Multiple Logistic Regression Tests Research Articles

Risk Factors for Pesticide Poisoning in Horticultural Farmers in the Agricultural Area of West Seram Regency, Indonesia

Background: In the field of environmental health, pesticide poisoning is still an important health problem in agricultural areas, especially horticultural agriculture, as a result of the risky habit of using pesticides. This study aimed to analyse the risk factors for poisoning in horticultural farmers in West Seram District, Indonesia. Methodology: This study applied a cross-sectional design, involving 298 farmers selected by proportional random sampling technique. The risk factors studied included tenure, the use of personal protective equipment, duration of spraying, frequency of spraying, number of types of pesticides, method of mixing, direction of spraying, and dose of pesticides, smoking while spraying, washing hands when eating, drinking while spraying, spraying time and personal hygiene. Data were collected through interviews, then analyzed using multiple logistic regression test. Results: The results showed that the p-value for each factor was use of personal protective equipment = 0.025, frequency of spraying = 0.023, method of mixing pesticides = 0.004, direction of spraying = 0.017 and personal hygiene = 0.002. Conclusions: It could be concluded that the use of personal protective equipment, personal hygiene, frequency of spraying, method of mixing and spraying direction are risk factors for pesticide poisoning in horticultural farmers.

Coffee consumption habits with the addition of added ingredients correlated with obesity among females students in Semarang

Chemical compounds found in coffee are good for health, but most Indonesians often consume coffee with added ingredients, such as sugar and milk. Thus, it will potentially increase the risk of obesity. This study aimed to analyze coffee consumption habits with added ingredients and their correlation with the incidence of obesity among female students in Semarang. The research design was cross-sectional, with 77 female students randomly selected. This study was conducted from March to April 2021 in Semarang. All data collection process was conducted online. Data on coffee consumption habits, the kind of added ingredients, and the number of allowances were obtained through questionnaires. Furthermore, the food intake data were obtained from the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity data from the International Physical Activity Questionnaire Short Form (IPAQ-SF), and anthropometric data through self-anthropometric measurement guided by the researcher. Data were analyzed by the Chi-square test and multiple logistic regression test at a 95% CI. There was a relationship between coffee consumption habits and obesity according to the body mass index (p= 0,014), waist circumference (p= 0,001), and waist-hip ratio (p= 0,001). The multivariate analysis showed that the frequent consumption of coffee with added ingredients was correlated with the incidence of abdominal obesity based on waist circumference and waist-hip circumference ratio. It can be concluded that coffee consumption with added ingredients was correlated with the incidence of obesity.

Anemia in female adolescents at Karanganyar regency: A cross-sectional study associated with polymorphism of duodenal cytochrome B gene and daily consumptions of fruits and vegetables.

The prevalence of anemia in female adolescents increases every year. A duodenal Cytochrome B (CYBRD1) enzyme is involved in the regulation of iron metabolism. G797A gene polymorphism of the CYBRD1 reduces nonheme iron transport into the enterocytes, which was mediated by the divalent metal transporter 1 protein. Daily consumption of fruits and vegetables has been recommended for the prevention of non- communicable diseases, including anemia. This study aimed to analyze the association of CYBRD1 polymorphism and daily consumption of fruits and vegetables with anemia in female adolescents in the Karanganyar regency. This cross-sectional study recruited 233 female students in 6 senior and vocational high schools in Karanganyar regency, which were selected using purposive sampling. Data on fruit and vegetable consumption were collected using Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Polymorphism of the G797A CYBRD1 gene was determined using the amplification refractory mutation system polymerase chain reaction. All collected data were analyzed using chi-square and multiple logistic regression tests with p < 0.05. Anemia was found in 13.73% of female students. Inadequate intakes of fruits and vegetables were found in 63.09 and 51.07% of female students, respectively. The AA genotype (OR = 5.779; 95%CI: 0.974-34.289; p = 0.053), inadequate fruit consumption (OR = 1.497; 95%CI: 0.603-3.718; p = 0.133), and inadequate vegetable consumption (OR = 11.99; 95%CI: 3.457-41.586; p < 0.001) increased higher risk of anemia, compared with their counterparts. G797A CYBRD1 gene polymorphism and daily consumption of vegetables increase the risk of anemia but not for daily consumption of fruits in female adolescents in the Karanganyar regency.

Evaluasi Mutu Pelayanan Kesehatan Terhadap Kepuasan Pasien Di Instalasi Rawat Inap RS Imelda Pekerja Indonesia Medan

Hospitals are an integral part of social and media organizations whose function is to provide comprehensive health services to the community, both curative and rehabilitative, where hospital services reach family and environmental services. The aim of the study was to analyze the effect of the quality of health services on patient satisfaction in the inpatient room of the Medan Indonesian Workers' Imelda Hospital. The research design used in this study was an analytic survey with a cross sectional design. The population in this study were all patients who were treated from November 2022 to February 2023 in the Inpatient Room of the Imelda Indonesian Workers Hospital in Medan, totaling 167 people. The number of samples to be examined by the entire population is 62 people. Data analysis was performed using univariate, bivariate and multivariate analysis. The statistical test used is the chi square test and logistic regression. The results of the chi square test showed that there was an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and convenience, which had a p-value &lt;α 0.05, meaning technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort affect patient satisfaction in the inpatient room of Medan Indonesian Workers Imelda Hospital, and the multivariate test with the results of multiple logistic regression tests shows that the variable of technical competence is the most dominant with an odds ratio (OR) of 45,348 meaning 4 times affect patient satisfaction. The conclusion was that the dominant technical competency variable had the most influence on patient satisfaction in the inpatient room of Imelda Indonesian Workers Medan Hospital. It is recommended for the hospital to make policies in order to improve technical competence in the treatment room so as to produce optimal patient satisfaction..

Determinant factors of stunting incidence in Muara Enim Regency, South Sumatra Province

Early-life chronic malnutrition causes stunting. In 2021, Muara Enim Regency had a 24.8% stunting incidence, which is still higher than the stunting prevalence in South Sumatra at 24.4%. This research aims to look into the factors contributing to stunting in the Muara Enim. The study's design was cross-sectional, with a sample of children aged 6-59 months living in the Rambang sub-district of Muara Enim Regency. There are 269 children under five were selected as samples using a stratified random sampling procedure. The chi-square test and multiple logistic regression analyses were utilized for data analysis. The findings revealed that five variables, including birth length (p=0.224 OR=1.684), exclusive breastfeeding (p=0.009 and OR=2.590), mother's height (p=0.028 OR=1.834), mother's education level (p=0.001 OR=0.488), and ownership of latrine (p=0.045 OR=0.470), had a relation with stunting incidence. According to the multiple logistic regression test result, the most influential variable associated with the stunting incidence was the mother's level of education, with OR=2.369 (95% CI OR=1.376-4.078), indicating that mothers with lower levels of education were 2.37 times more likely to have children with stunting than mothers with higher levels of education.

, Aksesibilitas, Keterjangkauan, Dukungan Suami Dan Keluarga, Budaya Dalam Pemilihan Penolong Persalinan Di Wilayah Kerja Puskesmas Kutalimbaru Kabupaten Deliserdang

Selection of birth attendants is a factor that determines the implementation of a safe delivery process. The relationship between the selection of health workers or non-health workers includes education, knowledge, attitudes, accessibility, affordability, husband and family support, culture. In the working area of ??the Kutalimbaru Health Center there are still births assisted by non-health workers due to internal and external factors. . The type of research is an analytical survey with a population of 154 mothers giving birth in the last seven months and 100 mothers giving birth as a sample. Data were obtained through interviews using a questionnaire and analyzed using multiple logistic regression tests. The results showed that attitude (p=0.000), husband and family support (p=0.000) had a significant relationship with the choice of birth attendant. Attitude is the variable that is most related to the selection of birth attendants in the working area of ??the Kutalimbaru Health Center, Deliserdang Regency, with a regression coefficient of 5.305. It is suggested to the head of Kutalimbaru, Deliserdang Regency, to increase programs aimed at inviting the public to give birth to midwives. So that it can increase the mother's good attitude about safe delivery assistance and the husband and family support the selection of health workers as birth attendants

The relationship of vitamin A, C, and E intake with premature aging of facial skin in female market traders

Background: Women's market traders are jobs that are often exposed to free radicals, including air pollution, cigarette smoke, sun exposure and have a high workload that causes stress. Antioxidants can protect the skin from free radicals and can inhibit the process of premature aging of facial skin which are found in vegetables and fruits such as vitamins A, C, E.&#x0D; Objective: To determine the relationship between intake of vitamins A, C, and E with premature aging of market traders in the form of wrinkles around the face.&#x0D; Methods: Observational research with cross sectional method. The sampling technique is multi-stage cluster sampling. This research was conducted at Beringharjo Market with a total sample of 172 respondents with inclusion criteria namely female traders, aged 26–45 years, workers in the market area. The exclusion criteria are tourists/market visitors, women who are pregnant and breastfeeding. The research variables for intake of vitamins A, C, and E used the SQ-FFQ (Semi-Quantitative Food Frequency Questionnaire) questionnaire with the interview method. In measuring the number of wrinkles on facial skin using photoaging through facial shooting using a Sony A7R3 camera with a 24-70 lens that is analyzed by a dermatologist (skin expert). Data analysis technique using multiple logistic regression analysis. This analysis uses SPSS software version 22.0.&#x0D; Results: In the multiple logistic regression test, p = 0.037 (p &lt;0.05) means that there is a relationship between vitamin A intake and premature aging of facial skin. On vitamin C intake, p = 0.436 (p&gt; 0.05), meaning that there is no relationship between vitamin C intake and premature aging of facial skin. And on vitamin E intake, p = 0.171 (p&gt; 0.05) there is no relationship between vitamin E intake and premature aging of facial skin.&#x0D; Conclusion: Intake of vitamin A has a significant relationship with the occurrence of premature aging of the face, but vitamins C and E do not have a significant relationship with the occurrence of premature aging of the facial skin

Analisis Keikutsertaan Skrining HIV Pada Ibu Hamil

HIV/AIDS in various parts of the world, including in Indonesia is currently considered the most contagious disease among any diseases, until now HIV/AIDS is still unresolved and continues to be a problem in the world. HIV can be infected vertically from HIV positive mothers who are detected through HIV testing for babies during pregnancy, childbirth and breastfeeding which is currently under the world's attention because it affects the quality of human resources. The aim of the study was to analyze the predisposing, enabling and motivating factors of pregnant women to screen for HIV. This study used a quantitative approach with a survey research type with a cross-sectional design. The population and sample of the study were all pregnant women in the Tapian Dolok Public Health Center, Simalungun Regency, who met the inclusion and exclusion criteria, as many as 51 pregnant women. The sampling technique was carried out using non-probability sampling, namely by means of consecutive sampling. How to collect data by using a questionnaire. Bivariate data analysis used the chi-square test with a significance level of p&lt;0.05 and multivariate data analysis used multiple logistic regression tests. The results showed that predisposing factors, namely education, sources of information, knowledge, counseling and voluntary HIV testing, had a significant relationship with participation in HIV screening in pregnant women, as well as supporting factors, namely husband's support with a value of p = 0.000. The prediction of the probability of pregnant women carrying out HIV screening is 86%, if pregnant women carry out HIV counseling and screening and receive information from health workers. Suggestion: It is necessary for health workers to provide clear, simple information and provide facilities for pregnant women to increase the scope of HIV screening.

Predicting Quality of life of Schizophrenia Patients

Background: Previous studies on sociodemographic characteristics connected to quality of life in schizophrenia discovered inconsistent results. This study aims to analyze predicting factors of quality of life (QoL) of schizophrenia patients. Methods: A quantitative study included 153 respondents who were selected using random sampling at the State Psychiatric Hospital Surakarta. The research instruments were a questionnaire containing questions about demographics consisting of age, age at first experiencing schizophrenia, gender, education level, work status, marital status, frequency of treatment, duration of suffering from schizophrenia, insight, physical health problems and quality of life by using WHOQOL-BREF. The analyses used were Spearmen's rank (rho) and the Pearson Chi-Square to analyze factors connected to QoL of schizophrenia patients and multiple logistic regression tests to analyze predictors of QoL of schizophrenia patients. This study was conducted in the State Psychiatric Hospital of Surakarta from September 2020 to March 2021. Results: There were 4 characteristics of sociodemographic that have a positive significant relationship with the overall quality of life of schizophrenia patient, namely work status (p = 0.000), marital status with p = 0.000, gender (p=0.032), and adherence to take medicine with p=0.015 (p &lt;0.05). marital status and work status that influence the quality of life (p=0.000 and p=0.001). Marital status and work status influence the quality of life (p=0.000 and p=0.001), the largest OR value obtained is 25.499. It means that married patients have a 25.499 times chance of having a better quality of life controlled by work status. Conclusion: Marital status and work status are predictors of QoL of schizophrenia. In providing services to schizophrenic patients, health professional need to pay attention in assessing social demographics such as work status and marital status so that appropriate action can be taken with an approach to these aspects.

Analysis of factors affecting the quality of life of people with type II Diabetes Mellitus

Diabetes Mellitus is still a global health problem that has an impact on the welfare of individuals, families and communities and affects the quality of life of sufferers. The purpose of this study was to determine the factors that affect the quality of life of people with diabetes mellitus. This type of study used a cross sectional approach to 132 people with diabetes mellitus selected with a purposive sampling approach. Data collection by conducting interviews with type 2 DM patients and filling out the Diabetes Quality of Life Clinical Trial Quessionnaire (DQLCTQ) questionnaire The data analysis carried out was univariate and bivariate analysis using chi-square test and multivariate analysis using multiple logistic regression tests. The results showed that there was a relationship between knowledge (p = 0.000), dietary adherence (p = 0.044), medication adherence (p = 0.000), and family support (p = 0.000) with the quality of life of patients with type II diabetes. Of several factors, knowledge / education is the factor that has the strongest influence on the quality of life of people with type II DM.

The Role of Brixia Score as a Predictor of Coronavirus Disease-19 (COVID-19)-associated Hemostatic Abnormalities (CAHA) Based on D-dimer Levels

Introduction: Coronavirus Disease-19 (COVID-19) is a systemic disease that causes complications in respiratory system and coagulopathy, which is called COVID-19-associated hemostatic abnormalities (CAHA). The Brixia chest X-ray scoring system may benefit in detecting CAHA. This study aims to investigate the role of the Brixia score as a predictor of CAHA based on D-dimer levels.&#x0D; Methods: This was a cross-sectional study that used medical records from Radiology Installation, Sanglah General Hospital, Bali, during August 2020 until August 2021. Subjects were confirmed and hospitalized COVID-19 patients with mild to critical degree and aged 18-59 years old. Any other pulmonary diseases than COVID-19 in X-ray was excluded. Brixia score was determined independently and blindly determined by two radiologists. The incidence of CAHA was defined as an elevation of D-dimer in pulmonary COVID-19. We conducted interobserver Bland-Altman, followed by correlation test, receiver operating characteristic (ROC) analysis, and multiple logistic regression test to control for confounding factors.&#x0D; Result: This study included 70 subjects selected through random sampling. We found a positive correlation between the Brixia score and D-dimer levels (r=0.329, p&lt;0.05). The ROC analysis indicated that a Brixia score cut-off ≥10 is the best predictor of CAHA, with a positive predictive value of 95.8% and a negative predictive value of 40.9%. Subjects with a Brixia score ≥10 were found to have a higher risk of developing CAHA (aOR 14.78, p &lt;0.05) after controlling for age, gender, nutritional status, and comorbidities.&#x0D; Conclusion: There was a statistically significant association between Brixia score and CAHA in COVID-19 patients based on D-dimer levels. The Brixia score could be used as a predictor of CAHA with the cut-off value ≥10.

The Impact of Physical Home Environment and Patient Age on Pulmonary Tuberculosis Incidence in Slum Settings

Pulmonary tuberculosis continues to be a major public health issue in Indonesia and worldwide, aligning with sustainable health development goals. Among the five areas with high incidence rates, Kotabaru Regency is facing an increase in suspected cases, particularly in densely populated areas. In 2022, there was a noticeable rise in suspected cases of pulmonary TB, reaching 133, with 89 cases concentrated in the slums of Kotabaru Regency. The objective of this study is to investigate the impact of factors such as the physical house environment and patient age on the incidence of pulmonary tuberculosis in the slums within the working area of the Dirgahayu Health Center in Kotabaru Regency for the year 2023. This analytical observational study utilized a case-control approach with 46 samples and employed instruments such as the Hygrometer, Luxmeter, and Rollmeter. The dependent variable was the incidence of pulmonary tuberculosis, while independent variables included occupancy density, ventilation, home lighting, humidity, and age. Bivariate analysis using the Chi-Square test and multivariate analysis using the Multiple Logistic Regression Test were conducted. The results of the Chi-Square test showed a correlation between age (p = 0.437), home lighting (p = 0.008), ventilation (p = 0.000), occupancy density (p = 0.003), and the incidence of pulmonary tuberculosis. Home lighting, ventilation, and occupancy density demonstrated a significant correlation with tuberculosis incidence, while patient age did not have a substantial influence. Conclusions regarding humidity could not be drawn due to insufficient data that met the requirements. Ventilation was found to be the most influential variable, with an Exp(B) value of 10.961.

Analysis of Service Quality in Pharmaceutical Installations on Outpatient Patient Satisfaction

Pharmaceutical services are direct and responsible services to patients relating to pharmaceutical preparations with the aim of achieving definite results to improve the quality of life of patients. The purpose of this study was to analyze the quality of service in the Pharmacy Installation on the satisfaction of outpatients in the Kabanjahe Regional General Hospital. Research conducted is quantitative with cross sectional approach. The study population was all outpatients in the Pharmacy Installation of the Kabanjahe District General Hospital, amounting to 13,359 in November 2018-January 2019. Samples taken were 87 people, obtained using proportional sampling techniques. Data obtained by interview and observation using a questionnaire, analyzed by Multiple Logistic Regression Test at α = 0.05. The results of the multiple logistic statistical tests show that there is a significant influence of the reliability variable (p = 0.023), concern (p = 0.032), direct evidence (p = 0.016) on patient satisfaction. Concern variable gave the greatest influence on patient satisfaction in the Outpatient Pharmacy of the Kabanjahe Regional General Hospital with (Exp value (B) of 146,434). The conclusion of this study is that there is a significant influence on reliability, care and direct evidence on patient satisfaction. It is recommended to the management of the Kabanjahe Regional General Hospital to provide punishment for officers who have not been optimal in providing services and to increase the reliability, care, and direct evidence of officers to improve patient satisfaction.

INPATIENT CARE UTILIZATION AMONG ELDERLY IN INDONESIA: A CROSS-SECTIONAL STUDY FROM INDONESIA FAMILY LIFE SURVEY

Introduction: The increasing number of the elderly is worrying. It is a concern in public health issues. The elderly have higher susceptibility to chronic diseases. Aims: To identify the factors affecting inpatient care utilization among the elderly population in Indonesia. Methods: Data from the 2014 Indonesian Family Life Survey were used, representing 83% of the Indonesian population. Additionally, Andersen’s theory of healthcare service utilization model was applied. This study applied a cross-sectional design. The sample consisted of 5,325 respondents 60 years in age or older. The chi-square test and multivariate analysis using a multiple logistic regression test were used to analyze the data. Result: This study found 222 of its respondents utilized inpatient care (4.2%). The characteristics that had a significant correlation with the utilization of inpatient care were women, middle-school education, high education, Sumatera region, urban area, health insurance ownership, low economy status, middle economy status, high economy status, very high economy status, sick perception, smoking habit and obesity. Conclusion: The most dominant predictor was the high economy status. The health-insured elderly are able to receive inpatient care without bearing the financial burden. The government should provide health insurance for the elderly in Indonesia.

Factors Associated with Hypertension Control Behavior in the Pre-Elderly Group in Padangsidimpuan City

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Indonesia is currently facing a double burden of disease, namely communicable diseases and non-communicable diseases, where behavior is one of the causes of changes in the pattern of these diseases. One of the non-communicable diseases which is the main cause of premature death in the world, namely hypertension is a silent killer with the highest prevalence rate in Indonesia. Untreated hypertension can cause complications. The elderly population is the most vulnerable population suffering from hypertension. One of the areas in North Sumatra with an ever-increasing number of cases of hypertension is Padangsidimpuan City. This study aims to analyze factors related to hypertension control behavior in the pre-elderly group in Padangsidimpuan City. This type of research is quantitative analytic with cross sectional design. The total population in this study was 3104 with a total sample of 237 obtained using cluster sampling and proportional random sampling. The instrument in this study used a questionnaire. The data obtained were analyzed by univariate, bivariate, and multivariate using multiple logistic regression tests. The results showed that there was a relationship between intention (p=0.002), knowledge (p=&amp;lt;0.001), attitude (p=&amp;lt;0.001), affordability of information (p=&amp;lt;0.001), availability of facilities and infrastructure (p=0.020), and support social status (p=0.002) with hypertension control behavior. Multivariate analysis shows that the attitude variable is the variable most related to the behavior of the elderly in controlling hypertension with a Prevalence Ratio (RP) value of 4.869. The pre-elderly group is expected to be more active in adopting a healthy lifestyle, and an active role from the family and health workers is needed in providing support to hypertension sufferers to implement hypertension control behavior and avoid complications.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keywords: Behavior, Hypertension Control, Pre-Elderly&lt;/em&gt;&lt;/strong&gt;

HUBUNGAN AKTIVITAS FISIK, POLA MAKAN, DAN MEROKOK DENGAN KEJADIAN HIPERTENSI PADA LANSIA DI KAMPUNG TUA BAKAU SERIP TAHUN 2022

Background: Hypertension is a condition in which there is an increase in diastolic pressure that is more than 90 mmHg and systolic above 140 mmHg or while taking hypertension drugs.&#x0D; Methods: This research method used the Correlation Analytic method with a Cross-sectional Study approach. Sampling in this study using total sampling technique.&#x0D; Results: The results of the analysis of the relationship between physical activity, diet, and smoking with the incidence of hypertension in the elderly using the Spearman test obtained a physical activity score (p-value 0.000), eating pattern p-value (0.000), and smoking p-value (0.002). The results of the multivariate test used multiple logistic regression tests (Multiple Regression Logistics) with the results of physical activity with an OR value of 95% CI (4,776)..&#x0D; Conclusion: There is a significant relationship between physical activity, diet, and smoking with the incidence of hypertension in the elderly in Kampung Tua Bakau Serip, and multivariate test results found that physical activity is the most dominant factor in the incidence of hypertension in the elderly in Kampung Tua Bakau Serip 2023 .

Medication Use Status and Its Related Factors among Older Adults in Kerman, Iran

Introduction: Older adults are the largest group of medication users in each society. Since medications act differently in seniors compared with younger patients, great considerations are required regarding the effects and side effects of medications in the older adults. The present study aimed to determine the status of medication use and its related factors among older adults in Kerman city, Iran.&#x0D; &#x0D; Methods: In the cross-sectional study, 388 seniors were selected using multistage cluster sampling from the population covered by comprehensive health centers in Kerman in 2021. Demographic information questions (age, gender, education level, marital status, life status, substance abuse, income, and health insurance status), a question regarding medication usage status and a question regarding disease that the elderly are currently suffering from, Montreal Cognitive Assessment Questionnaire, Geriatric Depression Scale, and Sleep Disorder Questionnaire were used for data collection. The data were analyzed using SPSS software by running Chi-square and multiple logistic regression tests.&#x0D; &#x0D; Results: The average number of medications used per day was 4.59 and 53.5% of the participants used five or more medications concomitantly. Antihypertensive medications had the highest prevalence (64.3%) followed by anti-hyperlipidemic (43.6%) and Supplements (41.3%). A significant correlation was found between the participants' frequency of medication use and their gender, income, primary insomnia, and cognitive impairment (p &lt; 0.001). However, medication use had no significant association with the senior's age, marital status, education level, living status, substance abuse, and health insurance (p &lt; 0.05). The risk of polypharmacy was 2.15 times higher in the elderly women than men (p = 0.001) and 0.45 times higher in participants with depression than non-depressed seniors (p = 0.011).&#x0D; &#x0D; Conclusion: The high prevalence of polypharmacy indicates an unfavorable status of medication use among older adults in Kerman. So, authorities are required to provide educational information about polypharmacy to aged groups.

The Impact of Antenatal Care and Nutrition Counseling on the Success of Exclusive Breastfeeding and Appropriate First Complementary Foods

Background: Proper breastfeeding and complementary feeding at the beginning of birth until the age of 24 months has an important role in optimizing nutrition for the first 1000 days of life to obtain optimal individual health status until adulthood. Objectives: This study aims to analyze the impact of antenatal care (ANC) and postnatal care (PNC), especially nutritional counseling on the success of exclusive breastfeeding and appropriate complementary foods. Methods: This study used a cross-sectional design from secondary data from basic health research (RISKESDAS) in DKI Jakarta Province with a total sample of 230 mothers aged 15-49 years who had children aged 6-24 months. Data were analyzed univariate, bivariate using the Chi-Square test and multivariate using multiple logistic regression tests. Results: The results showed that the coverage of exclusive breastfeeding was 56.5% and proper complementary food was 39.6%. The results of the Chi Square test showed that there was a relationship between exclusive breastfeeding and maternal age (p = 0.025) (OR: 2.21 95% CI: 1.09 – 4.48), maternal education (p = 0.008) (OR: 4.80 95% CI: 1.79 – 12.8) , maternal parity (p = 0.009) (OR: 2.58 95% CI: 1.25 – 5.30), antenatal care (p = 0.000) (OR: 4.82 95% CI: 2.13 – 10.9), and postnatal counseling (p = 0.006) (OR: 2.72 95% CI: 1.31 – 5.65). Meanwhile, on the accuracy of complementary feeding, there was a relationship between maternal age (p = 0.027) (OR 2.32 95% CI 1.07-5.02), maternal education (p = 0.000) (OR 3.16 95% CI 1.67-5.98), maternal parity (p = 0.027) (OR 2.36 95% CI 1.08- 5.17), received ANC (p = 0.000) (OR 4.61 95% CI 1.84-11.6), and nutrition counseling (p = 0.004) (OR 2.98 95% CI 1.38-6.43). The most dominant variable with the success of exclusive breastfeeding and complementary feeding for the first time is ANC with odds ratios of 4.82 and 4.08, respectively, after being controlled by postnatal counseling. Conclusion: This study shows that the impact of ANC and PNC, especially nutritional counseling, has a role in the success of exclusive breastfeeding and the appropriateness of giving complementary foods for the first time. ANC and PNC, especially nutrition counseling, are very important for every pregnant woman and need to be socialized to relevant policy makers and pregnant women's families.

The Influence of Clean Water Source, Knowledge, Attitudes and Actions of Mother’s Personal Hygiene on the Incidence of Diarrhea in Toddlers in Medan City 2023

Diarrhea is a health problem that globally contributes to the death rate of two billion children worldwide, WHO reports more than 525,000 cases in toddlers are caused by diarrhea. Riskesdas 2018 found that the prevalence of diarrhea among toddlers in Indonesia was 73,188 cases. Medan City in 2020 had 4,561 cases of diarrhea and in 2021 there were 18,588 cases of diarrhea in toddlers. To analyze the effect of clean water source, knowledge, attitudes and actions of mother’s personal hygiene on diarrhea in toddlers. The type of this research is a quantitative study with a cross sectional design. Data analysis used multiple logistic regression tests with a sample of 120 mothers with toddlers aged 2-5 years. The variables that had an effect on were the mother's knowledge (p=0.042) and actions (p=0.019) of personal hygiene on the incidence of toddler diarrhea. Meanwhile clean water (p=0.362) and attitudes (p=0.115) had not effect on the incidence of toddler diarrhea. The variable that has the most influence on the incidence of diarrhea in toddlers in Medan City is the mother's personal hygiene action which have the highest Exp.B value of 2,792. Knowledge and actions of mother’s personal hygiene had influence on the incidence of toddler diarrhea. Further action for officers to be able to carry out health promotion and education regarding basic sanitation and personal hygiene to mothers whose toddlers experience and do not experience.

Knowledge about tooth avulsion and replantation among students from public schools

Research on knowledge regarding tooth avulsion and replantation among children and adolescents is still scarce. Objective: This cross-sectional study aimed to evaluate the knowledge about tooth avulsion and replantation and their association with independent variables among 7th-grade students in public schools. Material and methods: Data collection on the knowledge regarding tooth avulsion and replantation (nine questions) and sociodemographic profile was performed through semi-structured and self-administered questionnaires. The presence of trauma in permanent incisors of students (n=251) was obtained in a clinical examination performed by a calibrated examiner in Sertaozinho, Sao Paulo, Brazil. After a descriptive data analysis, association and multiple logistic regression tests were applied at a significance level of 5%. Results: Most of the students were female (61.4%), were residents in suburban areas (89.6%) and did not present dental trauma (87.7%). Students answered correct 42.2% of the questions. The variable “last visit to the dentist” was the only one that showed a statistically significant association with knowledge about tooth avulsion and replantation in the bivariate analysis (p = 0.007) and the logistic regression (p = 0.031). Conclusion: The level of knowledge was low, and the students whose last visit to the dentist was two years or longer showed a greater chance of having less knowledge about tooth avulsion and replantation. Clinical Significance: During routine dental visits, the dental team should educate patients about the procedures to manage different situations of dental trauma.