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Early marriage is defined as the marriage of a girl or boy before the age of 18. Early marriage has more negative implications for adolescent survival. An earlier marriage age will have an impact on the health of the mother and child, as well as increase morbidity and mortality. This study was conducted to determine trends and factors associated with early marriage in young women aged 15-24 years in Indonesia. This study used a cross-sectional study design with data sources derived from the secondary data from the 2017 Indonesian Demographic and Health Survey. The sample of this study was WUS aged 15-24 years who were married totaling 4,075 respondents. Data were analyzed using cox regression to determine the prevalence of the ratio of early marriage with the variables suspected as risk factors. Significance was assessed by looking at the 95% confident interval (CI). Meanwhile, to analyze trends, survey data were used from 1987 to 2017. The results of this study show that the trend of early marriage among women 15-24 years of age in Indonesia has decreased, namely 57.8% to 40.0%. From the analysis, it was found that 40.0% of respondents who were married were aged <18 years. Based on the results of the analysis, it was found that current age, age at first sexual intercourse, education level, internet exposure, age differences with partners, and differences in education levels with partners are all factors that influence a person in deciding to marry at a young age or not. . In this case, it can be seen that the level of education has the highest rate as a risk factor for early marriage so that strengthening the educational factor is needed to reduce the rate of early marriage among women in Indonesia.
In the reproductive cycle, the increasing age, number of children and health conditions lead to the need for more rational types of new contraceptives. Switching contraception to irrational methods may cause unintended pregnancies. High knowledge and perceptions of the effectiveness and efficiency of contraceptive use are related to the rational switching method pattern. Therefore, this study aims to evaluate the pattern of switching contraceptive methods, and to prove the difference association of knowledge and perception of contraceptive use with the pattern of rational switching contraceptive methods among women of Family Planning FP acceptors in East Java and West Nusa Tenggara.This study used a quantitative approach with Cross Sectional study design. Research subjects were women of reproductive age with 4616 women in East Java and 4819 women in West Nusa Tenggara. Changes in types of contraceptives were reviewed from the different types of contraceptives with the previous one during the timeframe of the FP program. Assessment of rationality was reviewed from the compatibility of the last method of contraception with age, number of children and family planning motivation. Knowledge was measured related to Long Term Contraceptive Method LTCM . While, perception rsquo s measurement was related to the effectiveness side effects and mode of use and efficiency cost and ease of obtaining of contraceptives. Data were analyzed using Multilevel Multiple Logistic Regression analysis to prove the research hypothesis.The switching pattern of contraceptive methods was dominated by changing from non LTCM to other non LTCM. Only a small proportion of high risk women switched to use rational contraception both in West Nusa Tenggara and East Java. Perceptions of side effect was associated with rational patterns of switching method in women in East Java, and perceptions of the use of contraceptives had relationship with patterns of rational contraceptive methods for women in West Nusa Tenggara. Perceptions of the cost of contraceptives was foundto be related withrational switching pattern of contraceptive methods among women in East Java and West Nusa Tenggara.In conclusion, there was a difference relationship of perceptionon contraception use and switching contraceptive method between East Java and West Nusa Tenggara. Therefore, it is recommended that Communication, Information and Education CIE strategies for women in East Java should focus on solving perceptual problems related to side effect while in West Nusa Tenggara women more focus on solving perception problems about how to use contraceptives. To solve the problems related to perception of contraceptive cost among women in East Java and West Nusa Tenggara, it is necessary to support the continuity of contraceptive application program for the poor and other categories through the Social Insurance Administration Organization Badan Penyelenggara Jaminan Sosial BPJS program.
