Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024
DOI:
https://doi.org/10.26911/jepublichealth.2025.10.02.10Abstract
Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024.
Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression.
Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association..
Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.
Keywords:
Airworthiness, Compliance, Gestational, Pregnant Women , FlightsCorrespondence
Indri Wahyuningsih Misnadin. Study Program in Public Health, Universitas Nusa Cendana. Jl. Adisucipto, Penfui, Kupang, Nusa Tenggara Timur, Indonesia, 85228. Email: indriwm14@gmail.com. Telp: +6281337828332
References
Badan Pusat Statistik. (2024). Hasil Long Form SP2020 menurut provinsi/ kabupaten/kota 2020. Jakarta: Badan Pusat Statistik.
Balai Kekarantinaan Kesehatan Kupang. (2024). Rekapitulasi laporan bulanan Bandar Udara 2021–2024. Kupang: Sinkarkes Kemenkes.
Chibber R, Al‑Sibai MH, Qahtani N (2006). Adverse outcome of pregnancy follow-ing air travel: a myth or a concern? Obstet Gynecol Surv. 61(7):428–430. https://doi.org/10.1097/01.ogx.0000224593.53082.4f.
Dwicandra DNAKN. (2019). Analisis kepatuhan penumpang ibu hamil terhadap peraturan ibu hamil di maskapai Citilink di Bandar Udara Internasional I Gusti Ngurah Rai Bali. Yogyakarta: STTKD.
Grajewski B, Whelan EA, Lawson CC, Hein MJ, Waters MA, Anderson JL, Mac-Donald LA, et al. (2015) Miscarriage among flight attendants. Epidemiology. 26(2):192-203. https://doi.org/10.1097/EDE.0000000000000225.
Hananto DT, Sampurna B, Kekalih A (2021). Acceptance of Electronic Health Alert Card (E-Hac) for COVID‑19 screening among flight passengers at Soekarno–Hatta Airport. 8th International Conference of Public Health Proceedings. Surakarta Indonesia. Universitas Sebelas Maret. 248–254. https://doi.org/10.26911/ICPHepidemiology.FP.08.2021.01.
Hagmann SHF, Rao SR, LaRocque RC, Erskine S, Jentes ES, Walker AT, Barnett ED, et al. (2017). Travel Characteristics and Pretravel Health Care Among Pregnant or Breast-feeding U.S. Women Preparing for International Travel. Obstet Gynecol. 130(6): 1357-1365. https://doi.org/10.1097/aog.0000000000002360.
Hezelgrave NL, Whitty CJM, Shennan AH, Chappell LC (2011). Advising on travel during pregnancy. BMJ. 342:d2506. https://doi.org/10.1136/bmj.d2506.
Irmawan I (2021). Faktor Yang Berhubungan Dengan Kepatuhan Penerapan Protokol Kesehatan Covid-19 Pada Penumpang Kapal Selama Perjalanan Di Pelabuhan Nusantara Kendari. Universitas Hasanuddin, Makasar, Sulawesi Selatan.
Kemenhub RI (2021). Permenhub no. 30/2021 tentang standar pelayanan minimal penumpang angkutan udara. Jakarta: Kemenhub RI.
Kemenkes RI (2007). Keputusan Menteri Kesehatan RI no. 424/Menkes/SK/IV/2007 tentang pedoman upaya ke-sehatan pelabuhan dalam rangka karantina kesehatan. Jakarta: Kemenkes RI.
Kemenkes RI (2021). Buku saku merencanakan kehamilan sehat. Jakarta: Direktorat Jenderal Kesehatan Masyarakat.
Kemenkes RI. (2024). Surat edaran penanganan penumpang angkutan udara bagi ibu hamil no. SR.02.04/c.v/10984/2024. Jakarta: Direktorat Surveilans dan Kekarantinaan.
Langgar HA, Albanna F (2024). Pengaruh tingkat pengetahuan penumpang tentang security restricted area terhadap kepatuhan penumpang di Bandar Udara Internasional El Tari Kupang. Indones J Aviat Sci Eng. 1(1):9. https://doi.org/10.47134/pjase.v1i1.2277.
Lindasari IK, Hamim N, Emawati I (2023). Hubungan dukungan keluarga dengan kepatuhan ibu hamil melaksanakan pemeriksaan antenatal care di wilayah kerja Ponkesdes Alun-Alun Lumajang. J Ilm Obs Ilm Ilmu Kebidanan Kandung. 46–55.
Matteelli A, Carvalho AC, Bigoni S (2012). Visiting relatives and friends (VFR), pregnant, and other vulnerable travelers. Infect Dis Clin North Am. (3):625-35. https://doi.org/10.1016/j.idc.2012.07.003.
Nechval LH, Antony KM (2023). Travel during pregnancy: a web-based survey of people who have been pregnant within the past 10 years. Reprod Med. 4(3): 166–179. https://doi.org/10.3390/reprodmed4030016.
Paozah SK (2021). Analisis pelayanan petugas Pasasi Pt. Gapura Angkasa terhadap penumpang special passenger (ibu hamil) maskapai Garuda Indonesia di Bandar Udara Internasional Yogyakarta. Yogyakarta: STTKD.
Ram HS, Ram S, Miller N, Rosental YS, Chodick G (2020). Air travel during pregnancy and the risk of adverse pregnancy outcomes as gestational age and weight at birth: A retrospective study among 284,069 women in Israel between the years 2000 to 2016. PLoS One. 15(2): e0228639. https://doi.org/10.1371/journal.pone.0228639.
Matteelli A, Carvalho AC, Bigoni S (2012). Visiting relatives and friends (VFR), pregnant, and other vulnerable travelers. Infect Dis Clin North Am. (3):625-35. https://doi.org/10.1016/j.idc.2012.07.003.
Downloads
Published
2025-04-16
Issue
Vol. 10 No. 2 (2025)
Section
Articles
1.jpg)
