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Abstract

Low birth weight (LBW) is a global public health issue with significant short and long-term consequences for individuals and societies. This study aims to examine the most dominant risk and variations in the proportion of LBW based on fetal factors, maternal and obstetric factors, and sociodemographic factors among toddlers in Central Java Province, utilizing the 2018 Basic Health Research (RISKESDAS) data. The study used a cross-sectional study conducted on 4255 samples, utilizing univariate, bivariate (chi-square), and multivariate analysis (multiple logistic regression). Central Java has the 3rd highest number of LBW cases in Indonesia with a prevalence of 6.1%. However, univariate results indicate a drop in LBW prevalence in Central Java from 6.1% to 5.8% due to inclusion criteria. Nevertheless, LBW remains a significant concern in Indonesia, accounting for 34.5% of neonatal deaths in 2021. Bivariate analysis revealed significant differences in LBW based on twin pregnancies, parity, pregnancy complications, frequency of ANC visits, gestational age, and maternal education (p-value <0.05). Gestational age was the dominant factor associated with LBW in toddlers in Central Java (OR=15.50). Health institutions in Central Java are advised to promote recommended ANC standards, at least 6 times, and offer programs like classes for pregnant women to prevent LBW

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Bahasa Abstract

Bayi berat lahir rendah (BBLR) merupakan masalah kesehatan masyarakat yang substansial di setiap negara, karena menimbulkan berbagai dampak buruk yang mempengaruhi kehidupan penderitanya. Penelitian ini bertujuan untuk melihat faktorrisiko paling dominan dan perbedaan proporsi kejadian BBLR berdasarkan faktor janin, faktor ibu dan obstetri, dan faktor sosiodemografi pada balita di Provinsi Jawa Tengah berdasarkan data Riset Kesehatan Dasar 2018. Desain studi penelitian ini adalah cross-sectional yang dilakukan terhadap 4.255 sampel dengan menggunakan analisis univariat, bivariat (chi-square), dan multivariat (uji regresi logistik ganda). Jawa Tengah merupakan provinsi dengan jumlah kasus BBLR terbanyak ke-3 di Indonesia dengan prevalensi 6,1%. Namun, hasil analisis univariat menunjukkan bahwa prevalensi BBLR di Jawa Tengah mengalami penurunan dari 6,1% menjadi 5,8% karena adanya kriteria inklusi. Meskipun demikian, BBLR masih menjadi masalah yang signifikan di Indonesia karena menyebabkan 34,5% kematian neonatal pada tahun 2021. Hasil analisis bivariat menunjukkan bahwa terdapat perbedaan proporsi BBLR yang signifikan ditemukan pada variabel kehamilan ganda, paritas, komplikasi kehamilan, frekuensi kunjungan ANC, usia gestasi, dan status pendidikan ibu (p-value

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