Water and sanitation quality on depressive symptoms across urban and rural areas in Indonesia: evidence from IFLS-5 data.

This study assesses the association between water and sanitation quality with depressive symptoms across urban and rural areas in Indonesia. A cross-sectional study involving 30,446 participants using Indonesian Family Life Survey wave 5 (IFLS-5). Multivariate logistic regression models and mediatio...

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Publicado en:International Journal of Environmental Health Research Vol. 35; no. 12; pp. 3819 - 3831
Autores principales: Hilal, Najm Al-Deen Moneer, Al-Aghbari, Nuha
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 35
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      pub: Taylor & Francis Ltd
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        atl: Water and sanitation quality on depressive symptoms across urban and rural areas in Indonesia: evidence from IFLS-5 data.
      aug:
        au:
          Hilal, Najm Al-Deen Moneer
          Al-Aghbari, Nuha
        affil: Geology Department, Faculty of Applied Science, Taiz University, Taiz, Yemen
      sug:
        subj:
          Urban Areas Indonesia
          Rural Areas Indonesia
          Water Pollution Adverse Effects
          Sanitation Evaluation
          Depression Risk Factors
          Risk Assessment
          Environmental Health Evaluation
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Surveys
          Rural Population
          Urban Population
          Questionnaires
          Prospective Studies
          Cross Sectional Studies
          Stratified Random Sample
          Water Supply
          Toilet Facilities
          Depression Prevention and Control
          Refuse Disposal
          Socioeconomic Factors
          Employment Status
          Health Status
          Chi Square Test
          Scales
          Descriptive Statistics
          Confidence Intervals
          Odds Ratio
          Center for Epidemiological Studies Depression Scale
          Psychological Tests
          Mediation Analysis
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: This study assesses the association between water and sanitation quality with depressive symptoms across urban and rural areas in Indonesia. A cross-sectional study involving 30,446 participants using Indonesian Family Life Survey wave 5 (IFLS-5). Multivariate logistic regression models and mediation analysis were used. Among rural residents, unimproved water sources (OR: 1.12, 95% CI: 1.01–1.26), un-boiled water consumption (OR: 1.46, 95% CI: 1.27–1.68), and open defecation facility (OR: 1.24, 95% CI: 1.09–1.41) were associated with increased odds of depressive symptoms. On the other hand, environmentally unfriendly garbage disposal was associated with lower odds of depressive symptoms (OR: 0.82, 95% CI: 0.74–0.91). In urban areas, similarly, unimproved water sources (OR: 1.35, 95% CI: 1.18–1.54), un-boiled water consumption (OR: 1.44, 95% CI: 1.20–1.71), open defecation facility (OR: 1.16, 95% CI: 0.99–1.36), and limited sanitation facility (OR: 1.15, 95% CI: 1.01–1.31) were associated with higher odds of depressive symptoms, while environmentally unfriendly garbage disposal increased the odds (OR: 1.14, 95% CI: 1.06–1.23). No significance was noted regarding drainage sewage quality either for rural or urban areas. Mediation analysis indicated that comorbidity is significantly mediating WASH variables and depressive symptoms highlight the need for targeted interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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