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Ambar Mudigdo
Faculty of Medicine, Sebelas Maret University, Surakarta
Medicine & Pharmacology Public Health

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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
Co-Authors Anita Sri Sulistyo Argyo Demartoto Didik Tamtomo Heni Elmiani Sari RB. Soemanto Soemanto - Tiyan Anggraini