scholarly journals DETERMINAN SOSIAL EKONOMI TERHADAP BERAT BADAN LEBIH DAN OBESITAS DI INDONESIA: ANALISIS DATA IFLS 2014

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Fajar Nugraha ◽  
Riki Relaksana ◽  
Adiatma Y.M Siregar

Indonesia:Obesitas merupakan fenomena serius di berbagai negara, terutama negara berkembang termasuk di Indonesia. Menurut WHO pada tahun 2016 terdapat 2,8 juta orang yang meninggal akibat masalah obesitas, sedangkan menurut Departemen Kesehatan Indonesia prevalensi Obesitas di Indonsia pada tahun 2018 mencapai angka 21,8%. Salah satu faktor penyebab obesitas adalah faktor sosial ekonomi, namun sering terdapat perbedaan mengenai pengaruh status sosial ekonomi terhadap obesitas di negara berkembang dan negara maju. Penelitian ini bertujuan untuk mengetahui determinan dari status sosial ekonomi terhadap berat badan lebih dan obesitas. Desain studi yang digunakan adalah cross sectional dan menggunakan data sekunder dari Indonesian Family Life Survey (IFLS) 5 tahun 2014 dengan usia lebih dari 18 tahun dengan model Ordered Logistic Regression. Hasil penelitian ini menunjukkan bahwa secara statistik individu dengan status sosial ekonomi yang lebih tinggi memiliki peluang yang lebih tinggi untuk mengalami berat badan lebih dan obesitas. Oleh karena itu, perlu meningkatkan sosialisasi program layanan kesehatan di lingkungan masyarakat dan sekolah terkait bahaya obesitas guna meningkatkan pengetahuan, membangun kesadaran, dan merubah pola hidup menjadi lebih sehat.English:Obesity is a serious phenomenon in various countries, especially developing countries, such as Indonesia. According to WHO in 2016 there were 2.8 million people who died due to the problem of obesity, while according to the Indonesian Ministry of Health the prevalence of Obesity in Indonesia in 2018 reached 21.8%. One of the factors that causing obesity is socio-economic status, but there are often differences regarding the effect of socioeconomic status on obesity in developing and developed countries. This study aims to determine the determinants of socioeconomic status on overweight and obesity. The study design used was cross sectional and used secondary data from the Indonesian Family Life Survey (IFLS) 5 in 2014 with age over 18 years with the Ordered Logistic Regression model. The results of this study indicate that statistically, individuals with higher socioeconomic status have a higher chance of experience more weight and obesity. Therefore, it is necessary to increase the socialization of health care programs in the community and schools related to the dangers of obesity to increase knowledge, build awareness, and change lifestyles to be healthier.

2017 ◽  
Vol 3 (2) ◽  
pp. 320-323
Author(s):  
Samar Hossain ◽  
Sharma Priyanka ◽  
Talib Hossain ◽  
Surendra Mohan Mathur

Objective: The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. The study was done to find the the prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors. Materials and Methods: School based cross sectional study carried out over a period of 4 months in three schools of East Delhi. The study was carried out in 629 school children of 10–18 years of age and belonging to different socioeconomic statuses in schools in East Delhi. The obesity and overweight were considered using an updated body mass index reference. A pre-tested questionnaire was used to determine the Socio-economic status and life style factors. Results: The prevalence of overweight among children was higher in middle socioeconomic status groups as compared to high socioeconomic class in both boys and girls whereas the prevalence of obesity was higher in high Socio economic status group as compared to middle socioeconomic group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Conclusion: The findings of this study suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.


2018 ◽  
Vol 25 (2) ◽  
pp. 76-85
Author(s):  
Suryani Suryani ◽  
Yusran Fauzi ◽  
Fikitri Maya Sari ◽  
Nahari Ratu Cempaka Wilis

Sanitation is intentional behavior in empowering clean life that has the purpose of preventing humans from being in direct contact with dirt and other hazardous waste materials in the hope of maintaining and improving human health. The use of latrines as a place to dispose of human waste is very necessary to avoid and reduce various types of environmental pollution and transmission of diseases, and can support the creation of a clean and healthy environment. This study aims to determine the relationship between the level of knowledge and socioeconomic status of the family head with ownership of family latrines in Gunung Agung Village, Argamakmur City, North Bengkulu. The design of this study uses analytical survey with Cross Sectional approach. The population taken was all family heads in Gunung Agung Village, Argamakmur City, North Bengkulu. Sampling in this study were 85 samples, using proportional random sampling technique, namely 66 samples that had family latrines and 19 samples that did not have family latrines. Data collection in this study uses primary and secondary data with data analysis techniques carried out by univariate and bivariate analysis with Chi-Square test through SPSS program. The results obtained: from 85 household head respondents, it can be seen that there are 66 families (77.6%) who have family latrines, there are 42 families (49.4%) have a sufficient level of knowledge, there are 56 households (65.9%) with the status of Prosperous    Family I. This study shows that there is a significant relationship between the level of knowledge and socioeconomic status of the head of the family with ownership of family latrines in Gunung Agung Village, Argamakmur City, North Bengkulu. Keywords: knowledge of family heads, ownership of family latrines, socio-economic status


2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Yeni Mahwati ◽  
Dieta Nurrika

C-reactive protein (CRP) is the best clinical marker for systemic inflammation. Obesity is associated with increased CRP levels. Systemic inflammation is present before morbidity occurs. Research reveals that the identification of obesity indicators and CRP levels is limited among Indonesians. The present study investigated the associations between obesity indicators (body mass index [BMI], waist circumference [WC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]) and CRP levels among Indonesian adults. This cross-sectional study based on Indonesian Family Life Survey-5 2014–2015 was conducted among 3,386 adults (≥ 40 years) living in 13 provinces in Indonesia during the study period. All data were collected in 2014. Multiple logistic regression was used to estimate the odds ratio (ORs) and 95% confidence interval (95% CIs) for hs-CRP levels on obesity indicators by using underweight (BMI) and normal (WC, WHR, and WHtR) as references. Our multivariable logistic regression analyses indicated that respondents with increased WHR (OR: 1.278, 95% CI: 1.005–1.625, P < 0.001) were more likely to have high-risk hs-CRP levels than those with normal WHR. Compared with respondents with normal WHtR, those with increased WHtR were found associated with high-risk hs-CRP levels (OR: 1.980, 95% CI: 1.544–2.541, P < 0.001). Therefore, WHR and WHtR can predict central obesity, which is associated with hs-CRP levels.


2020 ◽  
Vol 29 (2) ◽  
pp. 213-21
Author(s):  
Yusuf Syaeful Nawawi ◽  
Afsheen Hasan ◽  
Liza Salawati ◽  
Husnah ◽  
Widiastuti

BACKGROUND Various findings on the relationship between smoking and obesity have been demonstrated. This study aimed to investigate the association between smoking behavior and obesity in the Indonesian adult population. METHODS A cross-sectional analysis was conducted using data from the 2014 Indonesian Family Life Survey. A body mass index of ≥25 kg/m² was employed to define obesity. Smoking behavior was assessed in terms of smoking status and its attributes. The potential confounders of gender, age, education, residential environment, economic status, physical activity, and education level were adjusted using logistic regression.  RESULTS Study subjects were 28,949 adults aged ≥20 years. Current smoking was a protective factor of obesity (adjusted odds ratio [aOR] = 0.53; 95% confidence interval [CI] = 0.48–0.58), whereas previous smoking habit showed no association with obesity (aOR = 0.96; 95% CI = 0.84–1.09). The risk of current smokers having obesity was lower than that of nonsmokers as smoking duration increased (aOR = 0.46–0.63). By contrast, the risk of obesity was relatively higher among former smokers than current smokers as the duration of quitting increased (aOR = 1.46–2.20). Heavy smokers had a higher risk of obesity than light smokers among former (aOR = 1.85; 95% CI = 1.27–  2.67) and current smokers (aOR = 1.38; 95% CI = 1.23–1.65). CONCLUSIONS Overall, smoking negatively affected obesity among the Indonesian adult population. By contrast, quitting smoking was associated with an increased risk of obesity. Thus, weight management along with smoking cessation intervention should be prescribed.


2016 ◽  
Vol 19 (15) ◽  
pp. 2698-2707 ◽  
Author(s):  
Cut Novianti Rachmi ◽  
Kingsley Emwinyore Agho ◽  
Mu Li ◽  
Louise Alison Baur

AbstractObjectiveThe persistence of undernutrition, along with overweight and obesity, constitute the double burden of malnutrition. The present study aimed to: (i) describe the prevalence and trends of concurrent stunting and overweight in Indonesian children; (ii) identify potentially associated risk factors; and (iii) determine whether stunted children are at greater risk of overweight compared with those of healthy height.DesignA secondary data analysis of children aged 2·0–4·9 years in four cross-sectional studies of the Indonesian Family Life Survey. Children’s height and BMI Z-scores were calculated based on the WHO Child Growth Standards (2006). We defined ‘concurrent stunting and overweight’ as height-for-age Z-score <−2 and BMI Z-score >+1. Multivariate generalised linear latent and mixed models were used to determine associated risk factors.SettingThirteen out of twenty-seven provinces in Indonesia.SubjectsChildren (n 4101) from four waves of the Indonesian Family Life Survey (1993–2007).ResultsThere were inconsistent trends in the prevalence of concurrent stunting and overweight from waves 1 to 4. Children were more likely to be stunted and overweight when they were in the youngest age group (2·0–2·9 years), were weaned after the age of 6 months, had short-statured mothers or lived in rural areas. Stunted children were significantly more likely to be overweight than healthy-height children (OR>1) but did not differ significantly different across each wave (OR=1·34–2·01).ConclusionsConcurrent stunting and overweight occurs in Indonesian children aged 2·0–4·9 years. Current policies and programmes need to be tailored for the management of this phenomenon.


2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Dini Indrastuty ◽  
Pujiyanto Pujiyanto

AbstrakStunting merupakan masalah gizi kronis pada balita yang ditandai dengan tinggi badan yang lebih pendek dibandingkan dengan anak seusianya. Stunting pada balita memiliki risiko pada tingkat kecerdasan, kerentanan terhadap penyakit, menurunkan produktifitas yang dalam jangka panjang dapat menghambat pertumbuhan ekonomi. Ketika dewasa, anak yang menderita stunting rentan menderita penyakit tidak menular. Ini menyebabkan pengeluaran pemerintah dalam hal pembiayaan jaminan kesehatan nasional terus meningkat. Penelitian ini bertujuan untuk menganalisis determinan faktor sosial ekonomi rumah tangga dari balita stunting. Studi ini menggunakan data sekunder Indonesia Family Life Survey (IFLS) tahun 2014 dengan desain studi cross sectional dan aplikasi model logit ekonometrik. Jumlah observasi yang menjadi sampel analisis dalam penelitian ini sebesar 3.794 balita dalam skala nasional. Hasil penelitian menunjukkan kejadian balita stunting memiliki hubungan signifikan dengan status pekerjaan ibu, tempat tinggal, sanitasi dan status ekonomi. Ibu yang lebih banyak meluangkan waktu dan memperhatikan gizi anak, tempat tinggal balita yang dapat menjangkau fasilitas layanan kesehatan, akses sanitasi yang baik, status ekonomi keluarga, intervensi pemerintah yang tepat, dan peran lintas sektor dan tatanan masyarakat berdampak dalam penanganan masalah stunting di Indonesia. Abstract Stunting is a chronic nutritional problem in infants characterized by shorter stature compared to their age. Stunting in toddlers has risk at the level of intelligence, vulnerability to disease, lowering productivity which in the long run can hamper economic growth. When adults, children who suffer from stunting are prone to non-communicable diseases. This causes government spending in terms of financing national health insurance to continue to increase. This study aims to analyze the determinants of household socioeconomic factors of stunting toddlers. It used the secondary data of the Indonesian Family Life Survey (IFLS) in 2014 with cross-sectional study design and the application of an econometric logit model. The number of observations as a sample in this study amounted to 3,794 toddlers on a national scale. The results showed the incidence of stunting toddlers had a significant relationship with the employment status of mothers, shelter, sanitation and economic status. Mothers who spend more time and pay attention to child nutrition, toddlers who can reach health care facilities, access to good sanitation, family economic status, proper government intervention, and the role of cross-sector and community order have an impact on the handling of stunting problems in Indonesia.


Author(s):  
Safitri Tia Tampy ◽  
◽  
Hari Wahyu Nugroho ◽  
Rahmi Syuadzah ◽  
◽  
...  

ABSTRACT Background: Nowadays, lack of children nutritional status fulfillment is still a problem experienced by developing countries, including Indonesia. The most nutritional problems among children in Indonesia are stunting and wasting. Stunting and wasting are indicators of growth disorders including cognitive impairment. This study aimed to analyzed the correlation between stunting, wasting, and children’s cognitive ability using Indonesia family Life Survey 2000-2014. Subjects and Method: This was a cross sectional study conducted using secondary data analysis of the 3rd, 4th, and 5th Indonesian Family Life Survey (IFLS). The study took place in June-July 2020. The study subjects were children aged 7-14 years amounting to 4781 children. The dependent variable was cognitive ability. The independent variables were stunting and wasting. The data obtained from IFLS was cleansed using STATA 15 and analyzed using multilevel logistic regression using SPSS 16.1. Results: The prevalence of stunting among children were 35.5%, wasting were 10.6%, and cognitive abilities below the average were 41.1%. Children who were not stunted were 1.33 times more likely to have cognitive abilities that matched or were above the average age of children (OR= 1.33; 95% CI= 1.18 to 1.50; p< 0.001). Children who did not experience wasting had 1.20 times the likelihood of having cognitive abilities that matched or were above the average age of children (OR= 1.33; 95% CI= 1.00 to 1.45; p< 0.001). Conclusion: Stunting and wasting are associate with children’s cognitive ability. Keywords: stunting, wasting, children’s cognitive ability, Indonesian family life survey Correspondence: Safitri Tia Tampy. Department of Child Health Science, Pediatric Research Center, Dr. Moewardi Hospital, Surakarta, Central Java. DOI: https://doi.org/10.26911/the7thicph.03.19


2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Mazhar Nazir Chattha ◽  
Nafeesa ◽  
Rab Nawaz ◽  
Muhammad Idris Mazhar

Introduction: Obesity has increased in developed countries and is also increasing in the developing countries involving all ages including children. Studies undertaken in metropolitan cities of Pakistan had revealed an increased incidence of obesity in school children. This study was undertaken to know about prevalence of obesity in school children of Sialkot city by measuring body mass index (BMI), an indicator of obesity. Study Design: Descriptive cross sectional. Period: From November 2017 to January 2018. Setting: Two private schools were selected in Sialkot city. One school belonged to lower middle socio economic status (LMSE). Methodology: Students of classes 6 to 8, one from lower middle socioeconomic status (LMSE) school and other from higher socioeconomic status (HSE) school were included. Consent was taken, data was collected by questionnaire. Height and weight were measured and BMI was calculated and interpreted according to World Health Organization (WHO) sex specific BMI for age percentile charts. Results: 520 students were included in the study. 15.2% were obese, 22.1% were overweight, 5.2% were thin, 2.9% were severely thin and 54.6% were normal. 18.5% of students were obese in HSE School compared to 10.6% in LMSE School. 16.9% (n 52/307) of males and 12.7% (n 27/213) females were obese. Significant association of obesity was found with decreased exercise, increased screen time and consuming energy dense junk foods. Conclusion: Obesity and overweight are markedly high in Sialkot as compared to other studies in Pakistan. Stress should be given on prevention by education of students and parents. Healthy dietary habits and healthy living style should be promoted.


2021 ◽  
pp. 109019812110104
Author(s):  
Annie Pelekanakis ◽  
Jennifer L. O’Loughlin ◽  
Katerina Maximova ◽  
Annie Montreuil ◽  
Jodi Kalubi ◽  
...  

Introduction An association between socioeconomic status (SES) and smoke-free private spaces among smokers could be due to heavier smoking among low SES smokers. We assessed whether quantity smoked or SES are independently associated with smoke-free homes or cars in daily smokers. Method Data were drawn from a cross-sectional telephone survey (2011–2012) of 750 daily smokers age ≥18 years in Quebec, Canada (45% response). Multivariable logistic regression was used to model the independent association between (a) number of cigarettes smoked per day, and (b) each of educational attainment, annual household income, or active employment status and smoke-free homes or cars. Results Participants were 41.0 years old on average, 57% were female. Median (IQR) number of cigarettes smoked per day was 14 (10, 20). Forty-eight percent of participants reported smoke-free homes; 34% reported smoke-free cars. Quantity smoked was strongly associated with both smoke-free homes and cars. Income and education (but not actively employed) were associated with smoke-free homes. None of the SES indicators were associated with smoke-free cars. Conclusions Interventions targeting smokers to promote smoke-free homes and cars should incorporate components to help smokers reduce quantity smoked or preferably, to quit. Interventions targeting smoke-free homes will also need to address SES inequalities by education and income. Our data suggest that reduction in quantity smoked may help smokers reduce SHS exposure in cars, but that an inequality lens may not be relevant.


2021 ◽  
pp. 1-24
Author(s):  
Tatiana Gamboa-Gamboa ◽  
Romain Fantin ◽  
Jeancarlo Cordoba ◽  
Ivannia Caravaca ◽  
Ingrid Gómez-Duarte

Abstract Objective: This article analyzes the relationship between socioeconomic status and the prevalence of overweight and obesity in the primary school population in Costa Rica. Design: A National School Weight/Height Census was disseminated across Costa Rica in 2016. The percentage of children who were overweight or obese was calculated by sex, age, and socioeconomic indicators (type of institution: private, public, mix; type of geographic location: rural, urban; and the level of development of the district of residence: quartiles). A mixed effects multinomial logistic regression model and mixed effects logistic regression model were used to analyze the association between the prevalence of being overweight or obese and district socioeconomic status. Setting: The survey was carried out in public and private primary schools across Costa Rica in 2016. Participants: 347,366 students from 6 to 12 years old, enrolled in public and private primary schools. Results: The prevalence of overweight and obesity among children was 34.0%. Children in private schools were more likely to be overweight or obese than students in public schools (OR=1.10 [1.07, 1.13]). Additionally, children were less likely to be overweight or obese if attending a school in a district of the lowest socioeconomic quartile compared to the highest socioeconomic quartile (OR=0.79 [0.75, 0.83]), and in a rural area compared to the urban area (OR=0.92 [0.87, 0.97]). Conclusions: Childhood obesity in Costa Rica continues to be a public health problem. Prevalence of overweight and obesity in children was associated with indicators of higher socioeconomic status.


Sign in / Sign up

Export Citation Format

Share Document