scholarly journals Exploring the Fundamental Risk Factors of Child Malnutrition: An Application of Proportional Odds Model (POM)

2021 ◽  
Vol 11 (2) ◽  
pp. 113-119
Author(s):  
Rida Ayyaz ◽  
Muhammad Asad Meraj ◽  
Fakhar Mustafa

Background: This study was designed with the objective to evaluate the fundamental risk factors of malnutrition among children in Lahore city and its outskirts, Pakistan. Methods: Data of four hundred and five children with age group less than 5 years was collected from Children hospital and Jinnah hospital, Lahore. We used weight-for-height anthropometric index, designed by World Health Organization (WHO), to measure the nutritional status of children. Preliminary analysis was performed by using Pearson Chi-square and Gamma statistics to check the association between factors (demographic, socio-economic and health related variables) and response variable i.e., nutritional status. Then, proportional odds model (POM) was fitted to the information collected. Results: Of 405 children included in the study, 33% (135) were found malnourished, whereas, approximately 67% (270) were found nourished. Findings of the study revealed that child’s age, maternal education level, socio-economic status, maternal age at the birth of child, low birth spacing, status of antenatal-postnatal care, incomplete vaccinations, exclusive breastfeeding, prevalence of fever, cough and recurrent episodes of diarrhea were the significant risk factors of malnutrition. Prevalence of acute respiratory infection (ARI) was turned out to be insignificant risk factor.  In this study, parallel lines assumption was satisfied and proportional odds model was fitted well with p-value greater than 5% level of significance. Conclusion: This paper highlights the significant risk factors that are affecting the child’s health. Recognizing and understanding the identified risk factors would be very helpful in prevention of malnutrition in Pakistan.

Author(s):  
Yuni Kurniati Yuni Kurniati

ABSTRACT [World Health Organization ( WHO ) , diarrhea is the number one cause of infant mortality worldwid. In Indonesia , toddler diarrhea is the number two killer after ARI ( Acute Respiratory Infection ) . Research purposes to determine the factors associated with the incidence of diarrhea in infants in the Free Health Center Palembang in 2012 . Sampling is done by sampling rondom method , data analysis, univariate and  =abivariate statistical chi - square test with a significance level of  0.05 . The results from 378 respondents who have children who suffer from diarrhea 213 ( 56.3 % ) . Age of toddlers at high risk of diarrhea, 121 ( 63.4 % ) . Higher education totaled 121 ( 47.3 % ) . High economic status who had diarrhea 56 ( 46.3 % ) . test results obtained chi - square with toddler age p value = 0.008 p value = maternal education and economic status of families 0,000 p value  = 0.05 .a  = 0.009 smaller  So that the hypothesis stating no statistically significant association between toddler age , education and economic status with the incidence of diarrhea in infants statistically proven. Expected for health workers to improve education about prevention of diarrhea in an effort to reduce the incidence of diarrhea in Indonesia.                                      ABSTRAK World Healt Organization (WHO), diare adalah penyebab nomor satu kematian balita di seluruh dunia. Di Indonesia, diare adalah pembunuh balita nomor dua setelah ISPA (Infeksi Saluran Pernapasan Akut). Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada balita di Puskesmas Merdeka Palembang tahun 2012. Pengambilan sampel ini dilakukan dengan metode rondom sampling, analisa data dilakukan secara univariat dan bivariat dengan uji statistik chi-square  dengan tingkat kemaknaan a = 0,05. Hasil penelitian dari 378 responden yg memiliki balita yg terkena diare 213 (56,3%),. Umur balita yang beresiko tinggi  terkena diare 121 (63,4%). Pendidikan tinggi berjumlah 121 (47,3%). Status ekonomi tinggi yang terkena diare 56 (46,3%). Hasil uji ­chi-square dengan didapatkan umur balita p value = 0,008 pendidikan ibu p value = 0,000 dan status ekonomi keluarga p value = 0,009 lebih kecil   a = 0,05. Sehingga hipotesis menyatakan ada hubungan bermakna antara umur balita, pendidikan dan status ekonomi dengan kejadian diare pada balita terbukti secara statistik. Diharapkan bagi tenaga kesehatan untuk meningkatkan penyuluhan tentang pencegahan diare dalam upaya menurunkan angka kejadian diare di Indonesia.    


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status.   ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia.  Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.


Author(s):  
Dini Kesumah Dini Kesumah

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


Author(s):  
Martina Astari

ABSTRAK Data World Health Organizationmenurut WHO (2015) diperkirakan  830 perempuan meninggal setiap harinya akbiat komplikasi kehamilan dan proses kelahiran , tercatat ada 303 per 100.000 kelahiran hidup Ibu meninggal selama masa kehamilan.Tujuan penelitian ini untuk diketahui faktor – faktor yang berhubungan dengan pengetahuan Ibu tentang tanda – tanda bahaya kehamilan trimester III. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Jenis pengambilan sampel pada penelitian ini menggunakan teknik accidental sampling. Sampel dalam penelitian ini adalah sebagian Ibu hamil trimester III yang melakukan pemeriksaan kehamilannya di Puskesmas Giri Maya Pangkalpinang Tahun 2017 berjumlah 30 orang. Hasil uji statistik chi square didaptkan p value 0,009 ≤ α 0,05 maka ada hubungan bermakna antara pendidikan Ibu dengan pengetahuan Ibu tentang tanda bahaya kehamilan trimester III.  p value 0,013 ≤ α 0,05 maka ada hubungan antara usia Ibu dengan tanda bahaya kehamilan trimester III. p value 0,024 ≤ α 0,05 maka ada hubungan antara paritas Ibu dengan tanda bahaya kehamilan trimester III di Puskesmas Giri Maya Pangkalpinang Tahun 2017. Kata Kunci : Pendidikan, Usia, Paritas, Pengetahuan tanda – tanda bahaya Trimester III     ABSTRACT According to the World Health Organization data, according to WHO (2015) an estimated 830 women were taken every day due to complications and birth process, considering there were 303 per 100,000 live births. . The design of this study used an analytical survey method using cross sectional. The type of sampling in this study uses accidental sampling technique. The sample in this study was that part of the third trimester pregnant women who performed their pregnancy examinations at the Giri Maya Pangkalpinang Health Center in 2017 received 30 people. The chi square statistical test results obtained p value 0.009 α α 0.05, then there is a relationship between maternal education and maternal knowledge about the danger signs of third trimester pregnancy. p value of 0.013 α α 0.05, then there is a relationship between the age of the mother and the danger signs of trimester III pregnancy. p value 0.024 α α 0.05, then there is a relationship between parity of mothers with trimester III danger signs in Giri Maya Pangkalpinang Health Center 2017. Keywords: Education, Age, Parity, Knowledge of danger signs Trimester III


2017 ◽  
Vol 11 (2) ◽  
pp. 43-48
Author(s):  
Almas Azifah Dina ◽  
Sumarah Sumarah ◽  
Ana Kurniati

Spending colostrum was influenced by several factors, one of them was kind of maternal childbirth. Normal childbirth and SectioCaesarea (SC) has affected maternal psychological changes and pain, and it was associated with the provision of drugs in themother and it has affected spending colostrum soon after birth. The percentage of caesarean deliveries as many as 28.6% inYogyakarta City, the figure was the highest proportion of cesarean delivery in the province. Coverage of exclusive breastfeeding inthe city of Yogyakarta was the lowest in the province that was equal to 54.9%. The purpose of this research was knowing the type oflabor relations at the time peneluaran colostrum at birth mothers when IV in the city of Yogyakarta in 2016. analytic observationalstudy with a prospective cohort design. The study sample consisted of 35 respondents in the group without risk factors and 35respondents with risk factors in 1 November to December 21, 2016. Data was collected by interview and observation. Data analysiswas using Chi-Square. Characteristics of mothers in this study were age, parity, nutritional status, and maternal education. Theresults of the bivariate analysis showed that the type of delivery SC has increased the incidence of spending within the colostrum>120 minutes total of 1.75 (p = 0.031; 95% CI; 1.028 to 2.981). Conclusions that SC has extended colostrum spending time morethan 120 min.


2016 ◽  
Vol 29 (1) ◽  
pp. 9-14
Author(s):  
Omole Ohonsi Abiodun ◽  
Belga Francis

Objective (s): To determine the aetiological factors of preterm deliveries at Aminu Kano Teaching Hospital, Kano, Nigeria..Materials and methods: This case-control study was conducted between 1st June 2006 and 31st May 2007.One hundred and forty eight women with preterm deliveries (cases) were compared with seven hundred and forty women who delivered at term (control). Data analysis was done using Epi- Info software (6.0 CDC Atlanta Georgia, USA). Univariate and multivariate logistic regression analysis were performed and the results were expressed as odds ratio (OR) with 95% confidence interval (CI). The contribution of the risk factors were estimated using chi square test and a p-value of < 0.05 was taken as significant.Results: The period incidence of preterm deliveries was 69 per 1000 births. Unbooked and low socioeconomic statuses, primigravidity, previous preterm deliveries, multiple pregnancies, pre-eclampsia, and malaria in pregnancy were significant risk factors that were associated with preterm delivery. These associations were still demonstrable after adjusting for confounding variables.Conclusion: Early girl marriage and childbearing and spontaneous pre-labour rupture of membranes not to be independent risk factors in this study. Women with risk factors should be managed in specialist hospitals.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 9-14


2018 ◽  
Vol 58 (5) ◽  
pp. 238-41 ◽  
Author(s):  
Husein Albar ◽  
Fadel Bilondatu ◽  
Dasril Daud

Background Nephrotic syndrome (NS) is the most common kidney disease in children and is characterized by edema, massive proteinuria, hypoalbuminemia, and hyperlipidemia. High relapse rate remains a major problem in the management of this syndrome. Objective To identify risk factors for relapse in pediatric nephrotic syndrome. Methods This study was carried out in the Wahidin Sudirohusodo Teaching Hospital in Makassar, South Sulawesi, Indonesia, from January to August 2017 using complete medical records of children diagnosed with NS. Subjects were divided into 2 groups: 1) relapsed NS or 2) non-relapsed NS.  The following potential risk factors for relapse were analyzed using Chi-square test: age, sex, nutritional status, hypertension, serum creatinine level, and infection at the time of established diagnosis of NS. Results A total of 142 children with NS who fulfilled the inclusion criteria aged 1.4 to 17.5 years were included in the study. Subjects were mostly boys (66.2%), with a male: female ratio of 1.95:1. The relapsed NS group had 80 cases (56.3%) and the non-relapsed NS group had 62 cases (43.7%). Statistical analysis revealed that nutritional status was a significant risk factor for relapse in pediatric nephrotic syndrome (P<0.05). Conclusion Nutritional status is an independent risk factor for relapse in pediatric nephrotic syndrome. 


2021 ◽  
Vol 1 (1) ◽  
pp. 73-84
Author(s):  
Andoko Andoko ◽  
Linaawati Novikasari ◽  
Ahmad Windu Pranajaya

ABSTRACT THE RELATIONSHIP OF NON-EXCLUSIVE BREASTFEEDING AND  NUTRITIONAL STATUS TODDLERS IN  WONOGIRI HEALTH CENTRE SOUTH KOTABUMI OF NORTH LAMPUNG REGENCY YEAR 2020Background: Exclusive breastfeeding according to the World Health Organization (WHO) is to give only breast milk without giving other food and drinks to babies from birth to 6 months of age, except drugs and vitamins. The incidence of malnutrition and undernutrition in children under five in 2013 increased to 8.3% and 27.5% respectively and in 2015 rose again to 8.8% and 28%, respectively. According to UNICEF (United Nation Children's Fund) in 2011, of the 136.7 million babies born worldwide, only 32.6% were exclusively breastfed. Objective: To determine the relationship between non-exclusive breastfeeding and the nutritional status of toddlers at the Wonogiri Health Centre, Kotabumi Selatan District, North Lampung Regency in 2020.Research Methods: This research is quantitative with a cross sectional approach. The population in this study were all mothers with toddlers aged 6-36 months in the work area of the Wonogiri Health Centre, Kotabumi Selatan District, North Lampung Regency, totaling 386 samples. The data analysis used was univariate and bivariate analysis with Chi-square test.Results: Obtained from the results of the Chi-square test, with p-value = 0, 000 which means p<α (0.05), it can be concluded that there is a relationship between Non-Exclusive Breastfeeding and Nutritional Status in Toddlers in the Wonogiri Health Centre Work Area. North Lampung Regency in 2020. Breastfeeding significantly affects nutritional status with an OR value of 2,800, meaning that respondents who do not give exclusive breastfeeding have 2,800 times the possibility of children being at risk of malnutrition when compared to respondents with exclusive breastfeeding.Conclusion: It is known that there is a relationship between non-exclusive breastfeeding and nutritional status in toddlers at the Wonogiri Health Centre, Kotabumi Selatan District, North Lampung Regency in 2020. Keywords: exclusive breastfeeding, nutritional status, toddler INTISARI: HUBUNGAN ASI TIDAK EKLUSIF TEHADAP STATUS GIZI PADA ANAK BATITA DI PUSKESMAS WONOGIRI KECAMATAN KOTABUMI SELATAN KABUPATEN LAMPUNG UTARA Latar Belakang: ASI eksklusif menurut World Health Organization (WHO) adalah memberikan hanya ASI saja tanpa memberikan makanan dan minuman lain kepada bayi sejak lahir sampai berumur 6 bulan, kecuali obat dan vitamin. Kejadian gizi buruk dan gizi kurang pada balita pada tahun 2013 masing-masing meningkat menjadi 8,3% dan 27,5% serta pada tahun 2015 naik lagi menjadi masing-masing 8,8% dan 28%. Menurut UNICEF (United Nation Childrens Fund) pada tahun 2011, dari 136.700.000 bayi yang dilahirkan di seluruh dunia hanya 32,6% yang mendapatkan ASI eksklusif.Tujuan: Mengetahui hubungan ASI tidak eksklusif terhadap status gizi pada anak batita di Puskesmas Wonogiri Kecamatan Kotabumi Selatan Kabupaten Lampung Utara tahun 2020.Metode Penelitian: Penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua ibu yang mempunyai batita usia 6-36 bulan di wilayah kerja Puskesmas Wonogiri Kecamatan Kotabumi Selatan Kabupaten Lampung Utara yang berjumlah 386 sampel. Analisis data yang digunakan adalah analisis univariat dan bivariat dengan uji Chi-square.Hasil: Didapatkan dari hasil uji Chi-square, dengan nilai p-value = 0, 000 yang berarti p<α (0,05), maka dapat disimpulkan bahwa ada hubungan Pemberian ASI Tidak Eksklusif dengan Status Gizi pada Batita di Wilayah Kerja Puskesmas Wonogiri Kabupaten Lampung Utara tahun 2020. Pemberian ASI secara signifikan mempengaruhi status gizi dengan nilai OR 2,800 artinya responden yang tidak memberikan ASI eksklusif memiliki kemungkinan anak beresiko gizi kurang sebanyak 2,800 kali jika dibandingkan dengan responden dengan ASI eksklusif.Kesimpulan: Diketahui bahwa ada hubungan ASI tidak Ekslusif dengan Status gizi pada anak batita di Puskesmas Wonogiri Kecamatan Kotabumi Selatan Kabupaten Lampung Utara Tahun 2020. Kata Kunci: ASI eksklusif, status gizi, batita


Author(s):  
Zahid Iqbal ◽  
Qaiser

Diabetes is a worldwide metabolic disease. In Pakistan prevalence of diabetes is increasing day by day. This research aims to analyze the risk factors associated with the patient in the Malakand division, KPK Pakistan. The data is collected from four districts of Malakand division District Headquarter Hospital for the period year 2018. The insignificant risk factors are eliminated using the backward Elimination method for the Binary logistic Regression model and for a best-fitted model, the AIC technique is used, while the logistic Coefficient is tested with help of Wald statistic and Hosmer-Lemeshow is performed for the Goodness of fit test. The positive and negative association among risk factors with diabetes is checked with the help of a Chi-square and odds ratio. Based on P-value at 5% level of significance the risk factors Age, cholesterol level, Hypertension, Family History, and Obesity are sensitive risk factors to develop diabetes. The AIC also show same best-fitted model while according to Hosmer- Lemeshow 0.844 indicating a better fit and these risk factors are associated with diabetes for the combine data of Malakand division. In each districts, the significant risk factors that affect to develop diabetes are Age, Cholesterol level and Obesity while according to AIC the best-fitted model is that in which the risk factors Gender and Occupation Status are involved the risk factor obesity show low level of precision based on 95% Confidence Interval and Chi-square statistic shows these factors are associated with diabetes.


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