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Journal : Health Dynamics

Logistic Regression Analysis of Risk Factors for Stunting Among Toddlers Aged 24-59 Months in Southeast Sulawesi, Indonesia Fadmi, Fitri Rachmillah; Mulyani, Sri; Buton, La Djabo; Justin, Wa Ode Sitti; Riza, Yeni
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20206

Abstract

Background: Stunting in toddlers is a health problem that can hinder human development globally.This condition has the potential to increase the number of stunting toddlers for toddlers under five years of age. The purpose of the study was to analyze the risk factors for stunting in toddlers under five during the pandemic. Methods: This research is an analytical survey of case-control study design with a 1:1 ratio selected using a simple random sampling technique source of data from primary and secondary data collection. Bivariate analysis was performed using Odds Ratio and chi-square tests, and multivariate analysis was performed using binary logistic regression. Results: The results showed that the variables that had risk factors for stunting were history of infectious disease (OR=5.769; p=0.004), low birth weight (LBW) (OR=4.444; p=0.017), history of exclusive breastfeeding (OR=4.552; p=0.010), family income (OR=6.314; p-value =0.004), knowledge (OR=3.818; p= 0.002) and the most dominant risk factor is family income. Conclusion: Important to reduce stunting cases through cross-sectoral collaboration regarding the modification of health services according to the socioeconomic level of the community. 
Perceived Behavior Model for Heart Disease Prevention in BPJS Mandiri Participants: A Health Belief Approach Riza, Yeni; Budiarto, Wasis; Haksama, Setya; Kuntoro, Kuntoro; Yudhastuti, Ririh; Wibowo, Arief; Notobroto, Hari Basuki; Fadmi, Fitri Rachmillah
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20705

Abstract

Background: Heart disease remains a leading cause of death globally and is increasingly prevalent in Indonesia. Preventive behavior plays a crucial role in reducing the burden of this disease, especially among populations with limited healthcare access. This study aims to develop a Perceived Behavior Model based on the Health Belief Model combined with WHO's STEPWise approach to enhance health quality related to heart disease prevention behaviors. Methods: This observational cross-sectional study examined demographic factors, perceived susceptibility, seriousness, barriers, benefits, self-efficacy, and cues to action regarding heart disease preventive behavior. Participants adopted preventive measures such as maintaining a healthy diet, refraining from smoking, avoiding alcohol consumption, and staying physically active. The study surveyed 435 individuals from the total 82,232 BPJS Mandiri (self-paying participants of Indonesia’s National Health Insurance system) members in Banjarmasin, Indonesia, without any intervention. Data analysis was conducted using the Partial Least Square (PLS) method with SmartPLS software version 3.29. The full model of structural equation modeling and theory confirmation also examined the presence or absence of relationships between latent variables. Result: The study found a direct and positive effect of demographic factors on perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and self-efficacy, as well as on perceived susceptibility and seriousness regarding heart disease preventive behaviour. Conclusions: Understanding these cultural influences can guide policymakers in strengthening prevention strategies within Indonesia’s Social Security Agency of Health system, reducing financial burdens, and improving public health outcomes. These insights may also inform global discussions on culturally tailored health interventions. 
Pulmonary Tuberculosis Treatment Failure in Coastal Poasia: Determinants from a Case-Control Study Fadmi, Fitri Rachmillah; Mulyani, Sri; Octrisdey, Karol; Justin, Wa Ode Sitti; Riza, Yeni
Health Dynamics Vol 2, No 11 (2025): November 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21104

Abstract

Background: Tuberculosis continues to be a major public health issue, particularly in coastal areas where access to healthcare services is often constrained and living conditions differ from inland settings. Treatment failure remains a persistent challenge for tuberculosis control programs at the primary healthcare level. This study aimed to identify factors associated with pulmonary tuberculosis treatment failure in a coastal primary healthcare setting. Methods: An analytical observational study with a case–control design was conducted, involving 48 participants, comprising 24 cases (treatment failure) and 24 controls (treatment success). Data were obtained from tuberculosis program records and through structured interviews. Bivariate analysis using the chi-square test was performed to identify potential determinants (p ≤ 0.25), followed by binary logistic regression to determine factors independently associated with treatment failure. Results: Treatment adherence was the only factor that remained significantly associated with treatment failure after adjustment (AOR = 14.81; p = 0.016). Other variables, including distance to health facilities, knowledge, history of comorbid disease, family support, anxiety, and the role of the treatment supervisor (Pengawas Minum Obat or PMO), did not show significant associations in the multivariable model, although some demonstrated a tendency toward increased risk. Conclusion: Adherence to treatment plays a decisive role in determining tuberculosis treatment outcomes. Strengthening adherence should therefore be prioritized to reduce treatment failure, particularly in coastal communities where structural and social conditions may affect patients’ ability to complete treatment.