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Int. J. Environ. Res. Public Health 2016, 13(3), 293; doi:10.3390/ijerph13030293

Association of Maternal and Child Health Center (Posyandu) Availability with Child Weight Status in Indonesia: A National Study

1,†
,
2,†
and
1,3,4,*
1
International Health Program, Institute of Public Health, National Yang Ming University, Taipei 112, Taiwan
2
Department of Early Childhood Educare, College of Health, Chung Chou University of Science and Technology, Changhua 510, Taiwan
3
Institute of Environmental and Occupational Health Sciences, National Yang-Ming University, Taipei 112, Taiwan
4
School of Public Health, National Defense Medical Center, Taipei 112, Taiwan
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: María M. Morales Suárez-Varela
Received: 27 December 2015 / Revised: 28 February 2016 / Accepted: 29 February 2016 / Published: 7 March 2016
(This article belongs to the Special Issue Children, Adolescents and Nutrition)
View Full-Text   |   Download PDF [282 KB, uploaded 7 March 2016]

Abstract

Little is known about the childhood obesity prevention and treatment practices of Maternal and Child Health services (Posyandu) in Indonesia or in other countries. The present study aims to assess the association of the availability of Posyandu with overweight and obesity in children of different household wealth levels. This was a secondary analysis of data collected in the 2013 Riskesdas (or Basic Health Research) survey, a cross-sectional study, representative population-based data. Height and weight, the availability of Posyandu, and basic characteristics of the study population were collected from parents with children aged 0 to 5 years (n = 63,237). Non-availability of Posyandu significantly raised the odds of being obese (OR = 1.13, 95% CI: 1.06–1.21) and did not show a significant relationship in the odds for overweight (OR = 0.99, 95% CI: 0.93–1.07). This relationship persisted after a full adjustment (OR = 1.16, 95% CI: 1.07–1.25 and OR = 1.04, 95% CI: 0.96–1.13, respectively). There was effect modification by household wealth, which was stronger for obese children. The availability of Posyandu has a protective association with childhood obesity in Indonesia. Posyandu services are well placed to play an important role in obesity prevention and treatment in early life. View Full-Text
Keywords: maternal; child; community-participation; primary health care; obesity; Indonesia maternal; child; community-participation; primary health care; obesity; Indonesia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Andriani, H.; Liao, C.-Y.; Kuo, H.-W. Association of Maternal and Child Health Center (Posyandu) Availability with Child Weight Status in Indonesia: A National Study. Int. J. Environ. Res. Public Health 2016, 13, 293.

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