Journal of Preventive Medicine and Public Health

Original Articles

Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey: Ichtiarini Nurullita Santri, Yuniar Wardani, Yohane Vincent Abero Phiri, Gunchmaa Nyam, Tyas Aisyah Putri, Khoiriyah Isni, Dyah Suryani, Grace Sambo; J Prev Med Public Health. 2023;56(3):255-263. Published online April 18, 2023; DOI: https://doi.org/10.3961/jpmph.22.470

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Abstract PDF: Objectives
The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age.
Methods
A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia.
Results
The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father’s smoking frequency, which were considered the sample’s socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father’s smoking frequency, and a low education level were all linked to ARI symptoms.
Conclusions
The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father’s smoking frequency and low education level were associated with ARI symptoms.; Summary

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia: Siti Nurokhmah, Lucinda Middleton, Aryono Hendarto; J Prev Med Public Health. 2022;55(6):549-558. Published online October 12, 2022; DOI: https://doi.org/10.3961/jpmph.22.199

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Abstract PDF Supplementary Material: Objectives
Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD).
Methods
We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children’s Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design.
Results
The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali.
Conclusions
It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.; Summary

Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey: Siti Nurokhmah, Setyaningrum Rahmawaty, Dyah Intan Puspitasari; J Prev Med Public Health. 2022;55(2):182-192. Published online February 23, 2022; DOI: https://doi.org/10.3961/jpmph.21.448

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Abstract PDF Supplementary Material

Objectives
Understanding the factors influencing mothers’ decision to breastfeed their infants is essential to formulate effective breastfeeding interventions. This study explored the determinants of optimal breastfeeding indicators in Indonesia.
Methods
We used the 2017 Indonesia Demographic and Health Survey to analyze factors associated with early initiation of breastfeeding, exclusive breastfeeding (EBF), and continued breastfeeding at 1 year (CBF-1) and 2 years (CBF-2). Multivariate logistic regression models were used to examine bio-demographic, socio-cultural, and behavioral characteristics associated with breastfeeding after considering the survey design effect.
Results
The risk of delayed breastfeeding initiation was higher among infants who were born smaller, first-born children, were delivered via cesarean delivery, and did not have immediate skin-to-skin contact (p<0.01). Infant’s age, birth pattern, household wealth index, and the mother’s occupation and smoking status were predictors of EBF (p<0.05). CBF-1 was less common among first-time mothers and those working in the non-agricultural sector, mothers from wealthier families, and mothers who had cesarean deliveries (p<0.01). Infant’s age was negatively associated with CBF-2 (adjusted odds ratio [aOR], 0.85; 95% confidence interval [CI], 0.74 to 0.99). Mothers attending college were less likely to practice CBF-2 than those with no education or primary education (aOR, 0.45; 95% CI, 0.26 to 0.77). The absence of postnatal visits was a risk factor for CBF-1 and CBF-2 (p<0.05).
Conclusions
Breastfeeding interventions in Indonesia should pay particular attention to at-risk groups such as women from wealthier families, working outside the agricultural sector, and with a higher education level. Nutrition-sensitive programs (e.g., postnatal care and smoking cessation) should also be encouraged.

Summary

Citations

Citations to this article as recorded by

Duration and Sociodemographic Factors Associated with Exclusive Breastfeeding Among Mothers in Urban and Semi-Rural Areas of Libreville and Lambaréné in Gabon
Steeve Minto'o, Fifi Claire Loembe, Midili Thècle Larissa, Mireille Mensan Pemba, Koumba Maniaga Raïssa, Mylène Mimbila-Mayi, Yolande Nzame, Essomo Murielle, Eliane Kuissi-Kamgaing, Jean Koko, Simon Ategbo
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition.2024; 3(1): 1. CrossRef
Trends and determinants of early initiation of breastfeeding in Indonesia: A multivariate decomposition analysis
Siti Nurokhmah, Lucinda Middleton, Judhiastuty Februhartanty, Aryono Hendarto, Veincent Christian Pepito
PLOS ONE.2023; 18(11): e0294900. CrossRef
Association between Skin-to-Skin Contact Duration after Caesarean Section and Breastfeeding Outcomes
Juan Juan, Xiaosong Zhang, Xueyin Wang, Jun Liu, Yinli Cao, Ling Tan, Yan Gao, Yinping Qiu, Huixia Yang
Children.2022; 9(11): 1742. CrossRef

Factors Associated With Stillbirth Among Pregnant Women in Nepal: Mahesh Bhusal, Nirmal Gautam, Apiradee Lim, Phattrawan Tongkumchum; J Prev Med Public Health. 2019;52(3):154-160. Published online April 24, 2019; DOI: https://doi.org/10.3961/jpmph.18.270

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Abstract PDF

Objectives
Stillbirth is a common adverse pregnancy outcome that represents a distressing and traumatic event for women and their partners. The aim of this study was to identify factors associated with stillbirth in ever-pregnant women in Nepal.
Methods
This study utilized the individual women’s dataset from the Nepal Demographic and Health Survey, conducted in 2016. The dependent variable of interest was whether women had at least 1 stillbirth during their lifetime. The associations between independent variables and the dependent variable of the study were analyzed using a multiple logistic regression model.
Results
Among 8918 ever-pregnant women aged 15-49 years, 488 had experienced at least 1 stillbirth during their lifetime, representing 5.5% of the total. After adjusting each factor for the confounding effects of other factors, maternal age, maternal education, place of residence, and sub-region remained significantly associated with having experienced stillbirth.
Conclusions
Stillbirth continues to be a major problem among women, especially those with higher maternal age, those who are illiterate, and residents of certain geographical regions. To minimize stillbirth in Nepal, plans and policies should be focused on women with low education levels and residents of rural areas, especially in the western mountain and far-western hill regions.

Summary

Citations

Citations to this article as recorded by

The application of the ICD-10 for antepartum stillbirth patients in a referral centre of Eastern China: a retrospective study from 2015 to 2022
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BMC Pregnancy and Childbirth.2024;[Epub] CrossRef
Investigation of Factors Related to Stillbirth
Mohammad Torkashvand Moradabadi, Nahid Ardian, Seyed Saeed Mazloomy-Mahmoodabad, Tahmineh Farajkhoda, Nooshin Yoshani, Seyed Alireza Afshani, Deepak Paliwal
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2024;[Epub] CrossRef
Trends and risk factors of stillbirth among women of reproductive age in Pakistan: A multivariate decomposition analysis
Abeera Shakeel, Asifa Kamal, Muhammad Ijaz, Maryam Siddiqa, Getayeneh Antehunegn Tesema, Tahani Abushal
Frontiers in Public Health.2023;[Epub] CrossRef
Potential Factors Associated with Stillbirth among Babies Born in Hospitals of North Shoa, Oromia, Ethiopia, 2021 Based on Cross-sectional Study Design
Mogos Beya, Adugna Alemu, Dejene Edosa, Mathewos Mekonnen
The Open Public Health Journal.2023;[Epub] CrossRef
Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia
Neamin Tesfay, Rozina Tariku, Alemu Zenebe, Girmay Hailu, Muse Taddese, Fitsum Woldeyohannes, Melkamu Merid Mengesha
PLOS ONE.2023; 18(5): e0285465. CrossRef
Socioeconomic status and health behavior in children and adolescents: a systematic literature review
Nirmal Gautam, Getenet Dessie, Mohammad Mafizur Rahman, Rasheda Khanam
Frontiers in Public Health.2023;[Epub] CrossRef
Assessing the Role of Socioeconomic Factors and Place of Residence on the Burden of Stillbirth in India: A Comprehensive Review
Shardhanjali Sinha, Prakash Ranjan Mondal, Vipin Gupta
The Open Public Health Journal.2022;[Epub] CrossRef
Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria
Rebecca Milton, F. Modibbo, D. Gillespie, F. I. Alkali, A. S. Mukaddas, A. Kassim, F. H. Sa’ad, F. M. Tukur, R. Y. Khalid, M. Y. Muhammad, M. Bello, C. P. Edwin, E. Ogudo, K. C. Iregbu, L. Jones, K. Hood, P. Ghazal, J. Sanders, B. Hassan, F. J. Belga, T.
BMC Pregnancy and Childbirth.2022;[Epub] CrossRef
Prevalence of stillbirth and its associated factors in East Africa: generalized linear mixed modeling
Getayeneh Antehunegn Tesema, Zemenu Tadesse Tessema, Koku Sisay Tamirat, Achamyeleh Birhanu Teshale
BMC Pregnancy and Childbirth.2021;[Epub] CrossRef
Determinants of stillbirth in Felege-Hiwot comprehensive specialized referral hospital, North-west, Ethiopia, 2019
Daniel Tarekegn Worede, Gizachew Worku Dagnew
BMC Research Notes.2019;[Epub] CrossRef

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