Multinomial Logistic Regression to Study the Determinants of Choices of Contraceptive Methods Among Married Muslim Women in Indonesia

Abstract

Family planninghasbeenatopicofmajorconcernintheresearchfieldforyears.The correspondencebetweensociodemographiccharacteristicsandchoiceofcontraceptive methodofusespecificallyamongmarriedcoupleshasnotbeensufficientlystudiedand thus imperfectlyacknowledgedinIndonesia.Theintentionofthisstudywastoestablish if anassociationexistsbetweenchoicesofcontraceptivemethodsandsocio-demographic factors,evaluatetheconsequencessociodemographiccharacteristicshaveontheuseand choice ofcontraceptiveanddeterminethefactorsthatinfluencethechoicesanduseof various contraceptivemethodsamongmarriedMuslimwomeninIndonesia.Thedataob- tainedfromDemographicandHealthSurvey(DHS)datasetwasappliedinthiscross- sectionalstudydesign.Atotalof1252womenaged15-49yearswhowerecurrentlymar- riedatthemomentofsurveywereincludedintheanalysis.Descriptiveandbivariateanal- ysis toascertaindifferenceinchoicesanduseofcontraceptivemethodsbysociodemo- graphic factorsconducted.Multinomiallogisticregressionmodelwasusedtoassessifan associationexistsbetweentheresponsevariable"choicesofcontraceptivemethods"and the setofpredictorfactors,identifythesignificantdeterminantsandfitamodelaforpre- dicting thechoiceofcontraceptivemethods.Theestimates,adjustedoddsratiotogether with 95%CIofthedeterminantslinkedwithchoicesofcontraceptivemethodswereeval- uatedbymultinomiallogisticregressionwith5%levelofsignificance.Thisstudyrevealed lowcontraceptiveprevalenceamongmarriedMuslimwomen55.8%with44.2%,20.5%and 35.3% proportionofnon-users,long-termandshort-termcontraceptivemethodusersre- spectively.Standardoflivingindex,respondentandpartnereducationlevel,ageandnum- berofbirthswerefoundtobesignificantdeterminantsofthechoiceofcontraceptive methodsamongmarriedMuslimwomen.Poorwomenwerelesslikelytouseanycon- traceptivemethodcomparedtotheirricherandrichestcounterparts,thereseemstobea larger gapinuseandchoiceofcontraceptivemethodsbetweenthepoorandrichwomen. Concernedstakeholdersshouldtargettheuneducated,poor,youngerandolderwomen and bringawarenessonfamilyplanningthiswilltranslatetoincreaseduseofvarious contraceptivemethodshencereducedunwantedandunintendedpregnanciesandmater- nal mortalityrates.comprehensionofdeterminantsofchoicesofcontraceptivemethods could giveconfirmationfortheconcernedstakeholderstoevolvepolicies,programsand interventionsformarriedMuslimIndonesianwomengroundedontheuseofthevarious contraceptivemethods.