini. Media Ilmu Kesehat. 2014;3(3):132-9.

Munakampe MN, Fwemba I, Zulu JM, Michelo C. Association between socioeconomic status and fertility among adolescents aged 15 to 19: An analysis of the 2013/2014 Zambia demographic health survey (ZDHS). Reprod Health. 2021;18(1):182. https://doi.org/10.1186/s12978-021-01230-8 PMid: 34507589 DOI: https://doi.org/10.21203/rs.2.22655/v2

Sedekia Y, Jones C, Nathan R, Schellenberg J, Marchant T. Using contraceptives to delay first birth: A qualitative study of individual, community and health provider perceptions in Southern Tanzania. BMC Public Health. 2017;17(1):768. https://doi.org/10.1186/s12889-017-4759-9 Mid:28974208 DOI: https://doi.org/10.1186/s12889-017-4759-9

Yaya S, Zegeye B, Ahinkorah BO, Oladimeji KE, Shibre G. Inequality in fertility rate among adolescents: Evidence from Timor- Leste demographic and health surveys 2009-2016. Arch Public Health. 2020;78:98. https://doi.org/10.1186/s13690-020-00484-1 PMid:33072317 DOI: https://doi.org/10.1186/s13690-020-00484-1

Mekonnen Y, Telake DS, Wolde E. Adolescent childbearing trends and sub-national variations in Ethiopia: A pooled analysis of data from six surveys. BMC Pregnancy Childbirth. 2018;18(1):276. https://doi.org/10.1186/s12884-018-1917-8 PMid:29970042 DOI: https://doi.org/10.1186/s12884-018-1917-8

Birhanu BE, Kebede DL, Kahsay AB, Belachew AB. Predictors of teenage pregnancy in Ethiopia: A multilevel analysis. BMC Public Health. 2019;19(1):601. https://doi.org/10.1186/s12889-019-6845-7 PMid:31101101 DOI: https://doi.org/10.1186/s12889-019-6845-7

Raharjo BB, Nugroho E, Cahyati WH, Nisa AA, Info A. Proximate determinant of adolescents fertility in central Java Bambang. J Kesehat Masy. 2019;15(1):141-6. https://doi.org/10.15294/kemas.v15i1.21364 DOI: https://doi.org/10.15294/kemas.v15i1.21364

Sedekia Y, Nathan R, Church K, Temu S, Hanson C, Schellenberg J, et al. Delaying first birth: An analysis of household survey data from rural Southern Tanzania. BMC Public Health. 2017;17:134. DOI: https://doi.org/10.1186/s12889-017-4069-2

Sarkar A, Chandra-Mouli V, Jain K, Behera J, Mishra SK. Community based reproductive health interventions for young married couples in resource-constrained settings: A systematic review. BMC Public Health. 2015;15:1037. https://doi.org/10.1186/s12889-015-2352-7 PMid:26452750 DOI: https://doi.org/10.1186/s12889-015-2352-7

Solang SD, Maitimo BI, Winokan JJ, Pratiwi D, Bohari B. Determinants of fertility among women of childbearing age in North Sulawesi Province, Indonesia. Open Access Maced J Med Sci. 2021;9(E):127-31. https://doi.org/10.3889/oamjms.2021.5691 DOI: https://doi.org/10.3889/oamjms.2021.5691

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Published

2021-09-20

How to Cite

1.
Ernawati H, Mas’udah AF, Emilia O, Lusmilasari L, Isroin L, Verawati M. The Use of Contraception and Adolescent Fertility in Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Sep. 20 [cited 2024 Nov. 16];9(G):168-71. Available from: https://oamjms.eu/index.php/mjms/article/view/7096

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Section

Nursing in Gynecology and Obstetrics

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