Predictors of Contraceptive Use Intention Among Early-Married Women in Three Sub-Districts of Central Java, Indonesia

Dewi Elliana; Sri Mularsih; Titik Kurniawati

doi:10.70716/mohr.v4i3.671

Authors

Dewi Elliana Department of Midwifery, Diploma III Program, Universitas Agung Putra, Semarang, Indonesia
Sri Mularsih Department of Midwifery, Bachelor’s and Professional Midwifery Programs, Universitas Agung Putra, Semarang, Indonesia
Titik Kurniawati Department of Midwifery, Diploma III Program, Universitas Agung Putra, Semarang, Indonesia

DOI:

https://doi.org/10.70716/mohr.v4i3.671

Keywords:

early marriage, contraceptive intention, family support, adolescent reproductive health, precede-proceed

Abstract

Early marriage is a persistent public health problem in rural Central Java, Indonesia, where adolescent pregnancy rates exceed the national average. Contraceptive use intention among early-married couples is a key factor in delaying first pregnancy and reducing maternal and neonatal mortality. This study aimed to identify dominant predictors of contraceptive use intention among early-married women in three sub-districts with the highest early marriage prevalence in Central Java, using a combined theoretical framework of the Theory of Reasoned Action (TRA) and the PRECEDE-PROCEED model. A cross-sectional explanatory study was conducted between August and September 2012 among 168 wives aged under 20 years across three purposively selected sub-districts. Variables were operationalized according to the PRECEDE-PROCEED domains: predisposing (knowledge, attitude), enabling (income), and reinforcing factors (spousal, family, and healthcare worker support), as well as cultural norms. Data were collected via structured interviews and analyzed using Chi-square tests and multiple logistic regression. Most respondents (75.6%) intended to use contraception. Four independent predictors were identified: family support (OR=4.565; 95%CI: 1.820–11.547), healthcare worker support (OR=4.515; 95%CI: 1.810–11.261), household income (OR=4.027; 95%CI: 1.616–10.033), and cultural environment (OR=3.951; 95%CI: 1.571–9.938). When all four factors were concurrently present, the predicted probability reached 87.19%. Family support was the strongest determinant, consistent with the reinforcing factor domain of the PRECEDE-PROCEED model. These findings provide empirical support for applying the integrated TRA–PRECEDE-PROCEED framework to adolescent reproductive health programs in rural Indonesia.

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