scholarly journals Hubungan Insomnia dengan Hipertensi

2021 ◽  
Vol 24 (1) ◽  
pp. 46-56
Author(s):  
Hendrik Edison ◽  
Olwin Nainggolan

Insomnia and hypertension are very common and often coexist. There is evidence to suggest that the increase in the prevalence of hypertension in the past decade may be related to an increase of the prevalence of insomnia and with a decrease in sleep duration caused by modern lifestyles. The purpose of this study was to look at the association and magnitude of risk of insomnia with hypertension. This study used secondary data from the 2014 Indonesia Family Life Survey (IFLS5) with respondents ≥19 years old. Conceptual framework with a risk factor model approach. Insomnia disorders are the main independent variable, and hypertension is the main dependent variable. Confounding variables are age, overweight and sex. Association of insomnia disorders to hypertension was analyzed using multiple logistic regression analysis with the significance of P value <0.05. The prevalence of insomnia sufferers aged ≥19 years old in Indonesia based on IFLS5 data was 43.7%. This analysis showed that insomnia was not associated with the incidence of hypertension P>0.05; OR: 0.937 (95% CI 0.873-1.006). The variables associated with the risk of hypertension were age ≥ 40 years old with OR: 5,246 (95% CI 4,885-5,598) and overweight with OR: 2,112 (95% CI 1,985-2,269). In this study, age and overweight contributed 18.9% to the incidence of hypertension. Abstrak Insomnia dan hipertensi sangat umum dan sering kali berdampingan. Bukti menunjukkan bahwa peningkatan prevalensi hipertensi dalam dekade terakhir kemungkinan terkait dengan peningkatan prevalensi insomnia dan penurunan durasi tidur yang disebabkan oleh gaya hidup modern. Tujuan dari penelitian ini adalah untuk melihat hubungan dan besaran risiko insomnia terhadap hipertensi. Penelitian ini menggunakan data sekunder Indonesia Family Life Survey tahun 2014 (IFLS5) dengan responden berumur ≥19 tahun. Kerangka konsep dengan pendekatan model faktor risiko. Gangguan insomnia merupakan variabel independen utama, dan hipertensi adalah variabel dependent utama. Variabel perancu adalah umur, kelebihan berat badan (overweight) serta jenis kelamin. Untuk melihat hubungan gangguan insomnia dengan hipertensi menggunakan analisis regresi logistik berganda dengan kemaknaan P value < 0,05. Prevalensi penderita insomnia umur ≥19 tahun di Indonesia berdasarkan data IFLS5 adalah sebesar 43,7%. Analisis ini menunjukkan bahwa insomnia tidak berhubungan dengan kejadian hipertensi P>0,05; OR: 0,937 (95% CI 0,873-1,006). Variabel yang berhubungan dengan risiko hipertensi adalah umur ≥ 40 tahun dengan OR: 5,246 (95% CI 4,885-5,598) serta overweight dengan OR: 2,112 (95% CI 1,985-2,269). Pada penelitian ini umur dan overweight memberikan kontribusi terhadap kejadian hipertensi sebesar 18,9%.

2020 ◽  
Vol 23 (3) ◽  
pp. 161-168
Author(s):  
Tri Wurisastuti ◽  
Rofingatul Mubasyiroh

A mother who just gave birth needs to psychological support from her closest people. Lack of support from the closest people triggers her emotions that lead to depression. This study aims to determine the relationship between social support and postpartum depression. The analysis used Indonesia Family Life Survey (IFLS) 5 data in 2014. The samples were all mothers aged 15 years old and above who married and had babies aged 2-24 weeks. The independent variables included the presence of a spouse, the presence of other relatives, the participation of the mother in the social gathering, and the characteristics of the mother (age, education and occupation). Data were from 593 mothers who had complete variables using multiple logistic regression analysis. The analysis showed that the absence of a husband had a significant effect on postpartum depression (p-value = 0.001; OR = 2.81). Both the presence of other relatives and the maternal age are confounding variables for postpartum maternal depression. Mothers who did not stay with their partners had a risk of depression 2.81 times higher than those who did. It was controlled by the presence of other relatives and the age of the mother. Postpartum mothers have to be accompanied by her partner during babysitting. Abstrak Ibu yang baru melahirkan membutuhkan dukungan psikologis dari orang-orang terdekatnya. Kurangnya dukungan dari orang terdekat dapat menyebabkan penurunan psikologis yang akan menyebabkan ibu menjadi depresi. Studi ini bertujuan mengetahui hubungan dukungan sosial dengan depresi ibu pasca persalinan. Analisis menggunakan data Indonesia Family Life Survey (IFLS) 5 tahun 2014. Sampel dalam analisis adalah seluruh ibu berusia 15 tahun ke atas yang menikah dan memiliki bayi berusia 2-24 minggu. Variabel bebas yang dianalisis meliputi keberadaan pasangan, keberadaan kerabat lain, keikutsertaan ibu dalam arisan, dan karakteristik ibu (usia, pendidikan dan pekerjaan). Data dianalisis dari 593 ibu yang memiliki variable lengkap dengan menggunakan analisis regresi logistik berganda. Hasil analisis menunjukkan bahwa ketidakberadaan suami berpengaruh signifikan terhadap depresi pasca persalinan (p-value=0,001; OR=2,81). Keberadaan kerabat lain dan usia ibu merupakan variabel confounding terhadap depresi ibu pasca bersalin. Ibu yang tidak tinggal bersama pasangannya memiliki risiko depresi 2,81 kali lebih tinggi dibandingkan dengan ibu yang tinggal dengan pasangannya setelah dikontrol variabel keberadaan kerabat lain dan usia ibu. Ibu pasca bersalin disarankan didampingi oleh pasangan selama pengasuhan bayi.


2020 ◽  
Vol 2 (3) ◽  
pp. 25-32
Author(s):  
Maria Shaikh ◽  
Sumra Shaikh ◽  
Ghazala Benghal ◽  
Haseeb Haleem Shaikh ◽  
Nadeem Juman Shah

Debt financing has been used as an instrument of filling the budget deficits both in the private and public sector. Over the years it has gained popularity and it is now a common phenomenon to find in the finical reports of most companies’ extent of debt. The contribution Advances and deposits are crucial for all banks. This research is aimed to judge impact of debt, investments, Advances, Equity, Taxes and deposits on profitability of banks. This research is aimed at identify impact of major factors on profitability of Muslim commercial bank of Pakistan (MCB) covering the period from 2011 to 2016 Secondary data was used from annual financial reports and from the website of Muslim commercial bank of Pakistan (MCB) and state bank of Pakistan. This research study is descriptive and correlative in nature. The data then analysed through multiple regression analysis in electronic views (e-views) in order to measure if there exists any relationship between bank profitability and leverage. Debt, Advances, Investment Equity and Taxes selected as independent variables and profitability as dependent variable in order to examine the effects of debt, Advances, Equity and Taxes on firm performance. The findings of the research are significant as per hypothetical relationship. The study revealed that bank advances, investments and equity has a positive effect on profitability whereas Taxes affects negatively to the profitability of MCB. The regression results show that Advances, Investments and equity which is independent variable is significant variable of profitability the dependent variable. Its significant at.000 level of significance as the p-value shows.


2020 ◽  
Vol 23 (2) ◽  
pp. 80-88
Author(s):  
Olwin Nainggolan ◽  
Ika Dharmayanti ◽  
A Yudi Kristanto

This study aimed to know the association and risk levels of household other members and adolescent smoking behaviors in Indonesia. As confounding variables of study involving Alcohol Consumption Behavior, Lived Area, and Social-Economics Status Variables. A study hypothesis declared that there was a signifi cant correlation between smoking behavior of household other members as a smoker with the smoking behavior of 15 to 18 years old after being controlled by other variables. Furthermore, this study using a Basic Health Research Secondary Data of 2018 aged 15 until 18 years and a multivariable analyzed uses logistic regression. The results showed a signifi cant correlation (p-value 0,000) between Household Other Members as a Smoker with smoking behavior of 15 to 18 years old after being controlled by confounding variables with OR 1,449 (95% CI 1,346-1,56-0). Smoker Variable not as a Head of Household was signifi cantly correlated (p-value 0,007) with OR 2,002 (95% CI 1,211-3,377), Alcohol Consumption Behavior was signifi cantly correlated (P-value 0,000) with OR 20,602 (95% CI 17,611-24,101), Lived Area with OR 1,129 (95% CI 1,051-1,212), also Social Economic Status with OR 1,098 (95%CI 1,024-1,178). An Alcohol Consumption Behavior Variable was the most dominant variable in determining Adolescent Smoking Behavior. We should focalize on areas identity is driven by health service providers, stakeholders, and policymakers. Accordingly, formulate awareness programs and education, particularly adolescents, to eliminate smoking initiation.  Abstrak Penelitian ini bertujuan untuk mengetahui hubungan dan besaran risiko perilaku merokok anggota rumah tangga lain dengan perilaku merokok remaja berusia 15 sampai dengan 18 tahun di Indonesia. Variable perancu pada penelitian ini meliputi perilaku konsumsi alkohol, wilayah tempat tinggal, serta status sosial ekonomi responden. Hipotesis penelitian ini adalah ada hubungan yang bermakna antara perilaku merokok anggota rumah tangga lain sebagai perokok, dengan perilaku merokok remaja usia 15 sampai dengan 18 tahun setelah dikontrol oleh variabel lain. Penelitian ini menggunakan data sekunder Riset Kesehatan Dasar (Riskesdas) tahun 2018 dengan rentang usia 15-18 tahun dan data di analisis secara multivariabel menggunakan regresi logistik. Hasil penelitian diperoleh bahwa terdapat hubungan yang bermakna (p value 0,000) antara anggota rumah tangga lain sebagai perokok dengan dengan perilaku merokok pada remaja usia 15 sampai dengan 18 tahun setelah dikontrol oleh variabel perancu dengan OR 1,449 (95% CI 1,346-1,56-0). Variabel perokok bukan sebagai kepala rumah tangga berhubungan bermakna (p value 0,007) dengan OR 2,002 (95% CI 1,2113,377), perilaku minum alkohol berhubungan bermakna (p value 0,000) dengan OR 20,602 (95% CI 17,611-24,101), wilayah tempat tinggal responden dengan OR 1,129 (95% CI 1,051-1,212), serta status sosial ekonomi dengan OR 1,098 (95%CI 1,024-1,178). Variabel perilaku minum alkohol adalah variabel yang paling besar pengaruhnya terhadap perilaku merokok pada remaja. Perlu fokus identifi kasi area oleh penyedia layanan kesehatan serta para stake holder pembuat kebijakan dalam merumuskan program kesadaran dan pendidikan khususnya pada remaja untuk eliminasi inisiasi merokok.


2015 ◽  
Vol 10 (1) ◽  
pp. 29
Author(s):  
Desi Rusmiati ◽  
Sutanto Priyo Hastono

AbstrakLaporan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2007dan 2012 menunjukkan terjadinya penurunan jumlah remaja yang memiliki sikap positif terhadap pentingnya mempertahankan keperawanan bagi seorang perempuan. Dari laporan yang sama juga diketahui adanya peningkatan perilaku seksual remaja dalam hal berpegangan tangan, berciuman bibir, petting, dan melakukan hubungan seksual. Penelitian ini bertujuan untuk membuktikan adanya hubungan antara sikap remaja terhadap keperawanan dengan perilaku seksual dalam berpacaran dengan melibatkan usia, jenis kelamin, pendidikan, tempat tinggal, usia pertama kali pacaran, pengetahuan, dan pengaruh teman sebaya sebagai variabel perancu. Penelitian ini merupakan penelitian kuantitatif dengan rancangan potong lintang menggunakan model faktor risiko dari data SDKI 2012 yang dianalisis secara univariat, bivariat, dan multivariat dengan complex samples. Populasi penelitian adalah remaja berusia 15 - 24 tahun, belum menikah, pernah atau sedang berpacaran saat survei dilakukan. Sampel berjumlah 13.013 yang terdiri dari 7.329 laki-laki dan 5.684 perempuan. Hasil menunjukkan 1,1% remaja tidak setuju terhadap pentingnya menjaga keperawanan dan 25,2% remaja memiliki perilaku seksual berisiko. Terdapat hubungan antara sikap, usia, jenis kelamin, pengetahuan, dan pengaruh teman sebaya dengan perilaku seksual. Tidak terdapat interaksi antara sikap dengan usia, jenis kelamin, pendidikan, pengetahuan, dan pengaruh teman sebaya. Variabel pengaruh teman sebaya merupakan variabel perancu yang memengaruhi hubungan antara sikap dengan perilakuseksual.Teenage Attitudes toward Virginity and Sexual Behavior in DatingAbstractIndonesia Demographic and Health Survey (IDHS) reports in 2007 and 2012 show a declining number of teenagers who had positive attitude to the importance of maintaining virginity for a woman. The same report also shows an increase of teenage sexual behavior in terms of holding hands, kissing, petting and intercourse. This study aimed to prove any relation ofteenage attitudes toward virginity with sexual behavior in dating that involved age, sex, education, domicile, age of first dating, knowledge andpeers’influence as confounding variables. This study was quantitative withcross-sectional design using risk factor model based on IDHS 2012 data asanalyzed in univariate, bivariate and multivariate with complex samples.Population of study was 15 – 24 year-old teenagers, unmarried, ever or being in a relationship when the survey was conducted. The amount of sample was 13,013 consisting of 7,329 men and 5,684 women. Results showed 1.1% of teenagers disagreed of the importance of maintaining virginity and 25.2% had risky sexual behavior. There was a relation of attitude, age, sex, knowledge and peers’ influence with sexual behavior. Then no interaction found between attitudes with age, sex, education, knowledge and peers’influence. Peers’ influence variable is confounding variable affecting the relation between attitudes and sexual behavior.


2020 ◽  
Vol 13 (1) ◽  
pp. 12-16
Author(s):  
Risnawati Valentina ◽  
Pujianto

Perkembangan jaminan kesehatan mulai berkembang dengan adanya Jaminan Kesehatan Nasional (JKN) sejak tahun 2014 yang dilaksanakan oleh Badan Penyelenggaraan Jaminan Sosial (BPJS) Kesehatan. Pemanfaatan layanan rawat jalan juga mengalami peningkatan baik rawat jalan maupun rawat inap. Oleh sebab itu, tujuan penelitian ini adalah melihat distribusi perilaku perokok, pelayanan rawat jalan, dan faktor- faktor yang berhubungan dengan pemanfaatan layanan rawat jalan di Indonesia. Penelitian ini menggunakan data Indonesia Family Life Survey 5 (IFLS 5) tahun 2014-2015 dengan desain penelitian cross-sectional dan pendekatan kuantitatif di mana pengukuran variabel independen dan variabel dependen yang dilakukan pada Maret 2019. Teori pemanfaatan layanan kesehatan oleh Andersen mencakup predisposing (umur dan jenis kelamin), enabling (ke pemilikan jaminan kesehatan), dan need (status perokok dan penyakit yang berhubungan dengan perilaku merokok). Hasil yang diperoleh  adalah distribusi frekuensi pemanfaatan layanan rawat jalan selama empat minggu sebesar 1.600 (13,4%), distribusi frekuensi perilaku merokok sebesar 10.396 (86,9%), dan variabel umur, jenis kelamin, ke pemilikan jaminan kesehatan, status perokok dan penyakit yang berhubungan dengan perilaku merokok berhubungan signifikan dengan pemanfaatan layanan rawat jalan dengan p value = 0,00. Pemanfaatan layanan rawat jalan dipengaruhi oleh faktor dalam dan luar diri


2016 ◽  
Vol 18 (1) ◽  
pp. 149 ◽  
Author(s):  
Theresia Puji Rahayu

<p align="center"><em>The research objective is to analyse the determinants of happiness in Indonesia. Using cross-section data from Indonesia Family Life Survey (IFLS) wave 4, 2007, this study takes 17.650 observations which estimated using Oprobit model. The Oprobit model was chosen because of ordinaled response variable and the normal assumption in error distribution. The result shows that happiness in Indonesia positively affected by income, education level, perceived health status and social capital. But social capital that connected with religion and ethnic don’t have significant effect on happiness. All predictors are robust. Demographic characteristics inform that married people, non household head, live in urban area, outside of Jawa-Bali islands and Javanese were happier than others. There is no difference in happiness level between man and woman. Happiness-age relationship indicated U-shaped curve. Marginal effect shows different effect for every happiness level due to a unit change in independent variable.</em></p><p><em><br /></em></p><p align="center"><strong>Abstrak</strong></p><p align="center"><strong> </strong></p><p>Tujuan penelitian ini adalah untuk menganalisis faktor-faktor penentu kebahagiaan di Indonesia. Dengan menggunakan data antar ruang/silang tempat dari Indonesia Family Life Survey (IFLS) wave 4, 2007, studi ini mengambil 17,650 pengamatan yang diestimasi menggunakan model Oprobit. Model Oprobit dipilih karena adanya variabel respon ordinal dan asumsi normal dalam distribusi kesalahan. Hasil penelitian menunjukkan bahwa kebahagiaan di Indonesia secara positif dipengaruhi oleh pendapatan, tingkat pendidikan, status kesehatan yang dirasakan dan modal sosial. Namun demikian, modal sosial yang berkaitan dengan agama dan etnis tidak memiliki pengaruh yang signifikan terhadap kebahagiaan. Semua prediktor bersifat robust. Karakteristik demografi menginformasikan bahwa orang yang menikah, bukan kepala rumah tangga, tinggal di daerah perkotaan, berada di luar pulau Jawa-Bali dan dari suku Jawa lebih bahagia daripada yang lain. Riset ini juga menemukan bahwa tidak terdapat perbedaan dalam tingkat kebahagiaan antara pria dan wanita. Kemudian, hubungan antara kebahagiaan dan usia menunjukkan kurva yang berbentuk U. Terakhir, efek marjinal menunjukkan efek yang berbeda untuk setiap tingkat kebahagiaan karena perubahan unit variabel independen.</p><p><em><br /></em></p>


2019 ◽  
Vol 38 (2) ◽  
pp. 204-217
Author(s):  
Citra Kusumawardhani U.P ◽  
Asep Tata Gunawan ◽  
Tri Cahyono

Hospital Is An Health Service Tool Which Is Possible Make A Healthcare Associated Infection (Hais) That Can Caused Of The Number Of Airborne Germs. Secondary Data Bacteriology Inspection Result Is point that the floor of 2nd class Srikandi Inpatient room is not full the condition, the result is 26 colony/cm2. The large of population is 67, while the large of sample is 35 sample. Analysis model that is used on this research is Rank Spearman. Data collection is done by measurement and observation. Mean of the measurement is, the number of airborne germs is 7871,43 CFU/m3, temperature is 27,35oC, humidity is 56,20%, lighting intensity is 154,63 lux, room density is 10,3 m2/TT. Analysis result for temperature and the number of airborne germs is p=0,465; (rho)=0,128, humidity with the number of airborne germs is p=0,828; (rho)=0,038, lighting intensity with the number of airborne germs is p=0,061; (rho)=0,320, density room with the number of airborne germs is p=0,885; (rho)=0,025, ventilation with the number of airborne germs is p=0,113; (rho)=0,273, means of air circulation with the number of airborne germs is p=0,636; (rho)=0,083.  All of factors of independent variable is not in significant relation with the number of airborne germs (p value 0,05). We recommend that routine desinfection every month to reduce the number of airborne germs


2020 ◽  
Vol 8 (4) ◽  
pp. 197
Author(s):  
Nur Iffah

ABSTRACT Smoking cause more than seven million deaths every year worldwide.The smokers are die in average 10 years earlier than nonsmokers. Chemicals from cigarette's smoke cause damage to the human body that can occur to anyone regardless of age, both active and passive smokers. The risk of cancer and heart disease are increased at smokers, the other health risks that can occur are kidney failure, intestinal ischemia, and hypertension. Prevalence consumed of cigarettes has been an increase in Indonesia, besides that the age of initiation smokers has getting younger. Thepurpose of this study wast oanalyze factors related to smoking behavior at productive age inIndonesia.The research was an analytic observational study with a cross sectional as study design. This study used secondary data from the Indonesia Family Life Survey (IFLS5) conducted in 2014-2015. This study used all the population of household members of productive age (15-64 years), which was recorded in the secondary data of IFLS5 and 15,836 respondents has fulfilled the criteria.The characteristics of the most respondents were non-active smokers (58.18%), originating from the adult age group of 25-34 years (31.23%), mostly men (60.19%), moderate education level (49 , 73%), married status (80.11%) and lowincome (60.51%).Characteristicsn of respondents havea significant relationship with smoking behavior,with p<0.05 and a risk was1.32 times in adulthood,143.29 times in men, 3.55 and 2.40 times in low and medium education, 1,18 and 2,29 times in those who are married and divorce, then 1.38 and 1.30 times in low and medium income. Low life satisfaction, parental smoking history and negative feelings were related to smoking behavior, with p <0.00 and a risk consecutively was 1.37 times,1.48 timesand 1.03 times.Only the Extroversi on type of personality has a relationship with smoking behavior with a risk of 1.07times.There was a relationship between the characteristics of respondents and smoking behavior, besides that low of life satisfaction, parental smoking history, negative feelings and Extroversion personality types were related to smoking behavior. The prevention and control programs for smoking behavior are require by considering targets that adjusted from the characteristics of active smokers.  Keywords: smoking behavior, productive age, IFLS.        ABSTRAK Merokok menyebabkan lebih dari tujuh juta kematian setiap tahun di seluruh dunia.Rata-rata perokok meninggal 10 tahun lebih awal daripada bukan perokok. Bahan kimia dari asap rokok dapat menimbulkan kerusakan pada tubuh manusia yang dapat terjadi pada siapa saja tanpa memandang usia, baik perokok aktif maupun pasif. Pada perokok terjadi peningkatan risiko kanker dan penyakit jantung, risiko kesehatan lain yang dapat terjadi ialah gagal ginjal, iskemia usus, dan hipertensi. Di Indonesia mengalami peningkatan jumlah konsumsi rokok,selain itu usia perokok pemula juga semakin muda. Tujuan dari penelitian ini untuk menganalisis faktor yang berhubungan dengan tindakan merokok pada usia produktif diIndonesia.Jenis penelitian yang digunakan adalah observasional analitik dengan rancangan penelitian cross sectional. Penelitian ini menggunakan data sekunder Indonesia Family Life Survey (IFLS5) yang dilakukan pada tahun 2014-2015. Penelitian ini menggunakan semua populasi Anggota Rumah Tangga (ART) berusia produktif yaitu 15-64 tahun yang tercatat pada data sekunder IFLS5 dan sejumlah 15.836 responden memenuhi kriteria.Hasil penelitian menunjukkan karakteristik responden terbanyak adalahbukan perokok aktif (58,18%), berasal dari golongan usia dewasa 25-34 tahun (31,23%), sebagian besar laki-laki (60,19%), tingkat pendidikan sedang (49,73%), berstatus kawin (80,11%) dan berpendapatan rendah (60,51%). Karakteristik responden memiliki hubungan signifikan dengan tindakan merokok yaitu p<0,05 dengan besar risiko1,32 kali pada usia dewasa,143,33 kali pada laki-laki,3,56dan2,41 kali pada pendidikan rendah dan sedang, 2,29 dan 1,18 kali pada yang sudah kawin dan belum kawin, kemudian 1,38dan1,30 kali pada pendapatan rendah dan sedang. Kepuasan hidup rendah, riwayat orangtua merokok dan perasaan negative berhubungandengan tindakan merokok yaitu p<0,00 dengan besar risiko berturut-turut 1,37 kali, 1,48 kali dan 1,02 kali. Hanya jenis kepribadian Extroversion yang memiliki hubungan dengan tindakan merokok dengan risiko 1,07kali.Terdapat hubungan karakteristik responden dengan tindakan merokok, selain itu kepuasan hidup rendah, riwayat orang tua merokok, perasaan negative dan jenis kepribadian Extroversion berhubungan dengan tindakan merokok.Perlunya program pencegahan dan pengendalian tindakan merokok dengan mempertimbangkan sasaran yang disesuaikan karakteristik perokokaktif. Kata kunci: tindakan merokok, usia produktif, IFLS.        


2019 ◽  
Vol 10 (1) ◽  
pp. 26-34
Author(s):  
Rina Efiyanna ◽  
Sutanto Priyo Hastono ◽  
Ahmad Syafiq

The purpose of the study is to find out the alignment of the work types with the original specialization of alumni from the public health faculty of Universitas Indonesia based on the results of 2010-2017 tracer study of public health undergraduate of FKM UI. The study used secondary data from the 2010-2017 FKM UI Tracer Study with samples 298 people. Moreover, the study used Multivariate Analysis, especially multiple logistic regression analysis. The results of the multivariate analysis showed that the variables were significantly related to work alignment, namely variables of the origin specialization and the number of applying for jobs. Then, the variables of residency, work waiting period, additional courses and the number of interview calls are called confounding variables. The analysis results of Odds Ratio (OR) from the original specialization variables are 3. It means 3 alumni whose original specialization in Occupational Safety Health (K3) will get job which is line with their specialization 3 times higher than alumni whose specialization in Science Public Health (IKM) after getting controlled variables, such as the number of job applications, residency, work waiting period, additional courses and number of interview calls.


2018 ◽  
Vol 35 (2) ◽  
pp. 362-370
Author(s):  
Fernanda Ramos Monteiro ◽  
Gabriela dos Santos Buccini ◽  
Sônia Isoyama Venâncio ◽  
Teresa H. M. da Costa

Background: Since the 1980s, Brazil has implemented several initiatives to support breastfeeding. Maternity leave, paid in full for 16 weeks, has been available since 1988. However, few studies in Brazil have analyzed the impacts of maternity leave on breastfeeding using population-based indicators. Research aim: The aim was to analyze the association between maternity leave and exclusive breastfeeding interruption in children younger than 4 months residing in the Federal District of Brazil, in 2008 and 2014. Methods: Data from two surveys were used: the 2008 Second National Survey on Prevalence of Breastfeeding and the 2014 Monitoring of Infant Feeding Practices. The sample included 1,742 mothers with children younger than 4 months residing in the Federal District and using the Public Unified Health System. The main independent variable was the mother being on maternity leave and the outcome was interruption of exclusive breastfeeding. Multiple analyses were performed to test the association between maternity leave and the risk of interrupting exclusive breastfeeding, adjusting for socioeconomic, demographic, and biomedical characteristics. Results: In 2008 and 2014, the prevalence of exclusive breastfeeding was 60% and 71.4% and prevalence of maternity leave was 27% and 41%, respectively. The lack of maternity leave was strongly associated with interruption of exclusive breastfeeding in 2008 (prevalence ratio [PR] = 1.78, 95% confidence interval [CI] [1.12, 2.82]) and in 2014 (PR = 3.95, 95% CI [1.88, 8.31]) after adjusting for confounding variables. Conclusion: Not being on maternity leave was strongly associated with the interruption of exclusive breastfeeding among employed women residing in the Federal District.


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