Harisaputra, Rosalia Kurniawati
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Composite Index of Anthropometric Failure and Early Childhood Cognitive Development Based on the 2018 Indonesian Basic Health Research Data Zamrudiani, Safira; Wahab, Abdul; Harisaputra, Rosalia Kurniawati
Kesmas Vol. 18, No. 4
Publisher : UI Scholars Hub

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Abstract

Delays in early childhood cognitive development may have profound long-term implications on health and life expectancy. Optimal nutrition supports early life development, including a child's cognitive development. This study aimed to determine the association between the Composite Index of Anthropometric Failure and early childhood cognitive development among children aged 36-59 months in Indonesia. This cross-sectional study utilized data from the 2018 Indonesian Basic Health Research that involved 18,027 participants aged 36-59 months. This study outcome demonstrated that children who were stunted-underweight were potentially susceptible to delayed cognitive development compared to those with normal nutritional status (aOR = 1.30; 95% CI = 1.12–1.51) after controlling for child’s age, sex, vitamin A supplementation, antenatal care visits, gestational age, access to drinking water and sanitation (combined risk), maternal’s education and mental health (combined risk), maternal’s occupation and number of household members (combined risk). In summary, malnourished children are vulnerable to impaired physical growth and potential delays in early cognitive development.
Perception and smoking status among primary healthcare center staffs as predictors of support for a 100% smoke-free policy in a mixed rural-urban area Harisaputra, Rosalia Kurniawati; Indriani, Citra; Prabandari, Yayi Suryo
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28877

Abstract

Purpose: Focusing on primary healthcare personnel at the district level in Indonesia and integrating behavioral theory and contextual tobacco-control factors, this study aims to analyze health staff attitudes toward implementing a 100% smoke-free policy in primary healthcare centers (PHCs). Methods: This study utilized secondary data from Quit Tobacco Indonesia. The survey, conducted between 2011 and 2012, focused on staff employed at PHCs in Bantul District, Special Region of Yogyakarta. The study employed a cross-sectional design with 313 participants. The dependent variable in this study was attitude towards a 100% smoke-free policy in PHCs. The independent variables were beliefs regarding the effects of environmental tobacco smoke (ETS) and perceptions of ETS. Covariate variables included staff position, gender, educational level, training on the smoking problem, smoking status, knowledge level about the impacts of ETS, medical staff as role models, age, and length of working. Analysis was conducted using descriptive (proportion) and bivariable (chi-square) approaches, as well as multivariable (multiple logistic regression). Results: Individuals who perceived ETS exposure negatively (OR 16.6; 95%CI: 6.59-42.1), and those with a non-smoking status (OR 20.3; 95%CI: 7.43-55.3) or former smoking status (OR 6.7; 95%CI: 1.73-26.0), were more likely to demonstrate a favorable attitude toward a 100% smoke-free policy in PHCs. Conclusion: Stakeholders such as the district health office and PHC heads can strengthen smoking cessation efforts through education and financial strategies to help current smokers transition to former smokers.