Predictors of Mothers' Behavior in Diarrhea Prevention

Abstract

Diarrhea causes severe dehydration and depleted nutrients due to the decreased nutritional intake, resulting in malnutrition in children. Diarrhea can also lead to death from dehydration if untreated. Globally, about 1.7 billion cases of childhood diarrhea occurred in 2017. In Indonesia, deaths caused by diarrhea in 2020 accounted for 4.55% of the 250,600 deaths of children under five years old and 9.8% of the 20,266 deaths of newborns. This study aimed to determine the predictors of mothers’ behavior in preventing diarrhea in children under five years old. The sample included mothers with children aged 1 - 5 years, who were recruited using purposive sampling. Roughly 300 mothers were interviewed using a questionnaire. Binary regression was used to measure associations between predictors and mothers’ behaviors. The results showed that the factors that significantly predicted mothers’ behaviors included perceived susceptibility to diarrhea (p < 0.01), perceived severity of diarrhea (p < 0.01), perceived barriers to diarrhea prevention behaviors (p < 0.01) and perceived self-efficacy in diarrhea prevention behaviors (p < 0.01). The model developed could predict 39.2% of the variation in mothers’ behaviors in preventing diarrhea in children. The strongest predictor of mothers’ behaviors was perceived selfefficacy in diarrhea prevention behaviors. The odds of carrying out good prevention behaviors were ten times greater for mothers who had a high level of perceived self-efficacy in preventing diarrhea in children. These results indicated that those who believe in their ability to succeed in performing an action can perform healthy behaviors.


Keywords: perceived, mothers, behavior, diarrhea

References
[1] World Health Organization, UNICEF. 1 in 3 people globally do not have access to safe drinking water. Geneva: World Health Organization; 2019.

[2] World Health Organization. Health topic: Diarrhoea. Geneva: WHO; 2021.

[3] World Health Organization. Diarrhoeal disease. Geneva: WHO; 2017.

[4] Profil Kesehatan Indonesia. Laporan tahun 2020. Jakarta: Ministry of Health of Indonesia; 2021. Available from: https://www.kemkes.go.id/downloads/resources/download/pusdatin/profilkesehatan- indonesia/Profil-Kesehatan-Indonesia-Tahun-2020.pdf

[5] Shah SS. Pediatric practice infectious disease. The McGraw-Hill Companies, Inc; 2009.

[6] Digestive disorders health disease. Medscape; 2015. Available from: http://www.webmd.com/digestive-disorders/digestive-diseases-diarrhea

[7] Friedman MR, Bowden VR, Jones E. Family nursing research theory and practice. 5th ed. Upper Saddle River: Pearson Education, Inc.; 2003.

[8] Hamid AYS, Sutarna A, Subekti NB, Yulianti D, Herdina N. Family Nursing: research, theory and practice. 5th ed. Friedman MM, Bowden VR, Jones EG, editors. Jakarta: EGC; 2010. Buku ajar keperawatan keluarga: Riset, teori dan praktek.

[9] Nies MA, McEwen M. Community/public health nursing: promoting the health of populations. 6th ed. Saunders, Elsevier Inc; 2015.

[10] Susanti E, Hariyanto T. Relationship mother’s knowledge on food hygiene with diarrhea in infants in the working area Posyandu Jasmine Tlogomas poor villages. Nursing News: Scientific Journal of Nursing. 2017;2(1):174-180.

[11] Hockenberry MJ, Wilson D. Wong’s nursing care of infants and children. 10th ed. Canada: Elseiver Mosby; 2016.

[12] National Institutes of Health. Theories of health behavior, theory at a glance: A guide for health promotion practice. Available from: http://www.orau.gov/cdcynergy/ soc2web/content/activeinformation/resources/theory_at_glance.pdf

[13] Becker MH. The health belief model and personal health behavior. San Francisco: Society for Public Health Education; 1974.

[14] Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Upper Saddle River: Pearson Education, Inc.; 2011.

[15] Morgan MS. Diarrhea preventive behavior among the caregivers of children underfive years old in the Tonle Sap Great Lake floodplains, Siem Reap, Cambodia [M.Sc. Thesis]. Mahidol University; 2014.

[16] Chowdhury F. Diarrhea preventive practice among caregivers of 1 to 5 years children at urban slum area in Chittagong, Bangladesh [M.Sc. Thesis]. Mahidol University; 2010.

[17] Htay WYA, Keiwkarnka B, Hongkailert N. Diarrhea preventive behavior of Myanmar immigrant caregivers with children under-five years in Muang District, Samut Sakhon province, Thailand. 2010. Available from: http://www.aihd.mahidol.ac.th/sites/default/ files/images/new/pdf/journal/janapr2011/1.pdf

[18] Kundu TR, Prateepchaikul L, Ngam KS. Relationship between maternal perceptions and preventive behaviors regarding acute diarrhea of children in Bangladesh. 2010. Available from: http://tar.thailis.or.th/bitstream/123456789/929/1/009.pdf

[19] Badan Pusat Statistik. Kabupaten buol dalam angka. Badan pusat statistik kabupaten buol. 2013.

[20] Dinas Kesehatan Sulawesi Tengah (DinKes Sul-Teng). Profil kesehatan provinsi, Kota Palu, Indonesia. 2012. Available from: http://www.depkes.go.id/resources/download/ profil/PROFIL_KES_PROVINSI_2012/25_Profil_Kes.Prov.SulawesiTengah_2012

[21] McKinney ES, Murray SS, Ashwill J, James SR, Nelson K. Maternal-child nursing. 4th red. Saunders, Elsevier Inc.; 2013.

[22] Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

[23] Environmental health project - EHP. The hygiene improvement framework: A comprehensive approach for preventing childhood diarrhea. Washington, DC: Infectious Diseases and Nutrition Bureau for Global Health; 2004. Available from: http://www.ehproject.org/PDF/Joint_Publications/JP008-HIF.pdf

[24] World Health Organization. Sanitation and health, where to from here? WASH – WHO; 2019. Available from: https://cdn.who.int/media/docs/default-source/wash-documents/sanitation-whereto-from-here-20190606.pdf?sfvrsn=de359b_6&download=true

[25] Centers for Disease Control and Prevention. Handwashing: Clean hands safe lives. CDC; 2015. Available from: http://www.cdc.gov/handwashing/when-howhandwashing. HTML

[26] Centers for Disease Control and Prevention. The save water and system. CDC; 2014. Available from: http://www.cdc.gov/safewater/disease.html

[27] Figueroa ME, Kincaid LD. Social, cultural and behavioral correlates of household water treatment and storage. The Johns Hopkins Bloomberg School of Public Health Center for Communication Programs; 2010. Available from: http://ccp.jhu.edu/wpcontent/ uploads/Household-Water-Treatment-and-Storage-2010.pdf

[28] Arianusyanti R, Utami TA. The relationship of knowledge on the behavior of mothers caring for children toddler with diarrhea. Nursing Journal of Respati Yogyakarta. 2020;7(1):36-41.

[29] Bennion N, et al. Association between WASH-related behaviors and knowledge with childhood diarrhea in Tanzania. International Journal of Environmental Research and Public Health,. 2021;18:4681. https://doi.org/10.3390/ijerph18094681

[30] Hasan MZ, Mehdi GG, de Broucker G, et al. The economic burden of diarrhea in children under 5 years in Bangladesh. International Journal of Infectious Diseases. 2021;107:37-46. doi: 10.1016/j.ijid.2021.04.038

[31] World Health Organization. The determinant of health. Geneva: WHO; 2016. Available from: http://www.who.int/hia/evidence/doh/en/

[32] Oliveira RKL, et al. Influence of socio-economic conditions and maternal knowledge in self-effectiveness for prevention of childhood. Journal Maternal Knowledge for Prevention of Childhood Diarrhea, Esc Anna Nery. 2017;21(4):20160361. DOI: 10.1590/2177-9465-EAN-2016-0361

[33] Tias LH, Pristianty L, Hidayati IR. Behavioral factor analysis of accuracy in using diarrhea medicines at Arjuno Health Center, Malang City with the Health Belief Model (HBM) approach. Farmasains: Jurnal Farmasi Dan Ilmu Kesehatan. 2021;5(2):85-90. https://doi.org/10.22219/farmasains.v5i2.14094

[34] Nemeth V, Pfleghaar N. Diarrhea. Treasure Island (FL): StatPearls Publishing; 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448082/

[35] Pathak P, Munsawaengsub C, Nanthamongkolchai S. Predictive factors of diarrhea preventive practices by caretakers. Journal of Nepal Health Research Council. 2019;17(43);247 – 252. https://doi.org/10.33314/jnhrc.v0i0.1876

[36] Rumbo H, Wichaikull S, Sanguanprasit B. Factors influencing preventive behaviors of mothers for diarrhea in children aged 1 5 years in Buol District, Indonesia. Journal of Sociology Study. 2016;6(12):745-753.

[37] Alshammari, B. A., Moussa, S., & Zaid, A. W.. Knowledge and behavioral practice of mothers about diarrhea in hail region, Saudi Arabia. World Journal of Pharmaceutical Research. 2018;7(3):1661-1674. DOI: 10.20959/wjpr20184-11031

[38] Vecchio AL, Conelli ML, Guarino A. Infections and chronic diarrhea in children. The Pediatric Infectious Disease Journal. 2021;40(7):255-258. DOI: 10.1097/INF.0000000000003182

[39] Mashoto KO, Malebo HM, Msisiri E, Peter E. Prevalence, one week incidence and knowledge on causes of diarrhea: Household survey of under-fives and adults in Mkuranga District, Tanzania. BMC Public Health. 2014;14:985.