Multilevel Factors Associated With Pregnancy-Related Health Behaviors in Indonesia: Evidence From the 2007, 2012, and 2017 Indonesian Demographic Health Surveys

Muhammad Hardhantyo, Ying Chih Chuang

Research output: Contribution to journalArticle

Abstract

Indonesia has one of the highest maternal mortality rates among Southeast Asia countries. Mothers’ pregnancy-related behaviors were proven to be the major determinants of maternal mortality. This study attempted to measure individual- and community-level factors that contribute to pregnancy-related health behaviors among Indonesian women. This study used representative nationwide survey samples among women aged 15 to 49 years from the Indonesian Demographic Health Survey in the years 2007 (N = 15 314), 2012 (N = 15 197), and 2017 (N = 15 300). Generalized linear mixed models were constructed to simultaneously analyze relationships of pregnancy-related health behaviors with other individual- and community-level explanatory factors. We found that women’s educational level, household wealth index, insurance status, access to health facilities, geographic location, general health condition, pregnancy intentions, and community-level socioeconomic status were significantly associated with different outcome behaviors. The findings of this study suggest that future policies should focus on both individual- and community-level factors to improve women’s pregnancy-related behaviors.

Original languageEnglish
JournalAsia-Pacific Journal of Public Health
DOIs
Publication statusAccepted/In press - Jan 1 2019

Fingerprint

Indonesia
Health Behavior
Demography
Pregnancy
Maternal Mortality
Geographic Locations
Southeastern Asia
Insurance Coverage
Health Facilities
Social Class
Linear Models
Mothers
Mortality
Health

Keywords

  • health service utilization
  • Indonesia
  • multilevel analysis
  • pregnancy-related health behaviors
  • women’s health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Multilevel Factors Associated With Pregnancy-Related Health Behaviors in Indonesia: Evidence From the 2007, 2012, and 2017 Indonesian Demographic Health Surveys",
abstract = "Indonesia has one of the highest maternal mortality rates among Southeast Asia countries. Mothers’ pregnancy-related behaviors were proven to be the major determinants of maternal mortality. This study attempted to measure individual- and community-level factors that contribute to pregnancy-related health behaviors among Indonesian women. This study used representative nationwide survey samples among women aged 15 to 49 years from the Indonesian Demographic Health Survey in the years 2007 (N = 15 314), 2012 (N = 15 197), and 2017 (N = 15 300). Generalized linear mixed models were constructed to simultaneously analyze relationships of pregnancy-related health behaviors with other individual- and community-level explanatory factors. We found that women’s educational level, household wealth index, insurance status, access to health facilities, geographic location, general health condition, pregnancy intentions, and community-level socioeconomic status were significantly associated with different outcome behaviors. The findings of this study suggest that future policies should focus on both individual- and community-level factors to improve women’s pregnancy-related behaviors.",
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