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Jurnal Ekonomi Kependudukan dan Keluarga

Abstract

Male participation in contraceptive use in Indonesia remains very low, while women continue to bear a disproportionate reproductive burden, including mental health impacts from contraceptive side effects. This study aims to examine the effect of husbands’ contraceptive use on wives’ mental health. The analysis utilizes data from the fifth wave of the Indonesia Family Life Survey conducted in 2014. Wives’ mental health is measured using the Center for Epidemiologic Studies Depression Scale - 10. The results of the binary logistic regression model indicate that husbands’ contraceptive use lowers the likelihood of wives experiencing depression. Additionally, being aged 25-49, having good self-rated health, having autonomy in household decision-making, being active in social participation, having a higher level of household income, and living in a safe environment are associated with a lower likelihood of depression. Conversely, being employed, having a history of adverse pregnancy outcomes, having a chronic illness, and having four or more children are linked to a higher likelihood of depression. These findings highlight the importance of husbands’ involvement in contraceptive use as a form of social support that contributes positively to wives’ mental health and overall family well-being.

References

Acoba, E. F. (2024). Social support and mental health: The mediating role of perceived stress. Frontiers in Psychology, 15, 1330720. https://doi.org/10.3389/fpsyg.2024.1330720

Altwaijri, Y. A., Al-Saud, N. K., Bilal, L., Al-Habeeb, A., Al-Subaie, A., Alzahrani, S., ... Kessler, R. C. (2024). Prevalence and correlates of mental disorders among women: Results from the Saudi National Mental Health Survey. BMC Public Health, 24, 2704. https://doi.org/10.1186/s12889-024-20069-9 

Amir, M. (2025). Increasing male participation in family planning through reproductive health education. Journal of Public Health Indonesian. https://doi.org/10.62872/m894x717 

Ashifa, A. N., Herman, H., Hilmanto, D., Sutedja, E., Nurihsan, J., & Anwar, R. (2025). The role of husband’s support in preventing postpartum depression: A scoping review. Majalah Kesehatan Indonesia, 6(3), 107–118. https://doi.org/10.47679/makein.2025257 

 Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). (2021). Peraturan Badan Kependudukan dan Keluarga Berencana Nasional Republik Indonesia Nomor 11 Tahun 2021 tentang Pengelolaan Kelompok Keluarga Berencana Pria. Berita Negara Republik Indonesia Tahun 2021 Nomor 1386. https://peraturan.bpk.go.id/Details/225345/peraturan-bkkbn-no-11-tahun-2021 

Badan Pusat Statistik (BPS), Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN), & Kementerian Kesehatan Indonesia (Kemenkes). (2018). Survei demografi dan kesehatan Indonesia (SDKI) 2017. USAID.

Baek, S.-U., Lee, Y.-M., Won, J.-U., & Yoon, J.-H. (2024). Association between husband's participation in household work and the onset of depressive symptoms in married women: A population-based longitudinal study in South Korea. Social Science & Medicine, 362, 117416. https://doi.org/10.1016/j.socscimed.2024.117416

Balkir, N., Arens, E. A., & Barnow, S. (2012). Exploring the relevance of autonomy and relatedness for mental health in healthy and depressed women from two different cultures: When does culture matter? International Journal of Social Psychiatry, 59(5), 482–492. https://doi.org/10.1177/0020764012441428 

Balsa, A. I., Homer, J. F., & French, M. T. (2009). The health effects of parental problem drinking on adult children. Journal of Mental Health Policy and Economics, 12(2), 55–66. https://pubmed.ncbi.nlm.nih.gov/19567931

Bhardwaj, A., Schulhofer, L., Ledbetter, J. M., Gallo, J. J., & Murray, S. M. (2025). The mental health impact on women of engaging men in health interventions in low- and middle-income countries: A systematic review. PLOS Global Public Health, 5(11), e0005168. https://doi.org/10.1371/journal.pgph.0005168

Brummelhuis, I. A. M., Videler, A. C., & Kop, W. J. (2024). Association of parental mental illness with anxiety and depression in adulthood: The role of potentially contributing factors. Journal of Affective Disorders, 350, 174–181. https://doi.org/10.1016/j.jad.2024.01.027

Campelia, G. D., Adashi, E. Y., & Amory, J. K. (2024). Shared risk and shared responsibility: The ethics of male contraceptives. Andrology, 12(7), 1605–1609. https://doi.org/10.1111/andr.13649

Carrere, J., Vásquez-Vera, H., Pérez-Luna, A., Novoa, A. M., & Borrell, C. (2022). Housing insecurity and mental health: The effect of housing tenure and the coexistence of life insecurities. Journal of Urban Health, 99(2), 268-276. https://doi.org/10.1007/s11524-022-00619-5

Chaplin, A. B., Jones, P. B., & Khandaker, G. M. (2020). Association between common early-childhood infection and subsequent depressive symptoms and psychotic experiences in adolescence: A population-based longitudinal birth cohort study. Psychological Medicine, 52(11), 1-11. https://doi.org/10.1017/S0033291720004080

Chen, J., Zeng, Y., & Fang, Y. (2022). Effects of social participation patterns and living arrangement on mental health of Chinese older adults: A latent class analysis. Frontiers in Public Health, 10, 915541. https://doi.org/10.3389/fpubh.2022.915541 

Churchill, R. E. A., & Asante, A. (2024). Locus of control and the long-term effects of parental smoking on mental health. Social Science & Medicine, 361, 117401. https://doi.org/10.1016/j.socscimed.2024.117401 

Cuenca, D. (2023). Pregnancy loss: Consequences for mental health. Frontiers in Global Women's Health, 3, 1032212. https://doi.org/10.3389/fgwh.2022.1032212

De Oliveira, C., Saka, M., Bone, L., & et al. (2023). The role of mental health on workplace productivity: A critical review of the literature. Applied Health Economics and Health Policy, 21, 167–193. https://doi.org/10.1007/s40258-022-00761-w

Ding, Y., Chen, L., & Zhang, Z. (2022). The relationship between social participation and depressive symptoms among Chinese middle-aged and older adults: A cross-lagged panel analysis. Frontiers in Public Health, 10, 996606. https://doi.org/10.3389/fpubh.2022.996606 

Doan, T., Ha, V., & Strazdins, L. (2023). Healthy minds live in healthy bodies—Effect of physical health on mental health: Evidence from Australian longitudinal data. Current Psychology, 42, 18702–18713. https://doi.org/10.1007/s12144-022-03053-7

Drageset, J. (2021). Social support. In G. Haugan & M. Eriksson (Eds.), Health promotion in health care – Vital theories and research (Chapter 11). Springer. https://doi.org/10.1007/978-3-030-63135-2_11

Elfiyan, I. (2025). Efektivitas kebijakan keluarga berencana dalam mengoptimalkan peran pria di Indonesia. Bappenas Working Papers, 8(3), 521–536. https://doi.org/10.47266/bwp.v8i3.401 

Frans, S., & Djasri, H. (2023). Reducing unmet need for family planning in Indonesia: A policy analysis report. Jurnal Kebijakan Kesehatan Indonesia, 12(4), 224–229. https://doi.org/10.22146/jkki.89933

Frey, V. N., Langthaler, P. B., Huf, M. J., Gruber, G., Prinz, T., Kedenko, L., Iglseder, B., Paulweber, B., & Trinka, E. (2024). Stress and the city: Mental health in urbanized vs. rural areas in Salzburg, Austria. International Journal of Environmental Research and Public Health, 21(11), 1459. https://doi.org/10.3390/ijerph21111459

Garima, M., & Kiran, U. V. (2014). Impact of marital status on mental health of working women. Journal of Medical Science and Clinical Research, 2(10), 2594-2605. https://www.researchgate.net/publication/267506019

Gausia, K., Moran, A. C., Ali, M., Ryder, D., Fisher, C., & Koblinsky, M. (2011). Psychological and social consequences among mothers suffering from perinatal loss: Perspective from a low-income country. BMC Public Health, 11, 451. https://doi.org/10.1186/1471-2458-11-451 

Grossman, M. (1972). On the concept of health capital and the demand for health. The Journal of Political Economy, 80(2), 223–255. https://doi.org/10.1086/259880

Gujarati, D. N., & Porter, D. C. (2009). Basic econometrics (5th ed.). McGraw-Hill Education.

Hassan, Z. I., Yahaya, M. B., Okoro, I. A., & Umar, H. L. (2018). Male partners’ involvement in spousal contraceptive use: A perspective of a contemporary African setting. World Journal of Research and Review, 6(1), 1–5. https://www.neliti.com/publications/262703/male-partners-involvement-in-spousal-contraceptive-use-a-perspective-of-a-contemporary-african-setting 

Huang, Y., Loux, T., Huang, X., & Feng, X. (2023). The relationship between chronic diseases and mental health: A cross-sectional study. Mental Health & Prevention, 32, 200307. https://doi.org/10.1016/j.mhp.2023.200307 

Jacobson, L. (2000). The family as producer of health—An extended Grossman model. Journal of Health Economics, 19(5), 611–637. https://doi.org/10.1016/S0167-6296(99)00041-7

Jahanfar, S., Mortazavi, J., Lapidow, A., et al. (2024). Assessing the impact of contraceptive use on mental health among women of reproductive age – a systematic review. BMC Pregnancy and Childbirth, 24, 396. https://doi.org/10.1186/s12884-024-06587-9

Jareebi, M. A., & Alqassim, A. Y. (2024). The impact of educational attainment on mental health: A causal assessment from the UKB and FinnGen cohorts. Medicine, 103(26), e38602. https://doi.org/10.1097/MD.0000000000038602

Johansson, T., Vinther Larsen, S., Bui, M., Ek, W. E., Karlsson, T., & Johansson, Å. (2023). Population-based cohort study of oral contraceptive use and risk of depression. Epidemiology and Psychiatric Sciences, 32, e39. https://doi.org/10.1017/S2045796023000525 

Kaiser Family Foundation. (2022). Percentage of contraceptive-using women in the U.S. who had experienced select side effects that were unexpected or more severe than expected as of 2022 [Graph]. In Statista. https://remote-lib.ui.ac.id:6499/statistics/1415167/percentage-of-contraceptive-using-women-reporting-side-effects-us/  

Kelly, S. L., Walsh, T., Delport, D., ten Brink, D., Martin-Hughes, R., Homer, C. S. E., … Scott, N. (2023). Health and economic benefits of achieving contraceptive and maternal health targets in Small Island Developing States in the Pacific and Caribbean. BMJ Global Health, 8, e010018. https://doi.org/10.1136/bmjgh-2022-010018

Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., & Griffiths, S. L. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations. World Psychiatry, 23(1), 58-90. https://doi.org/10.1002/wps.21160

Kondirolli, F., & Sunder, N. (2022). Mental health effects of education. Health Economics, 31(Suppl 2), 22–39. doi:10.1002/hec.4565

Lebert-Charron, A., Wendland, J., Vivier-Prioul, S., Boujut, E., & Dorard, G. (2021). Does perceived partner support impact maternal mental health and parental burnout? Marriage & Family Review, 58(4), 362–382. https://doi.org/10.1080/01494929.2021.1986766

Lorem, G. F., Schirmer, H., Wang, C. E., & Emaus, N. (2017). Ageing and mental health: Changes in self-reported health due to physical illness and mental health status with consecutive cross-sectional analyses. BMJ Open, 7(1), e013629. doi:10.1136/bmjopen-2016-013629

Lowthian, E., et al. (2023). Maternal mental health and children’s problem behaviours: A bi-directional relationship? Journal of Abnormal Child Psychology, 51(11), 1611–1626. https://doi.org/10.1007/s10802-023-01086-5 

Ohrnberger, J., Fichera, E., & Sutton, M. (2017). The relationship between physical and mental health: A mediation analysis. Social Science & Medicine, 195, 42–49. https://doi.org/10.1016/j.socscimed.2017.11.008 

Oz-Soysal, F. S., Bakalım, O., Tasdelen-Karckay, A., & Ogan, S. (2023). The association between autonomy need satisfaction and perceived romantic relationship quality: The mediating role of openness. Emerging Adulthood, 12(2), 187–200. https://doi.org/10.1177/21676968231220074

Pearson, R. M., Culpin, I., Loret de Mola, C., Quevedo, L., Murray, J., Matijasevich, A., … Horta, B. L. (2019). Transition to parenthood and mental health at 30 years: A prospective comparison of mothers and fathers in a large Brazilian birth cohort. Archives of Women's Mental Health, 22(5), 621–629. https://doi.org/10.1007/s00737-018-0935-x

Rahman, S., & Steeb, D. R. (2024). Unlocking the door to mental wellness: Exploring the impact of homeownership on mental health issues. BMC Public Health, 24(1), 3479. https://doi.org/10.1186/s12889-024-20842-w 

Ross, J., & Hardee, K. (2017). Use of male methods of contraception worldwide. Journal of Biosocial Science, 49(5), 648–663. https://doi.org/10.1017/S0021932016000560

Shabnam, F. (2025). Husbands' involvement in contraceptive use: Assessing decision-making and support dynamics. SSB Global Journal of Medical Science, 6, 3–8. https://www.researchgate.net/publication/388886458 

Tambun, M., Lusiatun, L., Agussamad, I., Rezeki, S., Damayanti, D., & Sembiring, A. (2025). Pemberdayaan masyarakat dan keluarga berbasis inovasi e-leaflet untuk mendukung peran serta suami menggunakan alat kontrasepsi di Kampung KB Pangkalan Masyhur Medan Johor Provinsi Sumatera Utara. Jurnal Medika: Medika, 4(4). https://doi.org/10.31004/5vjga845

Thomson, R. M., Igelström, E., Purba, A. K., Shimonovich, M., Thomson, H., McCartney, G., Reeves, A., Leyland, A., Pearce, A., & Katikireddi, S. V. (2022). How do income changes impact on mental health and wellbeing for working-age adults? A systematic review and meta-analysis. Lancet Public Health, 7(6), e515-e528. https://doi.org/10.1016/S2468-2667(22)00058-5.

Wadood, M. A., Karim, M. R., Alim, S. A. H. M., Hossain, M. M., Islam, M. T., Chowdhury, M. Z. H., & Rahman, M. M. (2023). Factors affecting depression among married adults: A gender-based household cross-sectional study. BMC Public Health, 23, 2077. https://doi.org/10.1186/s12889-023-16979-9

World Health Organization. (2012). Risks to mental health: An overview of vulnerabilities and risk factors. WHO. https://cdn.who.int/media/docs/default-source/mental-health/risks_to_mental_health_en_27_08_12.pdf

World Health Organization. (2022). Mental health: Strengthening our response. WHO. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response

Yan, W. (2025). Development of male contraceptives is critical for women’s health. Biology of Reproduction, 113(1), 3–4. https://doi.org/10.1093/biolre/ioaf115

Yan, Y., Duan, X., Tan, Y., Wu, T., Yang, B. X., Luo, D., & Liu, L. (2025). The relationship between family functioning and depressive symptoms: Mediating effects of psychological resilience and parent-child interactions. Journal of Affective Disorders, 385, 119383. https://doi.org/10.1016/j.jad.2025.119383

Yang, L., Yang, Z., & Yang, J. (2023). The effect of marital satisfaction on the self-assessed depression of husbands and wives: Investigating the moderating effects of the number of children and neurotic personality. BMC Psychology, 11, 163. https://doi.org/10.1186/s40359-023-01200-8

Yosita, T. L., Wismanto, Y. B., & Yudiati, E. A. (2022). Kesejahteraan psikologis pada ibu yang berperan ganda ditinjau dari dukungan suami dan tekanan psikologis. Gadjah Mada Journal of Psychology (GamaJoP), 8(1), 71. https://www.researchgate.net/publication/360815264

Bahasa Abstract

Partisipasi pria dalam penggunaan kontrasepsi di Indonesia masih sangat rendah, sedangkan perempuan menanggung beban reproduksi yang berat termasuk efek samping kontrasepsi yang berdampak kepada kesehatan mental. Penelitian ini bertujuan untuk menganalisis pengaruh penggunaan kontrasepsi suami terhadap kesehatan mental istri. Data yang digunakan berasal dari Indonesia Family Life Survey gelombang ke-5 yang dilaksanakan pada tahun 2014. Kesehatan mental diukur dengan menggunakan instrumen Center for Epidemiologic Studies Depression Scale-10. Hasil regresi logistik biner menunjukkan bahwa penggunaan kontrasepsi suami menurunkan kecenderungan istri untuk mengalami depresi. Selain itu, istri yang berusia 25-49 tahun, sehat secara subjektif, memiliki otonomi dalam rumah tangga, berpartisipasi sosial, memiliki tingkat pendapatan rumah tangga yang tinggi, dan memiliki lingkungan yang aman, berhubungan dengan kecenderungan depresi yang lebih rendah. Sementara itu, istri yang bekerja, memiliki riwayat kehamilan yang buruk, memiliki penyakit kronis, dan memiliki sedikitnya empat anak lebih cenderung untuk depresi. Temuan ini menunjukkan bahwa keterlibatan suami dalam isu kontrasepsi penting untuk mendukung kesehatan mental istri serta kesejahteraan keluarga secara umum.

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