FACTORS SUCH AS PSYCHOSOCIAL SUPPORT, ANXIETY, AND HEALTHCARE FACILITIES INFLUENCE THE CHOICE OF BIRTHPLACE WITH SELF‑EFFICACY AS A MODERATING VARIABLE
Abstract
Pemilihan tempat persalinan merupakan keputusan penting bagi ibu hamil yang dipengaruhi oleh faktor internal dan eksternal, seperti dukungan psikososial, kondisi psikologis, dan persepsi terhadap fasilitas layanan kesehatan. Penelitian ini bertujuan menganalisis pengaruh dukungan psikososial, kecemasan, dan fasilitas layanan kesehatan terhadap keputusan ibu hamil memilih tempat persalinan, serta menguji peran self-efficacy sebagai variabel moderasi. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional pada 100 ibu hamil trimester ketiga yang aktif memeriksakan kehamilan di wilayah kerja Puskesmas Poasia (40 responden), Mokoau (33 responden), dan Lepo-lepo (27 responden). Sampel ditentukan dengan metode Proportional Stratified Random Sampling. Instrumen penelitian berupa kuesioner skala Likert lima poin, dianalisis menggunakan SmartPLS 4 dengan pendekatan PLS-SEM. Hasil menunjukkan dukungan psikososial (p=0,000) dan kecemasan (p=0,000) berpengaruh signifikan, sedangkan persepsi fasilitas (p=0,102) dan self-efficacy (p=0,266) tidak berpengaruh, baik langsung maupun sebagai moderasi. Simpulan, keputusan pemilihan tempat persalinan lebih ditentukan oleh dukungan sosial dan kondisi psikologis dibanding faktor fasilitas atau kepercayaan diri.
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References
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3. Syairaji M, Nurdiati DS, Wiratama BS, Prüst ZD, Bloemenkamp KWM, Verschueren KJC. Trends and causes of maternal mortality in Indonesia: a systematic review. BMC Pregnancy Childbirth. 2024;24(1):515. doi:10.1186/s12884-024-06687-6
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8. Sari DAP, Indriani D. Literature Review : Determinan Terjadinya Kehamilan Tidak Diinginkan Pada Remaja di Indonesia. Media Gizi Kesmas. 2021;10(2):343-351.
9. Masoumi SZ, Kashanian M, Arab E, Sheikhansari N, Arab R. A comparison between pregnancy outcome in women in 15 to 19 and 20 to 35 years age group. Med J Islam Repub Iran. 2017;31:140. doi:10.14196/mjiri.31.140
10. Lee H. Family economic hardship and children’s behavioral and socio-emotional outcomes in middle childhood: Direct and indirect pathways. Child Youth Serv Rev. 2022;138:106527. doi:https://doi.org/10.1016/j.childyouth.2022.106527
11. Calhoun CD, Stone KJ, Cobb AR, Patterson MW, Danielson CK, Bendezú JJ. The Role of Social Support in Coping with Psychological Trauma: An Integrated Biopsychosocial Model for Posttraumatic Stress Recovery. Psychiatr Q. 2022;93(4):949-970. doi:10.1007/s11126-022-10003-w
12. Sufredini F, Catling C, Zugai J, Chang S. The effects of social support on depression and anxiety in the perinatal period: A mixed-methods systematic review. J Affect Disord. 2022;319:119-141. doi:https://doi.org/10.1016/j.jad.2022.09.005
13. Kementrian Kesehatan. Profil Kesehatan. Kemenkes RI; 2023.
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15. Kułak-Bejda A, Avci Aydin I, Çelik Eren D, et al. Impact of Pregnancy on Self-Efficacy and Personal Competence in the Context of Risk of Depression, Mental Health Status, and Satisfaction with Life. J Clin Med. 2024;13(2). doi:10.3390/jcm13020533
16. Dinkes Kesehatan Kota Kendari. Profil Dinas Kesehatan Kota Kendari.; 2023.
17. Afulani P, Kusi C, Kirumbi L, Walker D. Companionship during facility-based childbirth: results from a mixed-methods study with recently delivered women and providers in Kenya. BMC Pregnancy Childbirth. 2018;18(1):150. doi:10.1186/s12884-018-1806-1
18. Anderson TL, Valiauga R, Tallo C, et al. Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature. J child Adolesc Psychiatr Nurs Off Publ Assoc Child Adolesc Psychiatr Nurses, Inc. 2025;38(1):e70009. doi:10.1111/jcap.70009
19. Vakulenko Y, Arsenovic J, Hellström D, Shams P. Does delivery service differentiation matter? Comparing rural to urban e-consumer satisfaction and retention. J Bus Res. 2022;142:476-484. doi:https://doi.org/10.1016/j.jbusres.2021.12.079
20. Kleppang AL, Steigen AM, Finbråten HS. Explaining variance in self-efficacy among adolescents: the association between mastery experiences, social support, and self-efficacy. BMC Public Health. 2023;23(1):1665. doi:10.1186/s12889-023-16603-w
21. Hu X, Jiang Y, Bi H. Measuring science self-efficacy with a focus on the perceived competence dimension: using mixed methods to develop an instrument and explore changes through cross-sectional and longitudinal analyses in high school. Int J STEM Educ. 2022;9(1):47. doi:10.1186/s40594-022-00363-x
22. Liu YC, Hung YY. Self-efficacy as the moderator: Exploring driving factors of perceived social support for mainland Chinese students in Taiwan. Comput Human Behav. 2016;64:455-462. doi:https://doi.org/10.1016/j.chb.2016.07.018
23. Bohren MA, Saad CA, Kabore C, et al. Women’s experiences of and satisfaction with childbirth: Development and validation of a measurement scale for low- and middle-income countries. PLoS One. 2025;20(5):e0322132.
Authors
Jingsung, J., & Benly, N. E. (2025). FACTORS SUCH AS PSYCHOSOCIAL SUPPORT, ANXIETY, AND HEALTHCARE FACILITIES INFLUENCE THE CHOICE OF BIRTHPLACE WITH SELF‑EFFICACY AS A MODERATING VARIABLE. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, 17(2), 654–665. https://doi.org/10.34011/juriskesbdg.v17i2.2920
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