1Public Health Science Program Studies, Faculty of Public Health, University of Indonesia, Depok, Indonesia
2Faculty of Health Sciences, Syarif Hidayatullah State Islamic University, Jakarta, Indonesia
3Center for Health Research, University of Indonesia, Depok, Indonesia
4Department of Biostatistics and Population Studies, Faculty of Public Health, University of Indonesia, Depok, Indonesia
5Department of Health Education and Behavioral Science, Faculty of Public Health, University of Indonesia, Depok, Indonesia
Copyright © 2019 The Korean Society for Preventive Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
The authors have no conflicts of interest associated with the material presented in this paper.
AUTHOR CONTRIBUTIONS
Conceptualization: YA. Data curation: FY, DD. Formal analysis: YA, IA. Funding acquisition: RD. Methodology: BU, IA, RD. Project administration: DD. Visualization: FY. Writing - original draft: YA, DD, FY, BU, IA, RD. Writing - review & editing: NMN.
Characteristics | Motivation, n (%) |
Switching pattern, % |
||||
---|---|---|---|---|---|---|
N→L | L→L | L→N | N→N | |||
Age (y) | ||||||
≤35 | Spacing pregnancies | 2460 (93.8) | 5.81 | 6.71 | 3.01 | 84.61 |
Limiting number of children | 163 (6.2) | 19.01 | 11.71 | 5.5 | 63.8 | |
>35 | Spacing pregnancies | 1777 (80.9) | 7.11 | 9.31 | 10.7 | 72.9 |
Limiting number of children | 419 (19.1) | 18.91 | 20.31 | 8.1 | 52.7 | |
No. of children (n) | ||||||
<2 | Spacing pregnancies | 1542 (97.2) | 2.61 | 2.81 | 1.61 | 87.91 |
Limiting number of children | 45 (2.8) | 8.91 | 11.11 | 4.4 | 75.6 | |
≥2 | Spacing pregnancies | 2695 (83.4) | 8.51 | 7.81 | 8.8 | 75.0 |
Limiting number of children | 537 (16.6) | 19.71 | 18.41 | 7.6 | 54.2 |
Independent variable | aOR (95% CI)1 |
---|---|
Perception of the side effects of contraceptives | |
Do not exist | 1.62 (1.43, 1.83)2 |
Exist (reference) | 1.00 (reference) |
Perception of cost of contraceptives | |
Expensive from government provider | 0.97 (0.73, 1.30) |
Expensive from private provider | 1.65 (1.14, 2.39)2 |
Expensive from other provider | 1.10 (0.78, 1.56) |
Moderate from government provider | 0.76 (0.62, 0.95)2 |
Moderate from private provider | 1.72 (1.29, 2.30)2 |
Moderate from other provider | 1.28 (1.00, 1.65)2 |
Free (reference) | 1.00 (reference) |
Perception of ease of contraceptive use | |
Easy | 1.33 (1.11, 1.58)2 |
Not easy (reference) | 1.00 (reference) |
Perception of the accessibility of contraceptives | |
Easy | 1.20 (0.98, 1.48) |
Not easy (reference) | 1.00 (reference) |
Characteristics | Motivation, n (%) | Switching pattern, % |
||||
---|---|---|---|---|---|---|
N→L | L→L | L→N | N→N | |||
Age (y) | ||||||
≤35 | Spacing pregnancies | 2460 (93.8) | 5.8 |
6.7 |
3.0 |
84.6 |
Limiting number of children | 163 (6.2) | 19.0 |
11.7 |
5.5 | 63.8 | |
>35 | Spacing pregnancies | 1777 (80.9) | 7.1 |
9.3 |
10.7 | 72.9 |
Limiting number of children | 419 (19.1) | 18.9 |
20.3 |
8.1 | 52.7 | |
No. of children (n) | ||||||
<2 | Spacing pregnancies | 1542 (97.2) | 2.6 |
2.8 |
1.6 |
87.9 |
Limiting number of children | 45 (2.8) | 8.9 |
11.1 |
4.4 | 75.6 | |
≥2 | Spacing pregnancies | 2695 (83.4) | 8.5 |
7.8 |
8.8 | 75.0 |
Limiting number of children | 537 (16.6) | 19.7 |
18.4 |
7.6 | 54.2 |
Independent variable | Total (n=4819) | Pattern of switching contraceptive methods, % |
|
---|---|---|---|
Rational | Irrational | ||
Perception of the side effects of contraceptives | |||
Do not exist | 4265 | 33.2 | 66.8 |
Exist | 554 | 18.8 | 81.2 |
Perception of the cost of contraceptives | |||
Expensive | 1098 | 30.0 | 70.0 |
Moderate | 2082 | 32.9 | 67.1 |
Free | 1639 | 31.1 | 68.9 |
Perception of ease of contraceptive use | |||
Easy | 4178 | 30.9 | 69.1 |
Not easy | 641 | 36.3 | 63.7 |
Perception of the accessibility of contraceptives | |||
Easy | 4311 | 31.4 | 68.6 |
Not easy | 508 | 33.1 | 66.1 |
Variables | Total (n = 4819) | Pattern of switching contraceptive methods, % |
|
---|---|---|---|
Rational | Irrational | ||
Individual characteristics | |||
Knowledge level | |||
High | 1932 | 29.6 | 70.4 |
Low | 2887 | 32.9 | 67.1 |
Education | |||
High | 231 | 45.5 | 54.5 |
Middle | 884 | 39.4 | 60.6 |
Low | 3704 | 28.9 | 71.1 |
Socioeconomic status | |||
Quintile 5 (richest) | 455 | 24.0 | 76.0 |
Quintile 4 | 682 | 27.1 | 72.9 |
Quintile 3 | 1120 | 31.1 | 68.9 |
Quintile 2 | 1128 | 32.4 | 67.6 |
Quintile 1 (poorest) | 1434 | 35.9 | 64.1 |
Decision-making | |||
Husband and wife | 2091 | 32.6 | 67.4 |
Wife only | 2728 | 30.8 | 69.2 |
FP provider | |||
Provider type | |||
Government | 1692 | 31.0 | 69.0 |
Private | 1651 | 31.6 | 68.4 |
Other | 1476 | 32.2 | 67.8 |
Information from provider | |||
Yes | 2320 | 32.4 | 67.6 |
No | 2490 | 30.8 | 69.2 |
Recommendation | |||
Midwife | 1448 | 31.0 | 69.0 |
Doctor | 141 | 31.2 | 68.8 |
Other | 3230 | 31.9 | 68.1 |
Independent variable | aOR (95% CI) |
---|---|
Perception of the side effects of contraceptives | |
Do not exist | 1.62 (1.43, 1.83) |
Exist (reference) | 1.00 (reference) |
Perception of cost of contraceptives | |
Expensive from government provider | 0.97 (0.73, 1.30) |
Expensive from private provider | 1.65 (1.14, 2.39) |
Expensive from other provider | 1.10 (0.78, 1.56) |
Moderate from government provider | 0.76 (0.62, 0.95) |
Moderate from private provider | 1.72 (1.29, 2.30) |
Moderate from other provider | 1.28 (1.00, 1.65) |
Free (reference) | 1.00 (reference) |
Perception of ease of contraceptive use | |
Easy | 1.33 (1.11, 1.58) |
Not easy (reference) | 1.00 (reference) |
Perception of the accessibility of contraceptives | |
Easy | 1.20 (0.98, 1.48) |
Not easy (reference) | 1.00 (reference) |
FP, family-planning; N, non-long-term contraceptive method; L, long-term contraceptive method. Refers to a rational pattern of switching contraceptive methods.
FP, family-planning; aOR, adjusted odds ratio; CI, confidence interval. Controlling for individual characteristics and FP provider characteristics. α=0.05.