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Background: Diarrhea remains a significant health problem globally and nationally. In Indonesia, West Java has a diarrhea prevalence of 11% among under-five children. This figure is the 5th highest nationally and the highest on Java Island. Various interventions have been implemented to reduce diarrhea rates in under-five children. However, the persistently high incidence of diarrhea in under-five children in West Java necessitates this research to identify the determinants of diarrhea incidence in under-five children in West Java. Methods: This study utilized SKI 2023 data with a total sample of 913 under-five children. A cross-sectional study design was employed. Data were analyzed using complex sample analysis, including univariate, bivariate with chi-square test, and multivariate with multiple logistic regression. Results: Factors significantly associated with diarrhea incidence in under-five children in West Java were wastewater drainage (p-value 0.004; OR 2.188; CI 1.283-3.733) and handwashing facilities (p-value 0.044; OR 1.808; CI 1.017-3.213), while drinking water source and drinking water treatment were identified as confounding variables. Conclusion: Efforts to optimize community sanitation still need to be improved. Furthermore, prevention efforts need to be intensified to enhance the successful reduction of diarrhea prevalence in under-five children in West Java.
Preterm birth is the third leading cause of neonatal mortality in Indonesia. It significantly contributes to neonatal morbidity and mortality, thereby affecting the overall health indicators of the country. This study aims to identify the determinants of preterm birth in urban and rural areas of Indonesia. The data were obtained from the 2023 Indonesian Health Survey using a cross-sectional study design. The study sample consisted of 32,288 ever-married women aged 10–54 years who had given birth in the last five years. Data were analyzed using chi-square tests and multivariable logistic regression. The results showed that antenatal care (ANC) visits, multiple pregnancies, hypertension, and antepartum hemorrhage were significant determinants of preterm birth in both urban and rural areas. Maternal age, premature rupture of membranes, and mode of delivery were only associated with preterm birth in urban areas, while placenta previa was only significant in rural areas. Multiple pregnancies were the most dominant factor associated with preterm birth in both settings.
Pneumonia is the leading causes of death among children under five in Indonesia. Exclusive breastfeeding and vitamin A supplementation are recommended strategies for preventing pneumonia. Although the coverage of both has reached national targets, the prevalence of pneumonia increased from 4.8% in 2018 to 15% in 2023. This study aimed to examine the association between exclusive breastfeeding and vitamin A supplementation with the incidence of pneumonia among children aged 12–23 months in Indonesia. This study used a cross-sectional design based on data from 2023 SKI. Data analysis was conducted using univariate, bivariate, and multivariate methods. The results showed no statistically significant association between exclusive breastfeeding and vitamin A supplementation with pneumonia incidence. However, after considering interaction variables and controlling for confounding variables (child’s sex, history of diarrhea, and drinking water source), an increased risk of pneumonia was found among children who were not exclusively breastfed (AOR: 1.466; 95% CI: 0.928–2.315), although the association was not statistically significant. Meanwhile, the association between vitamin A supplementation and pneumonia became statistically significant (AOR: 3.029; 95% CI: 1.339–6.852). Therefore, strengthening educational programs through community empowerment is needed as a promotive-preventive strategy to improve exclusive breastfeeding and vitamin A practices in efforts to prevent pneumonia in children.
Berat badan lahir rendah berkontribusi terhadap morbiditas dan mortalitas neonatal, menjadikannya indikator penting kesehatan ibu dan anak. Data Riskesdas 2018 dan SKI 2023 menunjukkan prevalensi BBLR di Indonesia belum mengalami penurunan signifikan, dengan variasi antarwilayah, sehingga perlu penelitian tentang determinan BBLR berdasarkan regional. Penelitian ini menggunakan desain cross-sectional dengan data sekunder SKI 2023, dianalisis berdasarkan lima regional Indonesia menggunakan uji chi-square dan regresi logistik. Hasil menunjukkan variasi proporsi BBLR antarregional, dengan Sulawesi tertinggi dan Sumatera terendah. Di Sumatera, faktor terkait BBLR adalah anemia, plasenta previa, kehamilan kembar, kelahiran prematur, dan interaksi kehamilan kembar dengan komplikasi. Di Jawa-Bali, faktor yang berhubungan adalah paritas, komplikasi kehamilan, kehamilan kembar, jenis kelamin, kelahiran prematur, dan kelahiran prematur yang berinteraksi dengan kehamilan kembar. Di Kalimantan, faktor terkait adalah usia ibu, paritas, komplikasi, serta interaksi kehamilan kembar dengan jenis kelamin dan kelahiran prematur. Di Sulawesi, faktor yang berhubungan adalah status ekonomi, pendidikan ibu, paritas, konsumsi tablet tambah darah, komplikasi, plasenta previa, kehamilan kembar, jenis kelamin, dan kelahiran prematur. Di Papua, Maluku, Nusa Tenggara, faktor terkait adalah status ekonomi, paritas, komplikasi, dan interaksi kehamilan kembar dengan kelahiran prematur. Diperlukan intervensi berbasis wilayah untuk meningkatkan pelayanan kesehatan ibu hamil, terutama di Sulawesi, dengan fokus pada faktor risiko utama seperti kehamilan kembar, kelahiran prematur, dan anemia.
Low Birth Weight (LBW) contributes to neonatal morbidity and mortality, making it an important indicator of maternal and child health. The 2018 Riskesdas data and the 2023 SKI reveal that the LBW prevalence in Indonesia has not significantly decreased, with regional variations, indicating the need for research on the regional determinants of LBW. This cross-sectional study uses secondary data from SKI 2023, analyzed across five regions in Indonesia using chi-square tests and logistic regression. The results show regional variations in LBW proportions, with Sulawesi having the highest and Sumatra the lowest prevalence. In Sumatra, factors associated with LBW include anemia, placenta previa, multiple pregnancies, prematurity, and interactions between multiple pregnancies and complications. In Java-Bali, factors associated with LBW include parity, pregnancy complications, multiple pregnancies, gender, prematurity, and the interaction between prematurity and multiple pregnancies. Kalimantan's related factors are maternal age, parity, complications, and interactions between multiple pregnancies, gender, and prematurity. In Sulawesi, factors related to LBW include maternal socioeconomic status, education, parity, iron supplement consumption, complications, placenta previa, multiple pregnancies, gender, and prematurity. Papua, Maluku, and Nusa Tenggara show associations with socioeconomic status, parity, complications, and interactions between multiple pregnancies and prematurity. Regional-based interventions are needed to improve maternal health services, especially in Sulawesi, with a focus on key risk factors such as multiple pregnancies, prematurity, and anemia.
Hypertension can lead to serious complications such as heart disease, stroke, and kidney failure, making it a leading cause of premature death. The global prevalence of hypertension among adults aged 30–79 years reached 33% in 2019. Hypertension can affect various population groups, including workers, impacting their productivity and long-term health. Identifying hypertension risk factors is important to support targeted prevention efforts. This study used a cross-sectional design by analyzing secondary data from medical check-up, body composition measurement, and worker characteristic in 2024. The prevalence of hypertension among PT X workers in 2024 was 10.3%. The analysis showed significant associations between age, work tenure, dyslipidemia, body composition, and fat dimension with hypertension. The risk of hypertension increased among workers aged 40–49 years (AOR: 3,22) and ≥ 50 years (AOR: 4,15), with work tenure > 20 years (AOR: 3,83), dyslipidemia (AOR: 1,55), high body fat and low muscle composition (AOR: 2,15), and high fat dimension (AOR: 2,46). Therefore, preventive efforts through health education, regular blood pressure and body composition monitoring, and fat reduction programs are needed to control the risk of hypertension.
Latar Belakang: KB memiliki sejarah keberhasilan dalam meningkatkan pemakaian kontrasepsi modern dalam waktu relatif pendek, yaitu dari 10% di awal dekade 1970-an menjadi sekitar 60% di awal 2000-an. Namun, pada kurun waktu tersebut hingga 2017 terjadi pergeseran dominasi metode kontrasepsi yang digunakan oleh perempuan usia subur berstatus kawin, yaitu dari penggunaan metode kontrasepsi yang beragam menjadi dominasi Non MKJP, khususnya suntik KB.
Metode: Analisis data sekunder dilakukan dengan menggunakan data SKI tahun 2023. Uji chi-square dan regresi logistik dengan interval kepercayaan 95% digunakan dalam penelitian ini untuk menggambarkan kekuatan hubungan antar variabel.
Hasil: Cakupan penggunaan MKJP pada perempuan usia subur berstatus kawin di Indonesia dalam penelitian ini mencapai 28,8%. Hasil analisis multivariabel menunjukkan bahwa variabel yang memiliki hubungan secara statistik antara lain adalah usia, pendidikan responden, status pekerjaan responden, paritas, status ekonomi, wilayah administratif, pendidikan pasangan, dan konseling KB.
Kesimpulan: Semakin tingginya tingkat pendidikan yang ditempuh oleh seorang perempuan, semakin tinggi juga peluang yang dimilikinya untuk menggunakan MKJP. Hal ini disebabkan karena dengan tingkat pendidikan tersebut perempuan akan cenderung lebih mudah memahami informasi dan manfaat MKJP, serta memiliki kapasitas lebih besar dalam pengambilan keputusan terkait kontrasepsi. Oleh karenanya, peningkatan akses dan kualitas informasi dapat menjadi salah satu strategi yang dapat mendorong penggunaan MKJP secara lebih luas.a
Background: The family planning program has a history of success in increasing the use of modern contraceptives within a relatively short period, rising from 10% in the early 1970s to around 60% in the early 2000s. However, during that period up to 2017, there was a shift in the dominant contraceptive methods used by women of reproductive age—from a variety of methods to a dominance of non-long-acting and permanent methods (non-LARCs), particularly injectable contraceptives. Method: The proportion of long-acting reversible contraceptive (LARC) use among women of reproductive age in Indonesia in this study reached 28.8%. The multivariable analysis showed that several variables were statistically associated with LARC use, including age, respondent’s education, respondent’s employment status, parity, economic status, administrative region, partner’s education, and FP counseling. Results: Women with a secondary education level are more likely to use long-acting reversible contraceptive (LARCs). This is because, at this level of education, women tend to better understand information regarding the benefits of LARCs and have greater capacity in making decisions related to contraception. Therefore, improving access to and the quality of information may serve as an effective strategy to promote broader use of LARCs. Conclusion: The higher the level of education attained by a woman, the greater her likelihood of using long-acting reversible contraceptive (LARCs). This is because women at this education level tend to understand information about the benefits of LARCs more easily and have greater capacity in making decisions related to contraception. Therefore, improving access to and the quality of information can be an effective strategy to encourage wider use of LARCs.
