Path Analysis on Bio-Psychosocial Determinants of Early Marriage in Wonogiri, Central Java

Meylsa Rima Kamilda1), Ismi Dwi Astuti Nurhaeni2)Rita Benya Adriani3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Social and Political Sciences, Universitas Sebelas Maret

3)School of Health Sciences Surakarta



Background:Early marriage has adverse consequences on girl adolescent including compli­cations in pregnancy and childbirth, contracting HIV/AIDS, and suffering domestic violence. With little access to education and economic opportunities, they and their families are more like­ly to live in poverty. This study aimed to examine the bio-psy­chosocial determinants of early mar­riagein Wonogiri, Central Java.

Subjects and Method: This was a case control study conducted in Wonogiri, East Java, from October to November 2018. A sample of 200 women was selected for this study by fixed disease sampling, consisting of 50 early married women and 150 timely mar­­ried women.The dependent variable was early marriage. The independent varia­bles were age at menarche, unwanted preg­nancy, education, parental perception, parental perception on early marriage, culture, neigh­bor­hood, and employment before marriage. Data on early marriage status were obtained from De­part­­ment of Religion of Wonogiri, East Java. The data were analyzed by path analysis.

Results: Early marriage directlyincreased with age at menarche <12 years (b= 1.25;95%CI= -3.26to 2.21; p=0.022), gender inequality (b=1.39; 95%CI= 0.33 to 2.45; p=0.010), and culturepro early marriage (b= 1.90; 95%CI= 0.74 to 3.05; p= 0.001). Early marriage directlydecreasedwith wanted pregnancy(b= -1.93; 95%CI= -3.26 to 0.60; p= 0.004), high education (b=-3.69; 95%CI= -5.32 to -2.05; p<0.001), positive paren­tal perception (b= -1.52; 95%CI= -2.65 to -0.39; p= 0.008), and employment (b= -1.60; 95%CI= -2.71 to -0.48; p=0.005). It was indirectly asso­ciated with education, culture, and residence.

Conclusion:Early marriage directlyincreases with age at menarche <12 years, gender ine­qu­ality, and culturepro early marriage. Early marriage directlydecreaseswith wan­ted pregnancy, high education, positive parental perception, and employment. It is indi­rectly associated with education, culture, and residence.

Keywords:early marriage, determinants, culture, parental perception

Correspondence: Meylsa Rima Kamilda. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: meyl.ri­ Mobile: +6285728805820


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