Jenis Penggunaan Kontrasepsi dan Faktor-Faktor yang Berhubungan dengan Pemilihannya pada Perempuan Usia Subur di Klinik Sumiariani Medan Tahun 2025

Abstract

Background: Contraception plays an essential role in fertility control to support the success of the Family Planning (KB) program. The choice of contraceptive methods is influenced by predisposing, enabling, and reinforcing factors. Although various methods are available, most women of reproductive age still prefer shortterm methods such as injections and pills compared to Long-Acting Reversible Contraception (LARC). Objective: To identify the types of contraception used and the factors associated with the selection of contraceptive methods among women of reproductive age at Sumiariani Clinic, Medan, in 2025. Method: This study employed an analytical design with a cross-sectional approach involving 109 women of reproductive age who were active contraceptive users. Data were collected using a structured questionnaire and analyzed using the Chi-Square test and the Likelihood Ratio test as an alternative when minimum frequency assumptions were not met (p < 0.05 was considered statistically significant). Results: Most respondents were aged 21–35 years (67.0%), had completed senior high school (55.0%), and were housewives (66.1%). The most commonly used contraceptive methods were injections (45.9%) and pills (22.0%). Bivariateanalysis revealed significant associations between the first source of contraceptive information, place of installation, duration of use, husband’s support, experience of side effects, and level of knowledge with the choice of contraceptive method (p < 0.05), whereas age, education, occupation, income, and number of children showed no significant relationship. Conclusion: The selection of contraceptive methods is more influenced by behavioral, experiential, and partner-support factors rather than sociodemographic aspects. Strengthening education and counseling by healthcare providers is necessary to encourage the use of more effective and longterm contraceptive methods.