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Original Article
- Factors Associated With Premarital Screening Intention Among Young Adults With Higher Education in Indonesia: A Cross Sectional Study
- Yuli Amran, Tsaniya Nurul Fasya, Hilda Salamah
- J Prev Med Public Health. 2025;58(3):307-316. Published online April 21, 2025
- DOI: https://doi.org/10.3961/jpmph.24.589
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Abstract
Summary
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Supplementary Material - Objectives
Premarital screening can reduce the risk of genetic disorders and sexually transmitted diseases by providing early detection before conception. College students represent a group of young adults with higher education who are approaching marriageable age. However, many students still lack a strong intention to undergo premarital screening in the future. Therefore, this study examines the factors influencing screening intentions among students at one of Indonesia’s leading universities, the State Islamic University (UIN) Jakarta.
Methods
This study used a cross-sectional design, with a total sample of 563 college students obtained through a multistage random sampling technique. Descriptive statistics were used to summarize the data, and ordinal logistic regression was applied for hypothesis testing.
Results
Among the 563 students, 97.0% indicated an intention to undergo premarital screening. The intention variable was classified into three levels: no/low (13.0%), moderate (43.5%), and high (43.5%). Ordinal logistic regression revealed that lower knowledge about premarital screening was significantly associated with a reduced intention to undergo screening (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.58 to 5.10). In addition, negative attitudes toward premarital screening (OR, 2.85; 95% CI, 1.41 to 5.75), negative perceived behavioral control (OR, 1.63; 95% CI, 1.12 to 2.37), and being enrolled in a non-health-related field of study (OR, 1.96; 95% CI, 1.04 to 3.68) were significantly linked to lower screening intentions.
Conclusions
Comprehensive premarital health education is essential for young adults, even those with a high level of formal education. Such education not only improves knowledge but also promotes more positive perceptions and attitudes toward premarital screening. -
SummaryKey Message
This study explored the key factors influencing college students’ intentions to undergo premarital screening. Although 97% expressed willingness, only 43.5% reported a high level of intention, which was significantly associated with limited knowledge, negative attitudes, reduced perceived behavioral control, and enrollment in non-health-related fields. These findings highlight the need for comprehensive premarital health education that enhances knowledge and fosters more favorable attitudes and perceptions, even among highly educated populations.
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