Could National Health Insurance Prevent Overweight? A Case Study in Indonesia

DOI

10.2991/ahsr.k.200311.007How to use a DOI?

Keywords

overweight, NHI, IFLS, physical activity

Abstract

The prevalence of overweight in Indonesian adults continues to increase and gives the consequence risk of various metabolic syndrome diseases. the National Health Insurance (NHI) provides personal health prevention benefit that is expected to be able to control the prevalence of overweight. The study was aimed to analyze NHI effect to prevent overweight in Indonesia. A cross-sectional study was conducted using the data of the Indonesia Family Life Survey (IFLS) in 2014. The study used 30,113 respondents who were 15-99 years old as inclusion criteria. The data were analyzed by using logistic regression and measuring the adjusted Odd Ratio (OR). The prevalence of overweight was 35% and 45% were not registered as NHI participants. Having NHI could prevent overweight (OR: 0.93, CI: 0.88-0.97) if the health personnel in the primary health care had contact with NHI participants and gave them the health education about overweight prevention. Another finding proved that residing in an urban area increased the risk of being overweight (OR: 1.46, CI: 1.38-1.53) but routine physical activity prevented the risk of overweight (OR: 0.87, CI: 0.83-0.92). Having NHI could prevent the risk of overweight but a further research was needed for evaluating the effectiveness of contacts between health personnel and NHI participants. Health personnel in the primary health care should increase the content of personal health education about the prevention of overweight to the NHI participants. Indonesian Ministry of Health should provide the policy recommendations on how everyone controlled their overweight through the right regular physical activity.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Risky Kusuma Hartono
AU  - Sabariah Abd Hamid
AU  - Hafizurrachman
PY  - 2020
DA  - 2020/03/20
TI  - Could National Health Insurance Prevent Overweight? A Case Study in Indonesia
BT  - Proceedings of the 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019)
PB  - Atlantis Press
SP  - 32
EP  - 36
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.200311.007
DO  - 10.2991/ahsr.k.200311.007
ID  - Hartono2020
ER  -