Analisis Faktor Determinan Kualitas Konsumsi Makanan Pada Ibu Hamil Di Kecamatan Sukowono, Kabupaten Jember
Keywords:
Kualitas, makanan, ibu hamil, keragaman pangan
Abstract
Kekurangan Energi Kronis (KEK) pada ibu hamil masih menjadi masalah kesehatan di Indonesia. Angka
kejadian KEK pada tahun 2020 di Kecamatan Sukowono, Kabupaten Jember telah melebihi prevalensi secara
nasional yaitu mencapai 12,26%. Kondisi kurang gizi selama kehamilan ini dapat disebabkan oleh rendahnya
kualitas makanan yang dikonsumsi oleh ibu selama kehamilan. Penelitian ini bertujuan untuk menganalisis
faktor-faktor determinan kualitas konsumsi makanan selama kehamilan. Penelitian ini merupakan penelitian
kuantitatif dengan desain cross sectional. Penelitian ini dilakukan pada 82 ibu hamil trimester II dan III di
Kecamatan Sukowono. Sampel dipilih dari populasi dengan menggunakan teknik stratified random sampling.
Data dikumpulkan dengan kuesioner dan checklist observasi food recall 24 jam, kemudian dianalisis dengan
analisis data deskriptif, uji regresi logistik sederhana dan dilanjutkan dengan regresi logistik berganda.
Pengetahuan (p=0,002) dan tabu makanan (p=0,000) diidentifikasi sebagai faktor determinan kualitas konsumsi
makanan sedangkan sikap (p=0,469) dan dukungan petugas kesehatan (p=0,269) tidak termasuk faktor yang
mempengaruhi kualitas konsumsi makanan. Dapat disimpulkan bahwa pengetahuan yang baik dan tidak ada
pantangan makan berdampak positif pada pemilihan jenis makanan, sehingga kebutuhan gizi dapat tercukupi
selama kehamilan serta dapat meningkatkan kesehatan baik ibu maupun anak. Perlu adanya peningkatan dan
penguatan informasi dan edukasi kepada ibu hamil beserta keluarga terkait pentingnya keragaman konsumsi
makanan serta cara menyikapi tabu makanan.
References
1. FAO, FHI 360. Minimum Dietary Diversity for Women: A Guide for Measurement. Rome:
FAO of the United Nation; 2016.
2. Aliwo S, Fentie M, Awoke T, Gizaw Z. Dietary diversity practice and associated factors among
pregnant women in North East. BMC Res Notes [Internet]. 2019;12(123):1–6. Available from:
https://doi.org/10.1186/s13104-019-4159-6
3. Kementerian Kesehatan Republik Indonesia. Laporan Kinerja Kementrian Kesehatan Tahun
2020. Kementeri Kesehat Republik Indones Tahun 2021. 2021;1–224.
4. Kemenkes RI. Hasil Utama Riskesdas 2018 Provinsi Jawa Timur. Jakarta; 2018.
5. Rovida M. Laporan Puskesmas Sukowono Tahun 2020. Jember; 2020.
6. Kundu S, Jharna DE, Banna MH Al, Khan MSI. Factors associated with dietary diversity and
physical activity of pregnant women in Bangladesh: A cross‐sectional study at an antenatal
care setting. Lifestyle Med. 2021;2(3):1–11.
7. Iradukunda D, Ngomi N. Knowledge, Attitude and Practices towards Nutrition and Influencing
Factors among Pregnant and Lactating Women in Kigeme Refugee Camp, Rwanda. Galore Int
J Heal Sci Res [Internet]. 2011;5(2):98. Available from: www.gijhsr.com
8. Oh HK, Kang S, Cho SH, Ju YJ, Faye D. Factors influencing nutritional practices among
mothers in Dakar, Senegal. PLoS One. 2019;14(2):1–14.
9. Azene AGA, Aragaw M, Wubetie HT, Wassie GT, Derebe MA, Mitiku HD. Dietary diversity
among pregnant women and associated factors in Ethiopia : Systematic review and metaanalysis. PLoS One [Internet]. 2021;16(6):1–20. Available from:
http://dx.doi.org/10.1371/journal.pone.0251906
10. Chakona G, Shackleton C. Food Taboos and Cultural Beliefs Influence Food Choice and
Dietary Preferences among Pregnant. Nutrients. 2019;11:1–18.
11. Desyibelew HD, Dadi AF. Burden and determinants of malnutrition among pregnant women in
Africa: A systematic review and meta-analysis. PLoS One. 2019;14(9):1–19.
12. Mayimbo S, Haruzivishe CM, Kwaleyela C, Phoebe B, Chirwa E, Kaonga P, et al. Assessing
Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm
Circumference: A Cross-Sectional Study, Zambia. Food Nutr Sci. 2020;11(07):912–25.
13. Nigatu M, Gebrehiwot TT, Gemeda DH. Household Food Insecurity, Low Dietary Diversity,
and Early Marriage Were Predictors for Undernutrition among Pregnant Women Residing in
Gambella, Ethiopia. Adv Public Heal. 2018;1–10.
14. Legesse M, Abebe Z, Woldie H. Chronic energy deficiency and associated factors among older
population in Ethiopia: A community based study. PLoS One. 2019;14(4):1–12.
15. Gernand AD, Schulze KJ, Stewart CP, West KP, Christian P. Micronutrient deficiencies in
pregnancy worldwide: health effects and prevention Alison. Nat Rev Endocrinol.
2016;12(5):274–89.
16. Zerfu TA, Umeta M, Baye K. Dietary habits , food taboos , and perceptions towards weight
gain during pregnancy in Arsi , rural central Ethiopia : a qualitative cross-sectional study. J
Heal Popul Nutr [Internet]. 2016;35(22):1–7. Available from:
http://dx.doi.org/10.1186/s41043-016-0059-8
17. Quansah DY, Boateng D. Maternal dietary diversity and pattern during pregnancy is associated
with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based
cross-sectional study. Heliyon [Internet]. 2020;6(5):e03923. Available from:
https://doi.org/10.1016/j.heliyon.2020.e03923
18. Kpewou DE, Poirot E, Berger J, Som SV, Laillou A, Belayneh SN, et al. Maternal mid-upper
arm circumference during pregnancy and linear growth among Cambodian infants during the
first months of life. Matern Child Nutr. 2020;16(S2):1–11.
19. Ferliana H. Profil Kesehatan Provinsi Jawa Timur. surabaya; 2021.
20. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2018. Jakarta: Kementrian Kesehatan
Republik Indonesia; 2018.
21. WHO. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva:
Departemen of Nutrition for Health and Development; 2016.
22. Nguyen PH, Frongillo EA, Sanghvi T, Wable G, Mahmud Z, Tran LM, et al. Engagement of
husbands in a maternal nutrition program substantially contributed to greater intake of
micronutrient supplements and dietary diversity during pregnancy: Results of a clusterrandomized program evaluation in Bangladesh. J Nutr. 2018;148(8):1352–63.
23. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: CV Alfabeta; 2017.
24. FAO. Minimum Dietary Diversity For Women. Rome: FAO of the United Nation; 2021. 1–176
p.
25. Stang. Aplikasi Statistik Multivariat Dalam Penelitian Kesehatan. Jakarta: Mitra Wacana
Media; 2017.
26. Nana A, Zema T. Dietary practices and associated factors during pregnancy in northwestern
Ethiopia. BMC Pregnancy Childbirth. 2018;18(183):1–8.
27. Yalewdeg M, Birhane M, Adissu Y. Dietary Practices and Their Determinants Among
Pregnant Women in Gedeo Zone , Southern Ethiopia : A Community-Based Cross-Sectional
Study. Nutr Diet Suppl. 2020;12:267–75.
28. Damtie SB, Tefera TB, Haile MT. Dietary Diversity Practice and Associated Factors among
Children Aged 6 – 23 Months in Robe Town , Bale Zone , Ethiopia. J Nutr Metab.
2020;2020:9–11.
29. Zerfu A, Biadgilign S. Pregnant mothers have limited knowledge and poor dietary diversity
practices, but favorable attitude towards nutritional recommendations in rural
Ethiopia:evidence from community-based study. BMC Nutr. 2018;4(43).
30. Hardiah M, Nabawiyah H, Pibriyanti K. Correlation between Knowledge and Attitudes to the
Behavior of Personal Hygiene Food Handlers in Nutrient Department. Sport Nutr J.
2020;2(1):17–24.
31. Powell B, Kerr RB, Young SL, Johns T. The determinants of dietary diversity and nutrition :
ethnonutrition knowledge of local people in the East Usambara Mountains , Tanzania. J
Ethnobiol Ethnomed. 2017;13(23):1–12.
32. Mcnamara K, Wood E. Food taboos , health beliefs , and gender : understanding household
food choice and nutrition in rural Tajikistan. J Heal Popul Nutr. 2019;38(17):1–14.
33. Kariuki LW, Lambert C, Purwestri RC, Maundu P. Role of food taboos in energy, macro and
micronutrient intake of pregnant women in western Kenya. Nutr Food Sci. 2017;47(6):795–
807.
34. Hailu S, Woldemichael B. Dietary diversity and associated factors among pregnant women
attending antenatal care at public health facilities in Bale Zone , Southeast Ethiopia. Nutr Diet
Suppl. 2019;11:1–8.
FAO of the United Nation; 2016.
2. Aliwo S, Fentie M, Awoke T, Gizaw Z. Dietary diversity practice and associated factors among
pregnant women in North East. BMC Res Notes [Internet]. 2019;12(123):1–6. Available from:
https://doi.org/10.1186/s13104-019-4159-6
3. Kementerian Kesehatan Republik Indonesia. Laporan Kinerja Kementrian Kesehatan Tahun
2020. Kementeri Kesehat Republik Indones Tahun 2021. 2021;1–224.
4. Kemenkes RI. Hasil Utama Riskesdas 2018 Provinsi Jawa Timur. Jakarta; 2018.
5. Rovida M. Laporan Puskesmas Sukowono Tahun 2020. Jember; 2020.
6. Kundu S, Jharna DE, Banna MH Al, Khan MSI. Factors associated with dietary diversity and
physical activity of pregnant women in Bangladesh: A cross‐sectional study at an antenatal
care setting. Lifestyle Med. 2021;2(3):1–11.
7. Iradukunda D, Ngomi N. Knowledge, Attitude and Practices towards Nutrition and Influencing
Factors among Pregnant and Lactating Women in Kigeme Refugee Camp, Rwanda. Galore Int
J Heal Sci Res [Internet]. 2011;5(2):98. Available from: www.gijhsr.com
8. Oh HK, Kang S, Cho SH, Ju YJ, Faye D. Factors influencing nutritional practices among
mothers in Dakar, Senegal. PLoS One. 2019;14(2):1–14.
9. Azene AGA, Aragaw M, Wubetie HT, Wassie GT, Derebe MA, Mitiku HD. Dietary diversity
among pregnant women and associated factors in Ethiopia : Systematic review and metaanalysis. PLoS One [Internet]. 2021;16(6):1–20. Available from:
http://dx.doi.org/10.1371/journal.pone.0251906
10. Chakona G, Shackleton C. Food Taboos and Cultural Beliefs Influence Food Choice and
Dietary Preferences among Pregnant. Nutrients. 2019;11:1–18.
11. Desyibelew HD, Dadi AF. Burden and determinants of malnutrition among pregnant women in
Africa: A systematic review and meta-analysis. PLoS One. 2019;14(9):1–19.
12. Mayimbo S, Haruzivishe CM, Kwaleyela C, Phoebe B, Chirwa E, Kaonga P, et al. Assessing
Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm
Circumference: A Cross-Sectional Study, Zambia. Food Nutr Sci. 2020;11(07):912–25.
13. Nigatu M, Gebrehiwot TT, Gemeda DH. Household Food Insecurity, Low Dietary Diversity,
and Early Marriage Were Predictors for Undernutrition among Pregnant Women Residing in
Gambella, Ethiopia. Adv Public Heal. 2018;1–10.
14. Legesse M, Abebe Z, Woldie H. Chronic energy deficiency and associated factors among older
population in Ethiopia: A community based study. PLoS One. 2019;14(4):1–12.
15. Gernand AD, Schulze KJ, Stewart CP, West KP, Christian P. Micronutrient deficiencies in
pregnancy worldwide: health effects and prevention Alison. Nat Rev Endocrinol.
2016;12(5):274–89.
16. Zerfu TA, Umeta M, Baye K. Dietary habits , food taboos , and perceptions towards weight
gain during pregnancy in Arsi , rural central Ethiopia : a qualitative cross-sectional study. J
Heal Popul Nutr [Internet]. 2016;35(22):1–7. Available from:
http://dx.doi.org/10.1186/s41043-016-0059-8
17. Quansah DY, Boateng D. Maternal dietary diversity and pattern during pregnancy is associated
with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based
cross-sectional study. Heliyon [Internet]. 2020;6(5):e03923. Available from:
https://doi.org/10.1016/j.heliyon.2020.e03923
18. Kpewou DE, Poirot E, Berger J, Som SV, Laillou A, Belayneh SN, et al. Maternal mid-upper
arm circumference during pregnancy and linear growth among Cambodian infants during the
first months of life. Matern Child Nutr. 2020;16(S2):1–11.
19. Ferliana H. Profil Kesehatan Provinsi Jawa Timur. surabaya; 2021.
20. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2018. Jakarta: Kementrian Kesehatan
Republik Indonesia; 2018.
21. WHO. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva:
Departemen of Nutrition for Health and Development; 2016.
22. Nguyen PH, Frongillo EA, Sanghvi T, Wable G, Mahmud Z, Tran LM, et al. Engagement of
husbands in a maternal nutrition program substantially contributed to greater intake of
micronutrient supplements and dietary diversity during pregnancy: Results of a clusterrandomized program evaluation in Bangladesh. J Nutr. 2018;148(8):1352–63.
23. Sugiyono. Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Bandung: CV Alfabeta; 2017.
24. FAO. Minimum Dietary Diversity For Women. Rome: FAO of the United Nation; 2021. 1–176
p.
25. Stang. Aplikasi Statistik Multivariat Dalam Penelitian Kesehatan. Jakarta: Mitra Wacana
Media; 2017.
26. Nana A, Zema T. Dietary practices and associated factors during pregnancy in northwestern
Ethiopia. BMC Pregnancy Childbirth. 2018;18(183):1–8.
27. Yalewdeg M, Birhane M, Adissu Y. Dietary Practices and Their Determinants Among
Pregnant Women in Gedeo Zone , Southern Ethiopia : A Community-Based Cross-Sectional
Study. Nutr Diet Suppl. 2020;12:267–75.
28. Damtie SB, Tefera TB, Haile MT. Dietary Diversity Practice and Associated Factors among
Children Aged 6 – 23 Months in Robe Town , Bale Zone , Ethiopia. J Nutr Metab.
2020;2020:9–11.
29. Zerfu A, Biadgilign S. Pregnant mothers have limited knowledge and poor dietary diversity
practices, but favorable attitude towards nutritional recommendations in rural
Ethiopia:evidence from community-based study. BMC Nutr. 2018;4(43).
30. Hardiah M, Nabawiyah H, Pibriyanti K. Correlation between Knowledge and Attitudes to the
Behavior of Personal Hygiene Food Handlers in Nutrient Department. Sport Nutr J.
2020;2(1):17–24.
31. Powell B, Kerr RB, Young SL, Johns T. The determinants of dietary diversity and nutrition :
ethnonutrition knowledge of local people in the East Usambara Mountains , Tanzania. J
Ethnobiol Ethnomed. 2017;13(23):1–12.
32. Mcnamara K, Wood E. Food taboos , health beliefs , and gender : understanding household
food choice and nutrition in rural Tajikistan. J Heal Popul Nutr. 2019;38(17):1–14.
33. Kariuki LW, Lambert C, Purwestri RC, Maundu P. Role of food taboos in energy, macro and
micronutrient intake of pregnant women in western Kenya. Nutr Food Sci. 2017;47(6):795–
807.
34. Hailu S, Woldemichael B. Dietary diversity and associated factors among pregnant women
attending antenatal care at public health facilities in Bale Zone , Southeast Ethiopia. Nutr Diet
Suppl. 2019;11:1–8.
Published
2022-01-25
How to Cite
1.
Aini N, Zahariah S. Analisis Faktor Determinan Kualitas Konsumsi Makanan Pada Ibu Hamil Di Kecamatan Sukowono, Kabupaten Jember. woh [Internet]. 2022Jan.25 [cited 2024Nov.23];5(1):453 -462. Available from: http://103.133.36.92/index.php/woh/article/view/136
Section
Articles
