Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia.
| Title: | Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia. |
|---|---|
| Authors: | Adnani QES; Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. qorinah.adnani@unpad.ac.id.; Ersianti YL; Master of Midwifery Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Khuzaiyah S; Midwifery Program, Faculty of Health Sciences, Universitas Muhammadiyah Pekajangan, Central Java, Pekalongan, Indonesia.; Nursing and Midwifery Program, PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei Darussalam.; Ramadhan K; Department of Midwifery Poltekkes Kemenkes Palu, Palu, Indonesia.; Susanti AI; Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Maimburg RD; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.; Department of Midwifery, University College of Northern Denmark, Aalborg, Denmark.; Chia KR; Doctor of Medicine, Faculty of Health Sciences, University of Bamenda, Bambili, NW Region, Kamerun. |
| Source: | BMC public health [BMC Public Health] 2025 Jun 02; Vol. 25 (1), pp. 2044. Date of Electronic Publication: 2025 Jun 02. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| MeSH Terms: | Rural Population*/statistics & numerical data ; Urban Population*/statistics & numerical data ; Contraception Behavior*/statistics & numerical data ; Contraception*/statistics & numerical data; Humans ; Indonesia ; Female ; Adult ; Adolescent ; Cross-Sectional Studies ; Middle Aged ; Young Adult ; Socioeconomic Factors |
| Abstract: | Background: Family planning remains essential to ensure women's autonomy, health, and maternal health outcomes and safeguard population expansion. Knowledge is needed to understand how modern contraceptives are used in both urban and rural areas in Indonesia. The objective of this study was to analyze the utilisation of modern contraceptives between rural and urban areas in Western Indonesia as well as associated factors.; Methods: A cross-sectional study using secondary data from the nationally representative 2017 Indonesian Demographic and Health Survey (IDHS). Bivariate and multiple logistic regression were conducted to analyse the data.; Results: Twelve thousand eight hundred thirty-one married women aged 15 to 49 became the sample of this study, with 6,955 (54.2%) residing in urban areas and 5,876 (45.8%) in rural areas, utilising current contraceptive methods. The research revealed that from the users-only data, 86.3% of married women in urban areas and 92.2% in rural areas used modern contraception. Rural married women aged 20-44 exhibited greater odds of utilising modern contraception compared to their urban counterparts. Married women aged 15-24 in rural areas had 4.0 times higher odds of using modern contraception than their urban counterparts. Married women with no education had higher odds of using modern contraceptives in both urban (4.8 times) and rural areas (3.9 times). In urban areas, those with 1-3 children had 5.9 times higher odds compared to women with ≥ 7 children, while in rural areas, women with no children had 5.0 times higher odds. Urban women in the second wealth index had 1.2 times higher odds compared to those in the lowest, and in rural areas, women in the highest wealth index had 1.9 times higher odds.; Conclusion: Modern contraceptive use is similar in urban and rural areas of Western Indonesia, with sociodemographic factors significantly influencing use. Key differences include the impact of education, number of children, and wealth index, with lower use among women with secondary education and those in the lowest wealth group. Family planning efforts should target education gaps, promote early family planning, and expand access to services for low-income women, while also strengthening outreach to wealthier urban women.; (© 2025. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: The Inner-City Fund (ICF) International is authorised to use the data. The ICF Office of Client Resources (OCR) Macro (number 45 CFR 46) and the National Board Review of the Ministry of Health, Republic of Indonesia, granted ethical approval for the IDHS, and all participants provided informed consent before the study. Data could be accessed from https://dhsprogram.com/data/available-datasets.cfm by submitting an online request to the ICF. The authors had no privileged access to these data. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Contraception; Factors; Family planning; Married women; Western Indonesia |
| Entry Date(s): | Date Created: 20250602 Date Completed: 20250603 Latest Revision: 20250606 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12128281 |
| DOI: | 10.1186/s12889-025-23299-7 |
| PMID: | 40457252 |
| Database: | MEDLINE |
Journal Article