INTEGRATING POLICY, HEALTH, AND SOCIOCULTURAL DIMENSIONS IN MARRIAGE AND REPRODUCTIVE HEALTH: A SYSTEMATIC LITERATURE REVIEW
DOI:
https://doi.org/10.71040/jirp.v11i2.322Keywords:
Child marriage, Marriage, Public policy, Reproductive health, Systematic literature reviewAbstract
Marriage and reproductive health issues are multidimensional issues influenced by the interaction between policy, health, and sociocultural factors. However, most studies still examine these three dimensions separately, thus failing to provide a comprehensive understanding. This study aims to identify, map, and synthesize literature on marriage and reproductive health through an approach that integrates policy, health, and sociocultural dimensions. The study used the Systematic Literature Review (SLR) method with reference to the PRISMA 2020 guidelines. Articles were obtained from the Scopus database for the 2015–2025 period. Of the 167 identified articles, 21 met the inclusion criteria and were analyzed thematically. The results indicate that the literature can be grouped into three main themes: policy interventions and child marriage, premarital screening and reproductive health, and changes in attitudes toward premarital sex and marriage. The most dominant themes include knowledge, attitude, practice, policy, screening, marriage, and child marriage. These findings indicate that policy success is determined not only by regulations, but also by the quality of implementation, health literacy, and public acceptance of the program. This research contributes by offering a perspective that integrates policy, health, and sociocultural dimensions as a basis for developing more comprehensive marriage and reproductive health policies.
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Al Zeedi, M. A. S. A., & Al Abri, Z. G. (2021). Attitudes and impact among people with abnormal premarital screening test results in Muscat governorate’s primary healthcare centers in 2018. Journal of Community Genetics, 12(1), 163–169. https://doi.org/10.1007/s12687-020-00493-1
Alkhaldi, S. M., Khatatbeh, M. M., Berggren, V. E. M., & Taha, H. A. (2016). Knowledge and Attitudes Toward Mandatory Premarital Screening Among University Students in North Jordan. Hemoglobin, 40(2), 118–124. https://doi.org/10.3109/03630269.2015.1135159
Al-Kindi, R. M., N/A, Kannekanti, S., N/A, Natarajan, J., N/A, Shakman, L., Al-Azri, Z., & Al-Kalbani, N. I. (2019). Awareness and Attitude Towards the Premarital Screening Programme Among High School Students in Muscat, Oman. Sultan Qaboos University Medical Journal, 19(3), e217-224. https://doi.org/10.18295/squmj.2019.19.03.007
Anonymous, -, Jafari, F., Kalhor, M., Mohammadi, N., & Anonymous, -. (2025). The Impact of Afghanistan’s Policies on Early Child Marriage and Girl’s Education: Current Trends and Future Consequences. Risk Management and Healthcare Policy, Volume 18, 3517–3520. https://doi.org/10.2147/RMHP.S522218
Anwar, M. N., Abdullah, N. N., Roslan, D., & Ruzlin, A. N. M. (2025). Characteristics and Effectiveness of Premarital Thalassaemia Educational Interventions Worldwide A scoping review. Sultan Qaboos University Medical Journal, 25(1), 773–783. https://doi.org/10.18295/2075-0528.2908
Asadpour, E., Sharei, A., & Salmani, A. (2025). Premarital intervention based on attachment and differentiation improves communication and conflict management in Iranian couples. Scientific Reports, 15(1), 29151. https://doi.org/10.1038/s41598-025-15051-3
Barber, N. (2018). Cross-National Variation in Attitudes to Premarital Sex: Economic Development, Disease Risk, and Marriage Strength. Cross-Cultural Research, 52(3), 259–273. https://doi.org/10.1177/1069397117718143
Bhuwania, P., Huh, K., & Heymann, J. (2023). Impact of Tuition‐Free Education Policy on Child Marriage and Early Childbearing: Does Secondary Matter More? Population and Development Review, 49(1), 43–70. https://doi.org/10.1111/padr.12538
Clyde, T. L., Wikle, J. S., Hawkins, A. J., & James, S. L. (2020). The effects of premarital education promotion policies on U.S. divorce rates. Psychology, Public Policy, and Law, 26(1), 105–120. https://doi.org/10.1037/law0000218
Dehghan, S., Abbasi, G., Ahmadi, R., & Eslami, S. (2024). Effectiveness of Premarital Interpersonal Choices and Knowledge Program on Hesitation and Hesitancy in Decision Making and Attitudes toward Marriage. International Journal of Body, Mind and Culture, (Vol 11, No 5 (2024)), 604–612. https://doi.org/10.22122/ijbmc.v11i5.643
Friedberg, L., & Isaac, E. (2023). Marriage in Old Age: What Can We Learn about Policy Impacts on Same-Sex Couples?
Gandhi, K. A., Wardana, A., & Yanti, M. (2025). Faith, Gender, and Reproductive Decisions: A Sociological Study of Family Planning Participation in Tanjungpinang.Dimensia: Journal of Sociological Studies, 14(3), 167–178. https://doi.org/10.21831/dimensia.v14i3.89901
Gover, D. (2023). Religious lobbying and policy influence: Christian interest group impacts around the legalization of same‐sex marriage in England and Wales. Politics & Policy, 51(6), 1097–1116. https://doi.org/10.1111/polp.12559
Gravel, E. E., Young, M. Y., Darzi, C. M., Olavarria-Turner, M., & Lee, A. M.-S. (2016). Premarital Sexual Debut in Emerging Adults of South Asian Descent: The Role of Parental Sexual Socialization and Sexual Attitudes. Sexuality & Culture, 20(4), 862–878. https://doi.org/10.1007/s12119-016-9362-1
Hafiz, M. N., Suhail, N., Mohammed, Z. M. S., Elzein, H. O., Almasmoum, H. A., Abass, A. E., Jawad, M. M., & Trabelsi, S. (2025). Awareness and Attitude of the General Population Towards Inherited Hemoglobinopathies in the Premarital Screening Program in the Northern Region of Saudi Arabia. Hematology Reports, 17(1), 9. https://doi.org/10.3390/hematolrep17010009
Hamali, H. A. (2023). Public awareness and attitude toward premarital screening program in Jazan region, Saudi Arabia, an endemic area for hemoglobinopathies.
Joel, J. I., Dhalla, F., & Alimohamed, M. (2025). Knowledge and Attitude towards premarital screening among undergraduate medical students in MUHAS, Tanzania. Tanzania Journal of Health Research, 26(6), 2938–2948. https://doi.org/10.4314/thrb.v26i6.17
Jung, J. H. (2015).A Cross-national Analysis of Religion and Attitudes toward Premarital Sex: Do Economic Contexts Matter?
Kang, C. I., Lim, K. E., & Kim, J. (2022). Analysis of the Effects of Job Policy Measures in Korea: Do the job policy measures impact the marriage and fertility of the youth in Korea? Asian Journal for Public Opinion Research, 10(3), 200–229. https://doi.org/10.15206/AJPOR.2022.10.3.200
Kaynak, M., & Akbas Gunes, N. (2025). Evaluation of young people’s knowledge and attitudes about the Premarital Screening Program in Turkey. Family Medicine & Primary Care Review, 27(1), 50–56. https://doi.org/10.5114/fmpcr.2025.146969
Nasution, N., Santoso, P., & Ramadhani, E. (2026). Early marriage behavior of Indonesian school students: An analysis of social media networks X. Frontiers in Communication, 11, 1701108. https://doi.org/10.3389/fcomm.2026.1701108
Nikirashidi , F. , Ghorashi , Z. , Esmaeilzadeh , S. , & Asadollahi , Z. (2019). A study on the association of premarital attitudes toward intact hymen in new grooms: A cross-sectional study. Journal of Education and Health Promotion, 8(1). https://doi.org/10.4103/jehp.jehp_161_18
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4
Phillips, V., & Barker, E. (2021). Systematic reviews: Structure, form and content. Journal of Perioperative Practice, 31(9), 349–353. https://doi.org/10.1177/1750458921994693
Salih, S. A. A. (2025). Knowledge and attitudes toward prospective married individual’s willingness to take premarital screening tests at Jouf University, Saudi Arabia.
Samaneh Shojaiefar, Hamidreza Jamilian, Sara Hasani, Hamed Shojaiefar, & Katayon Vakilian. (2021). Motivational Interviewing on Couples’ Attitude Toward Premarital Genetic Testing.Gazi Medical Journal, 32(3). https://doi.org/10.12996/gmj.2021.95
Sangkaew, B., Kittisuksathit, S., Ingard, A., & Faculty of Information and Communication Technology, Silpakorn University, Petchburi IT Campus, Petchburi, Thailand. (2023). Exploring factors influencing attitudes toward premarital sex among Thai adolescents: A quantitative analysis. Journal of Public Health and Development, 21(3), 275–288. https://doi.org/10.55131/jphd/2023/210321
Santelli, J. S., Kantor, L. M., Grilo, S. A., Speizer, I. S., Lindberg, L. D., Heitel, J., Schalet, A. T., Lyon, M. E., Mason-Jones, A. J., McGovern, T., Heck, C. J., Rogers, J., & Ott, M. A. (2017). Abstinence-Only-Until-Marriage: An Updated Review of U.S. Policies and Programs and Their Impact. Journal of Adolescent Health, 61(3), 273–280. https://doi.org/10.1016/j.jadohealth.2017.05.031
Sari, D. K., Noer, K. U., Satispi, E., & Tuti, R. W. (2022). The Evaluation of the Genre Ceria Program in Jakarta Using the CIPP Evaluation Model.
Sarpong, Ma. L. , Tetteh , R. J. , Amponsah , F. A. , Amo-Kodieh , P. , Owusu , E. A. , Ntiamoah , P. , Pillay , J. D. , & Kuupil , D. (2025). Young adults’ knowledge, attitudes, and practices regarding premarital screening for genetic blood disorders and associated sociodemographic determinants in the Ahafo Region of Ghana: A cross-sectional study. Archives of Public Health, 83(1), 128. https://doi.org/10.1186/s13690-025-01611-6
Sidabutar, N. H. T. & Ella Nurlaella Hadi. (2024). Premarital Screening: A Catalyst for Achieving Good Health and Well-Being. Health Promotion Journal, 12(ISI 1), 146–154. https://doi.org/10.20473/jpk.V12.ISI1.2024.146-154
Uecker, J. E., & Froese, P. (2019). Religious Individualism and Moral Progressivism: How Source of Religious Authority Is Related to Attitudes About Abortion, Same-Sex Marriage, Divorce, and Premarital Sex. Politics and Religion, 12(02), 283–316. https://doi.org/10.1017/S1755048318000792
Utomo, I. D., & McDonald, P. (2009). Adolescent Reproductive Health in Indonesia: Contested Values and Policy Inaction. Studies in Family Planning, 40(2), 133–146. https://doi.org/10.1111/j.1728- 4465.2009.00196.x
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