Multiple Logistic Regression on the Factors Affecting Exclusive Breastfeeding Practice in Karanganyar, Central Java

Author(s):  
Lathifah ‘Arub ◽  
◽  
Eti Poncorini Pamungkasari ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

ABSTRACT Background: Breastfeeding peer support helps lactating women to sustain breastfed and reduce cultural barriers. This study aimed to examine the effects of maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital on breastfeeding practice. Subjects and Method: A cross sectional study was conducted at 25 integrated health posts in Karanganyar, Central Java, from August to September 2019. A sample of 200 lactating mothers with children aged 7-12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, maternal education, maternal employment, type of labor, knowledge, attitude, family support, and social capital. The data were collected by questionnaire and analyzed by a multipe logistic regression. Results: Exclusive breastfeeding increased with maternal age 20-34 years (b= 1.96; 95% CI= 0.53 to 3.39; p= 0.007), maternal education ≥Senior high school (b= 1.47; 95% CI= 0.08 to 2.87; p= 0.038), good knowledge (b= 1.73; 95% CI= 0.33 to 3.12; p= 0.015), positive attitude (b= 1.61; 95% CI= 0.28 to 2.94; p= 0.017), strong family support (b= 1.39; 95% CI= 0.13 to 2.65; p= 0.030), and strong social capital (b= 1.34; 95% CI= 0.01 to 2.68; p= 0.049). Exclusive breastfeeding decreased with mothers working outside the house (b= -2.95; 95% CI= -4.37 to -1.53; p<0.001) and sectio cesarean labor (b= -1.57; 95% CI= -3.06 to -0.08; p= 0.039). Conclusion: Exclusive breastfeeding increases with maternal age 20-34 years, maternal education ≥Senior high school, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breastfeeding decreases with mothers working outside the house and sectio cesarean labor. Keywords: exclusive breastfeeding, bipsychosocial Correspondence: Lathifah ‘Arub. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +625789212539. DOI: https://doi.org/10.26911/the7thicph.03.89

2013 ◽  
Vol 8 (5) ◽  
pp. 229
Author(s):  
Suci Destriatania ◽  
Judhiastuty Februhartanty ◽  
Fatmah Fatmah

Partisipasi ayah pada pola pemberian makan bayi harus dipersiapkan dengan baik sehingga mendukung ibu untuk menyusui. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap ayah terhadap praktik pemberian ASI eksklusif. Sampel dalam penelitian ini adalah 536 pasangan suami istri yang mempunyai bayi usia 0-6 bulan. Data dikumpulkan dengan menggunakan kuesioner terstruktur. Desain yang digunakan adalah potong lintang dan analisis data menggunakan kai kuadrat dan regresi logistik. Rata-rata pemberian ASI eksklusif pada saat wawancara adalah 29,1%. Sekitar 83,6% dan 59,1% ayah mempunyai pengetahuan rendah tentang manajemen laktasi prenatal dan postnatal, tetapi 89,6% dan 61,9% ayah menunjukkan sikap positif terhadap praktik menyusui ketika masa kehamilan dan menyusui. Dukungan ayah terhadap praktik menyusui justru rendah pada saat persalinan (37,3%). Sikap ayah selama masa menyusui (nilai p < 0,05; OR = 1,623; 95%CI = 1,086 _ 2,425) merupakan faktor yang paling dominan memengaruhi praktik pemberian ASI eksklusif setelah dikontrol faktor lainnya dalam analisis regresi logistik. Pengetahuan yang baik dan sikap yang positif diketahui sebagai faktor penting dalam keberhasilan praktik pemberian ASI eksklusif. Hal ini menunjukkan kebutuhan keterlibatan ayah dalam berbagai program promosi praktik menyusui.Fathers participation in the decision making of infant feeding method have to be well prepared so that they can support mothers to breastfeed. The objective of the paper is to analyze the relationship between knowledge and attitude of the fathers on exclusive breastfeeding practice. Couples whose baby aged 0-6 months were recruited in this study. Structured questionnaire was used to collect the data. The study design was cross sectional in which chi square and logistic regression analyses were used for the statistical tests. The prevalence of exclusive breastfeeding at time of interviewwas 29.1%. Around 83.6% and 59.1% of fathers had low level of knowledge on prenatal and postnatal lactation management but 89.6% and 61.9% had positive attitude toward breastfeeding. Only 37.3% fathers showed positive attitude about breastfeeding during labor. Attitude of fathers during nursing period was a dominant factor associated with exclusive breastfeeding (p value < 0.05; OR = 1.623; 95% CI = 1.086 _ 2.425) after controlling for other factors in the logistic regression analysis. Good knowledge and positive attitude were known as important factors for successful exclusive breastfeeding practice. This indicates a need of breastfeeding education for fathers.        


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


2021 ◽  
Vol 129 (s2) ◽  
Author(s):  
Reza Putri Maghriza ◽  
Ninuk Dwi Ariningtyas ◽  
Yelvi Levani ◽  
Musa Ghufron

Introduction: In Indonesia, coverage of exclusive breastfeeding has not yet met the government’s goal of 80%. This study aimed to ascertain the relationship between maternal education and occupation, family support, and belief in myths and exclusive breastfeeding success in a rural region.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246587
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Ayelign Mengesha Kassie ◽  
Biruk Beletew Abate ◽  
Seteamlak Adane Masresha

Background Low birth weight puts a newborn at increased risk of death and illness, and limits their productivity in the adulthood period later. The incidence of low birth weight has been selected as an important indicator for monitoring major health goals by the World Summit for Children. The 2014 World Health Organization estimation of child death indicated that 4.53% of total deaths in Ethiopia were due to low birth weight. The aim of this study was to assess trends of proximate low birth weight and associations of low birth weight with potential determinants from 2011 to 2016. Methods This study used the 2016 Ethiopian Demographic and Health Survey data (EDHS) as data sources. According to the 2016 EDHS data, all the regions were stratified into urban and rural areas. The variable “size of child” measured according to the report of mothers before two weeks of the EDHS takes placed. The study sample refined from EDHS data and used for this further analysis were 7919 children. A logistic regression model was used to assess the association of proximate low birth weight and potential determinates of proximate low birth weight. But, the data were tested to model fitness and were fitted to Hosmer-Lemeshow-goodness of fit. Results The prevalence of proximate low birth weight in Ethiopia was 26.9% (2132), (95%CI = 25.4, 27.9). Of the prevalence of child size in year from 2011 to 2016, 17.1% was very small, and 9.8% was small. In the final multivariate logistic regression model, region (AOR = xx), (955%CI = xx), Afar (AOR = 2.44), (95%CI = 1.82, 3.27), Somalia (AOR = 0.73), (95%CI = 0.55, 0.97), Benishangul-Gumz (AOR = 0.48), (95%CI = 0.35, 0.67), SNNPR (AOR = 0.67), (95%CI = 0.48, 0.93), religion, Protestant (AOR = 0.76), (95%CI = 0.60, 0.95), residence, rural (AOR = 1.39), (95%CI = 1.07, 1.81), child sex, female (AOR = 1.43), (95%CI = 1.29, 1.59), birth type, multiple birth during first parity (AOR = 2.18), (95%CI = 1.41, 3.37), multiple birth during second parity (AOR = 2.92), (95%CI = 1.86, 4.58), preparedness for birth, wanted latter child (AOR = 1.26), (95%CI = 1.09, 1.47), fast and rapid breathing (AOR = 1.22), (95%CI = 1.02, 1.45), maternal education, unable to read and write (AOR = 1.46), (95%CI = 1.56, 2.17), and maternal age, 15–19 years old (AOR = 1.86), (95%CI = 1.19, 2.92) associated with proximate low birth weight. Conclusions The proximate LBW prevalence as indicated by small child size is high. Region, religion, residence, birth type, preparedness for birth, fast and rapid breathing, maternal education, and maternal age were associated with proximate low birth weight. Health institutions should mitigating measures on low birth weight with a special emphasis on factors identified in this study.


2012 ◽  
Vol 12 (54) ◽  
pp. 6632-6645
Author(s):  
NM Nyanga ◽  
◽  
C Musita ◽  
A Otieno ◽  
D Kaseje

The overall objective of this study was to determine factors influencing the knowledge and practice of Exclusive Breast Feeding1 (EBF) among lactating mothers with infants aged zero2 to six months at Ahero Sub District Hospital in Nyando District, Kenya. A cross- sectional design was conducted to 117 breastfeeding mothers at Ahero Sub-District Hospital at Maternal Child Health clinic; these were selected consecutively until the desired sample was attained. The independent variables were maternal education, marital status, both maternal and child age, maternal employment status, health factors (place of delivery and maternal chronic illness), and cultural beliefs while dependent variables included EBF practice and mothers’ knowledge of EBF3 (awareness of EBF and its benefits), pre lacteal feeds and exclusive breastfeeding consistency. Exclusiveness was measured in time initiated (30 minutes initiation after birth) Data were collected by trained enumerators who administered a structured questionnaire. Analysis was done using Statistical Package for Social Scientists (SPSS) by running frequencies and cross tabulation. Chi square test was used to check for strength of association between variables at 95% confidence level. The study found that there was low EBF practice (33%) in the area and this posed a great concern. It was established that marital status, employment, maternal education, place of delivery and both infant and mothers’ age were closely associated with knowledge and practice of EBF. Marital status and employment were strong predictors of both knowledge and practice which showed statistical significance of P= 0.02 and P=0.00, respectively. It was evident that family support is a key factor in the success of EBF with special focus on partner involvement. Actions to empower women and promotion of EBF campaign are recommended to achieve the fourth Millennium Development Goal (MDG) and probably reduce infant mortality in the area. Further studies are required to assess the impact of a strong focused educational program (focused on building family support) on improving EBF rates.


2014 ◽  
Vol 2 (2) ◽  
pp. 227
Author(s):  
Nicholas Fransida Swardana ◽  
Chatarina Umbul Wahjuni

ABSTRACTSub National Immunization Week (PIN) Diphtheria is an additional immunization activity simultaneously in 19 regencies/ cities as an attempt to cope with outbreak of diphtheria in East Java. Sub PIN Diphtheria coverage result in 2012 in the Sukolilo Village, Surabaya in children(2–36 months) did not fulfill the target because there are many children(2–36 months) that did not participate. This study was conducted to analyze the factors that affect mother to the children(2–36 months) exclusion in Sub PIN Diphtheria in the Sukolilo Village, Surabaya 2013, include: maternal age, maternal education level, maternal employment, number of children, mother’s level of knowledge, maternal attitudes, husband support, community support, and exposure information. This study conducted with observational analytic approach and case control design. Large sample of 90 mothers drawn by simple random sampling. Statistical analysis is used multiple logistic regression with α < 0.05. The results showed that the variables that affect the exclusion of mothers to immunize children(2–36 months) in Sub PIN Diphtheria sequentially are less maternal attitude (p = 0.000), maternal less knowledge (p = 0.005), the husband does not support (p = 0.047), and were not informed (p = 0.018). Whereas maternal age, maternal education level, maternal employment, number of children, and the community support has no effect because the p value < 0.05. Therefore it is necessary counseling and motivation to the mother, socialization to the husband, and optimize health promotion media in order to minimize the exclusion Sub PIN Diphtheria future.Keywords: children (2–36 months), diphteria, immunization, knowledge,                         attitude


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


Author(s):  
Dyah Ayu Saputri ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Tuberculosis (TB) disease in children under 15 years (pediatric TB) is a public health problem of special significance because it is a marker for recent transmission of TB. This study aimed to analyze biological, social, and economic risk factors of child TB. Subjects and Method: A case control study was carried out at 25 villages in Surakarta, from August to September 2019. A sample of 200 chilren aged 0-18 years was selected by fixed disease sampling. The dependent variable was TB. The independent variables were birthweight, BCG immunization, exclusive breastfeeding, nutritional status, family income, smoke exposure, family history of TB. Data on TB cases were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of TB increased with poor house sanitation (OR= 4.50; 95% CI= 1.18 to 17.12; p= 0.027), smoke exposure (OR= 4.13; 95% CI= 1.05 to 16.22; p= 0.042), and had history of TB (OR= 5.54; 95% CI= 1.49 to 20.61; p= 0.011). The risk of TB decreased with normal birthweight ≥2,500 g (OR= 0.18; 95% CI= 0.05 to 0.57; p= 0.003), BCG immunization (OR= 0.18; 95% CI= 0.06 to 0.58 p= 0.004), exclusive breastfeeding (OR= 0.11; 95% CI= 0.02 to 0.55; p= 0.006), good nutritional status (OR= 0.10; 95% CI= 0.02 to 0.48; p= 0.004), and family income ≥Rp1,802,700 (OR= 0.09; 95% CI= 0.02 to 0.36; p= 0.001). Conclusion: The risk of TB increases with poor house sanitation, smoke exposure, and had history of TB. The risk of TB decreases with normal birthweight ≥2,500 g, BCG immunization, exclusive breastfeeding, good nutritional status, and high family income. Keywords: Tuberkulosis, biological, sosial dan ekonomi. Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 081353236388. DOI: https://doi.org/10.26911/the7thicph.01.45


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