The Effects of Social Economic Factors On Diarrhea in Demak, Central Java

Aulia Noorvita Ramadani1), Sri Rahardjo2), Bhisma Murti2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Bckground: Diarrhea is a public health problem with high mortality and morbidity. Diarrhea can be prevented by maintaining cleanliness and a healthy lifestyle. This study aimed to deter­mine the effect of socioeconomic factor on the incidence of diarrhea.

Subjects and Method: A case control study was conducted in Demak, Central Java, from Oc­tober to November 2018. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was diarrhea. The independent variables were education, had washing u­sing soap, family income, clean water availability, latrine avai­lability, water waste mana­ge­ment, and waste management. The data were collected by questionnaire and analyzed by a mul­ti­ple logistic regression.

Results: Risk of diarrhea increased with poor clean water availability (OR= 4.06; 95% CI= 1.34 to 12.3; p= 0.013), poor latrine availability (OR= 6.33; 95% CI= 2.02 to 19.8; p= 0.002), poor water waste management (OR= 14.2; 95% CI= 4.77 to 42.7; p<0.001), poor waste management (OR= 3.74; 95% CI= 1.24 to 11.2; p= 0.019), and didn’t wash hands using soap (OR= 3.39; 95% CI= 1.18 to 9.74; p= 0.023). Risk of diarrhea dec­reased with high family income (OR= 0.24; 95% CI= 0.08 to 0.69; p= 0.008) and high edu­cation (OR= 0.18; 95% CI= 0.06 to 0.56; p= 0.003).

Conclusion: Risk of diarrhea increases with poor clean water availability, poor latrine avai­labi­lity, poor water waste management, poor waste management, and didn’t wash hands using soap. It decreases with high family income and high education.

Keywords: diarrhea, social economic factors, hand wash behavior

Correspondence: Aulia Noorvita Ramadani. Master Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: au­ Mobile: +6285641577322


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