Perspektif Epidemiologi Sepanjang Hayat tentang Faktor Sosioekonomi yang Mempengaruhi Status Gizi Balita (Usia 2-5 Tahun) di Kabupaten Purworejo

Yuli Ayuningrum, Ika (2017) Perspektif Epidemiologi Sepanjang Hayat tentang Faktor Sosioekonomi yang Mempengaruhi Status Gizi Balita (Usia 2-5 Tahun) di Kabupaten Purworejo. Other thesis, Universitas Sebelas Maret.

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      ABSTRACT Ika Yuli Ayuningrum, S021508022, 2017. Life Course Epidemiology Perspective on Socioeconomic Factors Affect to Nutritional Status in Chilren (Aged 2 to 5 Years Old) in Purworejo District. Thesis. Principal Adviser: Harsono Salimo. Co Adviser: Yulia Lanti Retno Dewi. Masters Program in Public Health, Sebelas Maret University. Background: Undernutrition by height-for-age standard starts during pregnancy and continues to the first two years of life. Purworejo regency was an area with the second highest undernutrition cases in Central Java, in 2014. This study aimed to analyze the life-course epidemiology perspectives on the socio-economic factors contributing to the nutritional status of the children (aged two to five years) in Purworejo regency. Subjects and Method: This was an observational analytical study with case control design. This study was conducted in Purworejo, Kaligesing, and Bruno sub-districts, Purworejo Regency, Central Java, in February to March, 2017. A total sample of 160 children aged two to five years and their mothers were selected by fixed disease sampling. It consisted of 54 children with malnutrition (WAZ, HAZ, or WHZ) and 106 children who have normal nutrition status. The dependent variables were nutritional status (WAZ, HAZ, and WHZ). The independent variables were birthweight, body length at birth, children’s history of illness, exclusive breastfeeding practice, maternal age in pregnancy, maternal nutritional status in pregnancy (measured by mid upper arm circumference/MUAC), and current family income. Data on the children height was measured using microtoise, body weight was measured by digital weight scale. Others data were collected by maternal and children health (MCH) monitoring book and a set of questionnaires. The data were analyzed using path analysis. Results: Weight for age (WAZ) was direcly and positively affected by birthweight (g) (b=1.40; SE=0.23; p<0.001), absence of illness (b= 0.23; SE=0.15; p= 0.112), maternal age in pregnancy (years) (b= 0.03; SE= 0.02; p= 0.038), and the appropriateness of complementary breastfeeding (b= 0.09; SE= 0.03; p= 0.004). Height for age (HAZ) was directly and positively affected by body length at birth (cm) (b=0.22; SE=0.05; p<0.001), absence of illness (b=0.39; SE=0.14; p=0.007), exclusive breastfeeding (b=0.03; SE=0.16; p=0.080), maternal age in pregnancy (years) (b=0.02; SE=0.02; p=0.160), MUAC (cm) (b=0.08; SE=0.05; p=0.066), and current family income (x Rp 100,000) (b=0.03; SE=0.24; p<0.001). Weight for height was affected by bithweight (g) (b=1.50; SE=0.27; p= 0.001), absence of illness (b=0.49; SE= 0.14; p<0.001), exclusive breastfeeding (b= 0.08; SE= 0.15; p= 0.622), maternal age in pregnancy (b= 0.05; SE= 0.02; p= 0.003), and current family income (b=0.02; SE=0.01; p= 0.004). Conclusion: Nutritional status of children under is affected by birthweight, body length at birth, absence of illness, exclusive breastfeeding, appropriateness complementary breastfeeding, maternal age in pregnancy, MUAC, and current family income. The result is relevant with life course epidemiology perspective. Keywords: nutritional status, children under five, life-course epidemiology, socio-economic

      Item Type: Thesis (Other)
      Subjects: R Medicine > R Medicine (General)
      Divisions: Fakultas Kedokteran > Spesialis Pulmonologi dan Ked. Respirasi
      Depositing User: Indrawan indra
      Date Deposited: 21 Nov 2017 14:27
      Last Modified: 21 Nov 2017 14:27

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