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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kebijakan Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Public Health of Indonesia Amerta Nutrition Jurnal Kesehatan Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Mandala Pengabdian Masyarakat International Journal of Midwifery Research National Journal of Occupational Health and Safety JHE (Journal of Health Education)
Nuridzin, Dion Zein
Faculty Of Public Health, Diponegoro University, Semarang, Indonesia; Center For Biostatistics And Health Informatics, Faculty Of Public Health, Universitas Indonesia, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Jurnal Manajemen Kesehatan Indonesia

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DETERMINANTS OF DIABETES MELLITUS PREVALENCE IN INDONESIA: A MULTIPLE LINEAR REGRESSION MODEL IN AN ECOLOGICAL ANALYSIS OF ADULTS AGED 15 YEARS AND OLDER Nuridzin, Dion Zein; Aghram, Nauval; Mawarni, Atik; Retnowati, Retnowati
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 3 (2024): Desember 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.3.2024.327-338

Abstract

Indonesia faces a double burden of disease, with an increasing prevalence of non-communicable diseases (NCDs), such as diabetes mellitus (DM), alongside communicable diseases. This study investigates the determinants of DM prevalence among individuals aged 15 years and older in Indonesia. An ecological design was employed using secondary data from the 2018 Basic Health Research Report, 2018 Welfare Statistics Report, and the 2019 Provincial in Figures Report, encompassing 514 districts across 34 provinces. Data analysis included univariate descriptive statistics, Pearson correlation for bivariate analysis, and multiple linear regression with a backward method to identify significant predictors. The results revealed significant associations between DM prevalence and hypertension (p < 0.001), obesity (p < 0.001), routine blood sugar testing (p < 0.001), good nutrition (p = 0.016), the ratio of general hospitals (p < 0.001), public health centers (p < 0.001), and physicians (p < 0.001), as well as the interaction between hospital and physician ratios (p < 0.001). The model explained 61.5% of the variance in DM prevalence (R² = 0.615), meeting all multiple linear regression assumptions. Prevalence of hypertension, obesity, and higher ratios of general hospitals and physicians were positively correlated with DM prevalence, while good nutrition and greater availability of public health centers exhibited protective effects. The positive association of routine blood sugar testing likely reflects increased screening in high-DM areas. These findings highlight the need for targeted public health interventions, emphasizing obesity reduction, nutritional improvements, and equitable healthcare distribution to mitigate DM prevalence in Indonesia.
Co-Authors Aditya Kusumawati, Aditya Aghram, Nauval Agushybana , Farid Alfi Fairuz Asna Anandalia Athaya Zahra Armunanto, Armunanto Ashari, Ayu Atik Mawarni Ayun Sriatmi Cahya Tri Purnami Camellia, Arta Chumair, Nisrina Ocktalifa Dharmawan, Ligar Tresna Dharminto Dharminto Doni Hikmat Ramdhan Fajar Nugraha Farid Agushybana Fitri, Ichlasia Ainul Hakam, Mochamad Abdul Handayani, Novia Hanifa Maher Denny, Hanifa Maher Heru Susetyo Martha Irene Kartasurya Martini Martini Martya Rahmaniati Neng Tine Kartinah Almuktabar Okta Hardiyanti, Tutut Retnowati Retnowati Retnowati Retnowati Ryza Jazid Baharuddin Nur Samuel Peratenta Tarigan Sayekti Yuliyanti Siramaneerat, Issara Sri Winarni Tris Eryando Wicaksono, Firston Arfiansyah