Open Access Open Badges Research article

Factors influencing the decision to participate in medical premarital examinations in Hubei Province, Mid-China

Peigang Wang1, Xiao Wang2, Min Fang2 and Tyler J Vander Weele3*

Author Affiliations

1 School of public health, Wuhan University, Wuhan, 430071, China

2 School of Basic Medical Science, Wuhan University, Wuhan, 430071, China

3 Harvard School of Public Health, Boston, MA, 02115, USA

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BMC Public Health 2013, 13:217  doi:10.1186/1471-2458-13-217

Published: 11 March 2013



To investigate the attitudes of premarital couples towards the premarital screening program after the abolition of compulsory screening in China and to study the factors influencing participation.


Between July 1st 2010 to August 31st 2010, 650 people who registered for marriage at the civil affairs bureau of Wuhan, Suizhou, Zaoyang in Hubei province were studied using questionnaires. Logistic regression was used to examine the factors influencing participation in the premarital screening program.


The premarital screening rate was 34.8% (95% Confidence Interval: 31.0% to 38.5%). Several demographic factors (age, residence, profession), awareness, knowledge, and attitudes towards premarital screening all had significant influence on participation in the premarital screening program.


Promotion activities and health education to improve knowledge and attitudes to premarital screening will help increase the rate of voluntary premarital screening.

Premarital couples; Premarital screening program; Influence factor