Latar Belakang: Unmet need keluarga berencana (KB) masih menjadi tantangan dalam pelayanan kesehatan reproduksi karena berkaitan dengan peningkatan risiko kehamilan tidak diinginkan serta berbagai dampak buruk terhadap kesehatan ibu dan anak. Berdasarkan SDKI 2017, prevalensi unmet need KB nasional sebesar 10,6%, sedangkan di Provinsi Sumatra Selatan sebesar 8,6%. Meskipun lebih rendah dari angka nasional, penelitian yang secara khusus menganalisis determinan unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan menggunakan pendekatan analisis multivariat masih sangat terbatas, sehingga faktor-faktor yang paling dominan berhubungan dengan kejadian tersebut di tingkat provinsi ini belum banyak dipahami. Tujuan: Menganalisis determinan kejadian unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan berdasarkan data Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Metode: Penelitian menggunakan data sekunder SDKI 2017 dengan desain cross-sectional pada wanita usia subur di Provinsi Sumatra Selatan yang memenuhi kriteria inklusi. Variabel usia dikategorikan menjadi 15–24, 25–34, dan 35–49 tahun, sedangkan jumlah anak hidup dikategorikan menjadi ≤2 anak dan >2 anak. Variabel outcome adalah kejadian unmet need KB. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik ganda. Hasil: Prevalensi unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan sebesar 8,6%. Analisis bivariat menunjukkan bahwa usia, jumlah anak hidup, dan persetujuan suami terhadap penggunaan KB berhubungan bermakna dengan kejadian unmet need KB. Setelah dikontrol oleh variabel lain, wanita dengan jumlah anak hidup >2 memiliki peluang 2,05 kali lebih besar mengalami unmet need KB dibandingkan wanita dengan ≤2 anak (aOR=2,05; 95% CI 1,12–3,78). Wanita yang suaminya menyetujui penggunaan KB memiliki peluang 0,15 kali (atau 6,5 kali lebih rendah) mengalami unmet need KB dibandingkan wanita yang suaminya tidak menyetujui (aOR=0,15; 95% CI 0,05–0,45), dan merupakan faktor yang paling dominan. Usia tidak lagi berhubungan bermakna setelah dikontrol variabel lain. Kesimpulan: Kejadian unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan lebih ditentukan oleh faktor reproduksi dan dukungan pasangan dibandingkan karakteristik sosiodemografi. Temuan ini mengindikasikan bahwa strategi penurunan unmet need KB perlu diarahkan pada penguatan keterlibatan suami dalam pengambilan keputusan ber-KB serta konseling kontrasepsi yang mempertimbangkan riwayat reproduksi perempuan, bukan semata-mata intervensi berbasis karakteristik demografi.

Background: Unmet need for family planning remains a reproductive health challenge, as it is associated with an increased risk of unintended pregnancy and adverse maternal and child health outcomes. Based on the 2017 IDHS, the national prevalence of unmet need for family planning was 10.6%, while in South Sumatra Province it was 8.6%. Although lower than the national figure, studies specifically examining the determinants of unmet need among women of reproductive age in South Sumatra Province using a multivariable approach remain very limited, so the dominant factors at the provincial level are not yet well understood. Objective: To analyze the determinants of unmet need for family planning among women of reproductive age in South Sumatra Province using data from the 2017 IDHS. Methods: This study used secondary data from the 2017 IDHS with a cross-sectional design among women of reproductive age in South Sumatra Province who met the inclusion criteria. Age was categorized into 15–24, 25–34, and 35–49 years, while the number of living children was categorized into ≤2 and >2 children. The outcome variable was unmet need for family planning. Data were analyzed using univariate, bivariate (chi-square test), and multivariable logistic regression analyses. Results: The prevalence of unmet need for family planning was 8.6%. Bivariate analysis showed that age, number of living children, and husband's approval of family planning use were significantly associated with unmet need. After adjustment, women with >2 living children had 2.05 times higher odds of unmet need than those with ≤2 children (aOR=2.05; 95% CI 1.12–3.78). Women whose husband’s approved of family planning use had 0.15 times the odds (i.e., 6.5 times lower odds) of unmet need compared to those whose husband’s did not approve (aOR=0.15; 95% CI 0.05–0.45), making it the most dominant factor. Age was no longer significantly associated after adjustment. Conclusion: Unmet need for family planning among women of reproductive age in South Sumatra Province is more strongly determined by reproductive factors and spousal support than by sociodemographic characteristics. These findings suggest that strategies to reduce unmet need should prioritize strengthening husband’s involvement in family planning decision-making and providing contraceptive counseling that accounts for women's reproductive history, rather than relying solely on demographic-based interventions.

Berdasarkan data SDKI terjadi peningkatan prevalensi perilaku hubungan seksual pranikah pada remaja umur 15-24 tahun. SDKI 2017 menyebutkan sebanyak 8% remaja pria dan 2% remaja perempuan telah melakukan hubungan seksual, lebih tinggi dibandingkan data SDKI 2012 yakni 7% remaja laki-laki dan 1% remaja perempuan melakukan hubungan seksual pranikah. Penelitian ini bertujuan untuk mengetahui pengaruh teman sebaya terhadap perilaku hubungan seksual pranikah remaja umur 15-24 tahun di Indonesia dengan menggunakan data SDKI 2017 dengan disain cross sectional. Sampel sebesar 12.363 remaja yang memenuhi kriteria remaja pria dan WUS umur 15-24 tahun, pernah atau sedang berpacaran, memiliki teman sebaya, dan memiliki teman dengan pengalaman seksual pranikah. Data dianalisis menggunakan uji logistik regresi ganda menggunakan program SPSS. Hasil penelitian menunjukkan 8,4% remaja yang sedang atau pernah berpacaran pernah melakukan hubungan seksual pranikah dan 21,9% remaja mendapatkan pengaruh buruk perilaku seksual teman sebayanya. Hasil analisis mendapatkan adanya pengaruh teman sebaya terhadap perilaku hubungan seksual pranikah, remaja yang mendapatkan pengaruh buruk dari perilaku seksual teman sebayanya berisiko 4 kali untuk melakukan hubungan seksual pranikah dibandingkan dengan remaja yang tidak terpengaruh teman sebaya setelah dikontrol oleh sikap terhadap perilaku seksual pranikah, gaya berpacaran dan riwayat konsumsi alkohol. Diperlukan upaya peningkatan keterlibatan remaja dalam kegiatan bermanfaat, sehingga dapat menciptakan lingkungan pergaulan yang baik serta dapat menghindarkan remaja dari pengaruh seksual pranikah teman sebaya

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Based on IDHS 2017, there is an increase in the prevalence of premarital sexual intercourse among adolescents aged 15-24 years. IDHS 2017 as many as 8% of male adolescents and 2% of female adolescents have had sexual intercourse compared to the 2012 IDHS data as many as 7% of boys and 1% of female adolescents premarital sexual relations. This study aims to determine the effect of peers on premarital sexual relations behavior of adolescents aged 15-24 years in Indonesia using the IDHS 2017 with cross sectional design. Sample of 12,363 adolescents who meet the criteria for male adolescents and female aged 15-24 years, have currently dating, having peers, and having friends with premarital sexual experiences. Data were analyzed using multiple regression logistic tests using the SPSS program. The results showed that 8.4% of adolescents who are currently or have been dating have had premarital sexual intercourse and 21.9% of adolescents have had a bad influence on their peer sexual behavior. The results of the analysis show that there is peer influence on premarital sexual intercourse behavior, adolescents who get influence from their peer sexual behavior have 4 times the risk of having premarital sexual intercourse compared with adolescents who are not influenced by peers after being controlled by attitudes towards premarital sexual behavior, dating style and a history of alcohol consumption. Efforts are needed to increase youth involvement in more useful activities so that they can create a good social environment and can prevent adolescents from the sexual behavior of peers

Unmet need Keluarga Berencana (KB) masih menjadi tantangan kesehatan reproduksi di Indonesia karena berkontribusi terhadap kehamilan tidak direncanakan, kematian ibu, dan berbagai dampak kesehatan lainnya. Permasalahan tersebut semakin kompleks pada WUS Generasi Z yang telah menikah akibat keterbatasan akses informasi dan ketakutan terhadap efek samping kontrasepsi. Penelitian ini bertujuan mengetahui gambaran kejadian unmet need KB dan menganalisis faktor-faktor yang berhubungan dengan unmet need KB pada WUS Generasi Z yang telah kawin di Kota Depok. Penelitian ini menggunakan desain cross-sectional menggunakan data primer yang dikumpulkan pada April 2026. Sampel berjumlah 135 WUS Generasi Z (15–27 tahun) yang telah kawin dan dipilih menggunakan mixed sampling design, yaitu pemilihan kecamatan secara purposif dan pemilihan klaster secara bertahap (multistage cluster random sampling). Analisis data meliputi analisis univariat dan analisis bivariat menggunakan uji Chi-Square atau Fisher's Exact Test dengan tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa prevalensi unmet need KB sebesar 27,4%, lebih tinggi dibandingkan hasil analisis SDKI 2017 pada perempuan muda yang telah menikah (9,3%), capaian nasional tahun 2023 (11,5%), maupun target Renstra Kemendukbangga/BKKBN 2025–2029 sebesar 10,0%. Kebutuhan KB yang belum terpenuhi didominasi oleh unmet need untuk penjarangan kehamilan (spacing) sebesar 17,0%. Dari seluruh variabel yang dianalisis, hanya paparan petugas kesehatan yang berhubungan signifikan dengan kejadian unmet need KB (p-value=0,041), sedangkan usia, status pekerjaan, tingkat pendidikan, tingkat ekonomi, jumlah anak hidup, jumlah anak ideal, dan paparan media massa tidak menunjukkan hubungan yang signifikan. Penelitian ini menyimpulkan bahwa unmet need KB pada WUS Generasi Z di Kota Depok masih tergolong tinggi dan didominasi oleh kebutuhan penjarangan kehamilan. Penguatan Komunikasi, Informasi, dan Edukasi (KIE), peningkatan kualitas konseling kontrasepsi oleh tenaga kesehatan, promosi Metode Kontrasepsi Jangka Panjang (MKJP), serta pengembangan sistem informasi keluarga berencana yang terintegrasi perlu dioptimalkan untuk menurunkan unmet need KB pada Generasi Z

Unmet need for family planning (FP) remains a major reproductive health challenge in Indonesia because it contributes to unintended pregnancies, maternal mortality, and various adverse health outcomes. This issue is particularly pronounced among married Generation Z women of reproductive age (WRA) due to limited access to information and concerns about contraceptive side effects. This study aimed to describe the prevalence of unmet need for family planning and to analyze factors associated with unmet need for family planning among married Generation Z women of reproductive age in Depok City. This study employed a cross-sectional design using primary data collected in April 2026. A total of 135 married Generation Z women of reproductive age (15–27 years) were selected using a mixed sampling design, consisting of purposive selection of subdistricts followed by multistage cluster random sampling. Data were analyzed using univariate and bivariate analyses. The bivariate analysis employed the Chi-square test or Fisher's Exact Test with a 95% confidence level. The results showed that the prevalence of unmet need for family planning was 27.4%, which was higher than the prevalence reported in the 2017 Indonesia Demographic and Health Survey (IDHS) among married young women (9.3%), the national prevalence in 2023 (11.5%), and the 2025–2029 Strategic Plan target of the Ministry of Population and Family Development/National Population and Family Planning Board (10.0%). Unmet need was predominantly attributed to the need for birth spacing (17.0%). Among all variables examined, only exposure to family planning information provided by health workers was significantly associated with unmet need for family planning (p-value=0.041). In contrast, age, employment status, educational level, economic status, number of living children, ideal number of children, and exposure to mass media were not significantly associated with unmet need for family planning. In conclusion, the prevalence of unmet need for family planning among Generation Z women of reproductive age in Depok City remains high and is predominantly related to the need for birth spacing. Strengthening family planning communication and education, improving the quality of contraceptive counseling provided by health workers, promoting Long-Acting Reversible Contraceptive Methods (LARCs), and developing an integrated family planning information system should be optimized to reduce unmet need for family planning among Generation Z