TY - JOUR
T1 - Multilevel Factors Associated With Pregnancy-Related Health Behaviors in Indonesia
T2 - Evidence From the 2007, 2012, and 2017 Indonesian Demographic Health Surveys
AU - Hardhantyo, Muhammad
AU - Chuang, Ying Chih
N1 - Funding Information:
The authors thank the authorities of the Demographic and Health Surveys (IDHS) for providing us with the dataset for this study. We would also like to thank the Indonesian Central Bureau of Statistics (BPS) and National Population and Family Planning Board (BKKBN) for IDHS data collection. The author(s) received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© 2020 APJPH.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - This study attempted to examine individual- and community-level factors that contribute to pregnancy-related health behaviors among Indonesian women. This study used representative nationwide survey samples from the Indonesian Demographic Health Survey in the years 2007 (N = 15 193), 2012 (N = 14 431), and 2017 (N = 14 797). Generalized linear mixed models were constructed in the multivariate analyses. We found that women’s educational level, household wealth index, insurance status, access to health facilities, geographic location, general health condition, and pregnancy intentions were significantly associated with different outcome behaviors. Regarding community-level influences, women who lived in communities with a high proportion of educated women and high household wealth were more likely to have skilled birth attendance during childbirth compared with their counterparts in 2007. The similar pattern of results was also found in 2012 and 2017. 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.
AB - This study attempted to examine individual- and community-level factors that contribute to pregnancy-related health behaviors among Indonesian women. This study used representative nationwide survey samples from the Indonesian Demographic Health Survey in the years 2007 (N = 15 193), 2012 (N = 14 431), and 2017 (N = 14 797). Generalized linear mixed models were constructed in the multivariate analyses. We found that women’s educational level, household wealth index, insurance status, access to health facilities, geographic location, general health condition, and pregnancy intentions were significantly associated with different outcome behaviors. Regarding community-level influences, women who lived in communities with a high proportion of educated women and high household wealth were more likely to have skilled birth attendance during childbirth compared with their counterparts in 2007. The similar pattern of results was also found in 2012 and 2017. 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.
KW - health service utilization
KW - Indonesia
KW - multilevel analysis
KW - pregnancy-related health behaviors
KW - women’s health
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U2 - 10.1177/1010539520907169
DO - 10.1177/1010539520907169
M3 - Article
AN - SCOPUS:85081605493
VL - 32
SP - 81
EP - 90
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
SN - 1010-5395
IS - 2-3
ER -