Gayatri Maria, Fajarningtiyas Desy Nuri
MAPS, PhD, Directorate for Development of Service Quality of Family Planning, Ministry of Population and Family Development/National Population and Family Planning Board JI. Permata No. 1, East Jakarta, Indonesia.
MAPS, Research Center for Population, National Research and Innovation Agency, Jl. Gatot Subroto No. 10, South Jakarta, Indonesia. Email:
Malays Fam Physician. 2024 Dec 27;19:71. doi: 10.51866/oa.519. eCollection 2024.
The desire for no additional births may be used to estimate the demand for family planning. Couple education may influence contraceptive use. This study aimed to examine the relationship between education and contraceptive use among women who desire no more children in Indonesia.
A dataset from the 2017 Indonesia Demographic and Health Survey (IDHS) was used. The sample consisted of 17,938 women aged 15-49 years who desired no more children. Binary logistic regression was conducted for data analyses.
Of the total respondents, 73% used contraceptive methods. Contraceptive use was strongly associated with secondary education among couples (odds ratio [OR] = 1.27; 95% confidence interval [CI] = 1.17-1.37) and the working status of the husband (OR=2.62; 95% CI=2.07-3.32). The respondents living in rural areas (OR=1.14; 95% CI= 1.06-1.23) and in the Java-Bali region (OR=1.36; 95% CI=1.27-1.46) were more likely to use contraceptive methods. However, the respondents aged more than 35 years were less likely to use contraceptives.
Among women who desire no more children, contraceptive use is associated with educational level, age and place of residence. Educated women tend to be empowered and have better access to contraceptive services, improving their chances of using contraception. Healthcare providers and policymakers need to promote the use of contraceptive services including counselling for couples with a low educational level, urban women and women who live in the outer Java-Bali region.
不再生育的意愿可用于估计计划生育的需求。夫妻教育可能会影响避孕措施的使用。本研究旨在探讨印度尼西亚那些不想再生育的女性中教育与避孕措施使用之间的关系。
使用了2017年印度尼西亚人口与健康调查（IDHS）的数据集。样本包括17938名年龄在15至49岁之间且不想再生育的女性。采用二元逻辑回归进行数据分析。
在所有受访者中，73%使用了避孕方法。避孕措施的使用与夫妻的中等教育程度（优势比[OR]=1.27；95%置信区间[CI]=1.17 - 1.37）以及丈夫的工作状况（OR = 2.62；95% CI = 2.07 - 3.32）密切相关。居住在农村地区的受访者（OR = 1.14；95% CI = 1.06 - 1.23）以及居住在爪哇 - 巴厘地区的受访者（OR = 1.36；95% CI = 1.27 - 1.46）更有可能使用避孕方法。然而，年龄超过35岁的受访者使用避孕药具的可能性较小。
在不想再生育的女性中，避孕措施的使用与教育水平、年龄和居住地有关。受过教育的女性往往更有能力，并且更容易获得避孕服务，从而提高了她们使用避孕措施的几率。医疗保健提供者和政策制定者需要推广避孕服务的使用，包括为教育水平低的夫妻、城市女性以及居住在爪哇 - 巴厘地区以外的女性提供咨询。
