Factors associated with infant and young child feeding practices in children aged 6-23 months in Indonesia: A nationwide study.

INTRODUCTION: Children-related nutrition raises significant attention due to the low implementation of infant and young child feeding (IYCF) practices. However, the factors affecting the low implementation of IYCF remains limited globally. This study aimed to identify factors influencing IYCF in children aged 6-23 months in Indonesia. METHODS: We conducted a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey. A total of 4943 responses were included. We employed binary logistic regression to determine the factors affecting IYCF practices in children aged 6-23 months. The results are reported as odds ratios (OR) with a 95% confidence interval (CI) and a significance level of p < 0.05. RESULTS: Several factors significantly influenced IYCF practices among children aged 6-23 months, including the age of the child (OR: 0.42; 95% CI: 0.27-0.65), middle wealth index (OR: 1.85; 95% CI: 1.12-3.08), regional disparities (OR: 0.43; 95% CI: 0.23-0.77), place of residence (OR: 1.77; 95% CI: 1.17-2.68), and a history of childhood diseases like fever (OR: 1.65; 95% CI: 1.05-2.58). CONCLUSION: This study highlights the significance of various factors related to IYCF practices among children aged 6-23 months. These factors include maternal aspects such as wealth index, child-related factors like age, a history of childhood illnesses such as fever, and environmental factors such as regional disparities and place of residence. PRACTICE IMPLICATIONS: Paediatric nurses can contribute to enhancing maternal knowledge by providing education on the importance of infant and child feeding practices, beginning early in the child's life.

Knowledge and action related to stimulation development of stunted children.

Objectives: To analyse the correlation of parental knowledge and parental stimulation with toddler stunting. Method: The cross-sectional study was conducted in April 2020 at the Tlanakan Health Centre, Pamekasan Regency, Indonesia, and comprised mothers of stunted children aged 6-36 months who had no comorbid disease. Data was collected using a questionnaire and a checklist. Data was analysed SPSS with Spearmen Rank correlation. RESULTS: Of the 186 mothers, 125(67.2%) were aged 20-30 years, and 168(90.3%) were housewives. Among the children, 97(52.2%) were boys and 89(47.8%) were girls. The largest age group was that of 25-36 months 80(43%). There was a significant correlation of parental knowledge and stimulation with the development of stunting toddlers (p=0.001). CONCLUSIONS: Parental knowledge and actions of developmental stimulation by parents were related to the quality of development of the stunted children.

The relationship of mother's feeding practices and the frequency of diarrhoea in under-five children.

Objectives: To determine the relationship between a mother's feeding practice and the incidence of diarrhoea in children aged <5. Method: The quantitative, descriptive-analytical, cross-sectional study was conducted in June 2021, in Tropodo village, Waru district, Sidoarjo, Indonesia, and comprised mothers having children who were aged <5 years. Mother's feeding practice was the independent variable, while the dependent variable was the incidence of diarrhoea in children. Data was collected using the Comprehensive Feeding Practices Questionnaire and the relevant portions of the Demographic and Health Survey questionnaire. Data was analysed using Spearman Rho test. RESULTS: Of the 217 mothers, 110(50.7%) were aged 30-40 years, and of the 217 children, 96(44.2%) were aged 1 year. There were 124(57.1%) girls and 93(42.9%) boys among the children. There was a significant relationship between mother's feeding practice and the incidence of diarrhoea in children <5 (p=0.004; r=0.194). CONCLUSIONS: Inappropriate maternal feeding practices were found to have the potential to cause diarrhoea in children aged <5.

Determinants of under-five mortality in Indonesia: A nationwide study.

BACKGROUND: The mortality rate for infants and children under five in Indonesia is an ongoing challenge for the government, with figures exceeding the targets set for the country by the Sustainable Development Goals (SDGs). OBJECTIVES: This study aims to discover the factors causing under-five mortality in Indonesia. METHODS: This study will employ a cross-sectional study design with data sourced from the 2017 Indonesian Demographic and Health Survey (IDHS) between July and September 2017. The sample included 10,014 women who had given birth in the five years prior to the survey. The data was analyzed using Binary logistic regression with a significance level of p < 0.05. RESULTS: The significant factors relating to under-five mortality in Indonesia are: mother's age at birth (AOR = 2.04; 95% CI 95% = 1.11-3.77); birth weight (AOR = 7.60; 95% CI 95% = 5.17-11.19); the sex of the child (AOR = 1.80; 95% CI 95% = 1.28-2.52); frequency of using the internet (AOR = 1.13; 95% CI 95% = 0.02-0.95); residence (AOR = 0.64; 95% CI 95% = 0.33-0.94); and birth interval (AOR = 0.52; 95% CI 95% = 0.29-0.92). Birth weight is the more likely cause for under-five mortality in Indonesia. CONCLUSIONS: This study revealed that the characteristics of mothers, children, the area of residence, and the behavior of the mother affect the under-five mortality. PRACTICE IMPLICATIONS: Pediatric nurses can have a role to play in developing knowledge about health for both mothers and families. Additionally, accessible health education on issues from planning a pregnancy to childcare should be promoted in both rural and urban areas as well as a campaign on proper hygiene practices.

The correlation of Internet addiction towards adolescents' social interaction.

OBJECTIVES: Internet addiction is a pathological condition that drives a person to use technology excessively. Internet addiction can cause problems among adolescents to lose interest in everyday life and triggers social interaction problems. Aim: explaining the correlation between Internet addiction and adolescents' social interaction. METHODS: This study was a correlational design with a cross-sectional approach. The sampling technique used was purposive sampling. Respondents in this study were high school adolescents aged 15-18 years (n=215). The independent variable used in this study was Internet addiction and dependent variable was adolescents' social interaction (social interaction between adolescents and parents, peer, school environment and community). The level of Internet addiction was measured by the Internet Addiction Test (IAT) by Kimberly S. Young and Griffiths. The data obtained were analyzed using the Spearman rho. RESULTS: There was a significant that relationship between adolescent Internet addiction and interaction with parents (r=-0.568; p=0.000), peers (r=-0.587; p=0.000), and school environment (r=-0.213; p=0.002) but there was no relation between Internet addiction towards social interaction of adolescents with the community (r=-0, 090; p=0.191). CONCLUSIONS: This study showed that Internet addiction could affect adolescent social interactions with parents, peers and their interactions in the school environment.

Family filial value on caring children with leukemia

OBJECTIVE: Family centered empowerment is a nursing intervention by increasing family filial value which consists of responsibility, respect, and family care. The purpose of this study was to explain the family filial value in treating leukemia children. METHOD: The design of this study was descriptive with a cross-sectional design. The population in this study were families with children suffering from leukemia who were treated at Dr. Soetomo Surabaya. A sample of 140 respondents were recruited by consecutive sampling technique. Data was collected by questionnaire. The independent variable is family filial value and the dependent variable is the family's ability to caring children with leukemia. Data were collected by questionnaire and analyzed with spearman correlation (∝<0.05). RESULT: Responsibility is the highest indicator of family filial value (16.4%). The results showed that there was an influence of family filial value (responsibility p = 0.000; r=0.520, respect p = 0.000; r=0.403 and care p = 0.000; r=0.297) on the family's ability to care for leukemia children. CONCLUSION: Filial value of the family can improve the family's ability to care for leukemic children that have an impact on children's health indicators

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Adolescent characteristics and parenting style as the determinant factors of bullying in Indonesia: a cross-sectional study.

BACKGROUND: The incidence of adolescents bullying in Indonesia has increased. The purpose of this study was to analyze the correlation of demographic characteristics, parental interactions and parenting style as the potential determinants of bullying behavior in adolescents. METHOD: The research design used was cross-sectional. The study population consisted of adolescents in Indonesia who accessed the Google form, and adolescents who study at a junior high school and a vocational high school in Surabaya. The study sample totaled 705 adolescents based on consecutive sampling with a study period of 3 months. The independent variables were demographic characteristics, parental interactions and parenting style, while the dependent variable was bullying behavior. The data collection method used was a questionnaire filled in by the adolescents through a Google form and a questionnaire sheet. The statistical analysis used the chi-square test for the adolescent's characteristics and Spearman's rank correlation with α = 0.05. RESULTS: The results showed that the characteristics of the adolescents, namely age and place of residence, were related to bullying behavior. A permissive and authoritarian parenting style had a positive correlation with being a bullying perpetrator, while only permissive parenting style had a positive correlation with being a bullying victim. CONCLUSION: Adolescents experience bullying behavior as both the perpetrators and victims. Adolescents living in rural areas are more likely to commit bullying as the perpetrators. A parenting style that is either too rigid or too free has a high risk of being a bullying behavior factor as the perpetrator. Parents are expected to apply an authoritative parenting style in order to prevent the risk of bullying in adolescents.

Determinants of early marriage among female adolescent in Indonesia.

BACKGROUND: While studies on reproductive health issues are discussed widely, until recently early marriage among adolescent has not received enough attention across stakeholders in Indonesia. This research aims to analyze the determinants of early marriage among female adolescents in Indonesia. METHODS: This study employs data from the Indonesia Demographic and Health Survey (IDHS) 2012 on females aged 15-19 years (n = 7207). The analytical methods used to determine factors of early marriage were chi-square and multiple logistic regression. RESULTS: The results from this research revealed that four determinants are significantly related to early marriage among female adolescent. Females who have not completed primary school tend to be involved in an early marriage more often than those who graduated from high school. Furthermore, underprivileged females tend to get married earlier than those with a high socio-economic status. Additionally, females living in rural areas are more prone to early marriage than those living in urban areas. Finally, well-informed females tend not to get married as early as females who do not have access to media information. CONCLUSION: A stakeholder policy is required that promotes the status of females by improving access to national education, particularly for females in rural areas and those who live in poverty. Marketing and advertising media campaign targeting adolescent are needed to ensure greater access to information.