Using the behaviour change wheel to examine facilitators and barriers to assertive contraception-use conversations for Indonesian women
Bibliographic Data
| ID | 15098579 |
|---|---|
| Authors | Levina Adiputri (University College London), Leslie Morrison Gutman (0000-0003-0567-7347, University College London, corresponding author) |
| Year | 2024 |
| Volume | 26 |
| Issue | 5 |
| Pages | 671-686 |
| Publication date | 2024-05-02 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2023.2238014 |
| PMID | 37489998 |
| OpenAlex | W4385230291 |
| Language | EN |
| Citations received | 2 |
| References cited | 34 |
Contraception-use communication between sexual partners is important to reduce unwanted pregnancies and protect sexual and reproductive health. There is a dearth of research focused on developing countries where sexual and reproductive health conversations are often considered taboo. Using the Behaviour Change Wheel, this qualitative study examines the facilitators and barriers to having assertive contraception-use conversations with a male partner for Indonesian women and then identifies behaviour change techniques as potential intervention strategies. Semi-structured interviews were conducted with ten Indonesian women aged 18 to 29 years who had been sexually active and were currently in a committed dating relationship with a male partner. Using thematic analysis, 13 themes were identified. Facilitators of assertive contraception-use communication include knowledge about sexual and reproductive health and contraception, communication skills, closeness of the relationship with one's partner, other people's experiences of sex and contraception, and social media norms concerning the open discussion of sex and contraception. Fear of initiating the conversation about contraception was a barrier. Partner's attitude towards having contraception-use conversations and the taboos surrounding contraception in Indonesian culture acted as both facilitators and barriers. Suggested strategies to promote contraception-use communication include using social media to break the stigma surrounding sexual and reproductive health matters, normalising assertive conversations about contraceptive use with sexual partners, empowering women to be more assertive about their preferences for contraception, and teaching strategies to promote assertive contraception-use communication among young women and men in Indonesia
Assertiveness · Emergency contraception · Environmental health · Family planning · Population · Qualitative research · Reproductive health · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · Attachment and Relationship Dynamics · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology
Why Communication Is Crucial
Gender-transformative programming with men and boys to improve sexual and reproductive health and rights
Country-specific estimates of unintended pregnancy and abortion incidence
Testing a New Measure of Sexual Health Knowledge and Its Connections to Students' Sex Education, Communication, Confidence, and Condom Use
Designing an intervention to improve sexual health service use among university undergraduate students
The Development and Initial Validation of the Youth Sexual Intention Scale
Economic Dependence and Unprotected Sex
Sexual Victimization, Fear of Sexual Powerlessness, and Cognitive Emotion Dysregulation as Barriers to Sexual Assertiveness in College Women
Husbands’ versus wives’ fertility goals and use of contraception
Using thematic analysis in psychology
Sample Size in Qualitative Interview Studies
| Citations per year | 2 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |