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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.
The Relationship Between Adolescents' Knowledge and Attitudes on Reproductive Health and the Utilization of Information Media Lailatul Rahmawati; Kustin; Izatul Milla
Journal of Nursing Periodic Vol. 2 No. 2 (2025): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v2i2.40

Abstract

Introduction: Adolescence is a transitional phase from childhood before entering adulthood. During this period, significant changes occur in physical, cognitive, and psychosocial growth and development. Psychological changes also take place in adolescents, such as changes in intellectual capacity, emotional life, and social life. These changes can lead to internal conflicts in adolescents, often resulting in strange or awkward behaviors. If not properly managed, these can lead to juvenile delinquency, including risky sexual behaviors. Many problems may arise from neglecting reproductive health. One of the factors that affects adolescent reproductive health is the confusing information children and adolescents receive about the functions and processes of reproduction. This study aims to analyze the relationship between adolescents' knowledge and attitudes about reproductive health and their use of information media. Methods: This research is an analytical study with a cross-sectional design. A total of 38 respondents were selected using a simple random sampling technique. Data analysis was conducted using the Fisher Exact test. Results: The results showed a relationship between knowledge of reproductive health and the use of information media, with the Fisher Exact test yielding a p-value of 0.027, which is greater than α (0.05). Similarly, there was a relationship between attitudes toward reproductive health and the use of information media, with the Fisher Exact test also yielding a p-value of 0.027, which is greater than α (0.05). Conclusions: In conclusion, there is a relationship between knowledge and attitudes about reproductive health and the use of information media.