Determinan sosial kejadian diare akut pada anak usia 0-59 bulan di Purworejo

Abstract

PurposeThis study aimed to determine the social determinants of acute diarrhea occurrence in children aged 0-59 months in Purworejo.MethodsThis study used a match case control design with a ratio of 1: 1. Cases are children aged 0-59 months who went to Saras Husada Hospital diagnosed with acute diarrhea, escorted by their mothers and domiciled in Purworejo. Controls are children aged 0-59 months who were treated in Saras Husada Hospital, not diagnosed with acute diarrhea or diseases that have diarrhea symptoms. The variables studied included mother's education level, mother's employment status, mother's knowledge, mother's attitude, mother's behavior, nutritional status and residence area. The sample size was 212 children. The sampling technique used consecutive sampling. Bivariate and multivariate analysis were performed using conditional logistic regression tests.ResultsThe results of bivariate analysis showed that the variables with significance are maternal education level (OR = 0.44, 95% CI = 0.24-0.80; p = 0.008), mother’s work status (OR = 0.56; 95% CI = 0.33-0.96; p = 0.038) and mother’s behavior (OR = 1.84; 95% CI = 1.05-3.22; p = 0.032). The results of multivariate analysis showed that maternal education level, maternal employment status and mother's behavior had a significant relationship to acute diarrhea.ConclusionThe social determinants of acute diarrhea occurrence in children aged 0-59 months in Purworejo District are the mother's education level, mother's employment status and mother's behavior.