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I Nyoman Mangku Karmaya
Department of Anatomy Faculty of Medicine Udayana University
Public Health

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Household Smoke Exposure as Risk Factor of Low Birth Weight among Infants in Gianyar Kadek Susiana Dwi Lestari; I Wayan Gede Artawan Eka Putra; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p03

Abstract

Background and purpose: The Bali Provincial Health Department reported that in 2013, 24 per 1000 live births were underweight, with the regency of Gianyar ranked 4th the highest (31 per 1000 births). Data from Riskesdas 2010 indicated that 31.0% of individuals 15 years and over smoked, 68.1% of them reported smoking in the household. This study aimed to investigate the relationship between household smoke exposure, pregnant women and low birth weight (LBW) in Gianyar. Methods: This study was a case control where low birth weight as a case and birth with normal weight as a control. Study sample was 116, consisting of 58 cases and 58 controls. Dependent variables were low birth weight, independent variables were smoke exposure. Data was obtained by interviewing the mothers, and secondary data was collected from community health centre records. Data was analysed using bivariate and multivariate analysis. Results: Bivariate analysis indicated that OR of 6.370 (95%CI: 2.836- 14.309) for exposure to husbands smoke and an OR of household smoke exposure was 6.577 (95%CI: 2.894-14.948). Multivariate analysis indicated that adjusted OR of exposure to husbands smoke was 7.479 (95%CI: 2.058-27.175), adjusted OR exposure to household smoke was 9.002 (95%CI: 9.002-33.286), and adjusted OR combined exposure to smoke from both husband and household members was 9.333 (95%CI: 3.417-26.201). Conclusion: Household smoke exposure significantly increased risk of low birth weight among infants in the regency of Gianyar.
Factors Associated to Implant Use among Married Women of Reproductive Age in Banyuwangi Firdawsyi Nuzula; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p16

Abstract

Background and purpose: The proportion of implant use at Tegalsari District of Banyuwangi has increased year by year until it reached 17% in 2013. This proportion was much higher than the national and provincial rates. This study aims to determine factors related to implant use among married women of reproductive age at Tegalsari District of Banyuwangi. Methods: This was a cross-sectional survey involving 198 married women of reproductive age who were using contraception at Tegalsari district. Data was collected by conducting interview in each respondent’s house using a structured questionnaire. Univariate analysis was conducted to determine frequency distribution of each variable, bivariate analysis using the chi-square test, and multivariate analysis was performed to determine factors that independently associated to the use of implant using logistic regression. Results: The proportion of implant use in women of reproductive age at Tegalsari District was 21.21%. Multivariate analysis indicated that the statistically significant factors associated with implant use were cultural value with adjusted OR=3.59 (95%CI: 1.44-8.94), knowledge on implant with adjusted OR=15.10 (95%CI: 3.44-74.40), role model with adjusted OR=3.43 (95%CI: 1.47-8.06) and information from health workers with adjusted OR=3.13 (95%CI: 1.16-8.44). Conclusion: Factors related to implant use among married women of reproductive age were supported cultural values, role model, good knowledge about implant and information from health workers.
Association of Socio Demographic Characteristics and Husband Social Supports to the Participation of Mother in Antenatal Class Ni Ketut Nopi Widiantari; Ni Luh Putu Suariyani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p10

Abstract

Background and purpose: Antenatal class has been applied in three different health centers located in Denpasar to increase maternal and child health with group learning method about pregnancy, delivery, post natal care, infant care and others. However, attendances of pregnant mothers were low. The aim of this study was to investigate association between mother’s characteristics and husband’s social supports to their participation in attending the antenatal class. Methods: This study was a cross-sectional survey involving 122 samples. Samples were pregnant mothers whom was selected by systematic random sampling from antenatal registration book. Data were collected by interview conducted in their house or when they were visiting the clinics. Data were analyzed by univariate, bivariate (chi square test) and multvariate (poisson regression method). Results: Proportion of mother attended antenatal class in three different health centers was 29.5%. Bivariate analysis showed that variables which associated with mother attendance were parity (p=0.036), husband social support (p=0.001) which include emotional support (p=0.001), instrumental support (p=0.001) and reward. Multivariate analysis showed that the only variable related to mother attendance in the antenatal class was husband social support (PR=2.71; 95%CI: 8.13-90.46). Conclusions: The attendance of mother in antenatal class in three different clinics were low. Factors that influence the attendance of mother was social support from husband.
Co-Authors Firdawsyi Nuzula I Wayan Gede Artawan Eka Putra Kadek Susiana Dwi Lestari Ni Ketut Nopi Widiantari Ni Luh Putu Suariyani Ni Putu Widarini