Latar Belakang: Pemilihan alat kontrasepsi jangka panjang seperti IUD (Intra Uterine Device) masih rendah dibandingkan metode kontrasepsi jangka pendek. Berbagai faktor mempengaruhi keputusan penggunaan IUD, termasuk sikap dan pengaruh sosial budaya. Tujuan: Penelitian Ini bertujuan untuk menganalisis hubungan antara sikap dan sosial budaya terhadap pemilihan kontrasepsi IUD di wilayah kerja UPTD Puskesmas II Denpasar Barat. Metode: Penelitian ini merupakan penelitian kuantitatif analitik dengan pendekatan cross sectional. Sampel berjumlah 133 Pasangan Usia Subur (PUS) yang dipilih dengan teknik proportionate stratified random sampling. Instrumen pengumpulan data menggunakan kuesioner tertutup. Analisis data menggunakan uji Spearman rho. Hasil: Hasil uji statistik menunjukkan terdapat hubungan yang signifikan antara sikap (p= 0.000 < 0,05) dan sosial budaya (p = 0.000< 0,05) terhadap pemilihan kontrasepsi IUD di wilayah kerja UPTD Puskesmas II Denpasar Barat. Kesimpulan: Sikap dan sosial budaya berhubungan secara signifikan dengan pemilihan kontrasepsi IUD. Diperlukan peningkatan edukasi dan pendekatan budaya untuk meningkatkan penggunaan kontrasepsi jangka panjang. Kata Kunci : Sikap, Sosial Budaya, Kontrasepsi, IUD, Pasangan Usia Subur

Background: Compared to short-term contraceptive methods, the choice of long-term contraceptives, such as IUDs (intrauterine devices), remains limited. Various factors influence the choice of IUD, including attitudes and socio-cultural influences. Purpose: To determine the correlation between attitudes and socio-culture toward the choice of IUD contraception in the working area of public health center II, West Denpasar. Method: This study employed an analytical quantitative study with a cross-sectional approach. There were 133 couples of fertile age recruited as a sample of the study, which was selected through a stratified random sampling technique. The data was collected using a closed questionnaire. The data were analyzed using the Spearman rho test. Result: The results of statistical tests showed that there was a significant correlation between attitude (p = 0.000 < 0.05) and socio-culture (p = 0.000 < 0.05) and the choice of IUD contraceptives in the working area of public health center II, West Denpasar. Conclusion: Attitude and sociocultural factors are significantly associated with the choice of IUD contraceptives. Enhanced education and cultural approaches are needed to increase the use of contraceptives in the long term. Keywords: Attitude, Socio-culture, Contraception, IUD, Fertile Age