Determinan Sosial Ekonomi Kesehatan Anak Di Provinsi Jawa Timur

Azmi, Naflah (2026) Determinan Sosial Ekonomi Kesehatan Anak Di Provinsi Jawa Timur. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

Kesehatan anak merupakan fondasi penting dalam pembentukan sumber daya manusia dan pembangunan jangka panjang. Akan tetapi, Provinsi Jawa Timur masih menghadapi peningkatan keluhan kesehatan dan rawat inap anak, sehingga diperlukan pemahaman yang lebih kontekstual mengenai faktor sosial ekonomi yang memengaruhi kesehatan anak. Di sisi lain, fenomena aging population dan tingginya prevalensi rumah tangga multigenerasi di Jawa Timur menunjukkan bahwa kesehatan anak tidak hanya dipengaruhi oleh kondisi ibu dan anak, tetapi juga oleh keberadaan lansia dalam rumah tangga. Penelitian ini bertujuan untuk menganalisis pengaruh determinan sosial ekonomi terhadap kesehatan anak serta menguji peran moderasi kemandirian lansia dalam hubungan antara status pekerjaan ibu dan kesehatan anak. Penelitian ini menggunakan pendekatan kuantitatif dengan metode regresi logit dan Moderated Regression Analysis berdasarkan data SUSENAS 2024. Sampel penelitian terdiri dari 571 observasi rumah tangga multigenerasi di Provinsi Jawa Timur. Hasil penelitian menunjukkan bahwa status pekerjaan ibu berpengaruh positif dan signifikan terhadap kesehatan anak (OR= 4.97; p=0.037). Kemandirian lansia juga memiliki pengaruh langsung terhadap kesehatan anak sekaligus memoderasi hubungan antara status pekerjaan ibu dan kesehatan anak (OR=2.11; p=0.055, OR=0.144; p=0.018). Hasil average marginal effects menunjukkan bahwa status ibu bekerja meningkatkan probabilitas anak sehat secara signifikan pada rumah tangga dengan lansia tidak mandiri (dy/dx=0.169; p=0.011). Sementara itu, pendidikan ibu, pengeluaran per kapita, tipe daerah, dan usia ibu tidak berpengaruh signifikan. Penelitian ini merekomendasikan penguatan kebijakan kesehatan anak yang mempertimbangkan dinamika rumah tangga multigenerasi dan kebutuhan perawatan lansia.
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Child health is an important foundation for human capital development and long-term economic growth. However, East Java Province continues to experience increasing rates of child health complaints and hospitalization, indicating the need for a more contextual understanding of the socioeconomic factors influencing child health. At the same time, the phenomenon of population aging and the high prevalence of multigenerational households in East Java suggest that child health is shaped not only by maternal and child characteristics but also by the presence and condition of older adults within the household. This study aims to analyze the effects of socioeconomic determinants on child health and examine the moderating role of elderly independence in the relationship between maternal employment status and child health. The study employs a quantitative approach using logistic regression and Moderated Regression Analysis (MRA) based on the 2024 SUSENAS dataset. The sample consists of 571 observations from multigenerational households in East Java Province. The findings indicate that maternal employment status has a positive and statistically significant effect on child health (OR = 4.97; p = 0.037). Elderly independence also has a direct effect on child health and significantly moderates the relationship between maternal employment status and child health (OR = 2.11; p = 0.055; interaction OR = 0.144; p = 0.018). The average marginal effects show that maternal employment significantly increases the probability of children being healthy in households with non-independent older adults (dy/dx = 0.169; p = 0.011). Meanwhile, maternal education, per capita expenditure, area of residence, and maternal age do not have statistically significant effects on child health. These findings suggest that child health policies should be strengthened by taking into account the dynamics of multigenerational households and the care needs of older adults.

Item Type:	Thesis (Other)
Uncontrolled Keywords:	Kesehatan Anak, Status Pekerjaan Ibu, Kemandirian Lansia, Rumah Tangga Multigenerasi, Regresi Moderasi Logit, Child Health, Maternal employment, Elderly Independence, Multigenerational Households, Moderated Logistic Regression
Subjects:	H Social Sciences > HA Statistics > HA29 Theory and method of social science statistics H Social Sciences > HA Statistics > HA31.3 Regression. Correlation. Logistic regression analysis. H Social Sciences > HQ The family. Marriage. Woman
Divisions:	Faculty of Creative Design and Digital Business (CREABIZ) > Developmental Studies > 60201-(S1) Undergraduate Thesis
Depositing User:	Naflah Azmi
Date Deposited:	06 Jul 2026 06:38
Last Modified:	06 Jul 2026 06:38
URI:	http://repository.its.ac.id/id/eprint/134226

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