SOCIOECONOMIC FACTORS, HEALTHCARE ACCESSIBILITY, AND DEPRESSION AMONG PARENTS OF VERY LOW BIRTH WEIGHT INFANTS

Penulis

  • Carwadi Carwadi STIKES Mitra RIA Husada Jakarta
  • Aan Hermawan STIKES Mitra RIA Husada Jakarta
  • Ridho Muhammad Dhani STIKES Mitra RIA Husada Jakarta
  • Ashar Putra Universitas Jambi image/svg+xml

DOI:

https://doi.org/10.22437/0kh65386

Kata Kunci:

very low birth weight, depression, parents, socioeconomic factors, healthcare accessibility, financial burden

Abstrak

Background: Parents of very low birth weight (VLBW) infants may experience psychological and socioeconomic challenges related to the care of their infants, including difficulties in accessing healthcare services and meeting unexpected care-related expenses. This study aimed to analyze the association between socioeconomic factors, healthcare accessibility, and depression levels among parents of VLBW infants at RSUD Ciawi, Bogor, Indonesia.

Methods: A cross-sectional study was conducted among 55 parents of VLBW infants. Data were collected on healthcare accessibility, including travel distance, travel time, and perceived accessibility, as well as socioeconomic characteristics, including parental education, employment status, income, ability to meet unexpected expenses, and household economic stability. Depression levels were assessed and categorized into normal and significant depression levels. The associations between study variables and depression levels were analyzed using the chi-square test.. Results: Among 55 respondents, 8 (14.5%) had a normal depression level, while 47 (85.5%) had a significant depression level. No statistically significant associations were found between depression levels and travel distance to the hospital (p=0.50), travel time (p=0.96), perceived healthcare accessibility (p=0.17), parental education (p=0.34), employment status (p=0.31), income (p=0.15), or household economic stability (p=0.63). However, the ability to meet unexpected expenses, including transportation and special milk costs, was significantly associated with depression levels (p=0.04). Conclusion: Most parents of VLBW infants in this study experienced significant depression levels. Although most socioeconomic and healthcare accessibility variables were not significantly associated with depression, the ability to meet unexpected expenses was significantly associated with depression levels. Financial and psychosocial support may be important components of care for families of VLBW infants.

 

 

Biografi Penulis

  • Carwadi Carwadi, STIKES Mitra RIA Husada Jakarta

    Department of Public Health

  • Aan Hermawan, STIKES Mitra RIA Husada Jakarta

    Deaprtment of Public Health

  • Ridho Muhammad Dhani, STIKES Mitra RIA Husada Jakarta

    Department of Public Health

  • Ashar Putra, Universitas Jambi

    Department of Public Health

Referensi

1. Abuidhail, J. et al. (2017) ‘The lived experience of Jordanian parents in a neonatal intensive care unit: A phenomenological study’, Journal of Nursing Research, 25(2), pp. 156–162. doi: 10.1097/JNR.0000000000000134.

2. Adama, E. A. et al. (2022) ‘Support needs of parents in neonatal intensive care unit: An integrative review’, Journal of Clinical Nursing, 31(5–6), pp. 532–547. doi: 10.1111/jocn.15972.

3. Adama, E. A., Bayes, S. and Sundin, D. (2016) ‘Parents’ experiences of caring for preterm infants after discharge from Neonatal Intensive Care Unit: A meta-synthesis of the literature’, Journal of Neonatal Nursing, 22(1), pp. 27–51. doi: 10.1016/j.jnn.2015.07.006.

4. Ahlqvist-Björkroth, S. (2020) ‘Parental depression symptoms at neonatal intensive care unit discharge and associated risk factors’, Journal of Pediatrics.

5. Andresen, E. M. et al. (1994) ‘Screening for depression in well older adults: Evaluation of a short form of the CES-D’, American Journal of Preventive Medicine, 10(2), pp. 77–84.

6. Axelin, A. (2022) ‘Symptoms of depression in parents after discharge from NICU associated with family-centred care’, Journal of Advanced Nursing, 78, pp. 1676–1687.

7. Bernardo, J. et al. (2021) ‘Parental stress and mental health symptoms in the NICU: Recognition and interventions’, NeoReviews, 22, pp. e496–e505.

8. Burnham, N., Feeley, N. and Sherrard, K. (2013) ‘Parents’ perceptions regarding readiness for their infant’s discharge from the NICU’, Neonatal Network, 32(5), pp. 324–334. doi: 10.1891/0730-0832.32.5.324.

9. Caporali, C. et al. (2020) ‘A global perspective on parental stress in the neonatal intensive care unit: A meta-analytic study’, Journal of Perinatology, 40, pp. 1739–1752.

10. Franck, L. S., McNulty, A. and Alderdice, F. (2017) ‘The perinatal-neonatal care journey for parents of preterm infants’, The Journal of Perinatal & Neonatal Nursing, 31(3), pp. 244–255. doi: 10.1097/JPN.0000000000000273.

11. Garfield, C. F. et al. (2021) ‘Maternal and paternal depression symptoms during NICU stay and transition home’, Pediatrics.

12. Ginsberg, K. H. et al. (2023) ‘Mindfulness and relaxation-based interventions to reduce parental stress, anxiety and/or depressive symptoms in the NICU: A systematic review’, Journal of Clinical Psychology in Medical Settings, 30, pp. 387–402.

13. Grunberg, V. (2022) ‘Parental mental health screening in the NICU: A psychosocial team initiative’, Journal of Perinatology, 42, pp. 401–409.

14. Irwin, M., Artin, K. H. and Oxman, M. N. (1999) ‘Screening for depression in the older adult: Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D)’, Archives of Internal Medicine, 159(15), pp. 1701–1704. doi: 10.1001/archinte.159.15.1701.

15. Lakshmanan, A. et al. (2022) ‘The financial burden experienced by families of preterm infants after NICU discharge’, Journal of Perinatology, 42, pp. 223–230. doi: 10.1038/s41372-021-01213-4.

16. Lambiase, C. V. et al. (2024) ‘The financial burden experienced by families during NICU hospitalization and after discharge: A single center, survey-based study’, European Journal of Pediatrics, 183, pp. 903–913. doi: 10.1007/s00431-023-05352-y.

17. Lau, C., Turcich, M. R. and Smith, E. O. (2020) ‘Early detection of parenting stress in mothers of preterm infants during their first-year home’, BMC Psychology, 8, p. 66.

18. Lean, R. E. et al. (2023) ‘Socioeconomic disadvantage and parental mood/affective problems links negative parenting and executive dysfunction in children born very preterm’, Development and Psychopathology, 35, pp. 1092–1107.

19. Mause, L. et al. (2025) ‘Effects of Webcam Access to Preterm Infants in NICUs on Parental Psychological Strain’, Acta Paediatrica, 114(6), pp. 1421–1431. doi: 10.1111/apa.17588.

20. Nguyen, C. T. T. et al. (2023) ‘Prevalence of and factors associated with postnatal depression and anxiety among parents of preterm infants: A systematic review and meta-analysis’, Journal of Affective Disorders, 322, pp. 235–248. doi: 10.1016/j.jad.2022.11.015.

21. Osborne, A. D. et al. (2025) ‘Understanding and addressing mental health challenges of families admitted to the neonatal intensive care unit’, Journal of Perinatology, 45(6), pp. 873–880. doi: 10.1038/s41372-024-02187-9.

22. Persson, C. et al. (2023) ‘NICU parents’ mental health: A comparative study with parents of term and healthy infants’, Acta Paediatrica, 112, pp. 954–966.

23. Roth, W. M. and Jornet, A. (2014) ‘Toward a Theory of Experience’, Science Education, 98(1), pp. 106–126.

24. Schmöker, A. et al. (2020) ‘Longitudinal cohort study reveals different patterns of stress in parents of preterm infants during the first year after birth’, Acta Paediatrica, 109, pp. 1778–1786.

25. Taşgıt, A. and Toptaş Kılıç, S. (2025) ‘Factors Associated With Parental Stress in the Neonatal Intensive Care Unit’, Advances in Neonatal Care, 25(3), pp. 208–217. doi: 10.1097/ANC.0000000000001244.

26. Wilson, J. M. et al. (2025) ‘Direct, non-medical out-of-pocket expenditures for mothers of moderate or late preterm infants in a level II NICU: Comparison of Alberta Family Integrated Care versus standard care’, Patient Experience Journal? . doi: 10.1016/j.pecinn.2024.100365.

27. Wu, J. et al. (2025) ‘Needs for discharge planning among parents of preterm infants in the NICU: a systematic review and meta-synthesis’, Frontiers in Public Health, 13, p. 1667721. doi: 10.3389/fpubh.2025.1667721.

28. van Wyk, L. et al. (2024) ‘Psychological distress in the neonatal intensive care unit: a meta-review’, Pediatric Research, 96(6), pp. 1510–1518. doi: 10.1038/s41390-024-03599-1.

29. Yip, K. (2026) ‘Quality of Life of Parents of Premature Infants: A Systematic Review and Meta-Analysis’, JAMA Network Open.

30. Younge, T. et al. (2023) ‘Sociodemographic risk factors, parental stress and social support in the neonatal intensive care unit’, Archives of Disease in Childhood - Fetal and Neonatal Edition, 108, pp. 165–169.

Diterbitkan

2026-08-31

Cara Mengutip

“SOCIOECONOMIC FACTORS, HEALTHCARE ACCESSIBILITY, AND DEPRESSION AMONG PARENTS OF VERY LOW BIRTH WEIGHT INFANTS” (2026) Jurnal Keperawatan Universitas Jambi, 10(3), hlm. 1–11. doi:10.22437/0kh65386.