Background Malnutrition is common among children under 5 years of age in Indonesia, with the rates varying between urban and rural areas. The minimum acceptable diet (MAD) assesses nutrient quality and quantity. This study aimed to identify the potential variables for MAD in 6–23-month-old children in both urban and rural Indonesia.
Methods We used the data from the 2017 Indonesia Demographic and Health Survey to conduct this nationally representative study. A total of 4,688 children aged 6–23 months were included in the study. MAD was classified using the 2017 World Health Organization global nutrition monitoring framework. The determinants of MAD were analyzed using multiple logistic regression.
Results Overall, 45% of children aged 6–23 months received the required MAD, with 47.4% receiving the MAD in urban areas and 35.7% in rural areas. Children’s age, fathers’ age, parents’ education level, mothers’ employment, and wealth index were strongly linked to MAD in both rural and urban homes. The factor specifically related to MAD in urban areas was mother living with her husband. For rural households, mothers’ involvement in decisionmaking and a minimum of four antenatal care (ANC) visits significantly increased the likelihood of their children’s MAD status.
Conclusion MAD status was determined by increased child age, higher parent education, younger father, working mother, and higher wealth index in children aged 6–23 months in both urban and rural settings. Mothers living with a spouse determined the MAD status only in urban areas. More frequent ANC visits and mother participation in household decisions were other factors related to MAD status in rural areas.
Background Although Indonesia has a considerable proportion of adolescent smokers, nationally representative studies of its determinants remain limited. The 2015 Indonesian Global School-Based Student Health Survey (GSHS) was conducted with school-age adolescents and provided information about smoking behavior. This study aimed to examine the prevalence, determinants, and correlates of tobacco use among adolescents in Indonesia using the GSHS survey.
Methods A secondary data analysis of a cross-sectional study was conducted using data from the 2015 Indonesian GSHS. Multivariate logistic regression was used to assess the determinants and correlates of tobacco use.
Results Our analysis showed that 9.1% of school-age adolescents had used tobacco products in the past 30 days. Most were 13–15 years (61.7%) and had attempted to stop smoking (92.4%). After adjusting for covariates, significant risk factors associated with tobacco smoking were older age groups (prevalence odds ratio [POR], 3.01–9.40; 95% confidence interval [CI], 1.71–23.1), male (POR, 13.7; 95% CI, 8.71–21.5), psychological distress (POR, 1.41; 95% CI, 1.05–1.90), smoking exposure (POR, 1.98–2.15; 95% CI, 1.35–3.42), and when both parents smoked (POR, 2.96; 95% CI, 1.78–4.94). In addition, tobacco use was associated with other risky behaviors, including sex with multiple partners, using drugs, drinking alcohol, and being involved in physical fights.
Conclusion Tobacco use is high among Indonesian adolescents. This prevalence highlights the need for a more stringent tobacco control policy and tailored cessation programs for adolescents by considering important modifiable determinants of tobacco use among adolescents, including risky smoking-related behaviors.
Citations
Citations to this article as recorded by
Associação entre consumo de álcool, tabagismo e atividade física em adolescentes escolares sul-americanos José Ywgne, André Oliveira Werneck, Bruno Bizzozero-Peroni, Diego Giulliano Destro Christófaro, Fernanda Castro Monteiro, Ingrid Kelly Alves dos Santos Pinheiro, Kabir Prem Sadarangani, Rafael Miranda Tassitano, Danilo Rodrigues Pereira da Silva Revista Brasileira de Atividade Física & Saúde.2025; 29: 1. CrossRef
Predictor of smoking cessation among school-going adolescents in Indonesia: a secondary analysis based on the transtheoretical model of behavioral change Omid Dadras Frontiers in Psychiatry.2024;[Epub] CrossRef
Pharmacotherapy guidelines for smoking cessation in primary healthcare clinics Cheol Min Lee, Yu Jin Paek, Yoo Bin Seo, Eon Sook Lee Journal of the Korean Medical Association.2024; 67(4): 230. CrossRef
Exploring Behavioral and Pharmacological Interventions against Excessive Tobacco Use Dalmacito A. Cordero Korean Journal of Family Medicine.2024; 45(4): 231. CrossRef
Background It is a well-known fact that exclusive breastfeeding benefits both mothers and their babies. The aim of this study is to assess the associated factors influencing exclusive breastfeeding of babies until 6 months of age.
Methods The study used data from the 2017 Indonesia Demographic and Health Survey. Overall, 1,542 women who had infants aged below 6 months were included in the study. Sociodemographic and maternal health service utilization factors were examined for association with exclusive breastfeeding, using logistic regression for a complex sample design.
Results The proportion of exclusive breastfeeding was 52.3% (95% confidence interval [CI], 0.498–0.548). Parity, antenatal care visits, early initiation of breastfeeding, low-income households, and rural areas were significant factors associated with the increased likelihood of exclusive breastfeeding. However, working status (adjusted odds ratio [aOR], 0.70; 95% CI, 0.57–0.86) and caesarean delivery or C-section (aOR, 0.75; 95% CI, 0.57–0.99) were factors for a lower likelihood of exclusive breastfeeding.
Conclusion Working women are at risk of discontinuation of exclusive breastfeeding. Mothers who had a normal vaginal delivery and practiced early initiation of breastfeeding had a higher rate of exclusive breastfeeding. These findings have important implications for developing comprehensive guidance and resources for women regarding the importance of exclusive breastfeeding during the early postpartum period.
Citations
Citations to this article as recorded by
Correlations between family characteristics and childcare in optimizing the growth of children under six years Laili Rahayuwati, Desy Indra Yani, Sri Hendrawati, Arlette Suzy Setiawan, Damar Irza, Sherllina Rizqi Fauziah BMC Public Health.2025;[Epub] CrossRef
Educational Packages on Breastfeeding Increase Behavior and Self-Efficacy of Mothers Stefi Maizuputri, Muthia Mutmainnah, Meinarisa Jurnal Berita Ilmu Keperawatan.2024; 17(2): 152. CrossRef
Role of proper postnatal care in continued exclusive breastfeeding among young Indonesian mothers Wahyu Triadmajani, Shinta Prawitasari, Abdul Wahab Clinical and Experimental Pediatrics.2024; 67(12): 686. CrossRef
Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries Kyaw Lwin Show, Nampet Jampathong, Pyae Linn Aung, Kyawt Mon Win, Chetta Ngamjarus, Porjai Pattanittum, Thae Maung Maung, Khaing Nwe Tin, Su Mon Myat, Meghan A Bohren, Nogati Chairunnisa, Pisake Lumbiganon BMC Pregnancy and Childbirth.2024;[Epub] CrossRef
The practice of exclusive breastfeeding by region in Indonesia Haerawati Idris, Dea Widya Astari Public Health.2023; 217: 181. CrossRef
Social media utilization and knowledge levels in exclusive breastfeeding among mothers in Indonesia Deswani Deswani, Dea Eki Rahmawati, Yuli Mulyanti, Syafdewiyani Syafdewiyani, Rita Ismail, Sri Djuwitaningsih Healthcare in Low-resource Settings.2023;[Epub] CrossRef
Analysis of Supporting Factors Associated with Exclusive Breastfeeding Practice in the Urban Setting during the COVID-19 Pandemic Agrina Agrina, Dedi Afandi, Suyanto Suyanto, Erika Erika, Yulia Irvani Dewi, Siska Helina, Dita Pramita, Nanda Safira Children.2022; 9(7): 1074. CrossRef
First
Prev
