MEDISAINS
Vol. 24 No. 2 (2026)

Factors associated with maternal compliance with food safety principles in supplementary food management: a cross-sectional study

Wahyu Ersila (Department of Midwifery, Faculty of Health Sciences, University of Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia)
Suparni Suparni (Department of Midwifery, Faculty of Health Sciences, University of Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia)
Siti Khuzaiyah (Department of Midwifery, Faculty of Health Sciences, University of Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia)
Syavira Nooryana (Department of Physiotherapy, Faculty of Health Sciences, University of Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia)
Susri Utami (Department of Nursing, Faculty of Health Sciences, University of Muhammadiyah Pekajangan Pekalongan, Central Java, Indonesia)



Article Info

Publish Date
05 Aug 2026

Abstract

Background: Food safety is essential for protecting the health and nutritional status of young children because unsafe food preparation, handling, and storage increase the risk of infection, undernutrition, and impaired growth. However, evidence on the combined influence of maternal, psychological, and environmental factors on maternal compliance with food safety principles in supplementary food management remains limited. Purpose: This study aimed to identify factors associated with maternal compliance with food safety principles in supplementary food management for children aged 6–59 months. Methods: An analytical cross-sectional study was conducted among 1,634 mothers of children aged 6–59 months in Pekalongan Regency, Central Java, Indonesia. Participants were recruited using consecutive sampling. Data were collected through a structured online questionnaire. Associations were examined using chi-square tests and multivariable binary logistic regression, with results reported as adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results: Maternal age, educational level, employment status, household income, and knowledge were not independently associated with compliance. In contrast, positive attitudes were associated with approximately threefold higher odds of compliance (AOR = 3.094; 95% CI: 2.366–4.045), whereas high motivation demonstrated the strongest association (AOR = 8.675; 95% CI: 6.654–11.311). Adequate facilities and infrastructure support were also associated with higher compliance (AOR = 1.909; 95% CI: 1.475–2.472). Conclusion: Maternal attitudes, motivation, and infrastructure support were independently associated with compliance with food safety principles. Interventions integrating behavioural change strategies with improvements in household food preparation environments may strengthen safe supplementary food management.

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Journal Info

Abbrev

medisains

Publisher

Subject

Medicine & Pharmacology Nursing Public Health

Description

MEDISAINS: Jurnal Ilmiah Ilmu-ilmu kesehatan merupakan sarana penyebarluasan ilmu pengetahuan, riset, teknologi dan inovasi dibidang kesehatan yang diterbitkan tiga kali dalam setahun (April, Agustus dan Desember). Jurnal Medisains adalah jurnal peer reviewed dan Open-Access yang dikelola oleh ...