Predictors of Intra-Uterine Device Uptake: Application of Theory of Planned Behavior and Path Analysis

Bekti Susilowati1), CSP. Wekadigunawan2), Bhisma Murti1),

Setyo Sri Rahardjo2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Background: Promotion of family planning – and ensuring access to preferred contra­ceptive methods for women and couples – is essential to securing the well-being and autonomy of women, while supporting the health and development of com­­munities.Contrary to popular misconception, intra-uterine device (IUD) is a safe and highly effective contraceptive for women who have never been pregnant. IUDs are a great option for a woman who may want to become pregnant in the future but also desires long-term, highly effective pregnancy prevention. As many as 214 million women of reproductive age in developing countries who want to avoid pregnancy are not using a modern contraceptive method such as IUD. This stu­dy aimed to investigate predictors of intra-uterine device uptake using Theory of Planned Behavior and path analysis.

Subjects and Method: A case-control study was carried out in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by sim­ple random sampling. The dependent variable was IUD uptake. The inde­pen­dent variables were age, family income, intention, attitude, perceived behavior con­­trol, and husband support. The data were collected by questionnaire and ana­ly­zed by path analysis.

Results:Strong intention (b= 1.14; 95%CI= 0.36 to 1.92; p= 0.004), strong perceived behaviour control (b= 2.16; 95%CI= 1.36 to 2.97; p<0.001), and higher fami­ly income (b= 2.59; 95%95%= 1.79 to 3.39; p<0.001), positively predicted IUD uptake. The use of IUD was indirectly affected by husband support, maternal edu­­cation, and attitude.

Conclusion: Strong intention, strong perceived behaviour control, and higher family income, positively predict IUD uptake. The use of IUD is indirectly affected by husband support, maternal education, and attitude.

Keywords: intra-uterine device uptake,Theory of Planned Behavior, path analysis

Correspondence: Bekti Susilowati. Masters Program in Public Health, Universitas Sebelas maret, Jl.Ir.Sutami No.36 A, Surakarta, Central Java. Email: +6281226808595.


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