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All Journal Jurnal Teknologi Dan Industri Pangan JURNAL GIZI INDONESIA Jurnal Ilmu keperawatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Gizi Klinik Indonesia Jurnal Kesehatan Reproduksi Medical Journal of Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional UNEJ e-Proceeding Sari Pediatri Paediatrica Indonesiana Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Keperawatan Respati Yogyakarta BKM Public Health and Community Medicine
Madarina Julia
Universitas Gadjah Mada
Agriculture, Biological Sciences & Forestry Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Other

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FAKTOR YANG MEMPENGARUHI PERILAKU ORANG TUA DALAM PENCARIAN PENGOBATAN ANAK BALITA DEMAM Krisnanto, Paulinus Deny; Julia, Madarina; Lusmilasari, Lely
Jurnal Keperawatan Respati Yogyakarta Vol 3, No 2 (2016): September 2016
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (63.67 KB) | DOI: 10.2016/jkry.v3i2.24

Abstract

 Demam merupakan tanda dan gejala dari suatu penyakit. Demam umumnya membuat kalangan orang tua menjadi takut dan fobia karena orang tua beranggapan bahwa demam merupakan penyakit yang serius. Orang tua merasa lega jika demam anak berhasil diturunkan karena beranggapan bahwa penyakit akan sembuh. Sampai saat ini penelitian yang berkaitan dengan faktor yang mempengaruhi perilaku pencarian  pengobatan pada anak demam belum dilakukan penelitian di Indonesia.  Tujuan penelitian untuk mengetahui faktor yang mempengaruhi perilaku orang tua dalam pencarian pengobatan pada anak demam di Wilayah Kerja Puskesmas Ngaglik Sleman Yogyakarta. Desain penelitian yang digunakan dalam penelitian  adalah “Cross Sectional”. Tehnik pengambilan sampel pada penelitian ini menggunakan accidental sampling dengan jumlah sampel 96 orang tua yang memiliki anak balita demam. Analisis bivariat menggunakan chi square dan analisis multivariat menggunakan regresi logistik.  Diketahui bahwa 62,5 %  orang tua berobat ketenaga kesehatan dan 37,5 % orang tua yang melakukan pengobatan ke non kesehatan ketika anak demam. Hasil analisi bivariat mendapatkan variabel yang secara signifikan berhubungan dengan perilaku pencarian pengobatan yaitu persepsi sakit, umur anak dan nasehat orang lain  dengan p value < 0,05. Analisis multivariat mendapatkan variabel yang paling mempengaruhi perilaku pencarian pengobatan yaitu persepsi sakit. Terdapat hubungan antara persepsi sakit, umur anak dan nasehat orang lain terhadap perilaku pencarian pengobatan orang tua pada anak demam, Kata Kunci: Demam, perilaku pencarian pengobatan, anak balita
Pola makan dan indikator lemak tubuh pada remaja Fayasari, Adhila; Julia, Madarina; Huriyati, Emy
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 1 (2018)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.15 KB) | DOI: 10.14710/jgi.7.1.15-21

Abstract

Background : Previous studies has focused on intakes of individual nutrients and/or foods or food groups to specific effect on health, but there were still not clear about the effect of dieting pattern and food choice to overweight/obesity indicators like BMI-for Age, fat percentage, waist circumference and waist to height ratio and which food group has the most effect to obesity indicators.Objective: This study examined the association of meal pattern to BMI-for Age, fat percentage, waist circumference and waist to height ratio.Methods: This cross sectional study involved 738 individuals aged 15-18 years old adolescents in public school in Kota Yogyakarta. Height and waist circumference were measured by microtoise and metline. Weight and fat percentage were measured by hand-to-foot BIA. BMI-for–age were determined by WHO Antroplus. Dieting pattern was determined by self-reported questionnaire food frequency questionaire which consisted of 91-food item. Data were analyzed by t-test, and linier regression and multiple regression.Results: Overweight and obese were present in 13.41% and 5.43% subjects. In linear regression analysis, legumes, one dish meal, snacks, and sweetened beverages were negatively associated to BMI for age, waist circumference, waist to height ratio and fat pecentage (p<0.05). While in food items analysis, legumes, snacks and sweetened beverages were associated with the increase of waist circumference and fat percentage, while milk and soft drink as protective factor to the increase of fat percentage (-1.70 (-2.40;-1.00); -1.68 (-2.78;-0.58)).Conclusion: In a conclusion, increase in BMI for age and waist circumference are more affected by the intake of high frequency of macronutrients, while increase in fat percentage were associated with sweetened beverages consumption.
Source of energy intake of Papuan and non-Papuan high-school students in Jayapura: their association with risk for overweight/ obesity Rahayu, Endah Sri; Kandarina, Bernadette Josephine Istiti; Julia, Madarina
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.50496

Abstract

Background: The worldwide prevalence of obesity is increasing. Obesity is associated with many factors, including the consumption pattern of energy-producing food, i.e. carbohydrate and fat, which is, most likely associated with ethnicity. In Riskesdas 2007, Jayapura held the highest prevalence of obesity in adults in Indonesia. Jayapura lived the Papuan and Non-Papuan descents population. Objective: To determine the association between energy intake, the contribution of carbohydrate and fat to energy intake in overweight/ obesity in Papuan and non-Papuan high-school students. Methods: This cross-sectional study involved 150 Papuan and 150 non-Papuan students from three high schools in the district. Body mass index (BMI) derived from the measurement of body weight and height were grouped into overweight/obesity and not-overweight/ obesity. Source of energy was estimated using 3 (three) days non-consecutive 24 hours of food recall questionnaire. Energy intake and the contribution of carbohydrate and fat to energy intake were analyzed with an independent t-test and Chi-Square test. Results: The prevalence of overweight/ obesity was similar between Papuan and non-Papuan students (22.0 vs. 23.0%). The two groups had a similar amount of energy intake, however, the contribution of carbohydrate and fat to the total energy intake was significantly different. Obese/ overweight students had a significantly higher intake of energy, however, within the same ethnic group, the contribution of carbohydrate and fat in obese/ overweight students did not significantly differ. Conclusions: High energy intake was associated with overweight/obesity in both groups. The contribution of carbohydrates to total energy intake was higher in Papuan. However, the contribution of carbohydrate and fat to energy intake was not associated with overweight/ obesity in both groups.
Faktor-faktor yang berhubungan dengan praktik pemberian ASI eksklusif pada bayi usia 0-6 bulan di Kabupaten Timor Tengah Selatan Astuti, Ari Tri; Hadi, Hamam; Julia, Madarina
Jurnal Gizi Klinik Indonesia Vol 15, No 4 (2019): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.49313

Abstract

Factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Tengah Selatan DistrictBackground: The health profile of Indonesia in 2018 indicated only  68,74% of infants were exclusively breastfed. East Nusa Tenggara is one of the provinces with lower exclusive breastfeeding coverage than national data in 2018 with only 52,67%. A survey in Timor Tengah Selatan district showed that exclusive breastfeeding also decreased from 2015 and 2016 which was 63.3% to 59.1%. Several factors have been known to be associated with exclusive breastfeeding practice, such as mother’s education and occupation, household expenditure, antenatal care history, and husband’s support.Objective: To identify factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Selatan District, East Nusa Tenggara province.Methods: An observational study with a cross-sectional design was conducted among 155 lactating mothers of infants aged 0-6 months. The secondary data from "Study on behavioral analysis and food consumption/dietary practices among children under five, elementary school-age children, pregnant and lactating mother in Timor Tengah Selatan District of East Nusa Tenggara Province” were used. Raw data were collected in July 2012 in Amanuban Barat and Kie subdistrict, Timor Tengah Selatan. The data were analyzed in July-December 2014 using Chi-Square and logistic regression test. Results: Household expenditure, antenatal care location, and subdistrict associated with exclusive breastfeeding practice (p<0.05). Lactating mothers who did prenatal care at primary health care/primary health care satellite/hospital were 3.51 times more likely to breastfeed exclusively (OR=3.51; 95%CI: 1.03-11.9). Household expenditure (OR=0.27; 95%CI: 0.09-0.84) and subdistrict (OR=0.19; 95%CI: 0.05-0.71) had protective effect.Conclusions: A significant association was found between exclusive breastfeeding practice and household expenditure, antenatal care location, and the subdistrict in Timor Tengah Selatan district.
RESPON IMUN MUKOSA DAN SELULER PADA TIKUS YANG DIBERI BUBUK SUSU KAMBING DENGAN INFEKSI Salmonella Typhimurium [Mucosal and Cellular Immune Response of Rat Given Goat Milk Powder and Infected with Salmonella Typhimurium] . Nurliyani; Madarina Julia; Eni Harmayani; Endang Baliarti
Jurnal Teknologi dan Industri Pangan Vol. 24 No. 1 (2013): Jurnal Teknologi dan Industri Pangan
Publisher : Departemen Ilmu dan Teknologi Pangan, IPB Indonesia bekerjasama dengan PATPI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (374.173 KB) | DOI: 10.6066/jtip.2013.24.1.7

Abstract

ABSTRACT Goat milk contains bioactive proteins and oligosaccharides which can act as immunomodulators and prebiotics respectively. The objectives of this study were to determine the effect of giving goat milk powder on mucosal immune response (sIgA/secretory immunoglobulin A), cellular immune response (IFN-γ/interferon-γ) and the total number of lactobacilli in caecal digesta of infected rat by Salmonella Typhimurium. Male Sprague Dawley rats 3 weeks old were divided into two groups: 1) goat milk powder treatment, and 2) control. After 14 days given goat milk powder, the rats were infected with Salmonella Typhimurium and after 21 days were killed. The results showed that the average concentration of sIgA in group of rats given with goat milk powder was not significantly different with the control rat (42.95 ng/ml). The concentration of IFN-γ in rat given with goat milk powder was significantly different (63.33 pg/ml) from the control (45.00 pg/m) (p
Perubahan Pola Konsumsi Pangan Sumber Zat Goitrogenik Sianida dan Cara Pengolahannya Melalui Penyuluhan Gizi Farida Wahyu Ningtyias; Ahmad Husain Asdie; Madarina Julia; Yayi Suryo Prabandari
Jurnal Kesehatan Masyarakat Nasional Vol 9 No. 2 November 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1456.604 KB) | DOI: 10.21109/kesmas.v9i2.506

Abstract

Kabupaten Jember masih menghadapi masalah gizi gangguan akibat kekurangan iodium (GAKI), sebagian besar kecamatannya termasuk dalam kategori daerah endemik GAKI. Salah satu penyebabnya adalah faktor goitrogenik sianida yang mengganggu pembentukan hormon tiroid. Keberadaannya pada beberapa sayuran yang biasa dikonsumsi masyarakat menyebabkan diperlukannya pola konsumsi dan proses pengolahan yang baik agar aman dikonsumsi. Penelitian ini bertujuan mengubah pola konsumsi goitrogenik sianida dan cara pengolahannya melalui penyuluhan gizi dan demonstrasi cara pengolahan pangan sumber goitrogenik sianida yang benar. Penelitian ini adalah sebuah penelitian kuasi eksperimental dengan rancangan pretest-posttest control design. Jumlah sampel sebanyak 196 ibu rumah tangga, terdiri dari 98 orang di setiap kelompok perlakuan dan kontrol. Penelitian dilakukan di Kecamatan Arjasa Kabupaten Jember pada bulan Maret hingga Mei 2013. Hasil penelitian menunjukkan adanya peningkatan konsumsi bahan mentah sumber goitrogenik sebesar 25,98 gram. Namun, tidak terjadi peningkatan konsumsi sianida, justru menurun sebesar 9,09 miligram pada kelompok perlakuan. Hal ini terjadi karena pemilihan cara pengolahan yang tepat sesuai materi intervensi, yaitu beralih ke kulub dan rebus berkuah. Namun penurunan ini tidak signifikan (p = 0,56). Materi tentang GAKI dan cara mereduksi kadar sianida pada bahan pangan sumber goitrogenik sianida bisa dijadikan materi penyuluhan dalam program pencegahan GAKI di Kabupaten Jember.Changes in Food Pattern and Food Processing of Source Substance Goitrogenic Cyanide Through Nutrition CounselingJember still encounter the problem of nutrition iodine deficiency disorders (IDD), most of the district are included in the category of endemic areas. One reason is the cyanide goitrogenic factors that can interfere with the function of the thyroid hormone. Its presence in some commonly consumed vegetables society, causes the need for patterns of consumption and good processing in order to make it safe for consumption. Cyanide is a precursor thiocyanate which disrupt the formation of thyroid hormones through two pathways, active transport and interfere with the activity of thyroid peroxidase. This study aimed to change food pattern and way of processing goitrogenic cyanide food stuff through nutritional counseling and demonstration of food processing to reduce cyanide in goitrogenic food stuff. The research was a quasy-experimental study with pretest-posttest control design. The number of samples 196 housewives, consist of 98 people in the respective treatment groups and control. The study was conducted in the District Arjasa Jember between March and May 2013. The result showed presence of increased consumption of raw materials sources goitrogenic cyanide of 25.98 grams, was not followed by an increase in the consumption of cyanide, which has decreased by 9.09 miligram in the treatment group. This occurs because of the selection of appropriate food processing, switching to boil and blanching (kulub). However, this decrease was not significant (p = 0.56). The material on IDD and how to reduce levels of cyanide in the food source of cyanide can be used as material counseling in prevention programs IDD in Jember.
Eksplorasi Kearifan Lokal Masyarakat dalam Mengonsumsi Pangan Sumber Zat Goitrogenik terhadap Gangguan Akibat Kekurangan Yodium Farida Wahyu Ningtyas; Ahmad Husain Asdie; Madarina Julia; Yayi Suryo Prabandari
Jurnal Kesehatan Masyarakat Nasional Vol. 8 No. 7 Februari 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (556.158 KB) | DOI: 10.21109/kesmas.v0i0.370

Abstract

Selain kekurangan yodium, penyebab lain gangguan akibat kekurangan yodium (GAKY) di Kabupaten Jember adalah faktor goitrogenik tiosianat. Tiosianat adalah hasil detoksifikasi sianida. Sianida banyak terkandung pada beberapa sayuran yang biasa dikonsumsi. Tujuan penelitian ini adalah untuk mengeksplorasi kebiasaan konsumsi dan cara pengolahan pangan sumber zat goitrogenik sebagai solusi mengatasi GAKY di Kabupaten Jember. Dengan menggunakan pendekatan kualitatif, pengumpulan data dilakukan melalui focus grup discussion dilengkapi dengan semi-kuantitatif formulir frekuensi makan. Data yang terkumpul diolah dengan content analysis. Ada empat kelompok FGD yang diikuti 6 – 9 ibu rumah tangga yang terpilih melalui metode maximum variation sampling. Penelitian ini dilaksanakan pada bulan September 2012 – April 2013. Daun singkong, daun pepaya, rebung, sawi pahit, kubis dan selada air adalah sayuran sumber zat goitrogenik yang dikonsumsi harian dengan porsi yang cukup besar disebabkan faktor kesukaan dan kebiasaan oleh masyarakat Jember. Kadar sianida yang terkandung pada sayuran di kabupaten Jember berkisar 0,010 – 0,4 ppm dalam keadaan segar, tertinggi pada singkong dan terendah pada gambas dan kubis. Kadar sianidanya menjadi 0,18 – 0,0001 ppm setelah beberapa cara pengolahan yang biasa dilakukan oleh masyarakat Jember. Blansing/kulup adalah cara mereduksi kadar sianida yang paling baik dibandingkan cara pengolahan lain yang biasa dilakukan masyarakat Jember seperti rebus, tumis, goreng dan kukus.Other caused of iodine deficiency disorder (IDD) that was identified in Jember Regency is thiocyanate goitrogenic factor. Thiocyanate is the result of detoxification from cyanide content in some common vegetables consumed which consume daily. The purpose of this study was to explore goitrogenic food consumption habits and processing as a solution to overcome IDD in Jember Regency. Using a qualitative approach, data collection is done through focus group discussion equipped with a semi-quantitative food frequency form. The collected data were processed with content analysis. There are four groups of 6 – 9 FGD followed housewife selected through maximum variation sampling method. The study was carried out in September 2012 – April 2013. Cassava leaves, papaya leaves, bamboo shoot, cabbage, “sawi pahit” and “selada air/arnong” that vegetables contain substances goitrogenik consumed daily by a large enough portion due to factors fondness and familiarity. Cyanide content on vegetables from Jember district was around 0,01 – 0,40 ppm, the highest was in cassava and the lowest in cabbage and “gambas”. After some processing methods practiced by society, cyanide levels in foodstuffs become 0,18 – 0,0001 ppm. Blanching is the best way to reduce cyanide than the usual way as boiled, sauteed, fried and steamed.
Upaya Peningkatan Status Gizi Balita Malnutrisi Akut Berat Melalui Program Home Care Titih Huriah; Laksono Trisnantoro; Fitri Haryanti; Madarina Julia
Jurnal Kesehatan Masyarakat Nasional Vol 9 No. 2 November 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (984.132 KB) | DOI: 10.21109/kesmas.v9i2.507

Abstract

Malnutrisi pada balita masih merupakan permasalahan di Indonesia termasuk di Daerah Istimewa Yogyakarta. Berdasarkan indikator berat badan menurut tinggi badan, 2,6% balita mengalami malnutrisi akut berat. Pada beberapa dekade terakhir, telah terjadi pergeseran paradigma dalam penanganan balita malnutrisi, yang sebelumnya berbasis pendekatan fasilitas kesehatan bergeser menjadi pendekatan berbasis komunitas. Tujuan penelitian ini adalah untuk menganalisis pengaruh program home care terhadap peningkatan status gizi balita malnutrisi pada anak usia 6-60 bulan. Penelitian menggunakan desain kuasi eksperimen dengan pretest dan posttest control group melalui tiga tahap pendampingan yaitu intensif, mandiri, dan penguatan dengan pendekatan asuhan keperawatan. Sampel adalah 56 balita malnutrisi akut di dua wilayah, yaitu 33 balita di Kota Yogyakarta (eksperimen) dan 23 balita di Kabupaten Sleman (kontrol) dengan teknik pengambilan sampel yaitu purposive sampling. Intervensi home care diberikan selama tiga 3 bulan (Januari sampai Maret 2013). Hasil penelitian menunjukkan setelah program home care, terjadi peningkatan yang signifikan pada status gizi balita (p < 0,05). Pada akhir intervensi, terjadi penurunan kejadian malnutrisi akut berat dari 100% menjadi 56,7% (p < 0,05). Improving Nutritional Status of Children with Severe Acute Malnutrition Through Home Care ProgramChildren undernutrition is still an issue in Indonesia, including in the Special Region of Yogyakarta. Based on weight for height indicator, 2.6% children experience severe acute malnutrition. In the last few decades, there has been a paradigm shift in the management of acute malnutrition from a facility- based to community-centered approach. The purpose of this study was to analyze the effect of home care intervention on the improvement of nutritional status of severe acute malnutrition children aged 6-60 months. This study was designed with quasi-experimental and pretest-posttest control group design, conducted in three phases; intensive, strengthening and independent with nursing approach (January until March 2013). Samples were 56 children with severe and moderate acute malnutrition for both study sites, 33 children in Yogyakarta city (experiment) and 23 children in Sleman district (control), selected using purposive sampling. Home care intervention is given for three months (January until March 2014). Results findings show there were significant increase in nutritional status (p < 0.05) after home care intervention. At end line evaluation, the proportion of severe acute malnutrition in the experimental groups reduced significantly from 100% to 56,7% (p < 0.05).
Sampel Susu Formula dan Praktik Pemberian Air Susu Ibu Eksklusif Tuti Nuraini; Madarina Julia; Djaswadi Dasuki
Jurnal Kesehatan Masyarakat Nasional Vol 7. No. 12 Juli 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.831 KB) | DOI: 10.21109/kesmas.v7i12.329

Abstract

Cakupan pemberian air susu ibu (ASI) eksklusif di Kota Pagar Alam, tahun 2011 sekitar 43% tergolong rendah. Sebaliknya, pemberian susu formula meningkat tiga kali lipat dari 10,3% menjadi 32,5%. Iklan susu formula telah menyentuh bidan swasta dan puskesmas melalui pendekatan produsen susu formula dan pemberian susu formula secara gratis kepada ibu menyusui. Penelitian yang bertujuan mengetahui determinan kegagalan praktik pemberiaan ASI eksklusif di Kota Pagar Alam Provinsi Sumatera Selatan ini menggunakan desain studi unmatching kasus kontrol. Populasi adalah seluruh ibu yang mempunyai bayi berusia 7 _ 12 bulan. Penarikan sampel dilakukan dengan metode proportional random sampling. Variabel terikat praktik adalah pemberian ASI eksklusif, variabel bebas adalah pemberian sampel susu formula. Ibu yang mendapat sampel susu formula dan yang tidak mendapat dukungan tenaga kesehatan berisiko 3,67 dan 4,2 kali lebih besar untuk tidak memberikan ASI eksklusif.The coverage of exclusive breastfeeding in the City of Pagar Alam in 2011 was by 43%. Advertising of infant formula has reached privately practicing midwives or health centers. The approach from infant formula manufacturers to midwives in health centers is by providing free milk formula to nursing mothers to be distributed under the pretext of promotion. The objective of this study is to analyze the determinants of exclusive breastfeeding practice failures in the City of Pagar Alam of South Sumatra Province. The population study with an unmatched case-control design was conducted in the City of Pagar Alam. The population was all breastfeeding mothers who had babies in the city of Pagar Alam of South Sumatra Province. The research subjects are breastfeeding mothers who had babies aged 7 - 12 months who selected with proportional random sampling method. The variables of the study included the dependent variable, i.e, the practice of exclusive breastfeeding, the independent variable, i.e, promotion of free milk formula samples. The risk of not exclusively breast feeding amang mothers who had accepted formula milk samples and who absence of support posed by health workers is 3.67 and 4.20 times higher the mothers who had not accepted the formula milk sample and who absence of support posed by heath worker.
Malnutrisi Akut Berat dan Determinannya pada Balita di Wilayah Rural dan Urban Titih Huriah; Laksono Trisnantoro; Fitri Haryanti; Madarina Julia
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 1 Agustus 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (883.763 KB) | DOI: 10.21109/kesmas.v9i1.456

Abstract

Malnutrisi akut berat merupakan malnutrisi yang paling serius yang memengaruhi balita dan merupakan masalah kesehatan utama di negara-negara berkembang. Malnutrisi telah meluas baik di perkotaan maupun perdesaan. Akar permasalahan malnutrisi di negara berkembang salah satunya adalah faktor sosial demografi. Tujuan penelitian untuk melihat perbedaan kejadian malnutrisi dan determinannya di area perkotaan dan pedesaan di Yogyakarta. Penelitian menggunakan desain potong lintang dengan responden adalah semua balita malnutrisi akut berat di Kabupaten Sleman (23 balita) dan Kota Yogyakarta (33 balita). Analisis data menggunakan statistik deskriptif dan inferensial. Penelitian dilaksanakan pada Bulan Desember 2012 - Februari 2013. Prevalensi balita malnutrisi akut lebih banyak di perkotaan daripada di pedesaan (59% vs. 41%). Persentase faktor risiko kejadian malnutrisi pada kelompok urban dan rural adalah jumlah balita dalam keluarga satu orang (60,7%), jenis kelamin laki-laki (58,9%), riwayat pemberian ASI tidak eksklusif (60,7%), usia ibu kurang dari 35 tahun (62,5%), pekerjaan non-PNS (98,2%), penghasilan orang tua lebih dari UMR (58,9%), tingkat pendidikan ayah dan ibu tinggi (71,4% dan 64,3% ) dan pengasuh balita di rumah adalah ibu (82,1%). Perbedaan yang signifikan (p<0,05) pada variabel pekerjaan dan penghasilan orang tua, tingkat pendidikan orang tua dan pengasuh balita, sedangkan hasil pengukuran antropometri tidak menunjukkan adanya perbedaan. Determinan kejadian malnutrisi pada kelompok urban dan rural adalah jumlah balita dalam keluarga.Severe acute malnutrition is the most serious form of malnutrition affecting children under-five and widely recognized as a major health problem in developing countries. It is wide spread in rural and urban areas. Social demographic factor is one of the main causes of severe acute malnutrition. This study was conducted to determine the prevalence of severe acute malnutrition and determinants of children in urban and rural area in Yogyakarta. A cross-sectional study was used in this study, where the respondents were all children with severe acute malnutrition in Sleman and Yogyakarta (23 and 33 children respectively). Descriptive and inferencial statistic were used to analyze the data. The study was carried out in December 2012-February 2013. The prevalence of severe acute malnutrition children was higher in urban than rural communities (59% vs. 41%). Risk factors percentage of malnourished were number of children in family was one person (60.7%), male gender (58.9%), the history of not exclusive breastfeeding (60.7%), mother age less than 35 years old (62.5%), lower class job (98.2%), monthly income was high (58.9%), higher education of father and mother (71.4% and 64.3% respectively), and children caregiver was mother (82.1%). There were a significant diference (p<0.05) in father profession, parents’ education, household economic status, and caregiver of children, whereas anthropometric measurement did not show any difference between two groups. Determinants of malnutrition in urban and rural groups is the number of children in the family.
Co-Authors A.A. Ketut Agung Cahyawan W Achmad Surjono Adhila Fayasari Agustini Utari Ahmad Husain Asdie Ahmad Husain Asdie Ahmad Husain Asdie Almira Sitasari Aman B Pulungan Andi Imam Arundhana Ari Tri Astuti, Ari Tri Arief Priambodo Astuti, Lucia Mawarti Dwi Attika A. Andarie Basuki, Siswanto Cerdasari, Carissa Dewi Astiti Diadra Annisa Dio Biade Djaswadi Dasuki Djaswadi Dasuki Djauhar Ismail Ekawaty L. Haksari Emy Huriyati Endang Baliarti Endy P. Prawirohartono Endy Paryanto Prawirohartono, Endy Paryanto Eni Harmayani Esti Nurwanti Farida Wahyu Ningtyas Farida Wahyu Ningtyias, Farida Wahyu Fitri Haryanti Frida Soesanti Gunawan, I Made Alit H. A. Delemarre-van de Waal HA Delemarrevan de Waal Hamam Hadi Hamam Hadi Handayani Handayani Harry Freitag Luglio Muhammad Helmyati, Siti Hendratini, Julita Hizni, Alina I Made Alit Gunawan I Wayan Bikin ika agustina Indria Laksmi Gamayanti Indria Laksmi Gamayanti Irma Yunawati Joko Susilo Jufrrie, Muhammad Junaidi Junaidi Jurianto Gambir Kandarina, Bernadette Josephine Istiti Khaerul Anwar Krisnanto, Paulinus Deny Kunayarti, Wahyuni Kurnia Febriana Laksono Trisnantoro Lamana, Aspia Legawati Legawati, Legawati Lely Lusmilasari, Lely Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati M M van Weissenburch M. M. van Weissenbruch Muchtar, Mohammad Mursyid, Abidillah Neti Nurani Neti Nurani Niken Pritayati Nina Lestari Noormanto Noormanto, Noormanto Nur Afia Amin Nurliyani Nurul Hadi, Nurul Pangesti, Neni Purnama, Ni Luh Agustini Putra, Irwansyah R. Dwi Budiningsari Rahayu, Endah Sri Rahmawati, Rahmawati Ramadhaniah, Ramadhaniah Ramli, Nurlaili Retno Sutomo Rianti Puji Lestari Rina Susilowati Riris Andono Ahmad Roni Naning Ruqoyatul Himah S. Yudha Patria Santi Gunarwati Setya Wandita Shelly Puspa Anggraini Shinta Prawitasari Shoim, Mohammad Siti Nurfadilah H Slamet Rohaedi, Slamet Soeroyo Machfudz, Soeroyo Soi, Beatrix Sri Mulyati Sri Sugiharti Sri Wahyuni Subardjo, Yovita Puri Sulistyaningrum, Elisa Sunartini Sunartini, Sunartini Tarigan, Noviani Titih Huriah Titih Huriah Toto Sudargo Tunjung Wibowo Tuti Nuraini Winda Irwanti, Winda Winda Nurmayani M Yayah Lakoro Yayi Suryo Prabandari Zulfayeni, Zulfayeni