Electronic Theses and Dissertation

Diare akut masih menjadi salah satu masalah kesehatan utama pada anak usia balita karena dapat menyebabkan dehidrasi, gangguan tumbuh kembang, bahkan kematian. Berbagai faktor berperan dalam terjadinya diare pada anak, baik dari karakteristik anak, faktor ibu, maupun lingkungan. Penelitian ini bertujuan untuk menganalisis faktor risiko determinan kejadian diare akut pada anak usia 6 bulan hingga 5 tahun di wilayah kerja Puskesmas Krueng Barona Jaya, Aceh Besar. Desain penelitian analitik observasional dengan pendekatan cross-sectional. Penelitian dilakukan pada tanggal 24 November–9 Desember 2025 dan didapatkan 101 sampel. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan uji Spearman Rank serta regresi logistik untuk analisis multivariat. Hasil menunjukkan diare akut paling banyak terjadi pada anak usia 24–59 bulan (58,3%), tidak ASI eksklusif (66,7%), imunisasi tidak lengkap (51,9%), MP-ASI baik (47,5%), sanitasi lingkungan baik (47,7%), ibu dengan pengetahuan baik (49,1%), dan ibu dengan tingkat pendidikan SMA (53,7%). Hasil uji Spearman Rank menunjukkan usia anak (p = 0,002), ASI eksklusif (p = 0,000), dan imunisasi dasar (p = 0,038) berhubungan bermakna dengan kejadian diare akut. Pemberian MP-ASI (p = 0,144), sanitasi lingkungan (p = 0,662), pengetahuan ibu (p = 0,665), dan tingkat pendidikan ibu (p = 0,196) tidak berhubungan dengan kejadian diare akut. Analisis multivariat menunjukkan bahwa pemberian ASI Eksklusif merupakan faktor risiko determinan paling dominan terhadap kejadian diare akut (OR = 4,667; 95% CI: 2,016–10,805), diikuti oleh usia anak (OR = 4,400; 95% CI: 1,666–11,619) dan status imunisasi dasar (OR = 2,316; 95% CI: 1,041–5,150). Dengan demikian, usia anak, pemberian ASI Eksklusif, dan status imunisasi dasar merupakan faktor yang paling berhubungan dengan kejadian diare akut pada anak usia 6 bulan hingga 5 tahun.

Acute diarrhea remains one of the major health problems among children under five years of age, as it can lead to dehydration, impaired growth and development, and even death. Various factors contribute to the occurrence of diarrhea in children, including child characteristics, maternal factors, and environmental conditions. This study aimed to analyze the determinant risk factors of acute diarrhea among children aged 6 months to 5 years in the working area of Krueng Barona Jaya Public Health Center, Aceh Besar. This study employed an observational analytic design with a cross-sectional approach. The research was conducted from November 24 to December 9, 2025, involving 101 samples. Data were collected using questionnaires and analyzed using the Spearman Rank correlation test and logistic regression for multivariate analysis. The results showed that acute diarrhea was most common among children aged 24–59 months (58.3%), those who did not receive exclusive breastfeeding (66.7%), had incomplete immunization status (51.9%), received appropriate complementary feeding (47.5%), had good environmental sanitation (47.7%), had mothers with good knowledge about diarrhea (49.1%), and mothers with a senior high school education level (53.7%). The Spearman Rank test indicated that child age (p = 0.002), exclusive breastfeeding (p = 0.000), and basic immunization status (p = 0.038) were significantly associated with the incidence of acute diarrhea. Meanwhile, complementary feeding practices (p = 0.144), environmental sanitation (p = 0.662), maternal knowledge (p = 0.665), and maternal education level (p = 0.196) were not significantly associated with acute diarrhea. Multivariate analysis revealed that exclusive breastfeeding was the most dominant determinant risk factor for acute diarrhea (OR = 4.667; 95% CI: 2.016–10.805), followed by child age (OR = 4.400; 95% CI: 1.666–11.619) and basic immunization status (OR = 2.316; 95% CI: 1.041–5.150). Therefore, child age, exclusive breastfeeding, and basic immunization status were the factors most strongly associated with the incidence of acute diarrhea among children aged 6 months to 5 years.