{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:08:02Z","timestamp":1772168882038,"version":"3.50.1"},"reference-count":27,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Aim &amp; Background Women with autoimmune diseases usually require contraception. Various factors influence women with autoimmune diseases who do not use contraceptive methods. However, there has been no research on the unmet need for contraception in patients with autoimmune diseases. Therefore, this study aimed to determine the relationship between sociodemographic factors and unmet need for contraception in patients with autoimmune diseases. Methods This was a cross-sectional study of female patients aged 15-49 years who had autoimmune diseases at the Internal Medicine Clinic of Dr. Cipto Mangunkusumo Hospital. The subjects were then asked to complete the informed consent form and questionnaire. Statistical analyses were performed using the chi-square test for bivariate analyses. Results We included 92 subjects with a mean age of 35.6\u00b16.26 years old, with an age range was 25-48 years old. Twenty (21.7%) subjects had an unmet need for contraception, while 72 (69.4%) used contraception or were planning for pregnancy. We found that education level (p=0.017) and Internet usage frequency (OR 3.42; 95%CI 1.02-11.45; p=0.037) were significantly associated with unmet need contraception in females with autoimmune disease. Conclusion This study found that education level and Internet usage frequency were significantly associated with unmet need contraception in females with autoimmune disease. Clinical significance The findings emphasize that education and Internet access are vital for meeting the contraceptive needs of women with autoimmune diseases.<\/ns3:p>","DOI":"10.12688\/f1000research.167793.1","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T09:35:07Z","timestamp":1755855307000},"page":"813","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Affecting Unmet Need Contraception in Patients with Autoimmune Disease in Dr. Cipto Mangunkusumo Hospital"],"prefix":"10.12688","volume":"14","author":[{"given":"Lisa","family":"Novianti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeprita Pratiwi","family":"Herlinawati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lathifah","family":"Nabilahsari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisyah Retno","family":"Puspawardani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Intan Indah","family":"Permatasari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nafi'atul","family":"Ummah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzy","family":"Maria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3552-1610","authenticated-orcid":false,"given":"Achmad Kemal","family":"Harzif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"626-634","DOI":"10.1007\/s13224-011-0107-7","article-title":"Contraceptive methods: Needs, options and utilization.","volume":"61","author":"J Rakhi","year":"2011","journal-title":"J. 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We appreciate the reviewer\u2019s valuable comments and confirmation of the scientific quality of our work.","URL":"https:\/\/f1000research.com\/articles\/14-813\/v1#referee-comment-15206","order":1,"name":"referee-comment-15206","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.184936.r435486, Hilma Putri Lubis, Universitas Sumatera Utara, Medan, 29 Dec 2025, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/14-813\/v1#referee-response-435486","order":2,"name":"referee-response-435486","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Achmad Kemal<\/b>; \n<i>Posted: 06 Jan 2026<\/i>; We sincerely thank the reviewer for the positive and constructive feedback on our manuscript and for recognizing the uniqueness of the study population.  Regarding the sample size, we acknowledge that it is relatively small and drawn from a single tertiary hospital. However, this sample accurately reflects the total number of eligible patients with autoimmune diseases who met the inclusion criteria and were receiving care at Dr. Cipto Mangunkusumo Hospital during the study period. Given the specific clinical population and setting, the sample size is representative of the actual patient volume at our center. While this may limit generalizability, the findings provide meaningful insights into unmet contraceptive needs in this specific population and may serve as a basis for future multicenter studies with larger and more diverse samples.  We appreciate the reviewer\u2019s valuable comments and confirmation of the scientific quality of our study.","URL":"https:\/\/f1000research.com\/articles\/14-813\/v1#referee-comment-15205","order":3,"name":"referee-comment-15205","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}