Mangku Karmaya
Department of Anatomy, Faculty of Medicine, Udayana University

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Early marriage as a risk factor for undernutrition among children aged under three years old in Gangga Subdistrict, North Lombok District Suhartiningsih; Ni Luh Putu Suariyani; Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p05

Abstract

Background and purpose: The prevalence of severe and mild undernutrition among children aged under five years in North Lombok District is ranked second in West Nusa Tenggara Province after Bima City. The number of reported cases of early marriages in West Nusa Tenggara is higher than the national average. This study aims to examine the association between early marriages and undernutrition among children aged under three years in Gangga Subdistrict, North Lombok District. Methods: A case-control study was conducted with a total of 49 cases (severe undernourished children) and 98 controls (normalweight children). A systematic random sampling was used to select all cases and controls from the health post register based on the weight/age indicator in Gangga Public Health Centre. Variables of sex and residency were matched between cases and controls. Data were collected from October to November 2016 through interviews with the mother at their house. Logistic regression using a software STATA SE 12.1 was employed to identify the association between early marriages and nutritional status of the children. Results: Cases and controls were comparable based on children’s gender, mother’s age, area of residency, employment status of mother, and family income. There were significant differences on children’s age and mother’s education. Multivariate analysis showed an association between the nutritional status and early marriages with adjusted odds ratio (AOR)=5.21 (95%CI: 1.36-19.95), the frequency of sickness over the last three months (AOR=1.93; 95%CI: 1.26-2.97) and low birth weight (AOR=14.12; 95%CI: 3.37-59.05). Conclusions: Early marriages, frequency of sickness over the last three months, and low birth weight are associated with undernutrition among children aged under three years. Preventative measures to prevent early marriages, child infections and low birth weight need to be enhanced.
The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali Ni Made Ari Febriyanti; Dinar Lubis; Dewa Nyoman Wirawan; Ni Luh Putu Suariyani; Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p07

Abstract

Background and purpose: Breast cancer is the leading cause of death in females, followed by colorectal cancer. Early detection of breast cancer can be done through breast self-examination (BSE). BSE behaviour is influenced by an individual’s level of knowledge and perceptions of the procedure. This study examines the determinants of BSE behaviour in married women aged 15-49 in six villages in the working area of Puskesmas (public health centre) II in West Denpasar, Bali, Indonesia. Methods: A cross-sectional survey was employed with 180 respondents selected by multistage random sampling. Data were collected using standardised questionnaire carried out from November-December 2016. Multiple poisson regression was used to identify the determinants of the BSE behaviours. Results: The proportion of respondents who performed BSE in the three months prior to interview is 55.6%, and, of these, 50.0% reported performing BSE regularly. Multivariate analysis shows the significant determinants of BSE are: high-school and above (APR=2.03; 95%CI:1.41 to 2.92); having a good knowledge of BSE (APR=1.41; 95%CI:1.09 to 1.82); perceived benefits (APR=2, 24; 95%CI:1.53-3.29); perceived low barrier (APR=1.63; 95%CI: 1.16-2.29); and high self-efficacy (APR=1.50;95%CI:1.16-1.95). Conclusions: Level of education, good knowledge of BSE, perceived benefits, perceived low barriers, and high level of self-efficacy are the significant determinants of BSE practice. These findings suggest that education on BSE should be enhanced, particularly for women with lower levels of education.