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Association between the Socioeconomic Factors, Healthy Home, and Healthy Behavior among Parents of Toddler with Acute Respiratory Infection in Kediri, Indonesia Tiyan Anggraini; Ambar Mudigdo; RB. Soemanto
Journal of Epidemiology and Public Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health

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Background: Acute Respiratory Infection or ARI is the most deaths occurred in toddler. Many factors lead to a high incidence of this disease among socioeconomic, healthy home and healthy behavior of parents. This study was aimed to determine the association between socioeconomic and healthy homehealthy home with healthy behavior in parents of toddler with acute respiratory infections.Subject and Methods: This was a case study conducted in Kediri, East Java, Indonesia. A total of 100 toddlers consisted of 20 toddlers and parents with ARI and 80 toddlers with parents without ARI. The dependent variable was parents of toddlers with acute respiratory infection. The independent variables included socioeconomic and healthy home with healthy behavior. The data were collected by pre-tested questionnaire, and analyzed using a multiple logistic regression model.Results: Theresults obtained by the education (OR = 9.1; 95%CI = 0.8 to 98.4; p = 0.001), family income (OR = 1.3; 95% CI = 0.1 to 14.2; p = 0.000), housing components (OR = 4.0, 95%CI = 0.5 to 27.7; p = 0.005), sanitation (OR = 6.9; 95% CI = 1.1 to 41.9; p = 0.001), healthy behavior (OR = 8.9; 95% CI = 1.6 to 48.7 ; p = 0.003).Conclusion: The results of this study concluded that education, family income, housing components, sanitation and behavior of the occupants had a statistically significant relationship to healthy behaviors parents of toddlers with ARI.Keywords: education, family income, housing components, sanitation, healthy behavior, and healthy behavior parents of toddler patients with Acute Respiratory Infections (ARI).Correspondence: Tiyan Anggraini. School of Health Sciences, Kadiri University, Kediri, Indonesia. Email: tiyananggraini@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 66-74https://doi.org/10.26911/jepublichealth.2016.01.01.08

Multilevel Analysis on the Social Determinants of Cervical Cancer in Yogyakarta Heni Elmiani Sari; Ambar Mudigdo; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health

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Background: There are 527.600 new cases of invasive cervical cancer. Cervical cancer is caused by infection with the Human Papilloma Virus (HPV) 16 and 18 study was conducted in the city of Yogyakarta. This study aimed to analyze the social determinants on cervical cancer by multilevel analysis in Yogyakarta.Subjects and Methods: This was an observational analytic study with case control design. This was conducted on March 31 to May 4, 2016. A total of 120 samples were selected by fixed disease sampling with a ratio 1:3. The data collected was using a questionnaire and analyzed with Logistic Regression.Results: The risk of cervical cancer with a positive effect on family income (OR = 3.45 95% CI = 0.26 to 45.45 p = 0.346), age of first sexual intercourse (OR = 8.54 95% CI = 1.17 to 62.41 p = 0.034), number of sexual partners (OR = 14.60 95% CI = 2.93-72.66 p = 0.001), oral contraceptives (OR = 1.85 95% CI = 0:37 to 9:20 p = 0452), nutritional status (OR = 5.69 95% CI = 1.36 to 23.82 p = 0.017), hygiene genitalia (OR = 9:23 95% CI = 1.76 to 48.35 p = 0.009), and an effect reversed by education (OR = 0:14 95% CI = 0:09 to 2:08, p = 0.155). ICC value of 40.68% indicating the risk of cervical cancer in women varies and a variation of 40.68% at the level of environmental sanitation home.Conclusion: There is a positive effect of family income, age of first sexual intercourse, number of sexual partners, nutritional status, hygiene genitalia, and sanitary home environment, on the risk of cervical cancer. There is an inverse effect of education on the risk of cervical cancer. The society is expected to be aware of cervical cancer.Keywords: multilevel analysis, social determinants, cervical cancer.Correspondence: Heni Elmiani Sari. School of Midwifery (AKBID) Kutai Husada, Tenggarong, Indonesia. Email: henyelmiani@gmail.comJournal of Epidemiology and Public Health (2016), 1(2): 100-107https://doi.org/10.26911/jepublichealth.2016.01.02.03

The Association Between Maternal Education, Family Income, House Sanitation, and the Incidence of Acute Respiratory Tract Infection in Children Under Five Anita Sri Sulistyo; Didik Tamtomo; Ambar Mudigdo
Journal of Epidemiology and Public Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health

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Background: It was estimated that the incidence of Acute Respiratory Tract Infection (ARTI), including pneumonia, was 10-20% in children under five in Indonesia. Therefore ARTI in children under five is a public health important that calls for control and prevention. The purpose of this study was to determine the association between maternal education, family income, house sanitation, and the incidence of ARTI in children under five.Subjects and Method: This was an analytic observational study with case control design. This study was conducted in Wonogiri 1 and Kismantoro Health Centers, Wonogiri, Central Java, from September to October, 2016. A total sample of 200 children under five were selected for this study by fixed disease sampling, consisting of 100 children with ARTI and 100 children without ARTI. The dependent variable was pneumonia. The independent variables were maternal education, family income, house component, and house sanitation. The data were collected by a set of questionnaire, checklist, and medical record at the health centers. The data were analyzed by multiple logistic regression.Results: Maternal education ≥senior high school (OR=0.09; 95% CI= 0.03 to 0.22; p<0.001), house component meeting the required standard (OR=0.27; 95% CI= 0.13 to 0.57; p<0.001), and good house sanitation (OR=0.15; 95% CI= 0.06 to 0.38; p<0.001) were associated with decreased risk of pneumonia in children under five, and they were statistically significant. The association between family income and the risk of pneumonia was not statistically significant (OR=0.87; 95% CI= 0.42 to 1.79; p=0.703).Conclusion: Maternal education ≥senior high school, house component meeting the required standard, and good house sanitation are associated with decreased risk of pneumonia in children under five.Keywords: maternal education, family income, house sanitation, pneumonia, children under five Correspondence: Anita Sri Sulistyo. District Health Office Wonogiri, Central Java. Email: anitasrisulistyowati@yahoo.comJournal of Epidemiology and Public Health (2016), 1(3): 195-202https://doi.org/10.26911/jepublichealth.2016.01.03.06

Association Between Socio-Economic Factor, Home Sanitation, Sense of Belonging, and Health Behavior, in Patients with Dengue Hemorrhagic Fever in Kediri, East Java Lindha Sri Kusumawati; Ambar Mudigdo; Soemanto -
Journal of Health Promotion and Behavior Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Dengue hemorrhagic fever (DHF) is an infectious disease characterized by high fever and red spots on the skin with unclear causal factor. The increasing number of DHF cases for the past few years indicated poor environmental health indicator. The purpose of this study was to determine the association between socio-economic factor, home sanitation, sense of belonging, and health behavior, in patients with DHF.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Campurejo Health Center, Kediri, East Java. A total sample of 100 patients with DHF were selected for this study. The dependent variable was health behavior. The independent variables were socio-economic factor, home sanitation, and sense of belonging. The data were collected by questionnaire and analyzed by multiple logistic regression. Results: Education ≥ senior high school (OR= 3.15; 95% CI= 1.219 to 8.140; p=0.018), family income ≥ regional minimum wage (OR= 9.143; 95% CI= 3.13 to 26.70; p=0.001), good home sanitation (OR= 3.1; 95% CI= 1.120 to 8.579; p=0.029), and sense of belonging (OR= 12.01; 95% CI= 4.021 to 35.89; p=0.001) were associated with healthier behavior.Conclusion: Education ≥ senior high school, family income ≥ regional minimum wage, good home sanitation, and sense of belonging are associated with healthier behavior.Keywords: education, family income, home sanitation, sense of belonging, health behaviorCorrespondence: Lindha Sri Kusumawati. Faculty of Health Sciences, Kadiri University. Email: lindha.sri@gmail.com.Journal of Health Promotion and Behavior (2016), 1(4): 238-243https://doi.org/10.26911/thejhpb.2016.01.04.03

Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java Tri Ari Hastuti; Ambar Mudigdo; Uki Retno Budihastuti
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Physiologic vaginal delivery of offspring may cause spontaneous unintended perineum tear (rupture) with varying degrees. Perineum rupture is the second leading cause of post-partum bleeding after uterine atony. The purpose of this study is to analyze the relationship between age, parity, physical activity, birth weight, and the risk of perineum rupture.Subject and Methods: This was an analytic observational study with cross sectional design. This study was carried out at PKU Hospital, Delanggu, Klaten, Central Java. A total of 78 mothers giving birth at the maternity ward were selected for this study stratified random sampling. The independent variables were age, parity, physical activity, and birth weight. The dependent variable was perineum rupture. The data were collected by interview and observation, and then analyzed using path analysis model.Results: Maternal age ? 35 years old (b = 3.36; 95%CI = 0.91 to 5.80; p = 0.007) increased the risk of perineum rupture, and it was statistically significant. Sufficient physical activity (b =-3.16; 95% CI =-5.05-1.27 ; p = 0.001) and multiparity (b =-4.05; 95% CI =-6.62 to -1.50; p = 0.002) decreased the risk of perineum rupture, and it was statistically significant. Birth weight did not show significant effect on the risk of perineum rupture (b = 1.13; 95%CI = 0.97 to 3.24; p = 0.291). Maternal employment status did not show its effect on physical activity level.Conclusion: Maternal age ? 35 years old increased the risk of perineum rupture. Sufficient physical activity and multiparity decreased the risk of perineum rupture. Special care should be taken on these two risk factors when assisting birth delivery in order to prevent perineum rupture.Key words: age, parity, physical activity, birth weight, perineum rupture.Correspondence: Tri Ari Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Triari1987@gmail.comJournal of Maternal and Child Health (2016), 1(2): 93-100https://doi.org/10.26911/thejmch.2016.01.02.04

Effect of Breast Care and Oxytocin Massage on Breast Milk Production: A study in Sukoharjo Provincial Hospital Tutik Rahayuningsih; Ambar Mudigdo; Bhisma Murti
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The prevalence of exclusive breast feeding was 39.05% in Sukoharjo in 2015, which is far bellow the national target of 80%. A study has shown that massage oxytocin increases oxytocin (OT) hormone release, and eventually decreases adrenocorticotropin hormone (ACTH), nitric oxide (NO), and beta-endorphin (BE). This OT hormone release will increase milk ejection, which facilitate milk production. This study aimed to investigate the effect of breast care and oxytocin massages on breast milk production in post

Effect of Hormonal Contraceptive on Sexual Life, Body Mass Index, Skin Health, and Uterine Bleeding, in Women of Reproduction Age in Jombang, East Java Esti Pratiwi Yosin; Ambar Mudigdo; Uki Retno Budhiastuti
Journal of Maternal and Child Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Injection hormonal contraceptive can be distinguished into DMPA (depo medroxyprogesterone acetate) and combination. DMPA injection is administered in single dose of 150 mg/mL intramuscular every 12 week. It was hypothesized that DMPA injection resulted inadvertent effect such as lowered sexual life quality, increased body mass index, lowered quality of skin health, and abnormal uterine bleeding. This study aimed to examine the effects of DMPA injection on sexual life, body mass index, skin health, and abnormal uterine bleeding.Subjects and Method: This was analytical observational study with retrospective cohort design. This study was conducted in Jombang, East Java. A total sample of 149 women of reproductive age consisting of 99 DMPA injection contraceptive users and 50 non hormonal contraceptive users was selected for this study, by stratified random sampling. The dependent variables were sexual life quality, body mass index, quality of skin health, and uterine bleeding. The independent variable was DMPA injection contraceptive use and age. The data were collected by a set of questionnaire. Sexual life quality was measured by female sexual function index (FSFI). The data were analyzed by multiple logistic regression.Results: Use of hormonal contraceptive (OR= 20.17; 95% CI = 6.62 to 61.42; p<0.001) and age 30-35 years old (OR=17.51; 95% CI = 5.74 to 53.38; p<0.001) increased the risk of low quality of sexual life. Age 30-35 years old lowered (OR=0.16; 95% CI =0.07 to 0.36; p<0.001) and hormonal contraceptive (OR= 4.25; 95% CI = 1.95 to 9.30; p<0.001) increased the risk of low quality of skin health. Hormonal contraceptive (b=2.93; SE=0.23; p<0.001) and age 30-35 years old (b=0.70; SE=0.24; p<0.001) increased abnormal uterine bleeding. Hormonal contraceptive (b=5.75; SE=0.54; p<0.001) and age 30-35 years old (b=5.05; SE= 0.55; p<0.001) increased body mass index among women of reproductive age.Conclusion: Use of injection hormonal contraceptive lowers the quality of social life, lowers the quality of skin health, increases body mass index, and increases abnormal uterine bleeding.Keywords: hormonal contraceptive injection, sexual life, skin health, body mass index, uterine bleedingCorrespondence:

Analysis of Maternal Mortality Determinants in Bondowoso District, East Java Ratna Diana Fransiska; Supriyadi Hari Respati; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Data from Population Inter-Census Survey (Survei Penduduk Antar Sensus,

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