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Journal : Journal of Health Promotion and Behavior

Biopsychosocial and Institutional Factors Associated with Exclusive Breastfeeding among Working Mothers in Klaten, Central Java Ekawati, Desi; Salimo, Harsono; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

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
Health Belief Model on the Choice of Medical Doctor among Mothers of Children with Diarrhea Irnawati, Prita Yuliana; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (465.306 KB)

Abstract

Background:Diseases among young children are the major causes of morbidity and mortality particularly in the developing countries. An estimated 13 million infants and children die annually in developing countries. In most developing countries, the health of the children is strongly dependant on maternal healthcare behavior. Evidence on health seeking behavior has been lacking in Central Java, Indonesia, particularly mothers choice to visit pediatrician rather than general practitioner for her ill child. The purpose of this study was to examine factors associated with the choice of medical doctor among mothers of children with diarrhea, using Health Belief Model.Subjects and Method:A case control study was carried out at Sangkrah community health center, Surakarta, Central Java, in January 2017. A sample of 164 mothers was selected by fixed disease sampling. The dependent variable was mothers choice to visit doctor. The independent variables were perceived susceptibility, seriousness, threat, benefit, and barrier. The data were collected by questionnaire and analyzed by path analysis.Results:The chance of mother decided to visit pediatrician rather than general practitioner was directly increased with strong perceived threat (b= 0.91; 95% CI= 0.24 to -1.57; p= 0.008), strong perceived benefit (b= 0.85; 95% CI= 0.19 to 1.50; p= 0.012), and decreased with strong perceived barrier (b= -0.67; 95% CI= -1.36 to 0.01; p= 0.053). Mothers choice to visit pediatrician was indirectly affected by perceived susceptibility and perceived seriousness.Conclusion:Mothers choice to visit pediatrician rather than general practitioner is directly increased with perceived threat, perceived benefit, and decreased with perceived barrier. Mothers choice to visit pediatrician is indirectly affected by perceived susceptibility and perceived seriousness.Keywords:mothers choice, pediatrician, general practitioner, diarrhea, health believe model, childrenCorrespondence:Prita Yuliana Irnawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: pritayuliana@gmail.com. Mobile: +6287835140534.Journal of Health Promotion and Behavior (2018), 3(2): 100-108https://doi.org/10.26911/thejhpb.2018.03.02.03
Co-Authors -, Suradi Abd. Rasyid Syamsuri Adi Magna Patriadi Nuhriawangsa Alfianrisa, Anggityas Alinda Nur Ramadhani Anggraini, Yeni Anindya, Ivanda Glanny Annang Giri Moelyo Annang Giri Moelyo Argyo Demartoto, Argyo Aries - Krisbiyantoro Arini Tri Lestari Astuti, Fitriyani Dwi Bachtiar, Harrys Bhisma Murti Brian Wasita Burhannudin Ichsan Catur Retno Lestari Desi Ekawati Dhewi Nurahmawati Diana Mayasari Hadianto Didik Tamtomo, Didik Dwi Hidayah Dwi Wijayanti Dyah Ratna Budiani Eko Dewi Ratna Utami Endang Dewi Lestari Endang Sutisna Sulaeman Eti Kuswandari Eti Poncorini Pamungkasari Fadhilah Tia Nur, Fadhilah Tia Farida, Jauharotul Fauziyah, Rahma Fitria Mushollini Galih Herlambang H.A.A. Soebijanto Hardilla, Dinda Septiani Hartanti, Ainurrizma Tri Idulhaq, Mujaddid Ika Yuli Ayuningrum Ilma, Nabilah Nurul Indita, Wiwen Indriasih, Merlita Indriasih, Merlita Indriyani, Eny Inggar Ratna Kusuma Irnawati, Prita Yuliana Iskandar, Nurdin Aji Ivanda Glanny Anindya Juhrotun Nisa, Juhrotun Khalifah, Intan Noor Kusumastuti, Nurry Ayuningtyas Kusumawardhani, Wahyu Leilani Lestarina Lestari, Nining Lilik Retna Kartika Sari Lilisianawati Lilisianawati Listiani, Funik Rahma Mei Maria Galuh Kamenyangan Sari Marlinawati, Iin Tri MS, Novi Paramitasari Muhammad Riza Muslimah, Putri Andini Nabilah Nurul Ilma Ningsih, Nur Isniani Nugraha, Sandi Nugroho, Irfan Dzakir Nur Hafidha Hikmayani Nurmayanti, Rika Palupi, Endang Poncorini, Eti Prasetyo, Medita Rahardjo, Setyo Sri Rahmah Rahmah Risya Cilmiaty, Risya Rita Adriani Benya Adriani Riza, Muhamad Rohaniyati, Retno Dwi Rokhayati, Rokhayati Rokhayati, Rokhayati Safriana, Latifah Sagita, Desita Ike Saptawati Bardosono Saputra, Rhyan Darma Sari, Lutfiana Puspita Setyorini, Wenny Sinta, Prabawati Soestrisno, Soestrisno Soetrisno Soetrisno Sri Lilijanti Widjaja Sri Martuti Sukoco, Amin Sumardiyono Sumardiyono Susanti, Isne Titah Pujangkara, Ajeng Ayu Tri Rejeki Andayani Trisnawati, Iga Uki Retno Budihastuti USMAN, FAHMIL Vitri Widyaningsih Wayanshakty, Janur yulia lanti retno dewi Yulia Lanti Retno Dewi Yulidar Hafidh Yusup Subagio Zahidah, Fairuz Zummatul Atika