Faktor-faktor yang berhubungan dengan kejadian kekurangan energi kronis pada ibu hamil
DOI: https://doi.org/10.33024/hjk.v20i7.3968
Access to Health Services Chronic Energy Deficiency Family Income Husband's Support Nutritional Knowledge Pregnant Women
Abstract
Background: Chronic Energy Deficiency (CED) among pregnant women remains a significant public health problem because it increases the risk of pregnancy complications, preterm birth, low birth weight (LBW), and maternal-neonatal mortality. The 2023 Indonesian Health Survey (SKI) reported a national CED prevalence of 16.9% among pregnant women. In West Lampung Regency, 258 pregnant women (4.33%) experienced CED in 2025, with the highest number of cases found in the working area of Air Hitam Primary Health Center (52 cases, 20.16%).
Purpose: This study aimed to analyze factors associated with the incidence of CED among pregnant women in the working area.
Method: This quantitative study used an analytical survey design with a cross-sectional approach. The population comprised 268 pregnant women, from whom a sample of 161 women was selected using proportional sampling. Data were analyzed using univariate, bivariate (Chi-square), and multivariate (multiple logistic regression) analysis.
Results: The results showed that 43 pregnant women (26.7%) experienced CED. Bivariate analysis revealed significant associations between maternal age (p=0.025), family income (p<0.001), nutritional knowledge (p<0.001), husband's support (p=0.012), and access to health services (p=0.001) with CED, while education (p=0.762) and parity (p=0.111) showed no significant association. Multivariate analysis indicated that family income was the most dominant factor associated with CED (OR=11.414; 95% CI=2.959–44.020).
Conclusion: CED is a multifactorial condition, requiring strengthened risk-factor screening, nutrition education, husband involvement, and improved access to health services, particularly for pregnant women from low-income families.
Keywords: Access to Health Services; Chronic Energy Deficiency; Family Income; Husband's Support; Nutritional Knowledge; Pregnant Women.
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