The differenced of characteristics of contraceptive method of condom and vasectomy: A cross-sectional study among married of male in Indonesia

Background and aims:Indonesian government is regulating a family planning program to restricted fertility among reproductive aged.However,participated of married male for using contraceptive is very lowest in Indonesia.Methods:A cross-sectional study was conducted among 168 of married male(84 of condom method and 84 of vasectomy method)from April to August 2019 in Jember regency of East Java,Indonesia using purposive sampling method.A self-administered questionnaire was used to measure sociodemographic and contraceptive method of participants.Chi square test was performed to analyze the differences of characteristic of contraceptive method of condom and vasectomy among married male(P<0.05).Results:There were a significant differenced ethnic(χ^2=7.664,P-value=0.006)and access of information(χ^2=8.111,P-value=0.044)between condom and vasectomy method among married male.Conclusion:Characteristics of ethnic and access information are related with contraceptive method choosing for using condom and vasectomy among married male in Indonesia.Therefore,accessibility of contraceptive method through health education should be implemented for married male in Indonesia setting regarding their social and cultural context.

Continuity of maternal healthcare services utilisation in Indonesia:analysis of determinants from the Indonesia Demographic and Health Survey

Objective WHO recommends that every pregnant woman and newborn receive quality care throughout the pregnancy,delivery and postnatal periods.However,Maternal Mortality Ratio in Indonesia for 2015 reached 305 per 100000 live births,which exceeds the target of Sustainable Development Goals(<70 per 100000 live births).Receiving at least four times antenatal care(ANC4+)and skilled birth attendant(SBA)during childbirth is crucial for preventing maternal and neonatal deaths.The study aims to assess the determinants of ANC4+and SBA independently,evaluate the distribution of utilisation of ANC4+and SBA services,and further investigate the associations of two levels of continuity of services utilisation in Indonesia Design Data from the Indonesia Demographic and Health Survey,a cross-sectional and large-scale national survey conducted in 2017 were used.Setting This study was set in Indonesia.Participants The study involved ever-married women of reproductive age(15-49 years)and had given birth in the last 5 years prior to the survey(n=15288).The dependent variables are the use of ANC4+and SBA.Individual,family and community factors,such as age,age at first birth,level of education,employment status,parity,autonomy in healthcare decision-making,level of education,employment status of spouses,household income,mass media consumption residence and distance from health facilities were also measured.Results Results showed that 11632(76.1%)women received ANC4+and SBA during childbirth.Multivariate analysis revealed that age,age at first birth,and parity have a statistically significant association with continuity of services utilisation.The odds of using continuity of services were higher among women older than 34 years(adjusted OR(aOR)1.54;95%CI 1.31 to 1.80)compared with women aged 15-24 years.Women with a favourable distance from health facilities were more likely to receive continuity of services utilisation(aOR 1.39;95%CI 1.24 to 1.57).Conclusions The continuity of services utilisation is associated with age,reproductive status,family influence and accessibility-related factors.Findings demonstrated the importance of enhancing early reproductive health education for men and women.The health system reinforcement,community empowerment and multisectoral engagement enhance accessibility to health facilities,reduce financial and geographical barriers,and produce strong quality care.

Menopause and the risk of metabolic syndrome among middle-aged Chinese women

Objective:This study explored the relationship between menopause and metabolic syndrome(MetS),stroke,hyperlipidemia,diabetes and hypertension.Study design:This cross-sectional study surveyed 440 women in Yuci,China in 2012.Main outcome measures:MetS,diabetes,hypertension,hyperlipidemia,stroke,and behavioral and demographic variables.Results:The prevalence of MetS in this study was 40.28%to 49.66%(p=0.065)among preand post-menopausal women,respectively,after adjusting for age.Conclusions:The prevalence of diabetes,stroke,hypertension,and hyperlipidemia was higher among post-than pre-menopausal women.Health screenings for women in China should consider the increased risk for metabolic disorders during the postmenopausal stage of life.