Multivariate analysis of knowledge, attitude, culture, and motivation factors towards premarital reproductive health to prevent stunting
DOI:
https://doi.org/10.30989/mik.v15i1.2033Keywords:
Attitude, Culture, Knowledge, Motivation, Premarital Reproductive HealthAbstract
Background: Premarital reproductive health plays an important role in preparing for a healthy pregnancy; however, factors such as knowledge, attitude, culture, and motivation are often analyzed separately, resulting in a lack of comprehensive understanding.
Objective: This study aimed to analyze the influence of knowledge, attitude, culture, and motivation on premarital reproductive health among prospective couples using a multivariate approach.
Methods: This quantitative study used an analytical observational design with a cross-sectional approach conducted at Religious Affairs Offices (KUA) in Kulon Progo. A total of 260 respondents were selected using proportionate random sampling.
Results: All independent variables were significant in the initial model (p<0.001). However, in the multivariate analysis, only knowledge showed a significant effect (p<0.001; OR=3.130). Attitude, culture, and motivation were not statistically significant (p>0.05), although they showed positive tendencies. The model explained 52.9% of the variance (Nagelkerke R²=0.529).
Conclusion: Strengthening reproductive health education for prospective couples is essential to improve preconception readiness and support stunting prevention efforts.
References
1. Mursalin I, Siahaan IAH, Saputera, Wahid A, Dermawan Z, Bassa N, et al. Strategi Nasional Percepatan Pencegahan dan Penurunan Stunting 2025-2029. Kementerian Sekretariat Negara RI Sekretariat Wakil Presiden. 2025;
2. Kemenkes RI. Laporan Tematik Survei Kesehatan Indonesia. Potret Indonesia Sehat. 2025.
3. Kementrian kesehatan Republik Indonesia. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes. 2022;1–150.
4. DIY BPS. Indikator Pembangunan Berkelanjutan 2023/2024 Daerah Istimewa Yogyakarta 2023/2024. Badan Pusat Statistik. 2024.
5. Craig A, Mabetha K, Stephenson J, Schoenaker D, Norris SA. Preconception health knowledge, attitudes and behavioural intentions among adults: a multi-country study. Reproductive Health [Internet]. 2025;22(1). Available from: https://doi.org/10.1186/s12978-025-02015-z
6. Temel S, Erdem Ö, Voorham TAJJ, Bonsel GJ, Steegers EAP, Denktaş S. Knowledge on preconceptional folic acid supplementation and intention to seek for preconception care among men and women in an urban city: A population-based cross-sectional study. BMC Pregnancy Childbirth. 2015;15(1).
7. Adyani K. Faktor Yang Mempengaruhi Perilaku Seksual Pranikah Pada Remaja SMA di Surakarta. Jurnal Biometrika dan Kependudukan [Internet]. 2024;5(1):61. Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/.../18768%0Aejournal.poltekkes-pontianak.ac.id/index.php/JVK/article/download/7/5%0A%0A
8. Hidayah N, Woro Kasmini OH, Yuniastuti A, Nur Anggraini Ningrum D, Hasan F. What Influences Women’s Knowledge, Attitudes, and Practices Toward Preconception Care? A Systematic Review and Meta-Analysis. F1000Res. 2025;14:1–19.
9. Doe PF, Alhassan A, Otchere BA, Odonkor FO, Erzuah IA, Mintah YD, et al. Factors influencing preconception care awareness and knowledge among women in Africa: a systematic review. Frontiers in Reproductive Health. 2026;7(January):1–17.
10. Wigle JM, Paul S, Birn AE, Gladstone B, Kalolo M, Banda L, et al. Participation of young women in sexual and reproductive health decision-making in Malawi: Local realities versus global rhetoric. PLOS Global Public Health [Internet]. 2022;2(11):1–28. Available from: http://dx.doi.org/10.1371/journal.pgph.0001297
11. Dian Purnama Sari, Dyah Triwidiyantari, Sheli Riani. Persepsi, Pengetahuan, Dan Kesadaran Tentang Kesehatan Pranikah Terhadap Sikap Pemeriksaan Kesehatan Pranikah. Jurnal Riset Rumpun Ilmu Kesehatan. 2022;1(1):160–5.
12. Ouahid H, Sebbani M, Cherkaoui M, Amine M, Adarmouch L. The influence of gender norms on women’s sexual and reproductive health outcomes: a systematic review. BMC Womens Health [Internet]. 2025;25(1). Available from: https://doi.org/10.1186/s12905-025-03768-2
13. UNICEF, WHO, World Bank. Levels And Trends Child Malnutrition: Key Findings Of The 2020 Edition of the Joint Child Malnutrition Estimate. Geneva: WHO. 2020;24(2):1–16.
14. Cunningham K, Ruel M, Ferguson E, Uauy R. Review Article Women ’ s empowerment and child nutritional status in South Asia : a synthesis of the literature. 2015;1–19.
15. Finuliyah F, Setyanti AM, Khusaini M, Rosyidi A. Determinants of Food Insecurity: The Role of Child Marriage and Socioeconomic Factors in Indonesia. Jurnal Ekonomi Pembangunan: Kajian Masalah Ekonomi dan Pembangunan. 2025;26(16):66–81.
16. Dewey KG. Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities. Matern Child Nutr. 2016;12:27–38.
17. Asna-ashary M, Farzanegan MR, Feizi M, Gholipour HF. Socio-Economic Determinants of Child Marriage: Evidence from the Iranian Provinces. SSRN Electronic Journal. 2021;(January).
18. Khaled N, Kalbarczyk A, Zavala E, Rahman A, de Boer M, Chakraborty B, et al. A formative study of the sociocultural influences on dietary behaviours during pregnancy in rural Bangladesh. Matern Child Nutr. 2024;20(S6):1–12.
19. Nurhaeni A, Marisa DE, Oktiany T, Rahayu R, Wahyuni L. Impact And Causes Of Early Marriage In Adolescents: Systematic Review. Manuju: Malahayati Nursing Journal. 2024;7(6):306–12.
20. Kalam MA, Al Asif CA, Hasan MM, Afroz S, Das GC, Hoang MA, et al. Role of social norms on early child marriage decisions among the parents of married and unmarried adolescent girls: Findings from a matched study in Bangladesh. Child Protection and Practice. 2026;8(June 2025).
21. Mahmud I, Siddiqua S, Akhter I, Sarker M, Theobald S, Rashid SF. Factors affecting motivation of close-tocommunity sexual and reproductive health workers in low-income urban settlements in Bangladesh: A qualitative study. PLoS One [Internet]. 2023;18(1 January):1–16. Available from: http://dx.doi.org/10.1371/journal.pone.0279110
22. Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010–2018 and time trends since 2000 for 44 LMICs. EClinicalMedicine. 2021;37(2021):1–9.
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