Ahisa Novianti
Politeknik Kesehatan Wira Husada Nusantara Malang

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Prevalence and Potential Determinants of Primary Infertility Among Reproductive-Age Couples: A Cross-Sectional Study Wiqodatul Ummah; Ahisa Novianti; Lailatul Rahmawati
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8427

Abstract

Infertility is defined as the failure to establish a clinical pregnancy following at least 12 months of regular, unprotected sexual intercourse. This condition impacts an estimated 15% of couples of reproductive-age worldwide. The objective of this study was to investigate the prevalence and associated factors of primary infertility among couples aged 18 to 49 years. An analytical cross-sectional study was conducted from November 2025 to January 2026, involving 398 couples of reproductive-age selected through purposive sampling. Data were analyzed using multivariable logistic regression. The prevalence of primary infertility was 15.6% (95% CI: 12.2%-19.5%). Female age ?35 years was the strongest determinant (AOR=5.24; 95% CI: 2.18-12.60). Significant socio-economic factors included university education (AOR=2.94; 95% CI: 1.26-6.86) and higher income (AOR=2.36; 95% CI: 1.18-4.72). Modifiable lifestyle factors such as male smoking (AOR=2.86), female obesity (AOR=2.64), male obesity (AOR=2.18), and female stress (AOR=1.42) increased infertility risk, whereas high physical activity was protective (AOR=0.38). Health-related determinants included irregular menstruation (AOR=2.94), polycystic ovary syndrome (AOR=3.42), female sexually transmitted infection history (AOR=2.48), and varicocele (AOR=2.86). The prevalence of primary infertility among reproductive-age couples in Malang Regency was 15.6% and was independently associated with demographic, socio-economic, lifestyle, and health-related factors. Female age ?35 years was the strongest determinant, while modifiable factors including smoking, obesity, physical inactivity, stress, and sexually transmitted infections highlight the need for early screening, reproductive counseling, lifestyle modification, and STI prevention.
ANALISIS PENDAPATAN KELUARGA DAN SANITASI LINGKUNGAN RUMAH TANGGA TERHADAP KEJADIAN STUNTING PADA BALITA DI JAWA TIMUR MENGGUNAKAN REGRESI LOGISTIK Dewi Kurnia Sari; Yusrina Nur Dianati; Ahisa Novianti
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2026)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v4i1.213

Abstract

Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia and has long-term impacts on human resource quality. This study aims to analyze the effect of family income and household environmental sanitation on the incidence of stunting in newborns in East Java. This research employed a quantitative approach with a cross-sectional design. The data consisted of both primary and secondary sources with a total sample of 696 respondents selected using purposive sampling. Data were analyzed using binary logistic regression. The results showed that the model was statistically significant with a classification accuracy of 74.7%. Family income and household sanitation conditions had a significant effect on stunting, while water conditions and sanitation facilities were not significant. Higher family income and better sanitation conditions were associated with a lower risk of stunting in newborns. Therefore, stunting prevention efforts should focus on improving household economic conditions and overall environmental sanitation.