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Path Analysis on the Social, Economic, and Cultural Determinants of Male Contraceptive Use in Family Planning Village, Yogyakarta, Indonesia

Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: One of today's global problems is the rapid growth of population. Population growth can be controlled through contraceptive method utilization. However, contraceptive use among males in most developing countries, including Indonesia, remains low. This study aimed to determine the social, economic, and cultural factors affecting male contraceptive use in family planning village, Yogyakarta, Indonesia, using Theory of Planned Behavior (TPB) and path analysis.Subjects and Method: A case-control study was carried out in Yogyakarta, Indonesia. A sample of 200 men aged 15 to 49 years was selected for this study by fixed disease sampling. The dependent variable was male surgical contraceptive method use. The independent variables were age, knowledge, education, intention, attitude, perceived behavior control, subjective norm, social culture, access to health service, and health service quality. The data were collected by questionnaire and analyzed by path analysis.Results: Male surgical contraceptive method use was directly affected by older age (b = 1.50; 95% CI = 0.54 to 2.46; p= 0.002), better knowledge (b= 1.48; 95% CI= 0.48 to 2.49; p= 0.004), stronger intention (b= 1.10; 95% CI= 0.15 to 2.06; p= 0.24), more positive attitude (b= 1.33; 95% CI= 0.35 to 2.30; p= 0.008), stronger perceived behavior control (b= 1.21; 95% CI= 0.23 to 2.20; p= 0.016), better access to health service (b = 1.59; 95% CI = 0.58 to 2.59; p= 0.002), better health service quality (b= 1.17; 95% CI= 0.22 to 2.12; p = 0.016), and supportive subjective norm (b= 2.07; 95% CI= 1.12 to 3.01; p<0.001). It was also indirectly affected by subjective norm, social culture, education, education, and access to health service.Conclusion: Male surgical contraceptive method use is directly affected by age, knowledge, intention, attitude, perceived behavior control, access to health service, health service quality, and subjective norm. It is indirectly affected by subjective norm, social culture, education, education, and access to health service.Keywords: male, contraceptive method, use, determinants, path analysisCorrespondence: Bettya Kartikasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: bettyakartikasari21@gmail.com. Mobile: +6285817606484.Indonesian Journal of Medicine (2018), 3(2): 89-98https://doi.org/10.26911/theijmed.2018.03.02.05

Fulfilment of Gender Needs in HIV and AIDS Control Programs: A Case Study of Housewives in Surakarta, Indonesia

Jurnal Perempuan Vol 22, No 2 (2017): SRHR and Development Policy
Publisher : Yayasan Jurnal Perempuan

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Abstract

Since 2011, the number of case of HIV and AIDS suffered by Indonesian women tends to increase. However, the prevention of HIV and AIDS in Indonesia focuses only on high-risk group. Besides that, measures are not differentiated base on different needs of targetedgroup of programs. The article discusses gender mainstreaming in the prevention of HIV and AIDS program in Surakarta as well as the fulfilment of gender need of housewife who is prone to HIV and AIDS infection. The article is the result of a qualitative study with interactive analysis method. The research targeted housewives as research subjects due to the increasing number of housewives who suffer from HIV and AIDS infection. Moreover, they even placed as the second highest group infected by the disease in Surakarta. The data was collected from an in-depth interview, documentation and observation. The finding showed that the quality of gender equality in the HIV and AIDS mitigation policy in Surakarta is positioned in a gender neutral level, providing the equal rights and obligations for all citizens, regardless of their sex. This matter gives impact to the prevention of HIV and AIDS program that only focuses on the fulfilment of housewives practical gender needs.

Do Schools Affect Unsafe Sexual Behaviors among High School Students in Boyolali, Central Java? A Multilevel Analysis Approach

Journal of Health Promotion and Behavior Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Premarital sexual behavior is a multidimensional problem, which is influenced by various factors, one of them in school. The majority of adolescents engage in risky sexual behavior the first time when they are in high school, namely at the age of 15-18 years. The purpose of this study was to analyze the influence of schools on unsafe sexual behavior in high school students in Boyolali, Central Java.Subjects and Method: This was an across-sectional study conducted in senior high schools in Boyolali, Central Java, from October to November 2018. A total of 200 students was selected by cluster random sampling. The dependent variable was unsafe sexual behavior. The independent variables were knowledge, attitude, self-efficacy, understanding of the region, parental supervision, access to information, and subjective norm. The data were collected using questionnaire and data were analyzed using multilevel logistic regression.Results: Premarital sexual behavior decreased with high knowledge (b= -3.33; 95% CI= -5.88 to - 0.79; p= 0.010), positive attitude (b= -5.16; 95% CI= -8.63 to -1.70; p= 0.004), strong self-efficacy (b = -4.65; 95% CI = -7.37 to -1.94; p = 0.001), good understanding of religion (b= -3.95; 95% CI = -6.82 to -1.10; p= 0.007), strict parental supervision (b= -3.70; 95% CI= -6.60 to -0.80; p= 0.012), good access to information (b = -3.61; 95% CI = -6.10 to -1.12; p = 0.004), and subjective norm (b = -2.43; 95% CI= -4.60 to -0.25; p= 0.029). Schools had negligible contextual effect on premarital sexual behavior with ICC <0.1%.Conclusion: Premarital sexual behavior decreases with high knowledge, positive attitude, strong self-efficacy, a good understanding of religion, strict parental supervision, high exposure to information access, and subjective norm. Schools have a negligible contextual effect on premarital sexual behavior.Keywords: unsafe sexual behavior, senior high school, multilevel analysisCorrespondence: Bela Novita Amaris Susanto. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami No.36 A, Surakarta 57126, Central Java. Email: bnamaris@gmail.com. Mobile: +6285788844440.Journal of Health Promotion and Behavior (2018), 4(2): 230-239https://doi.org/10.26911/thejhpb.2018.03.04.02

Fulfilment of Gender Needs in HIV and AIDS Control Programs: A Case Study of Housewives in Surakarta, Indonesia

Jurnal Perempuan Vol 22, No 2 (2017): SRHR and Development Policy
Publisher : Yayasan Jurnal Perempuan

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Abstract

Since 2011, the number of case of HIV and AIDS suffered by Indonesian women tends to increase. However, the prevention of HIV and AIDS in Indonesia focuses only on high-risk group. Besides that, measures are not differentiated base on different needs of targetedgroup of programs. The article discusses gender mainstreaming in the prevention of HIV and AIDS program in Surakarta as well as the fulfilment of gender need of housewife who is prone to HIV and AIDS infection. The article is the result of a qualitative study with interactive analysis method. The research targeted housewives as research subjects due to the increasing number of housewives who suffer from HIV and AIDS infection. Moreover, they even placed as the second highest group infected by the disease in Surakarta. The data was collected from an in-depth interview, documentation and observation. The finding showed that the quality of gender equality in the HIV and AIDS mitigation policy in Surakarta is positioned in a gender neutral level, providing the equal rights and obligations for all citizens, regardless of their sex. This matter gives impact to the prevention of HIV and AIDS program that only focuses on the fulfilment of housewives practical gender needs.

Multilevel Analysis on the Predictors of Safe Sexual Behavior among Girl Adolescents in Karanganyar, Central Java

Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Studies have shown that the number of adolescents who have premarital sex is increasing. Unsafe sex can increase the risk of sexual transmitted disease, unwanted pregnancy, and suicide in adolescents. The study aimed to determine the associations between attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure, on safe sexual behavior among girl adolescents in Karanganyar, Central Java.Subjects and Method: This was an analytic and observational study with cross-sectional design. The study was conducted in 25 senior high schools in Karanganyar, Central Java, from Desember, 2017 to January, 2018. A total sampel of 200 girl adolescents were selected by stratified random sampling, consisting of 8 girl adolescents from each of the 25 senior high schools. The dependent variable was safe sexual behavior. The independent variables were attitude, subjective norm, perceived behavior control, equal gender relation, and media exposure on safe sexual behavior. The data was collected using questionnaire and analyzed by multilevel analysis. The contextual effect of school, which distinguished rural and urban schools, on safe sex behavior was measured by intra-class correlation (ICC).Results: Positive attitude (b= 0.41; 95% CI= 0.14 to 0.69; p= 0.004), positive subjective norm (b=0.23; 95% Cl= 0.21 to 0.43; p= 0.031), strong perceived behavior control (b= 0.69; 95% Cl= 0.44 to 0.96 ; p< 0.001), equal gender relation (b= 0.41; 95% Cl =0.18 to 0.63; p<0.001), and exposure to media on safe sex behavior (b= 0.17; 95% Cl= -0.02 to 0.36; p= 0.085), predicted positively the likelihood of safe sexual behavior in girl adolescents. The contextual effect of school on safe sex behavior was small with ICC= 5.55%.Conclusion: Positive attitude, positive subjective norm, strong perceived behavior control, equal gender relation, and exposure to media on safe sex behavior, predict positively the likelihood of safe sexual behavior in girl adolescents.Keyword: predictor, safe sexual behavior, multilevel analysisCorrespondence: Melda Kumalaningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta. Email: melda.kumalanigrum@gmail.com. Mobile: 6282134359845.Journal of Health Promotion and Behavior (2017), 2(4): 323-331https://doi.org/10.26911/thejhpb.2017.02.04.04 

PRECEDE and PROCEED Model on the Determinants of Teacher’s Role in the Provision of Reproductive Health Education for Students with Mild Mental Retardation at School of Disability in Sleman, Yogyakarta

Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Access to reproductive health information is lacking among students with mental retardation (MR). Teachers at the School of Disability have potentially important role in improving access to reproductive health information among students with MR. This study aimed to investigate the determinants of teachers role in the provision of reproductive health education for students with mild MR at School of Disability, in Sleman, Yogyakarta.Subjects and Method: This was a qualitative study with phenomenology approach, conducted at School of Disability, Sleman, Yogyakarta. Key informants were selected by purposive sampling (i.e. criterion sampling), consisting 7 teachers of disability school, 5 personnels from the District Office of Education and Sport. PRECEED and PROCEDE model was used as a framework to identify the determinants under study. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Hubberman method.Results: The seven teachers have shown their good roles in the provision of reproductive health education. Factors that determined teachers role included knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources. Weak perceived behavior control (e.g. perceived teacher’s incompetence) and negative subjective norms (e.g. teaching about reproductive health was considered taboo by the community) of the teachers weakened the teachers role. Lack of educational media, substandard rooms, reproductive health materials that were unintegrated in the curriculum, weakened teachers intention to perform their roles.Conclusion: Teachers at the school of disability in Sleman, Yogyakarta, have shown their good role in the provision of reproductive health education for students with mild MR. Knowledge, experience, attitude, subjective norms, perceived behavior control, external support, and availibility of resources, are important determinants of teachers role in the provision of reproductive health education.Keywords: teachers role, school of disability, mental retardation, studentCorrespondence: Putri Rahmasari. School of Midwifery, ‘Aissyiah University, Yogyakarta. Email: putrialzam@gmail.com.Journal of Health Promotion and Behavior  (2016), 1(2): 109-119https://doi.org/10.26911/thejhpb.2016.01.02.06

Determinants of Womens Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java

Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and thehormonal contraceptive implant(effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of womens choice of a LARC in Boyolali, Central Java.Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program.Results:Womens choice of the LARC increased with age ?35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ?senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ?3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001).Conclusion: Womens choice of LARC increases with age ?35 years, education ?senior high school, parity ?3, better knowledge, counseling by health worker, and husband support.Keywords: long-acting reversible contraceptive, womens choice, determinantsCorrespondence:Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.comJournal of Maternal and Child Health (2018), 3(3): 225-232https://doi.org/10.26911/thejmch.2018.03.03.07

DISPARITAS GENDER DALAM PEMBANGUNAN PARIWISATA RAMAH LINGKUNGAN (Gender Disparities in Ecologically Friendly-Tourism Development)

PALASTREN Jurnal Studi Gender Vol 10, No 1 (2017): PALASTREN
Publisher : STAIN Kudus

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Abstract

This article explores gender disparities in ecologically friendly-tourism development, including the involvement, competence, internal and external barriers of women and men.  The data were collected using survey on 400 respondents, consisting of women and men and focus group discussion with 18 informants. The data analysis uses analysis of gender disparities on planning, implementing, monitoring and evaluating the stage of ecologically friendly- tourism development. The finding shows that gender disparities happen in ecologically friendly- tourism development, in which women are still marginalized in terms of their involvement, competency, internal and external barriers.   The highest gender disparities on the involvement of women and men in ecologically friendly-tourism development occurred in the implementation.  Women’s competence is lower than that of men, and women‘s barrier are higher than that of men.    Accordingly, gender mainstreaming in developing environmentally-friendly tourism should be empowered through gender based-financial allocation, especially for eliminating gender stereotip and improving human resources capacities in developing environmentally-friendly tourism.

Path Analysis on Factors Affecting the Choice of Female Surgical Contraceptive Method in Kendal, Central Java

Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one of the developing countries with a high rate of population growth. The government established a Family Planning program in overcoming this problem with effective use of the female surgery contraception. This study aimed to analyze the determinants of female surgery contraceptive method using path analysis model.Subject and method: A retrospective case-control study was conducted in Kendal, Central Java. A sample of 200 women was selected for this study by fixed diseases sampling. The dependent variable was the choice of female surgery contraceptive method. The independent variables were age, education, number of children alive, employment, knowledge, attitude, self-efficacy, husband support, and perception of gender equality. The data were collected by questionnaire and analyzed by path analysis.Results: The choice of female surgery contraception method was directly and positively associated with good knowledge (b= 1.91; 95% CI= 0.80 to 3.02; p= 0.001), positive attitude (b= 1.56; 95% CI= 0.45 to 2.66; p= 0.006), good gender equality perception (b= 1.25; 95% CI= 0.18 to 2.32; p= 0.021), high self efficacy (b= 1.61; 95% CI= 0.48 to 2.74; p= 0.005), high education (b= 1.18; 95% CI= 0.02 to 2.35; p= 0.045), strong husband support (b= 1.24; 95% CI= 0.14 to 2.39; p= 0.027), working outside the home (b= 1.14; 95% CI= 0.06 to 2.21; p= 0.037 ), number of children alive ≥3 (b= 1.74; 95% CI= 0.61 to 2.88; p= 0.003), and maternal age ≥35 years (b= 1.57; 95% CI = 0.34 to 2.75; p= 0.012). It was indirectly associated with age and education.Conclusions: The choice of female surgery contraception method is directly and positively associated with good knowledge, positive attitude, good gender equality perception, high self-efficacy, high education, strong husband support, working outside the home, number of children alive ≥3, and maternal age ≥35 years. It is indirectly associated with age and education.Keywords: female surgery contraceptive method, determinant, path analysisCorrespondence: Ainul Maghfiroh. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Ainulmaghfiroh0504@gmail.com. Mobile: +6285641012090.Journal of Maternal and Child Health (2019), 4(3): 146-157https://doi.org/10.26911/thejmch.2019.04.03.02

Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression

Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early marriage is one of the problems in Indonesia and the developing countries. It represents one of the violations of women's human right. Early marriage had physical, psychological, and social negative effects in the affected women. This study aimed to examine the determinants of early marriage in Wonogiri District, Central Java.Subjects and Method: This was a case control study carried out in Wonogiri, Central Java, from October to November 2018. A sample of 200 women was selected by fixed disease sampling, consisting of 50 women with early marriage and 150 women with timely marriage. The dependent variable was early marriage. The independent variables were menarche age, unwanted pregnancy, education level, gender inequality, parental perception on early marriage, local culture, residence, and employment before marriage. The data were collected using questionnaires and analyzed by logistic regression.Results: The risk of early marriage increased with age of menarche <12 years (OR= 3.41; 95% CI= 1.12 to 10.36; p= 0.003), gender inequality (OR= 4.70; 95% CI= 1.53 to 14.40; p= 0.007), and local culture pro early marriage (OR= 5.33; 95% CI= 1.62 to 17.42; p= 0.006). The risk of early marriage decreased with wanted pregnancy (OR= 0.17; 95% CI= 0.043 to 0.70; p= 0.014), education level (OR= 0.03; 95% CI= 0.01 to 0.14; p= 0.001), positive parental perception (OR= 0.24; 95% CI= 0.08 to 0.77; p = 0.016), neighborhood in city (OR= 0.29; 95% CI= 0.09 to 0.93; p = 0.035), and work before marriage (OR= 0.20; 95% CI= 0.63 to 0.65; p = 0.007).Conclusion: The risk of early marriage increases with age of menarche <12 years, gender inequality, and local culture pro early marriage. It decreases with wanted pregnancy, education level, positive parental perception, neighborhood in city, and work before marriage.Keywords: early marriage, gender inequality, local cultureCorrespondence: Meylsa Rima Kamilda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126, Indonesia. Email: meyl.rima@gmail.com. Mobile: 6285728805820Journal of Maternal and Child Health (2019), 4(3): 170-179https://doi.org/10.26911/thejmch.2019.04.03.04