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Journal : Journal of Epidemiology and Public Health

Effect of Biopsychosocial Factors and Environmental Sanitation on Nutritional Status of Children Under Five Years Old in Nganjuk District Indita, Wiwen; Salimo, Harsono; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: One of the important public health issues in Indonesia is nutritional status, particularly in children under five years old. Lack of maternal awareness of dietary intake for their children may affect growth and development. This study aimed to investigate the effect of biopsychosocial factors and environmental sanitation on nutritional status of childrens in Nganjuk District.Subject dan Method: This was an analytic observational study using cross-sectional design. The study was conducted at Loceret Community Health Center, Nganjuk District, East Java, from March to April 2017. A sample of 136 children under five years old were selected for this study  by fixed exposure sampling.  The variable dependent was nutritional status measured in weight for age. The independent variables were dietary intake, history of infection disease, maternal stress, maternal education, family income, and environmental sanitation. The data were collected by anthropometry, medical record, and questionnaire. The data were analyzed with path analysis.Results: Weight for age of children under five was affected by dietary intake (b= 0.23, SE<0.001, p= 0.003), maternal education (b= 0.72, S.E= 0.28, p= 0.012), and history of infectious disease (b=0.80; SE= 0.29; p= 0.007). History of infectious disease was affected by environmental sanitation  (b=0.31; SE<0.001; p<0.001), and family income (b= 0.25, SE= 0.05, p<0.001). Dietary intake was affected by family income (b= 0.58, SE= 0.21, p= 0.007), history of infectious disease (b= 12.31; SE= 3.20; p<0.001), and maternal education (b=7.39; SE=3.09, p=0.017). Maternal stress was affected by family income (b=-0.16; SE= 0.06; p= 0.008).Conclusion: Weight for age of children under five was directly affected by dietary intake, maternal education, and history of infectious disease. Weight for age of children under five was indirectly affected by environmental sanitation, family income, history of infectious disease, and maternal education.Keywords: biopsychosocial, path analysis, environmental sanitation, nutritional statusCorrespondence: Wiwen Indita. Masters Program in Public Heath, Sebelas Maret University, Surakarta, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.  Email: wiwenindita29@gmail.com. Mobile: +6282244970118.Journal of Epidemiology and Public Health (2017), 2(1): 32-44https://doi.org/10.26911/jepublichealth.2017.02.01.04
Factors Associated with Pneumonia in Children Under Five after Earthquake: A Path Analysis Evidence from West Nusa Tenggara, Indonesia Ningsih, Nur Isniani; Salimo, Harsono; Rahardjo, Setyo Sri
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Pneumonia is an infectious disease which is the main killer among children under five. This study aims to analyze socio-economic and environmental determinants of the incidence of pneumonia in children under five after the earthquake.Subjects and Method: This study used observational analytic using case control. The total sample of 237 children under five aged 12-59 months old and the sampling technique was fixed disease sampling. The independent variables in this study were birth weight, exclusive breastfeeding, nutritional status, immunization status, maternal education, family income, healthy behavior, physical quality of the house, exposure to cooking fuel smoke, smoking activities of family members and active village influences. Collecting the variables was through questionnaires and analyzed by using path analysis.Results: Birth weight  (b=-1.92; 95%CI=-3.34 to -0.49; p=0.008), exclusive breastfeeding (b=-1.41; 95%CI=-2.43 to -0.37; p=0.007), nutritional status(b=-2.98; 95%CI=-4.10 to -1.86; p<0.001), immunization status (b=-1.45; 95%CI=-2.51 to -0.40; p=0.007), maternal education (b=-1.46; 95%CI= -2.63to -0.28; p=0.014), family income (b=-1.86; 95%CI=-3.32 to-0.41; p=0.012), healthy behavior (b=-1.24; 95%CI=-2.28 to -0.21; p=0.018), physical quality of the house (b=-1.16; 95%CI= -2.20 to -0.11; p=0.030), and active standby village strata (b=-1.25; 95%CI=-2.49 to -0.12; p=0.048) can reduce the incidence of pneumonia in children under five. Smoking activities of family members (b=1.38; 95%CI=0.02 to 2.73; p=0.045) and exposure to cooking fuel smoke (b=1.46; 95% CI= 0.34 to 2.51; p=0.010) can increase the incidence of pneumonia in children under five.Conclusion: The decrease in the incidence of pneumonia was influenced directly by healthy behavior, immunization status, nutritional status, physical quality of the house, exclusive breast­feeding, birth weight, and active standby village strata. Family smoking activities and smoke exposure to cooking fuel can increase the incidence of pneumonia in children under five.Keywords: Pneumonia, socioeconomic, village strata, path analysisCorrespondence: Nur Isniani Ningsih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: isniani2193@gmail.com. Mobile: 081997998692.Journal of Epidemiology and Public Health (2019), 4(3): 234-246 https://doi.org/10.26911/jepublichealth.2019.04.03.11
Multilevel Analysis Association of Soil Transmitted Helminths and Stunting in Children Aged 6-12 Years Old in Pinrang District, South Sulawesi Muslimah, Putri Andini; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting in children is often associated with infectious diseases, one of which is Soil Transmitted Helminths (STH). Worms in child­ren affect the intake, digestion, absorption and metabolism of food which has an impact on reducing the supply of nutrients to the body. This study aimed to determine the relationship between STH and the incidence of stunting in children aged 6-12 years in Pinrang, South Sulawesi.Subjects and Method: This was an analytic observational with cross sectional design. The study was conducted in Pinrang Regency, South Sulawesi, from January to March 2020. A sam­ple of 200 children aged 6-12 years was selected by random sampling. The dependent variable was stunting. The independent variables were worm disease, maternal education, family income, number of family members, maternal body height, low birth weight, length of birth, exclusive breastfeeding, and complementary feed­ing. The data were collected by question­naire and analyzed by a multiple multilevel logistic regression run on STATA13.Results: The risk of stunting increased with worms (b= 2.11; 95% CI= 1.11 to 3.10; p <0.001), low maternal education (b= 1.08; 95% CI= 0.13 to 2.03; p= 0.025), low income (b= 1.03; 95% CI= 0.05 to 2.02; p= 0.039), number of family (b= 2.13; 95% CI= 1.13 to 3.13; p< 0.001), short maternal height (b= 1.03; 95% CI= 0.10 to 1.96; p= 0.030), LBW (b= 1.45; 95% CI= 0.38 to 2.51; p= 0.007), short birth length (b= 1.91; 95% CI= 0.95 to 2.87; p< 0.001), and inappropriate complementary feed­ing (b= 1.11; 95% CI= 0.21 to 2.11; p= 0.029). The risk of stunting decreased with exclusive breastfeeding (b= 0.96; 95% CI= 0.23 to 1.91; p= 0.045). Village had negligible contextual effect on the stunting with ICC= 8.2%.Conclusion: The risk of stunting increases with worms, low maternal education, low income, number of family, short maternal height, LBW, short birth length, and inappro­priate complementary feed­ing. The risk of stun­ting decreases with exclusive breastfeed­ing. Village has negligible contextual effect on the stunting.Keywords: stunting, soil transmitted helminthsCorrespondence: Putri Andini Muslimah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ptriandn15@gmail.com. Mobile: +6285­331663133.Journal of Epidemiology and Public Health (2020), 05(03): 372-383https://doi.org/10.26911/jepublichealth.2020.05.03.11. 
Co-Authors -, Suradi Abd. Rasyid Syamsuri Adi Magna Patriadi Nuhriawangsa Alfianrisa, Anggityas Alinda Nur Ramadhani Anggraini, Yeni Anindya, Ivanda Glanny Annang Giri Moelyo Annang Giri Moelyo Argyo Demartoto, Argyo Aries - Krisbiyantoro Astuti, Fitriyani Dwi Atika, Zummatul Ayuningrum, Ika Yuli Bachtiar, Harrys Bhisma Murti Burhannudin Ichsan Catur Retno Lestari Desi Ekawati Diana Mayasari Hadianto Didik Tamtomo, Didik Dwi Hidayah Dwi Wijayanti Dyah Ratna Budiani Eko Dewi Ratna Utami Endang Dewi Lestari Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fauziyah, Rahma Galih Herlambang H.A.A. Soebijanto Hardilla, Dinda Septiani Hartanti, Ainurrizma Tri Ilma, Nabilah Nurul Ilma, Nabilah Nurul Indita, Wiwen Indriasih, Merlita Indriasih, Merlita Indriyani, Eny Inggar Ratna Kusuma Irnawati, Prita Yuliana Iskandar, Nurdin Aji Ivanda Glanny Anindya Juhrotun Nisa, Juhrotun Khalifah, Intan Noor Khalifatunisak, Alfadefi Kusumastuti, Nurry Ayuningtyas Kusumawardhani, Wahyu Kuswandari, Eti Leilani Lestarina Lestari, Nining Lilisianawati Lilisianawati Listiani, Funik Rahma Mei Maria Galuh Kamenyangan Sari Marlinawati, Iin Tri MS, Novi Paramitasari Muslimah, Putri Andini Ningsih, Nur Isniani Nugraha, Sandi Nugroho, Irfan Dzakir Nurahmawati, Dhewi Nurmayanti, Rika Palupi, Endang Poncorini, Eti Rahardjo, Setyo Sri Rita Adriani Benya Adriani Riza, Muhamad Rohaniyati, Retno Dwi Rokhayati, Rokhayati Rokhayati, Rokhayati Safriana, Latifah Saptawati Bardosono Sari, Lutfiana Puspita Sinta, Prabawati Sri Lilijanti Widjaja Sukoco, Amin Susanti, Isne Titah Pujangkara, Ajeng Ayu Trisnawati, Iga Uki Retno Budihastuti Vitri Widyaningsih yulia lanti retno dewi Yulia Lanti Retno Dewi Yulidar Hafidh