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Abstract
The stagnant prevalence of low birth weight (LBW) in Indonesia creates challenges for the National Health Insurance (Jaminan Kesehatan Nasional/JKN), as it often needs more medical care with higher inpatient claim costs and affects the long-term growth and development of the country’s future generations. The objective of this study was to identify significant maternal lifestyle factors associated with LBW by analyzing the data from the Indonesian Health Survey (SKI) 2023. A total of 30,516 mothers who had given birth at least once during the five-year period preceding the SKI 2023 were included in the study. Bivariate and multivariable logistic regression analyses were used to identify key maternal factors associated with the outcome. Living in urban areas (AOR: 1.228; 95% CI: 1.038–1.453), exposure to second-hand smoke (AOR: 1.383; 95% CI: 1.149–1.664), infrequent consumption of energy drinks (AOR: 2.501; 95% CI: 1.015–6.161), and frequent vegetable consumption (AOR: 1.217; 95% CI: 1.030–1.437) were significant contributors. Additionally, the effect of low-frequency instant food consumption was more pronounced among mothers with only primary education (AOR: 4.740; 95% CI: 1.438–15.623). To lower LBW rates, healthcare providers should focus on educating expectant mothers about the risks of second-hand smoke and unbalanced nutrition through quality antenatal care.
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References
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References
Badan Kebijakan Pembangunan Kesehatan Kemenkes RI. (2024). Daftar FAQ (Frequently Asked Question) Seputar SKI 2023. https://www.badankebijakan.kemkes.go.id/daftar-frequently-asked-question-seputar-hasil-utama-ski-2023/
Bayati, T., Dehghan, A., Bonyadi, F., & Bazrafkan, L. (2018). Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health center. Journal of Education and Health Promotion, 7(1). https://doi.org/10.4103/jehp.jehp_65_18
BKPK Kemenkes. (2024). Survei Kesehatan Indonesia 2023 dalam Angka.
Blencowe, H., Krasevec, J., de Onis, M., Black, R. E., An, X., Stevens, G. A., Borghi, E., Hayashi, C., Estevez, D., Cegolon, L., Shiekh, S., Ponce Hardy, V., Lawn, J. E., & Cousens, S. (2019). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. The Lancet Global Health, 7(7). https://doi.org/10.1016/S2214-109X(18)30565-5
CDC, WHO, & Kemenkes RI. (2022). GLOBAL ADULT TOBACCO SURVEY: Comparison Fact Sheet Indonesia 2011 & 2021. Global Adult Tobacco Survey.
Costantino, A., Maiese, A., Lazzari, J., Casula, C., Turillazzi, E., Frati, P., & Fineschi, V. (2023). The Dark Side of Energy Drinks: A Comprehensive Review of Their Impact on the Human Body. In Nutrients (Vol. 15, Issue 18). https://doi.org/10.3390/nu15183922
Doherty, T., & Kinney, M. (2019). Low birthweight: will new estimates accelerate progress? In The Lancet Global Health (Vol. 7, Issue 7). https://doi.org/10.1016/S2214-109X(19)30041-5
Grant, S. W., Hickey, G. L., & Head, S. J. (2019). Statistical primer: Multivariable regression considerations and pitfalls. In European Journal of Cardio-thoracic Surgery (Vol. 55, Issue 2). https://doi.org/10.1093/ejcts/ezy403
Handriani, W., Budihastuti, U. R., & Pamungkasari, E. P. (2022). Correlation between Passive Cigarette Smoke Exposure on Low Birth Weight: Meta-Analysis. Journal of Maternal and Child Health, 7(4). https://doi.org/10.26911/thejmch.2022.07.04.05
James, J. E. (2021). Maternal caffeine consumption and pregnancy outcomes: A narrative review with implications for advice to mothers and mothers-to-be. In BMJ Evidence-Based Medicine (Vol. 26, Issue 3). https://doi.org/10.1136/bmjebm-2020-111432
Johnson, C. D., Jones, S., & Paranjothy, S. (2017). Reducing low birth weight: Prioritizing action to address modifiable risk factors. Journal of Public Health (United Kingdom), 39(1). https://doi.org/10.1093/pubmed/fdv212
Parada, H., Steck, S. E., Bradshaw, P. T., Engel, L. S., Conway, K., Teitelbaum, S. L., Neugut, A. I., Santella, R. M., & Gammon, M. D. (2017). Grilled, Barbecued, and Smoked Meat Intake and Survival Following Breast Cancer. Journal of the National Cancer Institute, 109(6). https://doi.org/10.1093/jnci/djw299
Permenkes RI Nomor 3 Tahun 2023 Tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Jaminan Kesehatan, Pub. L. No. 03 (2023).
Riskesdas. (2018). Laporan Nasional Riskesdas 2018. Kementrian Kesehatan Republik Indonesia.
Sebastiani, G., Barbero, A. H., Borrás-Novel, C., Casanova, M. A., Aldecoa-Bilbao, V., Andreu-Fernández, V., Tutusaus, M. P., Martínez, S. F., Roig, M. D. G., & García-Algar, O. (2019). The effects of vegetarian and vegan diet during pregnancy on the health of mothers and offspring. Nutrients, 11(3). https://doi.org/10.3390/nu11030557
Shahani, K. A., Khidri, F. F., Riaz, H., Siddiqui, K., Rani, K., & Ali, F. K. (2021). Frequency of Complications in Neonates with Low Birth Weight. Journal of Pharmaceutical Research International. https://doi.org/10.9734/jpri/2021/v33i45b32806
Sheikh, J., Allotey, J., Kew, T., Khalil, H., Galadanci, H., Hofmeyr, G. J., Abalos, E., Vogel, J. P., Lavin, T., Souza, J. P., Kaur, I., Ram, U., Betran, A. P., Bohren, M. A., Oladapo, O. T., & Thangaratinam, S. (2024). Vulnerabilities and reparative strategies during pregnancy, childbirth, and the postpartum period: moving from rhetoric to action. In eClinicalMedicine (Vol. 67). https://doi.org/10.1016/j.eclinm.2023.102264
Song, I. G., Kim, H. S., Cho, Y. M., Lim, Y. na, Moon, D. S., Shin, S. H., Kim, E. K., Park, J., Shin, J. E., Han, J., & Eun, H. S. (2022). Association between birth weight and neurodevelopmental disorders assessed using the Korean National Health Insurance Service claims data. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-06094-x
Sudhakar, S., Aebi, M. E., Burant, C. J., Wilson, B., Wenk, J., Briggs, F. B. S., Pyatka, N., Blixen, C., & Sajatovic, M. (2020). Health literacy and education level correlates of participation and outcome in a remotely delivered epilepsy self-management program. Epilepsy and Behavior, 107. https://doi.org/10.1016/j.yebeh.2020.107026
Tripathy, S. K., Chatterjee, K., & Behera, N. (2019). Mortality and morbidity of very low birth weight and extremely low birth weight babies in neonatal period. International Journal of Contemporary Pediatrics, 6(2). https://doi.org/10.18203/2349-3291.ijcp20190704
Turai, R., Schandl, M. F., Dergez, T., Vass, R. A., Kvárik, T., Horányi, E., Balika, D., Mammel, B., Gyarmati, J., Fónai, F., Vida, G., Funke, S., Gaál, V., Reglődi, D., & Ertl, T. (2019). Early and late complications of hyperglycemic extremely low birth-weight infants. In Orvosi Hetilap (Vol. 160, Issue 32). https://doi.org/10.1556/650.2019.31455
UNICEF & WHO. (2019). United Nations Children’s Fund (UNICEF), World Health Organization (WHO). UNICEF-WHO Low birthweight estimates: Levels and trends 2000–2015. World Health Organization, 4(3).
