ABSTRAK
Latar Belakang: Pemberian ASI di Indonesia saat ini memprihatinkan, persentase bayi yang menyusu sampai dengan 6 bulan hanya 15,3 persen, kenyataan di masyarakat saat ini masih banyak ibu yang belum bersedia untuk memberikan ASI pada bayinya. Kandungan ASI kaya akan karotenoid dan selenium, sehingga ASI berperan dalam sistem pertahanan tubuh bayi untuk mencegah berbagai penyakit.
Subjek dan Metode: Jenis penelitian ini observasional analitik dengan rancangan cross sectional. Lokasi penelitian di wilayah kerja Puskesmas Kalijambe Sragen dengan sampel ibu yang menyusui dan mempunyai bayi usia 6 -12 bulan sebanyak 80 subjek dengan teknik total sampling. Analisis data menggunakan regresi logistik ganda.
Hasil: Ada hubungan negatif dan kuat antara pekerjaan ibu dengan pemberian ASI, secara statistik signifikan (OR=0,12;CI 95% 0,03-0,49;p=0,004),ada hubungan positif dan sangat kuat antara kesehatan ibu dengan pemberian ASI, secara statistik signifikan (OR=15,48;CI 95% 2,54-94,51;p=0,003), ada hubungan negatif dan lemah antara pendidikan ibu dengan pemberian ASI, namun secara statistik tidak signifikan (OR= 0,79;CI 95% 0,13-5,03;p=0,805), ada hubungan positif dan kuat antara pengetahuan ibu dengan pemberian ASI namun secara statistik tidak signifikan (OR=3,90;CI 95%;0,70-21,88;p=0,122), ada hubungan negatif dan kuat antara anjuran tenaga kesehatan dengan pemberian ASI namun secara statistik tidak signifikan (OR=0,28;CI 95% 0,06-1,46;p= 0,130),ada hubungan negatif dan kuat antara iklan susu formula dengan pemberian ASI namun secara statistik  tidak signifikan (OR=0,32;CI 95% 0,04-2,50;p=0,279. Ada hubungan antara pendidikan ibu, pekerjaan ibu, pengetahuan ibu, kesehatan ibu, anjuran tenaga kesehatan dan iklan susu formula dengan pemberian ASI (nilai -2log likelihood 50,00; R2 = 67,7%).
Kesimpulan : Mothers who have the knowledge and good health has a positive effect on breastfeeding . Education , maternal occupation , the recommended formula by force and advertising of infant formula have a negative effect on breastfeeding .
Kata Kunci: Pendidikan ibu, pekerjaan ibu, pengetahuan ibu, kesehatan ibu, anjuran tenaga kesehatan, iklan susu formula, dan pemberian ASI.
ABSTRACT
Background: The present situation of breastfeeding activity in Indonesia is need to be improved. The percentage of babies that are still given breastfeeding until six months after born is only 15,3%. In fact, many mothers neglect to give ASI for the baby. ASI is rich of karotenoid and selenium which are useful for baby’s immune system.
Subject and Method: This study is analytical observational research with cross sectional design. The research was carried out in working area of Kalijambe Public Health Center Sragen. The data was taken from 80 subjects contain of breastfeeding mothers and the ones who have 6-12 months baby as the sample and used simple random sampling technique. The data was analyzed using multiple logistic regression.
Results: There is a negative and strong relationship between mother’s profession and breastfeeding activity, statistically significant (OR=0.12;CI 95% 0.03-0.49;p=0.004). There is a positive and very strong relationship between mother’s health and breasfeeding activity, statistically significant (OR=15.48;CI 95% 2.54-94.51;p=0.003). There is a negative and weak relationship between mother’s education level and breasfeeding activity, but not statistically significant (OR=0.79;CI 95% 0.13-5.03; p=0.805). There is a positive and strong relationship between mother’s knowledge and breasfeeding activity but not statistically significant (OR=3.90;CI 95% 0.70- 21.88;p= 0.122). There is a negative and strong relationship between health staffs advice and breastfeeding activity but not statistically significant (OR=0.28;CI 95% 0.06-1.46;p= 0.130). There is a negative and strong relationship between formula milk advertisement and breastfeeding activity but not statistically significant (OR=0.32 CI 95% 0.04- 2.50; p=0.279. There is relationship between mother’s education level, mother’s profession, mother’s knowledge, mother’s health, health staffs advice, formula milk advertisement and breasfeeding activity (value -2log likelihood 50.00; R2=67.7%).
Conclusion: Mothers who have the knowledge and good health has a positive effect on breastfeeding . Education , maternal occupation , the recommended formula by force and advertising of infant formula have a negative effect on breastfeeding .
Keywords: Mother’s education level, mother’s profession, mother’s knowledge, mother’s health, health staffs advice, formula milk advertisement, and breasfeeding activity.