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Labor complications are a primary cause of maternal mortality in Indonesia and are influenced by various factors. Maternal age is a known risk factor, yet the specific factors for each age group require distinct analysis to inform targeted interventions. This study aims to determine the overview and risk factors for labor complications based on maternal age groups in Indonesia. This study utilized a cross-sectional design, analyzing secondary data from the 2023 Indonesian Health Survey (SKI). The sample consisted of 70,681 mothers who met the inclusion criteria. Data were analyzed using descriptive statistics and the Chi-Square test. The study found differences in the proportion of childbirth complications in Indonesia across young (15.1%), ideal (16.9%), and older (19.2%) age groups, as well as differences in factors associated with complications in each age group. The most dominant types of childbirth complications in young and ideal age groups were prolonged labor and premature rupture of membranes, while breech presentation was more common in older age groups. Factors consistently associated with childbirth complications across all three maternal age groups were education level, area of residence, parity, pregnancy planning, history of pregnancy complications, birth attendant, place of delivery, and source of delivery financing. Factors specific to the ideal and older age groups were partner's education level, birth spacing, and history of Antenatal Care (ANC) visits. Factors that were only significantly associated with specific age groups included husband or family support, which only affected the ideal age group, and maternal employment status, which only affected the older age group. Early detection and differentiated risk management tailored to each age group are necessary. targeting specific risk factors, both clinical (e.g., prolonged labor in young age, hypertension in older age) and sociodemographic.
Background: Rabies (mad dog disease) is a disease that infects the central nervous system with CFR of almost 100%. The spread of rabies in certain areas and its ability to spread to other areas shows that rabies has a close relationship with the spatial concept. Therefore, researcher is interested in conducting spatial analysis of rabies incidents in Indonesia. Methods: This study is an ecological study using aggregate data from the Indonesian Ministry of Health and BPS analyzed using spatial methods. The unit of analysis in this study is the provinces in Indonesia. The analysis conducted includes univariate and bivariate global spatial autocorrelation analysis using Moran's Index, and local spatial autocorrelation using LISA. Results: The results of the univariate global spatial autocorrelation analysis showed that the variables of sex ratio, education level, workforce, population density, and percentage of completeness of PEP had a significant clustered spatial pattern (p<0.05). The results of the bivariate analysis using LISA showed that there were provinces with high-high significant status such as West Kalimantan. Conclusion: Education level, population density, workforce, percentage of completeness of PEP, and positive rabies-transmitting animal specimens showed significance to the incidence of rabies. Further spatial analysis is needed to refine the findings.
Malaria masih menjadi masalah kesehatan masyarakat di wilayah timur Indonesia. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan kejadian malaria di Tanah Papua berdasarkan data Survei Kesehatan Indonesia (SKI) 2023. Penelitian ini menggunakan desain cross-sectional analitik dengan pendekatan kasus dan non-kasus. Data berasal dari SKI 2023 yang mencakup 37.036 responden dari wilayah Papua. Kasus didefinisikan sebagai individu yang mengalami malaria dalam
Malaria remains a public health issue in eastern Indonesia. This study aimed to analyze factors associated with malaria incidence in Tanah Papua based on data from the 2023 Indonesia Health Survey (SKI 2023). The study employed an analytical cross-sectional design with a case and non-case approach. The data were drawn from SKI 2023 and included 37,036 respondents from the Papua region. A malaria case was defined as an individual who had experienced malaria within the past month. Analyses were conducted using univariate, bivariate, and multivariate methods with logistic regression to calculate the Prevalence Odds Ratio (POR). The malaria prevalence was recorded at 4.80%. Factors significantly associated with malaria incidence included education level, type of occupation, household size, and interactions between age and sex, ventilation and bed net use, as well as age and mosquito repellent use. The strongest association was observed in the interaction between age and sex, in which males aged over 46 years had 2.85 times higher odds of having malaria compared to female children under five years. Malaria incidence in Tanah Papua remains high and is influenced by a complex interplay of individual characteristics and environmental factors, including preventive behaviors.
Depresi menjadi salah satu masalah gangguan mental yang paling umum terjadi dan merupakan penyebab utama disabilitas di dunia terutama pada kelompok anak muda. Di Indonesia, prevalensi depresi tertinggi terjadi pada kelompok usia 15-24 tahun dan 61% diantaranya pernah berpikiran untuk mengakhiri hidup. Gaya hidup, termasuk pola makan, juga berperan dalam kejadian depresi. Saat ini, tren pola konsumsi makanan di Indonesia cenderung tidak sehat. Oleh karena itu, penelitian ini bertujuan untuk mengetahui hubungan antara pola makan dengan kejadian depresi pada anak muda usia 15-24 tahun di Indonesia berdasarkan data SKI 2023. Penelitian ini menggunakan studi potong lintang dengan analisis univariat, bivariat dan stratifikasi berdasarkan usia, jenis kelamin, status ekonomi, wilayah tempat tinggal, aktivitas fisik, kebiasaan merokok, dan konsumsi alkohol. Hasil penelitian ini menunjukkan. Pola makan tidak sehat berhubungan signifikan dengan peningkatan risiko depresi pada anak muda usia 15–24 tahun di Indonesia (OR=1,40; 95% CI: 1,21–1,61). Hubungan pola makan dan kejadian depresi ini dipengaruhi oleh kelompok usia dan wilayah tempat dengan hubungan yang kuat pada kelompok remaja usia 15-19 tahun dan tinggal di wilayah perkotaan. Pencegahan depresi pada anak muda perlu didukung dengan edukasi pola makan sehat dan peningkatan akses terhadap makanan sehat.
Depression is one of the most common mental health problems and a leading cause of disability worldwide, especially among young people. In Indonesia, the highest prevalence of depression occurs in the 15–24 age group, with 61% of them having experienced suicidal thoughts. Lifestyle factors, including dietary patterns, also play a role in the occurrence of depression. Currently, dietary consumption trends in Indonesia tend to be unhealthy. Therefore, this study aims to examine the relationship between dietary patterns and the incidence of depression among young people aged 15–24 in Indonesia based on the 2023 SKI data. This cross-sectional study employs univariate, bivariate, and stratified analyses based on age, sex, socioeconomic status, residential area, physical activity, smoking habits, and alcohol consumption. The results show that unhealthy dietary patterns are significantly associated with an increased risk of depression in Indonesian youth aged 15–24 (OR=1.40; 95% CI: 1.21–1.61). The association was influenced by age group and region of residence with a strong association in youth aged 15-19 years and living in urban areas.. Although a higher risk of depression was also seen among alcohol consumers, this was not statistically significant. Prevention of depression in young people should be supported by education on healthy eating and improved access to healthy foods.
Di Indonesia, prevalensi KEK pada ibu hamil meningkat dari 16,9% pada tahun 2018 menjadi 17% pada tahun 2023. Padahal, dalam rangka menekan angka KEK pada ibu hamil, pemerintah Indonesia sejak tahun 2014 menerapkan program intervensi gizi bagi ibu hamil diantaranya mengimplementasikan pemberian makanan tambahan sesuai bahan pangan lokal, pemberian tablet TTD, dan kelas ibu hamil. Meskipun program gizi dan kesehatan ibu telah lama diimplementasikan di Indonesia, masalah KEK pada ibu hamil masih menjadi salah satu bentuk malnutrisi yang belum tertangani secara efektif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan risiiko KEK pada ibu hamil berdasarkan data SKI 2023. Desain penelitian ini adalah cross sectional dengan sampel ibu hamil yang berada pada kehamilan trimester 3 dan menggunakan uji regresi logsitik sederhana untuk analisis bivariat. Dari 5.055 ibu hamil yang berhasil disurvey, terdapat 1.383 data yang eligible untuk digunakan dalam penelitian ini. Hasil penelitian ini terdapat 153 (11,1%) ibu hamil dengan risiko KEK. Provinsi dengan kasus ibu hamil risiko KEK terbanyak di Indonesia adalah Jawa Tengah sebanyak 103 kasus (7,2%) sedangkan provinsi dengan kasus terendah adaalah Papua Pegunungan sebanyak 3 kasus (0,2%). Status sosial ekonomi keluarga terendah (OR 2,13; 95% CI 1,28 – 3,54), konsumsi buah ≤ 3 kali per bulan (OR 0,26; 95% CI 1,15 – 5,94), dan mengalami stres (OR 3,17; 95% CI 1,03 – 9,75) adalah faktor risiko yang berasosiasi dengan risiko KEK pada ibu hamil. Selain itu, faktor yang menunjukkan protektif terhadap risiko KEK pada ibu hamil adalah berumur > 35 tahun (OR 0,37; 95% CI 0,18 – 0,76). Oleh karena itu, program bantuan bagi keluarga ibu hamil miskin mampu mendukung pencegahan risiko KEK pada ibu hamil.
In Indonesia, the prevalence of CED among pregnant women increased from 16.9% in 2018 to 17% in 2023. In fact, in order to reduce the rate of CED in pregnant women, the Indonesian government since 2014 has implemented nutrition intervention programmes for pregnant women including implementing supplementary feeding according to local food ingredients, providing TTD tablets, and pregnant women's classes. Although nutrition and maternal health programmes have long been implemented in Indonesia, the problem of CED in pregnant women is still one of the forms of malnutrition that has not been effectively addressed. This study aims to determine the factors associated with the risk of CED in pregnant women based on SKI 2023 data. The design of this study was cross sectional with a sample of pregnant women who were in the 3rd trimester of pregnancy and used simple logistic regression test for bivariate analysis. Of the 5,055 pregnant women surveyed, 1,393 were eligible to be used in this study. The results of this study showed that there were 153 (11.1%) pregnant women at risk of CED. The province with the most cases of pregnant women at risk of CED in Indonesia was Central Java with 103 cases (7.2%) while the province with the lowest cases was Papua Mountains with 3 cases (0.2%). Lowest family socioeconomic status (OR 2.13; 95% CI 1.28 - 3.54), fruit consumption ≤ 3 times per month (OR 0.26; 95% CI 1.15 - 5.94), and experiencing stress (OR 3.17; 95% CI 1.03 - 9.75) were risk factors associated with the risk of CED in pregnant women. In addition, the factor that showed protective against the risk of CED in pregnant women was being > 35 years old (OR 0.37; 95% CI 0.18 - 0.76). Therefore, the assistance programme for families of poor pregnant women can support the prevention of the risk of CED in pregnant women.