Keywords
diarrhea
water
demography
open defecation
Indonesia
How to Cite
Abstract
Background: Open defecation remains a public health problem in Indonesia, contributing to various diseases such as diarrheal diseases within communities. Open defecation can be influenced by several factors, including socio-demographic, cultural, financial, and poor sanitation factors. However, these factors remain poorly investigated.
Objective: This study aimed to determine the association between age, gender, level of education, knowledge, attitude, family income, local government support, availability of clean water, and family latrines with open defecation behavior in Serang City, Banten Province, Indonesia.
Methods: A cross-sectional study design was selected, using purposive sampling in the study area. Data were collected from 220 respondents using a structured questionnaire from June to October 2022. Chi-square test was used to analyze the data.
Results: The majority of the respondents were females (52.7%), and the dominant age group was >30 years old (50.9%). Bivariate analysis showed a significant relationship between gender (OR = 8.190, 95% CI =4 .460-15.038), attitude level (OR = 2.391, 95% CI = 1.271-4.500), family income (OR = 35.964, 95% CI = 8.477-152.582), local government support (OR = 4.540, 95% CI = 2.073-9.943), availability of clean water (OR = 2.834, 95% CI =1.632-4.922), and family latrines (OR = 19.260, 95% CI = 9.612-38.591) with open defecation behavior (p <0.05). There was no significant relationship between age, level of education, and knowledge with open defecation behavior (p >0.05).
Conclusion: The main variables that significantly influenced open defecation behavior were female gender, family income, local government support, and family latrines. Therefore, there is a need for a policy shift to involve female empowerment and local government support to construct affordable and effective latrines, aiming to improve the current practice and eliminate open defecation.References
Ayalew, A. M., Mekonnen, W. T., Abaya, S. W., & Mekonnen, Z. A. (2018). Assessment of diarrhea and its associated factors in under-five children among open defecation and open defecation-free rural settings of Dangla District, Northwest Ethiopia. Journal of Environmental and Public Health, 2018.
Badan Pusat Statistik Serang. (2021). Kota Serang Dalam Angka 2021. Badan Pusat Statistik Serang
Bauza, V., Majorin, F., Routray, P., Sclar, G. D., Caruso, B. A., & Clasen, T. (2020). Child feces management practices and fecal contamination: A cross-sectional study in rural Odisha, India. Science of The Total Environment, 709, 136169. https://doi.org/10.1016/j.scitotenv.2019.136169
Belay, D. G., Asratie, M. H., Aragaw, F. M., Tsega, N. T., Endalew, M., & Gashaw, M. (2022a). Open defecation practice and its determinants among households in sub-Saharan Africa: Pooled prevalence and multilevel analysis of 33 sub-Saharan Africa countries demographic and health survey. Tropical Medicine and Health, 50(1), 28. https://doi.org/10.1186/s41182-022-00416-5
Belay, D. G., Chilot, D., & Asratie, M. H. (2022b). Spatiotemporal distribution and determinants of open defecation among households in Ethiopia: A mixed effect and spatial analysis. Plos one, 17(5), e0268342. https://doi.org/10.1371/journal.pone.0268342
Chong, J., Abeysuriya, K., Hidayat, L., Sulistio, H., & Willetts, J. (2016). Strengthening local governance arrangements for sanitation: Case studies of small cities in Indonesia. Aquatic Procedia, 6, 64-73. http://doi.org/10.1016/j.aqpro.2016.06.008
Delaire, C., Kisiangani, J., Stuart, K., Antwi-Agyei, P., Khush, R., & Peletz, R. (2022). Can open-defecation free (ODF) communities be sustained? A cross-sectional study in rural Ghana. Plos One, 17(1), e0261674. https://doi.org/10.1371/journal.pone.0261674
Fasya, A. H. Z., Ibad, M., & Handayani, D. (2022). Comprehensive sanitation situation analysis based on complete components in community-based total sanitation. Bali Medical Journal, 11(3), 1176-1179. http://doi.org/10.15562/bmj.v11i3.3536
Gebru, T., Taha, M., & Kassahun, W. (2014). Risk factors of diarrhoeal disease in under-five children among health extension model and non-model families in Sheko district rural community, Southwest Ethiopia: Comparative cross-sectional study. BMC Public Health, 14(1), 1-6. https://doi.org/10.1186/1471-2458-14-395
Immurana, M., Kisseih, K. G., Yusif, H. M., & Yakubu, Z. M. (2022). The effect of financial inclusion on open defecation and sharing of toilet facilities among households in Ghana. Plos One, 17(3), e0264187. https://doi.org/10.1371/journal.pone.0264187
Januariana, N. E. (2022). Factors that influence community behavior of incidental defeat at Desa Jawa Belakang, Kecamatan Langsa, Kota Langsa. International Archives of Medical Sciences and Public Health, 3(1), 75-85.
Jebb, A. T., Ng, V., & Tay, L. (2021). A review of key Likert scale development advances: 1995–2019. Frontiers in Psychology, 12, 637547. https://doi.org/10.3389/fpsyg.2021.637547
Johnson, B. T. (2021). Toward a more transparent, rigorous, and generative psychology. Psychological Bulletin, 147(1), 1-15. https://doi.org/10.1037/bul0000317
Kementerian Kesehatan Republik Indonesia. (2022). Hasil Utama RISKESDAS 2018. Jakarta: Kementerian Kesehatan Republik Indonesia
Kuang, J., Ashraf, S., Shpenev, A., Delea, M. G., Das, U., & Bicchieri, C. (2020). Women are more likely to expect social sanctions for open defecation: Evidence from Tamil Nadu India. Plos One, 15(10), e0240477. https://doi.org/10.1371/journal.pone.0240477
La Patilaiya, H., & Ishak, S. N. (2022). Behavioral determinants of open defecation free to families in Soligi Village. International Journal of Health and Pharmaceutical (IJHP), 3(1), 101-107.
Levy, P. S., & Lemeshow, S. (2013). Sampling of populations: Methods and applications. John Wiley & Sons.
Maliti, E. (2021). Evolution of open defecation prevalence in Tanzania 2002–2015: Evidence from national demographic and health surveys. Development in Practice, 31(1), 112-124. https://doi.org/10.1080/09614524.2020.1828283
Ntaro, M., Owokuhaisa, J., Isunju, J. B., Mulogo, E., & Ssempebwa, J. C. (2022). Contextual and psychological factors influencing open defecation free status: an exploratory qualitative study in rural South Western Uganda. BMC Public Health, 22(1), 1-15. https://doi.org/10.1186/s12889-022-12759-z
Odagiri, M., Cronin, A. A., Thomas, A., Kurniawan, M. A., Zainal, M., Setiabudi, W., Gnilo, M. E., Badloe, C., Virgiyanti, T. D., & Nurali, I. A. (2020). Achieving the Sustainable Development Goals for water and sanitation in Indonesia–Results from a five-year (2013–2017) large-scale effectiveness evaluation. International Journal of Hygiene and Environmental Health, 230, 113584. https://doi.org/10.1016/j.ijheh.2020.113584
Paul, B., Jean Simon, D., Kiragu, A., Généus, W., & Emmanuel, E. (2022). Socio-economic and demographic factors influencing open defecation in Haiti: A cross-sectional study. BMC Public Health, 22(1), 1-16. https://doi.org/10.1186/s12889-022-14619-2
Sari, A. F. K., Azizah, R., Jalaludin, J., Rahmawati, I., Sulistyorini, L., Yudhastuti, R., Sumantri, A., Jauharoh, S. N., Zulkarnain, O. F., & Rizaldi, M. A. (2022). A Review of Open Defecation (OD) in Indonesia and the control with logic model. Malaysian Journal of Medicine and Health Sciences, 18(2), 157-165.
Terry, P. E. (2021). Health promotion planning and an interview with Dr. Lawrence Green. In (Vol. 35, pp. 760-765): SAGE Publications Sage CA: Los Angeles, CA.
Yulyani, V., Febriani, C. A., Shaharuddin, M., & Hermawan, D. (2021). Patterns and determinants of open defecation among urban people. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 16(1).
Yustina, I., & Lubis, N. L. (2020). Effect of Predisposing Factors (Education, Economic Level, Knowledge and Attitude) on Defecation Behavior in Bener Meriah Regency. Britain International of Exact Sciences (BIoEx) Journal, 2(1), 142-149. https://doi.org/10.33258/bioex.v2i1.122
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