Risk factors for acute respiratory infection (ARI) in children under five years of age
DOI: https://doi.org/10.56922/mchc.v5i3.3262
ARI Children Under Five History Of ARI Nutritional Status Residential Density
Abstract
Background: Acute Respiratory Infection (ARI) remains one of the major health problems among children under five in Indonesia. The high incidence of ARI is influenced by various factors, including nutritional status, housing conditions, and previous history of ARI.
Purpose: to determine the risk factors associated with ARI among children under five years of age.
Method: This research used a quantitative method with a cross-sectional design. The sample consisted of 81 children under five selected using purposive sampling technique. Data were collected through questionnaires, observations, and medical records, then analyzed using the Chi-Square test with a 95% confidence level.
Results: The results showed that there was a significant relationship between nutritional status and the incidence of ARI among children under five (p-value = 0.004; PR = 2.297; 95% CI = 1.287–4.098). In addition, a history of ARI was also significantly associated with the incidence of ARI (p-value = 0.000; PR = 13.000; 95% CI = 5.048-33.476). Meanwhile, residential density was not significantly associated with ARI incidence among children under five (p-value = 0.474).
Conclusion: In conclusion, nutritional status and history of ARI are risk factors associated with ARI incidence among children under five.
Suggestion: Therefore, efforts are needed to improve nutritional status, implement clean and healthy living behaviors, and conduct regular health monitoring to prevent recurrent ARI among children under five.
Downloads
References
Apriyan, N., Adawiyah, A. R., Agustin, D., & Calista, R. A. (2025). Hubungan Kelembaban, Kepadatan Hunian dan Kebiasaan Merokok terhadap Kejadian Infeksi Saluran Pernapasan Akut pada Balita di Puskesmas Kecamatan Cipayung. Jurnal Untuk Masyarakat Sehat (jukmas), 9(2), 227-235.
Bruce, M. G., Bressler, S. S., Apostolou, A., & Singleton, R. J. (2021). Lower respiratory tract infection hospitalizations among American Indian/Alaska Native adults, Indian Health Service and Alaska Region, 1998–2014. International Journal of Infectious Diseases, 111, 130-137.
Fadila, F. N., & Siyam, N. (2022). Faktor risiko infeksi saluran pernapasan akut (ISPA) pada anak balita. Higeia (Journal of Public Health Research and Development), 6(4), 320-331.
Hermadita, F. (2025). Hubungan Kepadatan Hunian, Luas Ventilasi, Jenis Lantai dan Kebiasaan Merokok dalam Rumah dengan Kejadian ISPA Pada Balita di Wilayah Kerja Puskesmas Lampahan Tahun 2024. Jurnal Ilmiah Cerebral Medika, 7(1), 6-6.
Khadijah, S. K., Sari, E. P., Sari, R. G., & Amalia, R. (2025). Hubungan Ventilasi Rumah, Status Gizi Dan Kelengkapan Imunisasi Dengan Kejadian Infeksi Saluran Pernapasan Akut (ISPA) Di Praktik Mandiri Bidan (PMB) Junaedah Desa Muarabaru Kecamatan Makarti Jaya Kabupaten Banyuasin. Jurnal Kesehatan Indra Husada, 13(1), 22-27.
Mardiah, W. (2017). Pencegahan Penularan Ispa (Infeksi Saluran Pernafasan Akut) dan Perawatannya Pada Balita Dirumah Di Kabupaten Pangandaran. Dharmakarya: Jurnal Aplikasi Ipteks untuk Masyarakat, 6(4).
Ministry of Health of the Republic of Indonesia. (2011). Pedoman ISPA Kemenkes 2011. Retrieved from: https://www.scribd.com/document/356899260/Pedoman-Pengendalian-Ispa-pdf
Ministry of Health of the Republic of Indonesia. (2023). Laporan Nasional Riskesdas 2018. Retrieved from: https://repository.kemkes.go.id/book/1323
Ministry of Health of the Republic of Indonesia. (2023). Suvei Kesehatan Indonesia (SKI).retrieved from: https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/
Pelzman, F. N., & Tung, J. (2021). A symptom-directed paradigm for the evaluation and management of upper respiratory tract infections. Medical Clinics, 105(1), 199-212.
Rita, N., Yundelfa, M., & Novianti, A. (2025). Hubungan Karakteristik Balita 7–59 Bulan Dengan Kejadian Ispa. Menara Ilmu: Jurnal Penelitian dan Kajian Ilmiah, 19(2), 209-216.
Sofia, S. (2017). Faktor Risiko Lingkungan dengan Kejadian ISPA pada Balita di Wilayah Kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. AcTion: Aceh Nutrition Journal, 2(1), 43-50.
Suhada, S. B. N., Novianus, C., & Wilti, I. R. (2023). Faktor-Faktor yang Berhubungan dengan Kejadian Ispa pada Balita di Puskesmas Cikuya Kabupaten Tangerang Tahun 2022. Environmental Occupational Health and Safety Journal, 3(2), 115-124.
Wahyono, D., Hapsari, I., & Astuti, I. W. B. (2008). Pola pengobatan infeksi saluran pernapasan akut anak usia bawah lima tahun (balita) rawat jalan di Puskesmas I Purwareja Klampok Kabupaten Banjarnegara tahun 2004. Majalah Farmasi Indonesia, 19(1), 20-24.
World Health Organization (2024). Summary report on the WHO workshop on estimation of respiratory syncytial virus (RSV) disease burden based on RSV surveillance of Global Influenza Surveillance and Response System, Geneva, Switzerland, 21-23 June 2023. World Health Organization. Retrieved from: https://iris.who.int/handle/10665/377615
Downloads
Published
Issue
Section
License
Copyright (c) 2026 THE JOURNAL OF Mother and Child Health Concerns

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.









