Background: Corona Virus (COVID-19) is a new respiratory viral infectious disease that can cause illnesses ranging from the common cold to severe acute respiratory syndrome. Subsequently, as of May 31, 2022, the government of South Sulawesi reported 143,276 confirmed cases, 2,463 deaths, and 140,395 recovered patients. Purpose: To analyze the impact of behavior, travel history, and comorbidities on the incidence of COVID-19 in South Sulawesi. Methods: This is observational research with a cross-sectional study design and was conducted from January–April 2022 in 7 districts of South Sulawesi Province. A population of 650 respondents with a total sample of 161 patients confirmed positive and 189 suspected of having COVID-19. The Chi-square test and multiple logistic regression were used to analyze the data. Results: There was a relationship between travel history (p0.00; OR 2.19), knowledge (p0.03; OR 1.74), and actions (p0.00; OR 0.18) on the incidence of COVID-19. Additionally, no relationship was reported between comorbidities (p0.85), attitudes (p0.90), and level of knowledge (p0.08>(0.05) on the incidence of COVID-19. The most influential variable in the rapid spread was travel history, with an exp(B) value of 2.19 CI (95%) (LL=1.26; UL=3.80). Conclusion: The results showed that travel history, knowledge, and actions made a major contribution to the spread of COVID-19 in South Sulawesi Province.
Cigarette smoke exposure in mothers and children is highly prevalent in Asia, especially among rural and poor families. Second-hand smoke exposure might affect the nutritional status of children. Despite the emerging double burden of malnutrition and the very high prevalence of smoking in Indonesia, few studies have examined the effects of parental smoking on children’s nutritional status. This study aims to measure the relationship between family smoking behavior and the occurrence of stunting in children under 5 years. This cross-sectional study used a purposive sampling technique, with 221 households with children aged 0 to 59 months from poor areas in Indonesia. Exposure to cigarette smoke is assessed using The Secondhand Smoke Exposure Scale questionnaire. The outcome measured is child stunting (height-for-age Z-score). The prevalence of stunting was estimated at 145 (65.6%). Children living with smoking parents were counted for 157 (71%), and most smoking exposure comes from fathers 147 (67.4%). The predictors of stunting in children under 5 years were a smoker father with (AOR 1.8; 95% CI 1.281-4.641), both parents are smokers increasing the risk of stunting with (COR 3.591; 95% CI 1.67-3.77), being exposed of smoke for more than 3 hours a day increase the risk of stunted children (COR 2.05; 95% CI 1.214-3.629), and using traditional cigarette or kretek expand the risk of stunting (AOR 3.19; 95% CI 1.139-67.785). The findings demonstrate the negative impact of parental smoking on children’s growth, reinforcing the importance of reducing smoking prevalence by imposing a smoke-free home policy in the stunting prevention strategy.
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