Objectives This study examined the predictive role of child health problems and social determinants in postpartum depression (PPD), with the aim of supporting early screening strategies and more comprehensive maternal health policies. Methods: This cross-sectional study used secondary data from the 2023 Indonesia Health Survey, conducted by the Indonesian Ministry of Health. The analysis included 26,656 postpartum women aged at least 15 years who had given birth within the previous 24 months. PPD was assessed using the Mini International Neuropsychiatric Interview. Multiple logistic regression was used to analyze the data. Results: Child health problems were among the strongest factors associated with PPD in Indonesia. Having had an unplanned pregnancy was associated with higher odds of PPD (adjusted odds ratio [aOR], 3.90; 95% confidence interval [CI], 2.90–5.25; p < 0.001), as was having a child with chronic illness (aOR, 2.30; 95% CI, 1.01–5.26; p= 0.048). Social risk factors, including younger maternal age, divorce or separation from a partner, unemployment, and lack of social support, were also associated with PPD in Indonesia. Conclusion: Child health problems and adverse social conditions were significantly associated with postpartum mental health in Indonesia. Integrating early screening into maternal and child health services and strengthening maternal support systems may help reduce the burden of PPD.
Objectives This study investigated the correlation between food insecurity and infectious diseases among toddlers in Indonesia.
Methods This research employed a cross-sectional study design using data from the 2021 Indonesian Nutrition Status Survey, which included a sample of 84,115 toddlers. Food insecurity levels were assessed using the food insecurity experience scale, developed by the Food and Agriculture Organization. The dependent variable, infectious disease, was defined as a toddler experiencing 1 or more of the following conditions: acute respiratory infections, diarrhea, pneumonia, measles, or worms. Multivariate analysis was conducted using multiple logistic regression to determine adjusted odds ratios (ORs).
Results The findings indicate that 23.78% of toddlers experienced at least 1 infectious disease. While more than half of the respondents were food secure, 26.5% faced mild food insecurity, 13.6% moderate food insecurity, and 6.5% severe food insecurity. Toddlers from households experiencing mild, moderate, and severe food insecurity had higher risks of infectious diseases compared to those from food-secure households, with adjusted ORs of 1.367 (95% confidence interval [CI], 1.308–1.428), 1.490 (95% CI, 1.399–1.588), and 1.500 (95% CI, 1.374–1.638), respectively.
Conclusion In conclusion, more severe food insecurity is correlated with an increased risk of toddlers suffering infectious diseases.
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