Factors Associated with the Diarrhea Incident in Children Ages 12-59 Months
DOI:
https://doi.org/10.31965/infokes.Vol23.Iss4.1838Keywords:
Children Aged 12-59 Months, Diarrhea, Hand Washing Practices, Exclusive BreastfeedingAbstract
Diarrhea remains one of the leading causes of mortality among children under five years of age and ranks as the second most common cause of death among Indonesian children aged 12–59 months. Given its endemic nature and potential to cause outbreaks, identifying modifiable risk factors is essential for effective prevention. This study aimed to analyze factors associated with the occurrence of diarrhea among children aged 12–59 months in Bantul, Indonesia. An observational analytic study with a retrospective case–control design was conducted using purposive sampling. A total of 160 children aged 12–59 months were included, comprising 80 diarrhea cases and 80 controls. Data were collected from mothers using structured questionnaires, while children’s nutritional status was assessed using the Growth Monitoring Card. Data analysis was performed using chi-square tests and multivariable logistic regression. The results demonstrated significant associations between diarrhea incidence and nutritional status (p = 0.041; OR = 2.343), economic status (p = 0.024; OR = 2.200), household water source (p = 0.016; OR = 1.209), hand-washing behavior (p < 0.001; OR = 3.646), and history of exclusive breastfeeding (p < 0.001; OR = 5.479). Multivariate analysis identified a history of exclusive breastfeeding as the strongest factor associated with diarrhea occurrence (p < 0.001; OR = 4.140; 95% CI: 1.938–8.843). In conclusion, diarrhea among children aged 12–59 months is significantly associated with nutritional status, socioeconomic conditions, water sources, hand hygiene practices, and exclusive breastfeeding history, with exclusive breastfeeding showing the greatest protective effect. Strengthening parental education and public health programs that promote exclusive breastfeeding is essential for reducing diarrhea incidence in young children.
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References
Agaro, A., Hareru, H. E., Muche, T., Sisay W/tsadik, D., Ashuro, Z., Negassa, B., Soboksa, N. E. (2022). Predictors of Hand-Washing Practices at Critical Times Among Mothers of Under-5 Years Old Children in Rural Setting of Gedeo Zone, Southern Ethiopia. Environmental Health Insights, 16, 1–11. https://doi.org/10.1177/11786302221120784
Aty, Y. M. V. B., Herwanti, E., & Mochsen, R. (2021). Simultaneous Factors Affecting Toddler Nutritional Status. Jurnal Info Kesehatan, 19(1), 64–76. https://doi.org/10.31965/infokes.vol19.iss1.514
Badan Pusat Statistik. (2023). Profil Statistik Kesehatan 2023. Jakarta: Badan Pusat Statistik. Retrieved from: https://www.bps.go.id/id/publication/2023/12/20/feffe5519c812d560bb131ca/profil-statistik-kesehatan-2023.html
Demissie, G. D., Yeshaw, Y., Aleminew, W., & Akalu, Y. (2021). Diarrhea and associated factors among under five children in sub-Saharan Africa: Evidence from demographic and health surveys of 34 sub-Saharan countries. Plos One, 16, 1–13. https://doi.org/10.1371/journal.pone.0257522
Dewi, V. N. L. (2020). Asuhan Neonatus, Bayi dan Anak Balita. Yogyakarta: Salemba Medika.
Dinas Kesehatan D.I. Yogyakarta. (2023). Profil Kesehatan D.I. Yogyakarta Tahun 2022. Yogyakarta: Dinas Kesehatan D.I. Yogyakarta. Retrieved from: https://dinkes.jogjaprov.go.id/berita/detail/buku-data-kesehatan-diy-2022
Dukka, A., Talahatu, A. H., & Nur, M. L. (2022). Factors Related to Exclusive Breastfeeding Behavior in Infants in the Camplong Community Health Center , Kupang Regency. Media Kesehatan Masyarakat, 4(3), 328–337. https://doi.org/10.35508/mkm.v4i3.7102
Fauzi, Y., & Sari, F. M. (2020). Analysis of Determinants of Diarrhea on Toddler in The Working Area of Nusa Indah Health Center Bengkulu City. Journal of Nursing and Public Health, 8(2), 108–115. https://doi.org/10.37676/jnph.v8i2.1206
Feleke, Y., Legesse, A., & Abebe, M. (2022). Prevalence of diarrhea, feeding practice, and associated factors among children under five years in Bereh District, Oromia, Ethiopia. Infectious diseases in obstetrics and gynecology, 2022(1), 4139648. https://doi.org/10.1155/2022/4139648
Fitriani, N., Darmawan, A., & Puspasari, A. (2021). Analisis Faktor Risiko Terjadinya Diare Pada Balita di Wilayah Kerja Puskesmas Pakuan Baru Kota Jambi. Medical Dedication (Medic), 4(1), 154–164. https://doi.org/10.22437/medicaldedication.v4i1.13472
Hartati, S., Kamesyworo, & Elviani, Y. (2023). Faktor Resiko Terhadap Kejadian Diare Pada Balita di Wilayah Kerja Puskesmas Pulau Pinang Kabupaten Lahat Tahun 2022. Jurnal Abdi Kesehatan Dan Kedokteran, 2(1), 40–49. https://doi.org/10.55018/jakk.v2i1.15
Hartman, R. M., Cohen, A. L., Antoni, S., Mwenda, J., Weldegebriel, G., Biey, J., Nakamura, T. (2023). Risk Factors for Mortality Among Children Younger Than Age 5 Years with Severe Diarrhea in Low- and Middle-income Countries: Findings From the World Health Organization-coordinated Global Rotavirus and Pediatric Diarrhea Surveillance Networks. Clinical Infectious Diseases, 76(3), E1047–E1053. https://doi.org/10.1093/cid/ciac561
Hatta, H. (2020). Relationship History of Exclusive Assessment of Diarrhea Events Children in Limboto Public Health Center Gorontalo District. Jurnal Dunia Gizi, 3(1), 59–66. https://doi.org/10.33085/jdg.v3i1.4656
Ilsa, A. M., & Atzmardina, Z. (2023). Hubungan Pengetahuan, Sikap, Perilaku Mencuci Tangan terhadap Kejadian Diare Balia di Tinting Seligi. Jurnal Kesehatan Tambusai, 4(2), 570–578. https://doi.org/10.31004/jkt.v4i2.14447
Irawan, A., & Hastuty, H. S. B. (2022). Physical Quality of Water, The Incidence of Diarrhea with The Stunting in Toddlers at The Arso City Health Center Angki. Journal of Community Health, 8(1), 130–134. https://doi.org/10.25311/keskom.vol8.iss1.1119
Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2023
Kurniawati, M. R., & Astutik, E. (2023). Socioeconomic Factors Associated With Diarrhea Among Children Under Five Years in Indonesia. Jurnal Berkala Epidemiologi, 11(2), 170–179. https://doi.org/10.20473/jbe.v11i22023.170-179
Lita, T., Fradianto, I., & Tafwidhah, Y. (2021). 5 Tugas Kesehatan Keluarga Pada Balita Dengan Diare : Literatur Review. Jurnal ProNers, 6 (1). Retrieved from: https://jurnal.untan.ac.id/index.php/jmkeperawatanFK/article/view/48875
Manetu, W. M., M’masi, S., & Recha, C. W. (2021). Diarrhea Disease among Children Under 5 Years of Age: A Global Systematic Review. Open Journal of Epidemiology, 11(03), 207–221. https://doi.org/10.4236/ojepi.2021.113018
Merid, M. W., Alem, A. Z., Chilot, D., Belay, D. G., Kibret, A. A., Asratie, M. H., ... & Aragaw, F. M. (2023). Impact of access to improved water and sanitation on diarrhea reduction among rural under-five children in low and middle-income countries: a propensity score matched analysis. Tropical Medicine and Health, 51(1), 36. https://doi.org/10.1186/s41182-023-00525-9
Morales, F., Montserrat-de la Paz, S., Leon, M. J., & Rivero-Pino, F. (2024). Effects of Malnutrition on The Immune System and Infection and The Role of Nutritional Strategies Regarding Improvements in Children’s Health Status: A Literature Review. Nutrients, 16(1), 1–16. https://doi.org/10.3390/nu16010001
Mosisa, D., Aboma, M., Girma, T., & Shibru, A. (2021). Determinants of Diarrheal Diseases among Under Five Children in Jimma Geneti District, Oromia region, Ethiopia, 2020: A Case-control Study. BMC Pediatrics, 21(532), 1–14. https://doi.org/10.1186/s12887-021-03022-2
Niska, K., Shifa, N. A., & Hartono, R. K. (2024). Hubungan Perilaku Mencuci Tangan dengan Kejadian Diare Pada Anak di Wilayah Kerja Puskesmas Cirimekar Tahun 2023. Jurnal Riset Rumpun Ilmu Kesehatan, 3(1), 97–111. https://doi.org/10.55606/jurrikes.v3i1.2726
Oktariana, M., Hariyanti, R., Riya, R., & Sulastri, S. (2023). Hubungan Status Gizi dan Status Imunisasi dengan Kejadian Diare pada Balita di Puskesmas Putri Ayu Kota Jambi. Jurnal Ilmiah Ners Indonesia, 4(2), 198–206. https://doi.org/10.22437/jini.v4i2.27518
Omona, S., Malinga, G. M., Opoke, R., Openy, G., & Opiro, R. (2020). Prevalence of Diarrhoea and Associated Risk Factors among Children Under Five Years Old in Pader District, Northern Uganda. BMC Infectious Diseases, 20(37), 1–9. https://doi.org/10.1186/s12879-020-4770-0
Rafid, M. E. H., Sari, J. I., & Delima, A. A. (2022). Perbandingan Angka Kejadian Diare Pada Anak Usia 3-5 Tahun dengan Riwayat Pemberian ASI Eksklusif dan ASI Non Eksklusif di Wilayah Kerja Puskesmas Jongaya. Jurnal Ilmiah Multi Disiplin Indonesia, 2(1), 55–61. https://doi.org/10.32670/ht.v2i01.1067
Ramadhani, Z. T., Muniroh, L., & Abihail, C. T. (2023). Hubungan Sumber Air Bersih, Kepadatan Hunian, dan Daerah Tempat Tinggal dengan Kejadian Diare pada Balita di Indonesia. Jurnal Ilmiah Universitas Batanghari Jambi, 23(3), 3072–3077. https://doi.org/10.33087/jiubj.v23i3.4074
Saha, J., Mondal, S., Chouhan, P., Hussain, M., Yang, J., & Bibi, A. (2022). Occurrence of Diarrheal Disease among Under-Five Children and Associated Sociodemographic and Household Environmental Factors: An Investigation Based on National Family Health Survey-4 in Rural India. Children (Basel), 9(5), 658. https://doi.org/10.3390/children9050658
Santika, N. K. A., Efendi, F., Rachmawati, P. D., Has, E. M. M. ah, Kusnanto, K., & Astutik, E. (2020). Determinants of Diarrhea among Children Under Two Years Old in Indonesia. Children and Youth Services Review, 111, 104838. https://doi.org/10.1016/j.childyouth.2020.104838
Sari, R. P., & Agustin, K. (2023). Analisis Hubungan Status Gizi dengan Kejadian Penyakit Infeksi Pada Anak Balita di Posyandu Wilayah Puskesmas Colomadu I. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 171–178. https://doi.org/10.26751/jikk.v14i1.1596
Sasmito, P., Setyosunu, D., Sadullah, I., Natsir, R. M., & Sutriyawan, A. (2023). Riwayat Status Gizi, Pemberian ASI Eksklusif dan Kejadian Diare Pada Balita. Holistik Jurnal Kesehatan, 17(5), 431–438. https://doi.org/10.33024/hjk.v17i5.12409
Sinaga, E. R. (2013). Personal Hygiene, Washing Eating Utensils and Amount of Eating Utensils Bacteria at The Food Sellers Center in Kampung Solor, Kupang. Jurnal Info Kesehatan, 11(1), 372–379. Retrieved from: https://jurnal.poltekkeskupang.ac.id/index.php/infokes/article/view/7
Sugiyono, S. (2018). Statistika untuk Penelitian. Jakarta: Alfabeta.
Supriatin, S., Astriani, N. M. D. Y., Heri, M., & Sadli, M. (2024). Partner and Household Factors Associated with Breastfeeding Practice: A Systematic Review. Jurnal Info Kesehatan, 22(2), 429–440. https://doi.org/10.31965/infokes.vol22.iss2.1537
Telang, S. (2018). Lactoferrin: A Critical Player in Neonatal Host Defense. Nutrients, 10(9), 1–16. https://doi.org/10.3390/nu10091228
Ugboko, H. U., Nwinyi, O. C., Oranusi, S. U., & Oyewale, J. O. (2020). Childhood Diarrhoeal Diseases in Developing Countries. Heliyon, 6(4), e03690. https://doi.org/10.1016/j.heliyon.2020.e03690
UNICEF. (2024). Diarrhoea. UNICEF. Retrieved from: https://data.unicef.org/topic/child-health/diarrhoeal-disease/
Wolfheim, C., Fontaine, O., & Merson, M. (2019). Evolution of The World Health Organization’s Programmatic Actions to Control Diarrheal Diseases. Journal of Global Health, 9(2), 020802. https://doi.org/10.7189/jogh.09.020802
World Health Organization. (2024). Global report on infection prevention and control 2024. Geneva: World Health Organization.
Wulandari, R. A., Azizah, R., Jalaludin, J. B., Sulistyorini, L., & Diyanah, K. C. (2022). Meta-Analysis Factor of Hand Washing Habits and Exclusive Breastfeeding with Diarrhea Between 2017-2021 in Indonesia. Journal of Environmental Health, 14(3), 209–217. https://doi.org/10.20473/jkl.v14i3.2022.209-217
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