1364 https://oamjms.eu/index.php/mjms/index Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2022 Jul 07; 10(E):1364-1368. https://doi.org/10.3889/oamjms.2022.9871 eISSN: 1857-9655 Category: E - Public Health Section: Public Health Education and Training Health, Psychology and Economic Status: Impact of Early Marriage Hery Ernawati 1,2 , Anni Fithriyatul Mas’udah 1 * , Fery Setiawan 3 , Laily Isroin 1 1 Department of Nursing, Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Jawa Timur, Indonesia; 2 Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gajah Mada, Yogyakarta, Indonesia; 3 Department of Management, Faculty of Economic, Universitas Muhammadiyah Ponorogo, Jawa Timur, Indonesia Abstract BACKGROUND: Early marriage is a global problem that harms teenagers. The occurrence of early marriage in rural areas is a common practice. AIM: This study aims to determine the impact of early marriage on aspects of health, psychology, and economic status comprehensively based on the causes of early marriage in rural area. METHODS: This study used a cross-sectional study design. The sampling unit of this study was early marriage families from three sub-districts in the Ponorogo district, namely Sawoo, Ngrayun, and Pulung. The number of samples used as many as 75 families. The variables in this study consisted of health, husband’s psychology, wife’s psychology, and economic status. The statistical test used polychoric Principle Component Analysis (PCA) analysis to obtain health, psychological and economic status variables derived from several indicators. RESULTS: The results of this study indicate that in the healthcare variable, it appears that most of the respondents do not experience bleeding, do not have abdominal pain, and do not hurt on contact. Based on the emotion variable, the wife is more emotional than the husband. The results of polychoric PCA are based on scores that are divided into two categories. The results of the polychoric PCA analysis show that most of the early married couples have worse health and economic conditions, namely, 55% and 65%, respectively. Meanwhile, in the psychological condition of husband and wife, most of them have good conditions, namely, 75% and 83%. CONCLUSION: The impact of early marriage which shows poor results is on the health and economic aspects. Edited by: Ana Vucurevic Citation: Ernawati H, Mas’udah AF, Setiawan F, Isroin L. Health, Psychology and Economic Status: Impact of Early Marriage. Open Access Maced J Med Sci. 2022 Jul 07; 10(E):1364-1368.https://doi.org/10.3889/oamjms.2022.9871 Keywords: Early married; Health; Psychology; Economic *Correspondence: Anni Fithriyatul Mas’uda, Faculty of Health Science, Universitas Muhammadiyah Ponorogo, Jawa Timur 63471, Indonesia. E-mail: anni.fthriyatul@umpo.ac.id Received: 10-May-2022 Revised: 20-Jun-2022 Accepted: 28-Jun-2022 Copyright: © 2022 Hery Ernawati, Anni Fithriyatul Mas’udah, Fery Setiawan, Laily Isroin Funding: This study was supported by the Ministry of Research and Technology/National Research and Innovation Agency Competing Interests: The authors have declared that no competing interests exist Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution- NonCommercial 4.0 International License (CC BY-NC 4.0) Introduction Early marriage is a global problem that has a negative impact on adolescents [1], [2], [3]. Based on law number 16 of 2019, it is stated that early marriage is a marriage that occurs before the age of 16 for women and before 19 years for men [4]. The prevalence of early marriage in the world reaches 12 million per year [5]. Data in Indonesia show that in the past 10 years, early marriage in Indonesia has decreased by 3.5%. However, this decline still requires systemic and integrated eforts to achieve the target of 8.74% in 2024 and 6.94 percent in 2030 [6]. East Java is one of the provinces with a high percentage of early marriages in Indonesia. The number of early marriages in Ponorogo Regency has increased by 100% in 2020 [7]. Based on the area of residence, rural (16.87%) has a higher early marriage rate than urban areas (7.15%) [8]. The occurrence of early marriage in rural areas is a common practice. This is the infuence of low educational conditions and community traditions [9]. Society considers early marriage does not have a signifcant efect on their lives. Based on research that has been carried out, the impact of early marriage includes the nutritional status of infants, early pregnancy, school dropouts, and economic welfare [10], [11], [12]. The research complements previous research, related to the impact of early marriage on aspects of adolescent women’s physical health and psychology of early marriage partners. This study aims to determine the impact of early marriage on aspects of health, psychology, and economic status comprehensively based on the causes of early marriage in rural area. The previous studies looked at the impact of early marriage partially. This study looks at the impact of health, psychology, and economics comprehensively. This can be used as a basis for making policies to improve the quality of early marriage families. Methods This study uses a cross-sectional study design, with the sampling unit being early marriage families, who are married in 2019-2021. Since 2002