AKSES INTERNET DALAM KELUARGA HUBUNGANNYA DENGAN STATUS IMUNISASI DASAR LENGKAP ANAK BADUTA (ANALISIS DATA SDKI 2017)

Olwin Nainggolan; Felly Philipus Senewe

doi:10.22435/kespro.v11i2.3554

Olwin Nainggolan Indonesian NIHRD
Felly Philipus Senewe

DOI: https://doi.org/10.22435/kespro.v11i2.3554

Keywords: immunization, vaccine, IDHS, Indonesia

Abstract

Abstract

Background:Internet access penetration in Indonesia is growing, all information can be obtained very easily, including how the child's immune system can be obtained against diseases that can be prevented by immunization. However, the internet can also have a bad impact, because it is very easy to use to spread false news or hoaxes.

Objective: An analysis will be conducted to find the relationship between internet access in the family and the status of completeness of basic immunization for children under two years

Method: The study will use data from the Indonesian Health Demographic Survey (IDHS) conducted in 2017. The unit of analysis is children under two years. The analysis of the relationship between internet access in the family and the completeness status of basic immunization for children under two years used logistic regression analysis with a complex sample mode.

Result: The analysis shows that families in Indonesia who have internet access based on the 2017 IDHS data are 46.0 percent, and children under two years with complete basic immunization status is 65.3 percent. It can be seen that there is a relationship between internet access and the completeness status of basic immunization for children with OR 1.37 (1.14-1.66).

Conclusion: The internet is like a double-edged sword, one side can be used to find various information that is beneficial to health, but can also be used to spread false information. Therefore it is important to educate all Indonesians to use internet access positively.

Keywords: immunization, vaccine, IDHS, Indonesia.

Abstrak

Latar belakang: Penetrasi akses internet di Indonesia semakin berkembang, semua informasi dapat diperoleh dengan sangat mudah, termasuk bagaimana diperolehnya kekebalan tubuh anak terhadap penyakit-penyakit yang dapat dicegah dengan imunisasi. Akan tetapi, internet juga bisa memberikan dampak yang tidak baik karena sangat mudah dimanfaatkan untuk menyebarkan berita yang tidak benar atau hoax.

Tujuan: Akan dilakukan analisis untuk mencari hubungan antara akses internet dalam keluarga terhadap status kelengkapan imunisasi dasar anak bawah dua tahun.

Metode: Penelitian akan menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) yang dilakukan tahun 2017. Unit analisis adalah anak bawah dua tahun (baduta). Analisis hubungan antara akses internet dalam keluarga dengan status kelengkapan imunisasi dasar anak bawah dua tahun menggunakan analisis regresi logistik dengan mode kompleks sampel. Hasil: Analisis memperlihatkan bahwa keluarga di Indonesia yang memiliki akses internet berdasarkan data SDKI 2017 adalah sebesar 46,0 persen, dan baduta dengan status imunisasi dasar lengkap adalah sebesar 65,3 persen. Terlihat adanya hubungan antara akses internet dengan status kelengkapan imunisasi dasar anak dengan OR 1,37 (1,14-1,66).

Kesimpulan: Internet bagai pedang bermata dua, satu sisi dapat digunakan untuk mencari berbagai informasi yang bermanfaat bagi kesehatan, akan tetapi bisa juga dapat digunakan untuk menyebarkan informasi yang tidak benar. Oleh sebab itu, edukasi penting bagi seluruh penduduk Indonesia untuk menggunakan akses internet dengan positif.

Kata kunci: imunisasi, vaksin, internet, SDKI, Indonesia

References

1. Statistics Canada. Individual Internet use and e-commerce, 2012. Stat Canada [Internet]. 2013;2010–3. Available from: http://www.statcan.gc.ca/daily-quotidien/131028/dq131028a-eng.pdf%0Ahttp://www.statcan.gc.ca/daily-quotidien/131028/dq131028a-eng.htm
2. Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol [Internet]. 2005 Nov 1;58(11):1081–8. Available from: https://doi.org/10.1016/j.jclinepi.2005.09.002
3. Tonsaker T, Bartlett G, Trpkov C. Health information on the Internet. Can Fam Physician. 2014;60:407–8.
4. Hinman AR, Orenstein WO, Schuchat A. accine-Preventable Diseases, Immunizations, and MMWR 1961-2011 [Internet]. Atlanta; 2011. Available from: https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm
5. Laxminarayan R, Ganguly NK. India ’ s Vaccine Deficit: Why More Than Half Of Indian Children Are Not Fully Immunized, And What Can-And Should-Be Done. Health Aff. 2011;6(6):1096–103.
6. Sugerman DE, Barskey AE, Delea MG, Ortega-Sanchez IR, Bi D, Ralston KJ, et al. Measles outbreak in a highly vaccinated population, San Diego, 2008: role of the intentionally undervaccinated. Pediatrics. 2010 Apr;125(4):747–55.
7. Schaetti C, Hutubessy R, Ali SM, Pach A, Weiss MG, Chaignat C, et al. Oral cholera vaccine use in Zanzibar : socioeconomic and behavioural features affecting demand and acceptance. Bio Med Cent. 2009;11:1–11.
8. Larson HJ, Brocard P, Garnett G. The India HPV-vaccine suspension. Lancet. 2010;376:9–10.
9. Bragazzi NL, Barberis I, Rosselli R, Gianfredi V, Nucci D, Moretti M, et al. How often people google for vaccination: Qualitative and quantitative insights from a systematic search of the web-based activities using Google Trends. Hum Vaccines Immunother [Internet]. 2017;13(2):464–9. Available from: http://dx.doi.org/10.1080/21645515.2017.1264742
10. Golberg RM. Doctored truth, dead babies Fantasy vaccine fears go deeper than one fraudulent study [Internet]. Washington Post. 2011 [cited 2020 Jun 25]. Available from: https://www.washingtontimes.com/news/2011/jan/13/doctored-truth-dead-babies/
11. Colgrove J, Bayer R. Could it happen here? Vaccine risk controversies and the specter of derailment. Health Aff (Millwood). 2005;24(3):729–39.
12. Stern M, Markel H. The History Of Vaccines And Immunization: Familiar Patterns, New Challenges. Heal Aff. 2005;24(1):611–21.
13. Kennedy A, Lavail K, Nowak G, Basket M, Landry S. Confidence About Vaccines In The United States: Understanding Parents ’ Perceptions. Heal Aff. 2011;(June):1151–9.
14. Fox S. The Social Life of Health Information, 2011: Peer-to-peer Healthcare [Internet]. Washinton: California HealthCare Foundation; 2011. Available from: http://pewinternet.org/Reports/2011/Social-Life-of-Health-Info/Part-3/Section-1.aspx
15. Schein R, Wilson K, Keelan J. Literature Review On Effectiveness of the Use of Social Media a Report for Peel Public Health [Internet]. 2010 [cited 2020 Jun 24]. Available from: https://www.semanticscholar.org/paper/Literature-review-on-effectiveness-of-the-use-of-a-Schein-Wilson/f5011985741978662b1cbe229ee2e662551b17e8
16. Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. New Decade of Vaccines 5 Addressing the vaccine confi dence gap. Lancet. 2011;378.
17. Kata A. A postmodern Pandora ’ s box : Anti-vaccination misinformation on the Internet. Vaccine. 2010;28:1709–16.
18. Sanchez T, Ianos AC, Broniatowski D, Chandir S, Tustin JL. Internet exposure associated with canadian parents’perception of risk on childhood immunization: Cross-sectional study. J Med Internet Res. 2018;20(1).
19. Rahadi DR. Perilaku pengguna dan informasi Hoax di Media Sosial. J Manaj dan Kewirausahaan. 2017;5(1).
20. APJII. Potret jaman now pengguna dan perilaku internet Indonesia [Internet]. Bulletin APJI. 2018. Available from: https://apjii.or.id/downfile/file/BULETINAPJIIEDISI23April2018.pdf
21. Sulistiyani P, Shaluhiyah Z, Cahyo K. Gambaran Penolakan Masyarakat Terhadap Imunisasi Dasar Lengkap Bagi Balita (Studi Di Kelurahan Sendangmulyo, Kecamatan Tembalang, Kota Semarang). J Kesehat Masy. 2017;5(5):1081–91.
22. Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 tahun 2017 Tentang Penyelenggaraan Imunisasi. 2017.
23. BKKBN, BPS, Kemenkes RI. Indonesian Demographic Health Survey. Statistics Indonesia, NPFPB, MOH, USAID. 2018.
24. Lestari KD. Perilaku Masyarakat Indonesia dalam Penggunaan Internet [Internet]. Institut Pertanian Bogor; 2014. Available from: https://repository.ipb.ac.id/bitstream/handle/123456789/69135/G14kdl.pdf;sequence=1
25. Bleier K. More Canadians Use Facebook Daily Than Anywhere Else in the World [Internet]. Financial Post. 2013 [cited 2020 Jul 5]. Available from: https://business.financialpost.com/technology/more-canadians-use-facebook-daily-than-anywhere-else-in-the-world
26. Faber H. Canadian Social Media Statistics 2013 [Internet]. Web Fuel. 2013 [cited 2020 Jul 5]. Available from: http://www.webfuel.ca/canadian-social-media-statistics-2013/
27. Harmsen IA, Doorman GG, Mollema L, Ruiter RAC, Kok G, Melker HE De. Parental information-seeking behaviour in childhood vaccinations. 2013;1–10.
28. Bianco A, Zucco R, Ella C, Nobile GA, Pileggi C, Pavia M. Parents Seeking Health-Related Information on the Internet : Cross-Sectional Study. J Med Internet Res. 2013;15(9).
29. Barak-corren Y, Group PM, Reis BY, Group PM. HHS Public Access. Vaccine. 2016;33(21):2395–8.
30. Piscaglia L. Internet and Social Media : Influence on the parent ’ s vaccination decision [Internet]. University of Tennessee Health Science Center; 2016. Available from: https://dc.uthsc.edu/cgi/viewcontent.cgi?article=1001&context=hiimappliedresearch
31. Guidry JPD, Carlyle K, Messner M, Jin Y. On pins and needles: how vaccines are portrayed on Pinterest. Vaccine. 2015 Sep;33(39):5051–6.
32. Chatterjee A. Vaccine and immunization resources on the World Wide Web. Clin Infect Dis an Off Publ Infect Dis Soc Am. 2003 Feb;36(3):355–62.
33. Davies P, Chapman S, Leask J. Antivaccination activists on the world wide web. Arch Dis Child. 2006;22–5.
34. Tafuri S, Gallone MS, Gallone MF, Zorico I, Aiello V, Germinario C. Communication about vaccinations in Italian websites A quantitative analysis. Hum Vaccines Immunother. 2014;10(5):1416–20.
35. Handy LK, Maroudi S, Powell M, Nfila B, Moser C, Japa I, et al. The impact of access to immunization information on vaccine acceptance in three countries. PLoS One. 2017;12(8):1–16.
36. Connolly T, Reb J. Toward interactive, Internet-based decision aid for vaccination decisions: better information alone is not enough. Vaccine. 2012 May;30(25):3813–8.
37. Pineda D, Myers MG. Finding reliable information about vaccines. Pediatrics. 2011 May;127 Suppl 1:S134-7.
38. Thomson A, Robinson K, Vallée-tourangeau G. The 5As : A practical taxonomy for the determinants of vaccine uptake. Vaccine [Internet]. 2016;34(8):1018–24. Available from: http://dx.doi.org/10.1016/j.vaccine.2015.11.065
39. Glanz JM, Kraus CR, Daley MF. Addressing Parental Vaccine Concerns : Engagement , Balance , and Timing. Plos Biol. 2015;1–8.
40. Signorelli C, Odone A. Advocacy communication, vaccines and the role of scientific societies. Ann Ig. 2015;27(5):737–47.
41. Thielmann A, Viehmann A, Weltermann BM. Effectiveness of a web-based education program to improve vaccine storage conditions in primary care ( Keep Cool ): study protocol for a randomized controlled trial. Trials [Internet]. 2015;1–8. Available from: http://dx.doi.org/10.1186/s13063-015-0824-9
42. Company A, Bosch FX, Sanjosé S De. Training in the prevention of cervical cancer : advantages of e-learning. ecancer. 2015;9:1–10.
43. Mccarthy EA, Pollock WE, Tapper L, Sommerville M, Mcdonald S. Increasing uptake of influenza vaccine by pregnant women post H1N1 pandemic : a longitudinal study in Melbourne , Australia , 2010 to 2014. BMC. 2015;1–7.
44. Fox S, Rainie L, Horrigan J, Lenhart A, Spooner T, Burke M, et al. The online health care revolution : How the Web helps Americans take better care of themselves. 1999.
45. Downs JS, de Bruin WB, Fischhoff B. Parents’ vaccination comprehension and decisions. Vaccine. 2008 Mar;26(12):1595–607.
46. Larson HJ. Negotiating vaccine acceptance in an era of reluctance. Hum Vaccin. 2013;9(August):1779–81.
47. Seeman N, Seeman M. Autism and the Measles, Mumps, and Rubella Vaccine: Need to Communicate a Health Study Retraction to Patients [Internet]. Society for Participatory Medicine. 2010 [cited 2020 Jul 9]. Available from: https://participatorymedicine.org/journal/evidence/research/2010/12/17/autism-and-the-measles-mumps-and-rubella-vaccine-need-to-communicate-a-health-study-retraction-to-patients/
48. Downs JS, Bruin WB de, Fischhoff B. Parents Vaccination comprehension and decision. Vaccine [Internet]. 2008 [cited 2020 Jun 23];26(12). Available from: http://angusreid.org/vaccines/
49. Nasir L. Reconnoitering the antivaccination web sites: news from the front. J Fam Pract. 2000 Aug;49(8):731–3.
50. Abbott VP. Web page quality : can we measure it and what do we find ? A report of exploratory findings. J Public Health Med. 2000;22(2):191–7.
51. Wolfe RM, Sharp LK. Vaccination or Immunization ? The Impact of Search Terms on the Internet. J Health Commun. 2005;(Cdc):539–53.
52. Luke DA, Harris JK. Network Analysis in Public Health : History , Methods , and Applications. Annu Rev Public Health. 2007;28:69–73.
53. Idriss SZ, Kvedar JC, Watson AJ. The role of online support communities: benefits of expanded social networks to patients with psoriasis. Arch Dermatol. 2009 Jan;145(1):46–51.