Exploring Indonesian men’s role in family planning: factors and implications from a cross sectional study

Explorando o papel dos homens indonésios no planejamento familiar: fatores e implicações de um estudo transversal

Explorando el papel de los hombres indonesios en la planificación familiar: factores e implicaciones de un estudio transversal

Abstract

Objective:  To assess factors associated with male contraception and develop a predictive model to inform related programs in Indonesia.

Methods:  The study used data from the 2017 Indonesia Demographic and Health Survey with a cross sectional study design. The outcome variable was contraception use, while the predictors include sociodemographic characteristics, media exposure, knowledge of women’s ovulatory cycle, and attitudes toward contraception. Weighted analysis utilized chi-square tests and multivariable logistic regression. The model performance was evaluated using the Hosmer-Lemeshow test, ROC curve, and calibration belt test.

Result:  The prevalence of male contraceptive use was 8%, with withdrawal being the most commonly used method (41.8%). In the final model, significant factors included urban residence, exposure to family planning media, and knowledge of the ovulation cycle - both incorrect and correct. Although interaction terms were included in the model (e.g., urban × media × knowledge), none were statistically significant. The model demonstrated moderate predictive ability and good calibration.

Conclusion:  Residence, media exposure, and knowledge of women’s ovulation are key factors in male contraception use. The effectiveness of withdrawal relies on accurate ovulatory knowledge. Future programs should integrate these insights and tailor communication strategies to target populations.

Keywords:
Contraception; Family planning; Ovulatory cycle; Withdrawal