Factors Associated with The Choice of Female Surgery Contraceptive Method: Application of Social Cognitive Theory

Ainul Maghfiroh1),Uki Retno Budihastuti2)Ismi Dwi Astuti Nurhaeni3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Obstetrics and Ginecology, Dr. Moewardi Hospital, Surakarta

3)Faculty of Social and Politic Sciences, Universitas Sebelas Maret



Background: Population growth control can ideally be achieved in three ways; raise mortality, promotemigration, lower fertility.While the first way is widely unacceptable and thesecond in­feasible, the third way has become the goal of most population control policies andinter­ventions. The purpose of this study was to examine factors associated with the choice of female sur­gery contraceptive method using Social Cognitive Theory.

Subjects and Method: This was an analytic observational studywith a case control design. This study was conducted in Kendal, Central Java. A sample of 200 women of reproductive age was selected by fixed disease sampling. The dependent variable was female surgery contra­ceptive method. The independent variables were age, education, knowledge, attitude, self-effi­cacy, perception of gender equality, number of children alive, employment, and husband sup­port. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: The choice of female surgery contraceptive methodwas positively associated withage <20 or ≥35 years (b=1.57; 95% CI= 0.34 to 2.79;p=0.012), number of children alive (b=1.74; 95%CI= 0.61 to 2.88; p=0.003), employment (b=1.14; 95% CI=0.07to 2.21; p=0.037), posi­tive attitude (b=1.56;95% CI=0.45 to 2.66;p=0.006), high education (b= 1.18; 95% CI= 0.02 to 2.35; p= 0.045), knowledge (b=1.91; 95% CI=0.80 to 3.02; p=0.001), self-efficacy (b=1.61;95% CI=0.48 to 2.74; p=0.005), strong husband support (b=1.24; 95% CI=0.14to 2.33; p=0.027), andperception of gender equality (b=1.25; 95%CI=0.18 to 2.32; p=0.021).

Conclusion: The choice of female surgery contraceptive methodis positively associated withage, number of children alive, employment, positive attitude, high education, knowledge, self-effi­cacy, strong husband support, and perception of gender equality.

Keywords: female surgery contraceptive method,Social Cognitive Theory

Correspondence: Ainul Maghfiroh. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta57126,, Central Java, Indonesia. Email: Ainulmaghfiroh0504@gmail.com. Mobile: +6285641012090.

DOI: https://doi.org/10.26911/theicph.2019.03.12

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