1.Influence of internet, mobile phone use, and sociodemographic factors on women’s knowledge and attitude towards contraception in Indonesia
Achmad Kemal HARZIF ; Amalia SHADRINA ; Edward Christopher YO ; Nia REVIANI ; Andon HESTIANTORO
Obstetrics & Gynecology Science 2023;66(1):42-48
Objective:
Rapid population growth has been a problem in Indonesia for several decades. One of the reasons for this phenomenon is limited knowledge of reproductive health and proper contraception methods. The use of mobile phones and the internet has made it easier to access health information. This study aimed to determine the influence of the internet, mobile phone use, and sociodemographic factors on Indonesian women’s knowledge of and attitudes toward contraception.
Methods:
The present study used secondary data from the 2017 Indonesian Health and Demographics Survey. Altogether, 49,627 women participated in this study. Descriptive statistics were performed, and bivariate analysis using the chisquared test was performed to measure the association between variables.
Results:
Knowledge about the ovulation cycle and contraception was positively associated with mobile phone ownership, frequent internet use, higher wealth index, reading printed media, listening to the radio, watching the television, higher educational level, and older age. The use and intention of contraception were positively associated with lower wealth index, watching television at least once a week, primary-secondary educational level, rural residence, and older age. Thus, acquisition of knowledge does not necessarily translate into implementation of contraceptive methods, since there might be certain digital and social barriers.
Conclusion
Access to the internet and mobile phones as well as certain sociodemographic factors have contributed to an increase in women’s knowledge about contraception, but not necessarily in their knowledge regarding the use of contraception.
2.Anti-Müllerian hormone as a predictor of polycystic ovary syndrome treated with clomiphene citrate.
Andon HESTIANTORO ; Yuwono Sri NEGORO ; Yohana AFRITA ; Budi WIWEKO ; Kanadi SUMAPRADJA ; Muharam NATADISASTRA
Clinical and Experimental Reproductive Medicine 2016;43(4):207-214
OBJECTIVE: This study aimed to determine the threshold of anti-Müllerian hormone (AMH) as predictor of follicular growth failure in polycystic ovary syndrome (PCOS) patients treated with clomiphene citrate (CC). METHODS: Fifty female subjects with PCOS were recruited and divided into two groups based on successful and unsuccessful follicular growth. Related variables such as age, infertility duration, cigarette smoking, use of Moslem hijab, sunlight exposure, fiber intake, body mass index, waist circumference, AMH level, 25-hydroxy vitamin D level, and growth of dominant follicles were obtained, assessed, and statistically analyzed. RESULTS: The AMH levels of patients with successful follicular growth were significantly lower (p=0.001) than those with unsuccessful follicular growth (6.10±3.52 vs. 10.43±4.78 ng/mL). A higher volume of fiber intake was also observed in the successful follicular growth group compared to unsuccessful follicular growth group (p=0.001). Our study found the probability of successful follicle growth was a function of AMH level and the amount of fiber intake, expressed as Y=–2.35+(–0.312×AMH level)+(0.464×fiber intake) (area under the curve, 0.88; 95% confidence interval, 0.79–0.98; p<0.001). CONCLUSION: The optimal threshold of AMH level in predicting the failure of follicle growth in patients with PCOS treated with CC was 8.58 ng/mL.
Body Mass Index
;
Clomiphene*
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Female
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Humans
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Infertility
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Ovarian Follicle
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Polycystic Ovary Syndrome*
;
Smoking
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Sunlight
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Vitamin D
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Waist Circumference