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All Journal Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Harsono Salimo
Department of Pediatrics, Dr. Moewardi Hospital, Surakarta
Medicine & Pharmacology Public Health

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Effect of Biopsychosocial Factors and Environmental Sanitation on Nutritional Status of Children Under Five Years Old in Nganjuk District Wiwen Indita; Harsono Salimo; Endang Sutisna Sulaeman
Journal of Epidemiology and Public Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health

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Background: One of the important public health issues in Indonesia is nutritional status, particularly in children under five years old. Lack of maternal awareness of dietary intake for their children may affect growth and development. This study aimed to investigate the effect of biopsychosocial factors and environmental sanitation on nutritional status of childrens in Nganjuk District.Subject dan Method: This was an analytic observational study using cross-sectional design. The study was conducted at Loceret Community Health Center, Nganjuk District, East Java, from March to April 2017. A sample of 136 children under five years old were selected for this study  by fixed exposure sampling.  The variable dependent was nutritional status measured in weight for age. The independent variables were dietary intake, history of infection disease, maternal stress, maternal education, family income, and environmental sanitation. The data were collected by anthropometry, medical record, and questionnaire. The data were analyzed with path analysis.Results: Weight for age of children under five was affected by dietary intake (b= 0.23, SE<0.001, p= 0.003), maternal education (b= 0.72, S.E= 0.28, p= 0.012), and history of infectious disease (b=0.80; SE= 0.29; p= 0.007). History of infectious disease was affected by environmental sanitation  (b=0.31; SE<0.001; p<0.001), and family income (b= 0.25, SE= 0.05, p<0.001). Dietary intake was affected by family income (b= 0.58, SE= 0.21, p= 0.007), history of infectious disease (b= 12.31; SE= 3.20; p<0.001), and maternal education (b=7.39; SE=3.09, p=0.017). Maternal stress was affected by family income (b=-0.16; SE= 0.06; p= 0.008).Conclusion: Weight for age of children under five was directly affected by dietary intake, maternal education, and history of infectious disease. Weight for age of children under five was indirectly affected by environmental sanitation, family income, history of infectious disease, and maternal education.Keywords: biopsychosocial, path analysis, environmental sanitation, nutritional statusCorrespondence: Wiwen Indita. Masters Program in Public Heath, Sebelas Maret University, Surakarta, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.  Email: wiwenindita29@gmail.com. Mobile: +6282244970118.Journal of Epidemiology and Public Health (2017), 2(1): 32-44https://doi.org/10.26911/jepublichealth.2017.02.01.04
Factors Associated with Pneumonia in Children Under Five after Earthquake: A Path Analysis Evidence from West Nusa Tenggara, Indonesia Nur Isniani Ningsih; Harsono Salimo; Setyo Sri Rahardjo
Journal of Epidemiology and Public Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health

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Background: Pneumonia is an infectious disease which is the main killer among children under five. This study aims to analyze socio-economic and environmental determinants of the incidence of pneumonia in children under five after the earthquake.Subjects and Method: This study used observational analytic using case control. The total sample of 237 children under five aged 12-59 months old and the sampling technique was fixed disease sampling. The independent variables in this study were birth weight, exclusive breastfeeding, nutritional status, immunization status, maternal education, family income, healthy behavior, physical quality of the house, exposure to cooking fuel smoke, smoking activities of family members and active village influences. Collecting the variables was through questionnaires and analyzed by using path analysis.Results: Birth weight
Multilevel Analysis Association of Soil Transmitted Helminths and Stunting in Children Aged 6-12 Years Old in Pinrang District, South Sulawesi Putri Andini Muslimah; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health

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Background: Stunting in children is often associated with infectious diseases, one of which is Soil Transmitted Helminths (STH). Worms in child
Contextual Effect of Preschool on the Development of Children Under Five in Surabaya, East Java Ajeng Ayu Titah Pujangkara; Harsono Salimo; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background:The development of children in the first 1000 days is influential in the long term. Therefore, it requires education at an early age to achieve optimal development. This study aimed to analyze the contextual effect of early childhood education on the development of children under five at Surabaya.Subjects and Method:This was a cross-sectional study conducted 25 preschools in Wonokromo, Surabaya, East Java, Indonesia. The study population was all children aged 2-5 years. A sample of 200 children aged 2-5 years from 25 preschools was selected randomly. The dependent variable was child development. The independent variables were the history of infectious disease, exclusive breastfeeding, number of children, maternal education, maternal occupation, family income, nutritional status, mother tongue, birth weight, and preschool level. The data were analyzed using a multilevel multiple logistic regression run on STATA 13.Results:
Effects of Maternal Socioeconomic, Psychological, Nutritional Factor, and Ambient Smoke Exposure, on the Risk of Low Birth Weight: A Multilevel Evidence from Gunungkidul, Yogyakarta Isne Susanti; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low birth weight (lbw) is one of the main causes of infant mortality. Globally, 2.5 million infants die in the first month after birth, and about 1 million die in the first day of birth. This study aimed to determine the biopsycho
Biopsychosocial and Institutional Factors Associated with Exclusive Breastfeeding among Working Mothers in Klaten, Central Java Desi Ekawati; Harsono Salimo; Bhisma Murti
Journal of Health Promotion and Behavior Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health, Sebelas Maret University

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Background: Breast milk has an important role in health maintenance and survival of infants. It is acknowledged as the best food for infant. The World Health Organization has recommended exclusive breastfeeding (EBF) for infants until 6 months of age. However, many working mothers did not provide EBF to their infants. This study aimed to examine biopsychosocial and institutional factors associated with exclusive breastfeeding among working mothers, using health belief model and PRECEDE-PROCEED model.Subjects and Method: This study was observational analytic with cross sectional design. It was conducted in Klaten District, Central Java, from March to April, 2017. A sample of 120 working mothers was selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, perceived benefit, perceived barrier, self efficacy, family support, health personnel support, and availability of lactation room at workplace. The data were collected by a pre-tested questionnaire. Logistic regression was employed for data analysis.Results: Maternal education (OR=4.2; 95% CI = 1.09 to 11.51; p=0.001), availability of lactation room at workplace (OR=4.11; 95% CI= 1.21 to 14.29; p=0.001), family support (OR=6.25; 95% CI= 1.45 to 15.96; p<0.001), health personnel support (OR=3.76; 95% CI = 1.43 to 16.06; p=0.002), perceived benefit (OR=2.30; 95% CI = 1.09 to 12.87; p=0.044), self-efficacy (OR= 3.57; 95% CI  = 1.21 to 14.29; p=0.002) had positive effect on EBF. Perceived barrier (OR=0.18; 95% CI = 0.64 to 0.76; p<0.001) had negative effect on the provision of EBF.Conclusion: Maternal education, availability of lactation room at workplace, family support, health personnel support, perceived benefit, self-efficacy have positive effect on EBF. Perceived barrier has negative effect on the provision of EBF among working mothers.Keywords: biopsychosocial factors, exclusive breastfeeding, PRECEDE-PROCEED model, health belief modelCorrespondence: Desi Ekawati. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: eccadesy@yahoo.com. Mobile: +6285725123320.Journal of Health Promotion and Behavior (2017), 2(3): 197-206https://doi.org/10.26911/thejhpb.2017.02.03.01
Co-Authors Bhisma Murti Desi Ekawati Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Isne Susanti Nur Isniani Ningsih Putri Andini Muslimah Setyo Sri Rahardjo Wiwen Indita Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi