Prevalence of modern contraceptive use and its associated factors among diabetic and hypertensive women in the registered age in a public hospital in Batam, Indonesia

Introduction: Hypertension and diabetes are still considered as high-risk conditions during pregnancy. Adverse pregnancy outcomes are greater among these women in these conditions. The optimum timing of pregnancy and avoidance of unintended pregnancy by using modern contraceptive methods may reduce mortality and morbidity. However, little is known regarding the contraceptive uptake among these women and the factors associated with it. Objectives: To determine the prevalence of modern contraceptive use and its associated factors among reproductive women with diabetes and hypertension in Batam, Indonesia. Methodology: A cross-sectional study was conducted to determine the prevalence and the factors associated with modern contraceptive practices among women with hypertension and diabetes who were registered in Rumah Sakit Umum Daerah Kota Batam and who had been diagnosed with diabetes only, hypertension only or both. A total of 213 total respondents was selected using the systematic random sampling method. The data were collected from the 1st July 2017 to 13 th October 2017 using a self-administered questionnaire. Results: The response rate was 90.6%% (out of 235, 213 which were usable). Among the respondents, the overall percentage of currently practiced modern contraceptive methods was 53.1%. The mean age of the respondents was 39.7 (SD= 6.5). The chi square results showed that currently practiced modern contraception was higher among women in the younger age group of 15 to 40 years (p< 0.001), those who had one or two children (p=0.008), those who had good knowledge regarding modern contraceptive methods (p< 0.001), those who had positive attitudes towards modern contraceptive methods (p=0.02) and women who had good household decisionmaking in their family (p= 0.039). However, the result in the Multiple Logistic Regression showed that the factors associated with contraceptive practice were young age (AOR=9.38, 95% CI= 2.40-36.57), no more than two children (AOR= 33.8, 95% CI= 2.82-406.12), good level of knowledge regarding modern contraceptive methods (AOR= 2.40, 95% CI= 1.21-4.78) and good household decision-making in the family (AOR= 4.24, 95% CI= 1.28-14.02). Conclusion: This study has identified that only about half of diabetic and hypertensive women in the reproductive age were practicing modern contraceptive methods in Batam. Young age, having children, having good level of knowledge and good household decision-making were found to be predictors of the modern contraception methods currently practiced among reproductive women with hypertension and diabetes in Batam. For future study, collaboration with BKKBN (Badan Kependudukan dan Keluarga Berencana Nasional) will be needed to promote the right contraceptive methods for women with chronic conditions and it will lead to an increase in the prevalence of modern contraceptive uptake among women with chronic diseases.

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