Biological and Social-Economic Determinants of Child Development: A Path Analysis Evidence from Surabaya, East Java

Author(s):  
Ajeng Ayu Titah Pujangkara ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Previous study reported that numerous nutritional-related interventions have been shown to improve health aspect for young children. However, social and economic factors also played an indirect role to their nutritional and health fulfillment. The purpose of this study was to examine biological and social-economic determinants of child development using path analysis model. Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out at early childhood education programs (PAUD) in Wonokromo Sub-district, Surabaya, East Java. A sample of 200 children aged 2-5 years old from 25 PAUD was selected by simple random sampling. The dependent variable was child development. The independent variables were nutritional status, exclusive breastfeeding, number of children, family income, maternal education, and maternal employment status. The data were analyzed by path analysis. Results: Child developmental disorder directly increased with poor nutritional status (b= 0.95; 95% CI= 0.03 to 1.86; p= 0.041), low family income (b= 2.01; 95% CI= 1.13 to 2.90; p < 0.001), mothers working outside the home (b= 0.85; 95% CI= 0.07 to 1.63; p= 0.032), exclusive breastfeeding (b= 2.05; 95% CI= 1.23 to 2.86; p<0.001), and number of children ≥2 (b= 1.21; 95% CI= 0.20 to 2.23; p= 0.019). Child developmental disorders indirectly increased with maternal education. Conclusion: Child developmental disorder directly increases with poor nutritional status, low family income, mothers working outside the home, exclusive breastfeeding, and number of children ≥2. Child developmental disorder indirectly increases with maternal education. Keywords: child development, biological, social-economic determinants Correspondence: Ajeng Ayu Titah Pujangkara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +628116119511. DOI: https://doi.org/10.26911/the7thicph.03.107

Author(s):  
Dinda Septiani Hardilla ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Good nutrition and adequate stimulation for early learning are estimated as essential components for child development. The purpose of this study was to determine nutritional factors associated with child development aged 3-6 years. Subjects and Method: A cross sectional study was carried out at 25 preschools in Tanjung Jabung Timur, Jambi, Indonesia, from September to October 2019. A sample of 200 children aged 3-6 years was selected by stratified random sampling. The dependent variable was child development. The independent variables were child nutritional status, dietary pattern, exclusive breastfeeding, maternal education, maternal employment, and family income. Child development was measured by early childhood developmental screening. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: Child development improved with good nutritional status (b= 1.86; 95% CI= 0.54 to 3.19; p= 0.006), exclusive breastfeeding (b= 0.58; 95% CI= -0.67 to 1.84; p= 0.363), good dietary pattern (b= 1.55; 95% CI= 0.31 to 2.79; p= 0.014), maternal education ≥Senior high school (b= 2.27; 95% CI= 0.98 to 3.55; p= 0.001), and family income ≥Rp 2,840,000 (b= 1.84; 95% CI= 0.34 to 3.33; p= 0.016). Child development decreased with mother working outside the house (b= -1.31; 95% CI= -2.42 to -0.19; p=0.021). Conclusion: Child development improves with good nutritional status, exclusive breastfeeding, good dietary pattern, maternal education ≥Senior high school, and family income ≥Rp 2,840,000. Child development decreases with mother working outside the house Keywords: child development, nutritional status, exclusive breastfeeding Correspondence: Dinda Septiani Hardilla. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 082373568987 DOI: https://doi.org/10.26911/the7thicph.03.88


Author(s):  
Livia Calorina ◽  
◽  
Hanung Prasetya ◽  
◽  

ABSTRACT Background: Children nowadays use gadgets intensively, which can lead to addiction. The frequency or intensity of the children in using gadgets may affect their development. This study aimed to examine the use of gadgets on child development in children aged 3-5 years. Subjects and Method: A cross sectional study was conducted in Melawi, East Kalimantan, Indonesia, from August to September 2019. A sample of 200 children 3-5 years old was selected by fixed exposure sampling. The dependent variable was child development. The independent variables were gadget use, maternal age, maternal education, maternal employment, family income, number of children, and type of family. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Children development aged 3-5 years increased with maternal age ≥20 years old (b= 0.73; 95% CI= 0.11 to 1.35; p= 0.020), maternal education ≥Senior high school (b= 0.71; 95% CI= 0.34 to 1.08; p<0.001), family income ≥Rp 2,288,000 (b= 0.85; 95% CI= 0.42 to 1.28; p<0.001), and nuclear family type (b= 0.57; 95% CI= 0.25 to 0.89; p= 0.001). Children development aged 3-5 years decreased with gadget use (b= -0.69; 95% CI= -0.98 to -0.40; p<0.001), employed mother (b= -0.75; 95% CI= -1.05 to -0.45; p <0.001), and number of children >2 (b= -1.13; 95% CI= -1.46 to -0.80; p<0.001). Conclusion: Perkembangan anak usia 3-5 tahun meningkat dipengaruhi oleh usia ibu, pendidikan ibu, pendapatan keluarga, dan tipe keluarga inti. Perkembangan anak usia 3-5 tahun menurun pada anak yang menggunakan gadget, pekerjaan ibu, dan jumlah anak. Keywords: gadget use, children aged 3-5 years Correspondence: Livia Calorina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: 081346595497 DOI: https://doi.org/10.26911/the7thicph.03.87


Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


2017 ◽  
Vol 18 (02) ◽  
pp. 86-99
Author(s):  
Izzati Rahmi H.G

This study was conducted to determine factors that affect the nutritional status of children under 5 years of age in Padang City West Sumatra based on weight-for-height using Classification and Regression Tree (CART). The study was carried out in 4 districts in Padang City.  A Total of  311 under 5 years of age children was  examined.  Children nutritional status are assess using weight-for-height Z score complied with WHO standard for children growth.  Factors those were hypothesized to influence children nutritional status were gender, age, family income, maternal education level, number of children and score of  maternal knowledge about nutrition.  Data were analyzed using tree classification methods namely CART method. It was found that there were 3 variables that affect children nutritional status i.e age, family income and maternal knowledge about nutrition. 


Author(s):  
Endang Palupi ◽  
◽  
Harsono Salimo ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Rural children face higher mortality rates than their urban counterparts. Although the rural disadvantage in average child survival in developing countries is firmly established, its explanation is less clear. Several studies suggest that household-level factors appear to be important in explaining rural-urban differences in child mortality. This study aimed to examine the contextual effect of village and other determinants on infant mortality in Karanganyar, Central Java. Subjects and Method: A cross-sectional study was conducted in Karanganyar, Central Java, from February to May 2020. A sample of 200 infants aged 1 to 23 months was selected by fixed disease sampling. The dependent variable was infant mortality. The independent variables were exclusive breastfeeding, nutritional intake, immunization status, maternal education, family income, and contextual effect of village. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression run on Stata 13. Results: Infant mortality decreased with exclusive breastfeeding (b= -5.10; 95% CI= -9.60 to -0.59; p= 0.026), high family income (b= -5.96; 95% CI= – 9.91 to -2.02; p= 0.003), high maternal education (b= -4.09; 95% CI= -7.79 to -0.38; p= 0.030), and complete immunization (b= -4.67; 95% CI= -8.69 to -0.67; p= 0.022). Infant mortality increased with poor nutritional status (b= 4.99; 95% CI= 1.79 to 8.19; p= 0.002). Village had contextual effect on infant mortality with ICC= 32%. Conclusion: Infant mortality decreases with exclusive breastfeeding, high family income, high maternal education, and complete immunization. Infant mortality increases with poor nutritional status. Village has contextual effect on infant mortality. Keywords: infant mortality, contextual effect of village Correspondence: Endang Palupi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281331872723. DOI: https://doi.org/10.26911/the7thicph.03.114


2022 ◽  
Vol 3 (1) ◽  
pp. 74
Author(s):  
Siti Zaidar Lubis

Background: Stunting is condition a child's nutritional status that is not ideal which can Stunting is state of nutritional status children who are not ideal that can inhibit growth and development. Stunting events are influenced by various factors, namely birth length, exclusive breastfeeding history, family income, maternal education, maternal height nutrition knowledge, parity and parenting.Objective: Purpose this study is find the determinant stunting events in Alue Bilie Health Center of Nagan Raya Regency of Aceh Province.Method: The research design used is an observational comparative study with a case control approach. The population of this research is all mothers who have toddlers in Kuta Trieng Village. The number of samples is that all mothers have stunting toddlers as many as 42 people and toddlers who do not suffer from stunting as many as 42 people. Data was collected by interview using a questionnaire and anthropometric measurements of TB and age. Height using microtoise. Stunting was processed based on PMK no 2 of 2020. The data were analyzed using the Chi-Square test and Multiple Logistics Regression at a significance level of 95%.Results: Based on the results of the study found that there a relationship of exclusive breast milk history with stunting (ρ= 0.000), there a relationship of maternal nutritional knowledge with stunting (ρ= 0.000), there a income relationship with stunting (ρ= 0.024), there a relationship of maternal education with stunting (ρ= 0.034), exist parity relationship with stunting (ρ= 0.000), there a relationship of maternal height with stunting (ρ= 0.000) and there a parenting relationship with stunting (ρ= 0.003). Determinant factors that most affected stunting incidence were maternal height with an OR score of 24.8Conclusion: Factors that have a relationship with the incidence of stunting in toddlers in the work area of the Alue Bilie Health Center, Nagan Raya Regency, Aceh Province, namely the mother's education level, parity, exclusive breastfeeding, mother's level of knowledge, family income, mother's height and parenting patterns. The main determinant factors are parity, knowledge and maternal height.


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Sri Aminingsih ◽  
Lucia Desi Puti

Background Breastfeeding will ensure babies stay healthy and start life in the most healthy. Breastfeeding is actually not only allows the baby to grow up to be healthy physically, but also more intelligent, stable had a emotional, spiritual development, and positivesocial development. Riskesdas 2010 coverage of exclusive breastfeeding in Indonesia is still far from the world average and still very far from the target of Healthy Indonesia 2010. In rural districts Pucanganom Giriwoyo of the initial interview 3 of 5 mothers to breastfeed exclusively, while 2 others are not breastfed exclusively with reasons having to work, lack of time and because of no discharge of breast milk.The purpose to find out the factors that affect the mother in exclusive breast feeding in the village of Pucanganom sub-district of Giriwoyo Regency Wonogiri.Method of this research is descriptive research. While the plan is cross sectional used to find out the factors that affect the mother in exclusive breast feeding. Then there searchers took data from respondents regarding the factors that affect breast feeding.The Result Factors that affect the exclusive breast feeding is the age of the mother, the mother's education, number of children,  mother's work and family income. The most exclusive breast feeding on mother's  age 26-45 years (83,33%), maternal education high school-undergraduate (70%), given on the first and second child(73,34%), employment of the mother as a homemaker (73,34%), and family income 1-3 million (76.67%).Conclusion the mother who does not work it's possible giving exclusive breast milk due to the considerable amount of time which can be used by the mother to nurture her baby even 24 hours time the mother could be given to her baby, therefore breast feeding can be done during the first 6 months of the birth ofthe baby.Keywords: Exclusive breast feeding


Author(s):  
Eti Kuswandari ◽  
◽  
Harsono Salimo ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

ABSTRACT Background: Social economics and environmental factors contribute to low birthweight. Cigarette exposure to tobacco smoke in pregnant women has been discerned as an important risk factor for low birth weight. The purpose of this study was to investigate social economic determinants of birth weight using path analysis model. Subjects and Method: A case control study was carried out at Asembagus community health center, Situbondo, East Java. The study population was children aged 0-1 years. A sample of 150 children with normal birthweight and 50 children with low birth weight was selected randomly. The dependent variable was low bierthweight. The independent variables were maternal age, maternal employment status, family income, maternal knowledge, and cigarette smoke exposure. The data were collected by questionnaire and analyzed by path analysis. Results: The risk of low birthweight was directly and positively associated with maternal age <20 or ≥35 years (b= 1.78; 95% CI= 0.83 to 2.73; p<0.001), low maternal education (<Senior high school) (b= 0.93; 95% CI= 0.00 to 1.86; p= 0.049), mother work outside the home (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.013), low family income low (b= 1.33; 95% CI= 0.42 to 2.24; p= 0.004), low maternal knowledge (b= 1.17; 95% CI= 0.13 to 2.21; p= 0.026), and high cigarette smoke exposure (b= 1.11; CI 95%= 0.08 to 2.13; p= 0.035). The risk of low birthweight was indirectly and positively associated with maternal education, maternal knowledge, and family income. Conclusion: The risk of low birthweight is directly and positively associated with maternal age <20 or ≥35 years, low maternal education (<Senior high school), mother work outside the home, low family income low, low maternal knowledge, and high cigarette smoke exposure. The risk of low birthweight is indirectly and positively associated with maternal education, maternal knowledge, and family income. Keywords: low birthweight, cigarette smoke exposure, social economy determinants, path analysis Correspondence: Eti Kuswandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6282132770153. DOI: https://doi.org/10.26911/the7thicph.03.104


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