The Predictive Model for Recurrent Diarrhea in Children Aged 12-59 Months at Tanah Kali Kedinding Public Health Center, Surabaya
Keywords:
Toddlers, recurrent diarrhea, prediction model, dominant factor
Abstract
Introduction: Recurrent diarrhea occurs repeatedly within a short period, between one and three months or more than once per year. Diarrhea is a leading cause of toddler deaths globally, including in Indonesia with 100,000 deaths annually. Identifying factors predicting recurrent diarrhea significantly impacts prevention efforts.
Objectives: This research aims to create a prediction model for the incidence of recurrent diarrhea in toddlers at the Tanah Kali Kedinding Community Health Center, Surabaya.
Methods: This research method was a retrospective observational analytical study with a case-control design, involving 80 toddlers (40 case samples and 40 control samples) selected through purposive sampling. The independent variable was recurrent diarrhea in toddlers. The dependent variables were birth weight, nutritional status, measles immunization status, vitamin A suplementation, breastfeeding patterns, and mother's hand washing habits. The instrument used was a questionnaire. Data analysis used simple and multiple logistic regression.
Results: The research showed that the incidence of recurrent diarrhea was related to malnutrition status (p = 0.008, OR = 20.184), measles immunization status (p = 0.029, OR = 9.599), breastfeeding pattern (p = 0.002, OR = 15.270), and maternal hand washing habits (p = 0.001, OR = 15.917). Meanwhile, factors that were not significantly related included birth weight (p = 0.397) and vitamin A suplementation (p = 0.456)
Conclusions: Factors that influenced the formation of a prediction model for the incidence of recurrent diarrhea in toddlers were malnutrition status, measles immunization status, breastfeeding patterns, and mother's hand washing habits.
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References
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Anggraeni, T., Hastuti, W., and Herbasuki.(2023).Hubungan Imunisasi Campak Dengan Kejadian Diare Akut: Meta-Analisis. Avicenna : Journal of Health Research, 6(2), pp. 61-70.
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Anggraeni, R., Permana, A., Susanti, A.(2021).Hubungan Kebiasaan Mencuci Tangan Ibu Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Sukaraja Kabupaten Sukabumi Tahun 2021. Jurnal Ilmu Kebidanan Keperawatan dan Kesehatan Lingkungan, 19(2), pp. 14-21.
Baidya, M., Mahmud, S., Ghosh, U M., and Begum, D.(2023).Risk factors of persistent diarrhea in children below 5 years of age. Northen International Medical College Journal, 12 (2), pp. 539-543.
Nemeth,V., and Pfleghaar, N. (2023). Diarrhea. National Library Of Medicine Journal. Available at: https://www.ncbi.nlm.nih.gov/books/NBK448082/
Wibisono, AM., Marchianti, AC., and Dharmawan, DK. (2020). Risk Factor Analysis Of Recurrent Diarrhea On Toddlers In Sumber Jambe Health Center Jember Regency. Journal Of Agromedicine And Medical Sciences, 6(1), pp. 43-52. Doi: 10.19184/Ams.V6i1.9657.
Lawrence., and Lestari, I. (2023). Science Midwifery Community diagnosis in an effort to reduce the number of diarrhea cases. Science Midwifery Journal, 10(6), pp. 2721–9453
Ernawati, F.(2015).Pemodelan Dan Pemetaan Kejadian Diare Di Kota Surabaya Menggunakan Geographically Weighted Negative Binomial Regression. Repository SkripsiInstitutTeknologiSepuluhNovember.Availableat:https://repository.its.ac.id/63228/%0Ahttps://repository.its.ac.id/63228/1/1313105029-Undergraduate.pdf.
Dhea, F.K., Izmi, AZ., Bintang, R., and Rizki, A.(2020).Faktor Risiko Diare Pada Bayi Dan Balita Di Indonesia: A Systematic Review. Seminar Nasional Kesehatan Masyarakat. pp. 172-189.
Kementrian Kesehatan RI.(2014). Pedoman Tatalaksana Diare. Jakarta: Kementrian Kesehatan RI.
Permatasari, EO., Rumiati, AT., and Ratnasari,V.(2023). Pembuatan Media Penyuluhan Berbasis Kasus Data Penyebab Diare pada Balita di Daerah Keputih yang Berobat di Medical Center ITS. Jurnal Sewagati, 7(5), pp. 666–671. doi: 10.12962/j26139960.v7i5.224.
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Komang, YU., Armerinayanti, NY., Lely, AA.(2023).Gambaran Kejadian Diare pada Balita di Rumah Sakit Umum Daerah Wangaya Denpasar. Aesculapius Medical Journal, 3(3), pp. 309–315.
Kristin, R., Zhuo, S., and Ishani, G.(2020).Trends in Pediatric Primary Care Visits Among Commercially Insured US Children, 2008-2016. JAMA Pediatric.
Titik, M W.(2021).Perkembangan Anak Usia Dini. Repository Universitas PGRI Yogyakarta
Haider, W., Robert, C.(2019).Differences in Health Outcomes between Men and Women: Biological, Behavioral, and Societal Factors. Pubmed Central, 65(1), pp. 19-23.
Anna, C., Guilia, A., Anna, A., Calogero, C., and Giuseppina, C.(2023).Sex and Gender Affect Immune Aging. Pubmed Central, 4(1). doi 10.3389/fragi.2023.1272118
Kapti, A., Triharini., Corebima., Azizah., Amaliya.(2022).Factors Associated With Diarrhoea Among Infants With Low-Birth-Weight History In Indonesia, Medical Journal of Malaysia, 77(6), pp. 717–723.
Nevinia, R.(2022).Perbandingan Kejadian Diare Pada Bayi Usia 2-12 Bulan Dengan Berat Lahir Rendah Dan Berat Lahir Normal Di Puskesmas Boom Baru Palembang. Repository Thesis Universitas Sriwijaya, pp.1-40.
Sri, K., and Martini, S.(2016).Status Gizi Dan Status Imunisasi Campak Berhubungan Dengan Diare Akut. Jurnal Wiyata, 3(2), pp. 126-132.
Valentina, P K., and Faizah, A.(2020).Relationship of Nutritional Status on Diarrhea in Children in a Community Health Centre Batu Aji 2020. Zona Keperawatan. 11(1), pp. 54-62.
Puhi, C N., Sudirman, A N., and Febriyona, R.(2023).Studi Literatur : Hubungan Status Gizi dengan Kejadian Diare Pada Balita 0-5 Tahun. Jurnal Nurse, 6(1), pp. 39-50.
Alim, M C., Hasan, M., dan Masrika, N U.(2021).Hubungan Diare Dengan Status Gizi Pada Balita Di Rumah Sakit Umum Daerah Dr. H. Chasan Boesoirie. Kieraha Medical Journal, 3(1), pp.1-6.
Kenneth, B.(2003).Diarrhea and Malnutrition. The Journal of Nutrition, 133(1), pp. 328-332
Linda, I N., and Daryanti, M S.(2022).Relationship of nutritional status with diarrhea amongchildren in Sumenep Regency. International Journal of Health Science and Technology, 3(3), pp. 100-108.
Oktariana, M., Hariyanti, R., and Sulastri.(2023).Hubungan Status Gizi dan Status Imunisasi dengan Kejadian Diare pada Balita di Puskesmas Putri Ayu Kota Jambi. Jurnal Ilmiah Ners Indonesia, 4(2), pp. 198-206.
Susilowati, L., and Hutasoit, M.(2020).Suplementasi Vitamin A Pada Anak Diare Usia 12– 59 Bulan. Journal Of Holistic Nursing Science, 7(1), Pp. 46–53. Doi: 10.31603/Nursing.V7i1.2977.
Ulfa, M., and Sufriani.(2017).Faktor faktor yang memengaruhi kejadian diare pada anak balita. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 2 (4), pp. 1-11.
Anggraeni, T., Hastuti, W., and Herbasuki.(2023).Hubungan Imunisasi Campak Dengan Kejadian Diare Akut: Meta-Analisis. Avicenna : Journal of Health Research, 6(2), pp. 61-70.
Bawankule, R., Singh, A., Kumar, K., and Shetye, S.(2017).Does Measles Vaccination Reduce the Risk of Acute Respiratory Infection (ARI) and Diarrhea in Children: A Multi-Country Study?. Journal PLoS One. doi: 10.1371/journal.pone.0169713. PMID: 28076428; PMCID: PMC5226778.
Soegijanto, S.(2002).Campak. Buku Ajar Ilmu Kesehatan Anak Infeksi & Penyakit Tropis Edisi 1. Jakarta: Balai Penerbit FKUI
Restuti, ANS., and Fitri, YA.(2019).Hubungan antara Tingkat Asupan Vitamin A, Zinc, dan Polyunsaturated Fatty Acid (PUFA) dengan Kejadian Diare Balita. Indonesian Journal of Human Nutrition, 6(1), pp. 32–40. doi: 10.21776/ub.ijhn.2019.006.01.4.
Diana, M M.,and Caroline, O.(2020).Disease burden and risk factors of diarrhoea in children under five years: Evidence from Kenya’s demographic health survey. International Journal of Infectious Diesease, 93, pp. 359-366. doi: 10.1016/j.ijid.2020.02.003.
Irwan., Katili, D., Una, M., Ladimo, M.P., Hantulu, D.P.(2023).Risiko Kejadian Diare pada Bayi terhadap Pemberian ASI Eksklusif dan ASI Non Eksklusif. Jurnal Sarana Ilmu Indonesia, 5(1), pp. 9-17.
Merben, O., and Abbas, N.(2023).Hubungan Pemberian Makanan Pendamping Asi (Mp-Asi) Dengan Kerjadian Diare Pada Bayi Usia 0-6 Bulan Di Wilayah Kerja Puskesmas Cigudeg Tahun 2023. Jurnal Ilmiah Kesehatan. 7(2), pp. 1-8.
Proverawati, A.(2010).ASI dan Menyusui. Yogyakarta: Nuha Medika
Simatupang, E J., Novrida, Y., Djami, M., Pusmaika, R., Sumiyati, I., Enjelia, D., Romladoni, A., and Kusumawati, I.(2022).Hubungan Asi Eksklusif Dengan Kejadian Diare Pada Batita Di Kabupaten Tangerang. Jurnal Kesehatan Masyarakat, 6(2), pp. 1730-1737.
Kurniawan, R E., Makrifatullah, N A., Rosar, N., Triana, Y., Kunci, K.(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): 163–173.
Bayu, G O., Duarsa, D., Pinatih, G N., and Ariastuti, L.(2020).Hubungan Pemberian ASI Eksklusif terhadap Kejadian Diare pada Bayi Usia 6-12 Bulan di Puskesmas Denpasar Barat II. Jurnal Biomedik, 12(1). Pp. 68-75.
Adib, M., Putri, E., Saputri, N A S., Alwahid, S M., and Sutriyawan, A.(2023).Pengaruh Riwayat ASI Eksklusif dan Cuci Tangan Pakai Sabun Terhadap Kejadian Diare Pada Bayi. Jurnal Manajemen Kesehatan Yayasan RS Dr Soetomo, 9(1). pp. 48-57.
Kementrian Kesehatan RI.(2018b).Data dan informasi profil kesehatan indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia.
Solomon, E T., Gari, S R., Kloos, H., and Alemu, B M.(2021).Handwashing Effect On Diarrheal Incidence In Children Under 5 Years Old In Rural Eastern Ethiopia : A Cluster Randomized Controlled Trial. National Library Of Medicine Journal, 49(26), pp. 1–11.
Anggraeni, R., Permana, A., Susanti, A.(2021).Hubungan Kebiasaan Mencuci Tangan Ibu Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Sukaraja Kabupaten Sukabumi Tahun 2021. Jurnal Ilmu Kebidanan Keperawatan dan Kesehatan Lingkungan, 19(2), pp. 14-21.
Baidya, M., Mahmud, S., Ghosh, U M., and Begum, D.(2023).Risk factors of persistent diarrhea in children below 5 years of age. Northen International Medical College Journal, 12 (2), pp. 539-543.
