Path Analysis: Psychososial and Economic Factors Affecting Diarrhea Incidence in Children Under Five in Jayapura, Papua

Abstract

Background: Diarrhea is a major cause of malnutrition and death in children under five. Studies have shown that there are some factors contributing to the incidence of diarrhea in infants. This study aimed to examine the psychososial and economic factors affecting diarrhea incidence in children under five in Jayapura, Papua. Subjects and Method: This was an analytic observational study with a cross-sectional design.The study was conducted in North Jayapura Subdistrict, Papua, in February 2018. A sample of 200 children under five was selected for this study by fixed disease sampling, consisting of 100 children with diarrhea and 100 children without diarrhea. The dependent variable was diarrhea. The independent variables were maternal education, family income, exclusive breastfeeding, nutritional status, personal hygiene, and environmental sanitation. The data were collected by questionnaire. Path analysis was employed for data analysis in Stata 13. Results: The risk of diarrhea increased with poor personal hygiene (b= -1.04; 95% CI= -1.75 to -0.33; p= 0.004), poor environmental sanitation (b= -1.90; 95% CI= -2.59 to -1.21; p<0.001), poor nutritional status (b= -1.27; 95% CI= -2.02 to -0.52; p= 0.001). The risk of diarrhea was indirectly affected by exclusive breastfeeding, maternal education, and family income. Conclusion:The risk of diarrhea increases with poor personal hygiene, poor environmental sanitation, poor nutritional status, and indirectly affected by exclusive breastfeeding, maternal education, and family income.

Hubungan Pengetahuan Ibu tentang Diare dengan Kejadian Diare pada Balita di Wilayah Kecamatan Jebres Surakarta

“…Tingkat pendidikan ibu dapat meningkatkan kepedulian ibu terhadap keadaan lingkungaan rumah tangganya sehingga dapat mencegah transmisi. Disamping itu, ibu dengan pendidikan tinggi akan memberikan fasilitas kesehatan, sanitasi, dan makanan yang bergizi terhadap anaknya (Marentiva Tungga et al, 2018). Namun, pada penelitian ini, tingkat pendidikan formal ibu juga tidak memiliki hubungan signifikan secara statistik.…”