Maternal Perceptions of Physical Activity Spaces for Children in Texas Border colonias

This study examined differences in mother-reported physical activity (PA) and screen time (ST) based on child sex and mothers’ perceptions of PA resources for Mexican-heritage (MH) children residing in Texas-Mexico border colonias. Mothers with children 8 to 10 years old ( n = 335) from colonias in south Texas reported if there were places for their child to be physically active and their child’s hours of PA and ST per day during the week and weekend. Two-way ANCOVAs examined differences in child PA and ST based on presence of PA places and child sex. Only 46.0% of mothers ( n = 159) reported places for their child to be physically active; with no significant difference based on sex. Mothers’ perceptions of a place to play was differentially beneficial for girls’ weekday PA and ST. Findings suggest a need to increase perceived and/or actual access to PA places in colonias communities, particularly for girls.

Persepsi Ibu, Dukungan Suami dan Dukungan Tempat Kerja dengan Pemberian Asi Ekslusif pada Ibu Bekerja di CV X

Introduction: Failure, The success of exclusive breastfeeding is due to the working mother .The failure factor to exclusively offer breastfeeding to working mothers is due to working mothers and the unavailability of breastfeeding room facilities and lack of support from the workplace. Objectives: The research objective was to determine the mother's perception, husband's support and workplace support by giving exclusive breastfeeding to working mothers at CV. Tri Corp Bogor Regency in 2019. Method: The research design used was a cross sectional study. The population in this study were mothers who worked at CV. Tri Corp Bogor Regency as many as 42 people. The sample used was 43 respondents with the sampling technique with the total sampling method. Data analysis using Chi Square test. Result: Based on the results of the investigation, it was found that 22 people were given exclusive breastfeeding (53.4%), 22 people had poor perceptions of mothers (53.4%), 23 people (54.8%) had poor support, local support good work as many as 24 people (57.1%). The statistical test results of the relationship between maternal perceptions and exclusive breastfeeding with a P value = 0.014. The relationship between partner support and exclusive breastfeeding with a P value = 0.032. The relationship between workplace support of exclusive breastfeeding with a P value = 0.011. Conclution: The conclusion is that there is a relationship between maternal perceptions, workplace support and support by providing exclusive breastfeeding for mothers working at CV. Tri Corp Bogor Regency in 2019. Suggestions for research sites to be able to provide health workers for pregnant and breastfeeding mothers as well as increase breastfeeding space and provide exclusive breastfeeding policies for mothers with children 0-6 months.

FAKTOR AKSESIBILITAS PELAYANAN KESEHATAN TERHADAP PEMERIKSAAN IVA DI PUSKESMAS BENCULUK KABUPATEN BANYUWANGI

Abstrak Latar Belakang: Kanker serviks merupakan salah satu penyakit kanker yang menyerang wanita dan menduduki urutan kedua setelah kanker payudara di Indonesia. Salah satu pencegahan yang dapat dilakukan adalah dengan melakukan pemeriksaan deteksi dini kanker serviks metode IVA. Keinginan melakukan pemeriksaan IVA dipengaruhi beberapa faktor, diantaranya pengetahuan, kesadaran, keternagkauan jarak, keterjangkauan biaya, serta persepsi Ibu. Penelitian ini bertujuan untuk menganalisis faktor aksesibilitas pelayanan kesehatan dan persepsi ibu terhadap pemeriksan IVA di Puskesmas Benculuk Kabupaten Banyuwangi. Metode: Penelitian ini merupakan penelitian observasional deskriptif dengan desain cross sectional. Pengambilan sampel menggunakan teknik random sampling sejumlah 60 responden dengan instrument penelitian kuisioner. Variabel penelitian terdiri dari pengetahuan, kesadaran, keterjangkauan jarak, keterjangkauan biaya, dan persepsi Ibu. Hasil: Hasil penelitian didapatkan bahwa 93,3% belum pernah melakukan pemeriksaan IVA, 90% WUS memiliki pengetahuan baik, 70% memiliki keterjangkauan jarak yang jauh dengan tempat pelayanan kesehatan, 100% mampu dalam pembiayaan pemeriksaan IVA, sebagian besar WUS memiliki persepsi yang baik terkait kanker serviks dan pemeriksaan IVA. Kesimpulan: Faktor aksesibilitas pelayanan kesehatan dan persepsi Ibu terhadap pemeriksaan IVA termasuk dalam golongan baik, namun dari 60 responden hanya 4 responden yang sudah pernah melakukan pemeriksaan IVA. Beberapa alasan mengapa WUS belum melakukan pemeriksaan diantaranya karena rasa malu dan takut kepada petugas kesehatan, rasa takut apabila terdeteksi adanya penyakit kanker serviks, serta merasa belum membutuhkan pemeriksaan IVA karena belum merasakan adanya gejala yang mengarah pada penyakit kanker serviks.Abstract Background: Cervical is a cancer that involves women. Cervical cancer rank’s is the second after breast cancer in Indonesia. Prevention that can be done is by conducting an examination of the early detection of cervical cancer VIA method. The desire to conduct VIA test is influenced by several factors, including knowledge, awareness, distance awareness, cost affordability, and mother's perception. This study aims to analyze the accessibility factors of health services and maternal perceptions of VIA test at the Puskesmas Benculuk Kabupaten Banyuwangi. Methods: This study was a descriptive observational study with a cross sectional design. Sampling used a random sampling technique of 60 respondents with questionnaire research instruments. The research variables consisted of knowledge, awareness, affordability, affordability, and women's perception. Results: The results showed that 93.3% had never done VIA examination, 90% of women of childbearing age had good knowledge, 70% had far-reaching affordability with health care facilities, 100% were able to finance IVA examinations, most women of childbearing age had a good perception of cancer cervix and VIA test. Conclusion: Accessibility factors for health services and maternal perceptions of IVA examination are included in the good category, but from 60 respondents only 4 respondents have already conducted IVA examinations. Some of the reasons why women of childbearing age has not conducted an examination include the feeling of shame and fear of health workers, fear of cervical cancer being detected, and feeling that they have not needed an IVA examination because they have not felt any symptoms that lead to cervical cancer.

A Multilevel Approach to Understanding the Determinants of Maternal Harsh Parenting: the Importance of Maternal Age and Perceived Partner Support

Determinants of parenting are most often considered using one child per family within a cross-sectional design. In 182 families, the current study included two siblings and sought to predict maternal harsh parenting measured prospectively when each child was age 2 years from child gender, infant temperament, maternal age, maternal educational attainment, maternal depression and anxiety and maternal perceptions of partner support. Multilevel modeling was used to examine between- and within-family variance simultaneously. Mothers reported levels of harsh parenting that were similar towards both children (intraclass correlation = 0.69). Thus, the majority of variance in maternal perceptions of their harsh parenting resided between rather than within families and was accounted for in part by maternal age and maternal perceptions of partner support. Results are discussed in relation to family-wide determinants of harsh parenting, previous literature pertaining to parenting siblings and the potential avenues for future research and practice.

Is the Association between Postpartum Depression and Early Maternal–Infant Relationships Contextually Determined by Avoidant Coping in the Mother?

This study analyzes the moderating role of avoidant coping (in early pregnancy) in the relationship between postpartum depressive (PPD) symptoms and maternal perceptions about mother–baby relations and self-confidence. Participants were 116 low-risk obstetric mothers (mean age = 31.2 years, SD = 3.95, range 23–42) who received care and gave birth at a Spanish public hospital. Measurements were made at two points in time: at first trimester of pregnancy (maternal avoidance coping) and four months after childbirth (PPD and maternal perceptions). Avoidant coping was associated with the perception of the baby as irritable and unstable (p = 0.003), including irritability during lactation (p = 0.041). Interaction effects of avoidant coping and postpartum depression were observed on the perception of the baby as irritable (p = 0.031) and with easy temperament (p = 0.002). Regarding the mother’s self-confidence, avoidant coping was related to a lack of security in caring for the baby (p < 0.001) and had a moderating effect between PPD and mother’s self-confidence (i.e., lack of security in caring for the baby, p =0.027; general security, p = 0.007). Interaction effects showed that the use of avoidant coping in the mother exacerbated the impact of PPD on the early mother–infant relationship.