Analysis of Health Levels Between Islands in Indonesia and their Relationship with Socio-Economic and Environmental Factors
Authors
Mulawarman University (Indonesia)
Mulawarman University (Indonesia)
Article Information
DOI: 10.51244/IJRSI.2026.1304000256
Subject Category: Health
Volume/Issue: 13/4 | Page No: 3015-3029
Publication Timeline
Submitted: 2026-04-27
Accepted: 2026-05-02
Published: 2026-05-20
Abstract
This study aims to determine and assess the influence of gross domestic regional product (GDRP) per capita, education, poverty, and environmental quality on public health in Indonesia and to compare the levels of health complaints among four regions using panel data from 34 provinces in Indonesia during 2018-2023. This study employed a quantitative method using a Path Analysis model with dummy variables, categorizing the system into three regions (groups). In region 1, education and the environment negatively impacted health complaints, while GDRP per capita and poverty did not significantly impact these complaints. In region 2, the four independent variables included in the study showed that GDRB per capita, education, the environment, and poverty significantly affected health complaints. All four variables, except poverty, negatively affected health complaints. Selanjutnya diketahui bahwa pada region 2 ini pertumbuhan ekonomi tidak mempengaruhi keluhan kesehatan. Then in region 3, three variables have an effect on health complaints, the other two determining variables, namely GDRP per capita and poverty, do not have a significant influence on health complaints in this region. Finally, fluctuations in health complaints were largely determined by Covid-19, which peaked at the end of 2020. However, the determinants that are consistent from year to year and between islands are the environment and education.
Keywords
GDRP per capita, PoGDRP per capita, Poverty, Education, Environment, Health complaint, Regions JEL Classification: A10, A20, I15 verty, Education, Environment, Health complaint, Regions JEL Classification: A10, A20, I15
Downloads
References
1. Adisasmita, R. (2005). Fundamentals of Regional Economics. Jakarta: Graha Ilmu. [Google Scholar] [Crossref]
2. Ammar, Z., Hendra, H., & Yonnedi, E. (2024). Poverty in Riau Province: The Role of Economic Growth, Income Distribution, and Human Development. The Journal of Academic Science, 1(8), 1027–1035. [Google Scholar] [Crossref]
3. Alodokter,( 2026). Stres - Gejala, Penyebab, dan Pengobatan. Retrieved fromhttps://www.alodokter.com › stres [Google Scholar] [Crossref]
4. Armstrong, H. & Taylor, J. (1993). Regional Economic and Policy. Harverster Wheatsheaf, New York. [Google Scholar] [Crossref]
5. Ariffin, Sjamsul, 2025. General Bureau Performance Report 2025. Ministry of Health, Republic of Indonesia. [Google Scholar] [Crossref]
6. Arief, S. (1998). Development Theory and Policy. Center for Information and Development Studies (CIDES), Jakarta. [Google Scholar] [Crossref]
7. Arsyad, Lincolin, 1999. Introduction to Regional Economic Planning and Development. Faculty of Economics Publishing Agency (BPFE), 1999. [Google Scholar] [Crossref]
8. Balchin, Paul N. & Bul Gregory, H. 1987. Regional and Urban Economics. Harper & Row Ltd, Redwood Burn Ltd, Trowbridge. [Google Scholar] [Crossref]
9. Becker, G. S. (1994). Human Capital: A Theoretical and Empirical Analysis, with Special Reference to Education (3rd ed.). The University of Chicago Press. [Google Scholar] [Crossref]
10. Berardi, N., & Marzo, F. (2017). The Elasticity of Poverty with Respect to Sectorial Growth in Africa. Review of Income and Wealth, 63(1), 147–168. [Google Scholar] [Crossref]
11. Blaug, Mark. 1974. "An Economic Analysis of Personal Earnings in Thailand. Economic Development and Cultural Change University of Chicago Press, 23(1), 1–31. [Google Scholar] [Crossref]
12. Bloom, D. E., Canning, D., & Sevilla, J. (2001). Health, Human Capital, and Economic Growth. Working Paper. (Often cited as a foundational study on health as capital). [Google Scholar] [Crossref]
13. Boissiere, Maurice X. (2004). Determinants of Primary Health Outcomes in Developing Countries. World Bank. Independent Evaluation Group. [Google Scholar] [Crossref]
14. BPS. 2023. Gross Regional Domestic Product of Provinces in Indonesia by Expenditure, 2018-2022. Jakarta [Google Scholar] [Crossref]
15. BPS. 2023. Statistical Year Book of Indonesia. Catalog Number: 1101001, Publication Number: 03200.2303, ISSN/ISBN: 0126-2912, Jakarta.. [Google Scholar] [Crossref]
16. Ceoworld's Magazine (2025). Countries With The Best Health Care Systems, 2025. Retrieved from https://ceoworld.biz/2025/09/21/countries-with-the-best-health-caresystems-2025/ [Google Scholar] [Crossref]
17. Cypher, J.M., 2020. The Process of Economic Development. Imprint Routledge, 5th Edition, eBook ISBN9780429289248, DOI https://doi.org/10.4324/9780429289248. [Google Scholar] [Crossref]
18. BPS-Statistics of Indonesia, (2024). Statistical Yearbook of Indonesia. Publication Number: 03200.24003 [Google Scholar] [Crossref]
19. BPS-Statistics Indonesia, (2023). Gross Regional Domestic Product of Provinces in Indonesia by Expenditure, 2018-2022. Jakarta [Google Scholar] [Crossref]
20. Firdaus & Rajiman (2025). The Impact of Environmental Quality on Public Health in Slum Settlements in Talang Kelapa District, Banyuasin Regency. Scientific Journal of Mechanical, Industrial, and Computer Engineering (Muara Teknik), 2(1). 1-20. [Google Scholar] [Crossref]
21. Frank, R. H., & Bernanke, B. S. (2007). Principles of Microeconomics (3rd ed.). New York: McGraw-Hill/Irwin. [Google Scholar] [Crossref]
22. John W. C. (2010). Research Design: Qualitative, Quantitative, and Mixed Approaches (3rd Edition; Yogyakarta, Pustaka Pelajar) [Google Scholar] [Crossref]
23. Jhingan, M.L. (2021). The Economics of Development and Planning. Retrieved from: https://archive.org/details/in.ernet.dli.2015.118935 [Google Scholar] [Crossref]
24. Miller, C. (2025). Countries With The Best Health Care Systems, 2025. Retrieved from https://ceoworld.biz/2025/09/21/countries-with-the-best-health-care-systems-2025/ [Google Scholar] [Crossref]
25. Murray, S. (2006). Poverty and Health. PMC PubMed Central. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC1405857/ [Google Scholar] [Crossref]
26. Muttaqin, A. (2018). Buku Ajar Asuhan Keperawatan Klien dengan Gangguan Sistem Pernapasan. Jakarta: Salemba Medika. [Google Scholar] [Crossref]
27. Mutaqin, Z. Z. (2018). Dynamics of health and economic aspects in carbonated beverage control policies in Indonesia. Quality: Health Journal, 12(1), 26–37 [Google Scholar] [Crossref]
28. Nyandekwe, M., Kakoma, J.B. & Nzayirambaho, M. (2018). The health-related Millennium Development Goals (MDGs) 2015: Rwanda performance and contributing factors. Pan African Medical Journal. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC6431417/pdf/PAMJ-31-56.pdf [Google Scholar] [Crossref]
29. Nafziger, E. Wayne. (2006). Economic Development. Pearson, Cambridge University Press, Cambridge, New York. [Google Scholar] [Crossref]
30. Notoatmodjo, S. (2010). Health Behavioral Science. Jakarta: Rineka. [Google Scholar] [Crossref]
31. Numbeo, (2026). Health Care Index by Country 2026. Retrieved from https://www.numbeo.com/health-care/rankings_by_country.jsp [Google Scholar] [Crossref]
32. Nugroho, Iwan, and Rokhmin Dahuri (2004). Regional Development (Economic, Social, and Environmental Perspectives). Jakarta: LP3ES [Google Scholar] [Crossref]
33. Nurhidayatika, F., Sumaryono, D., Andeka, W., Darwis, D., & Ningsih, L. (2022). The Effect of Health Promotion Using the Wheel of Intelligence (Roked) on Knowledge and [Google Scholar] [Crossref]
34. Attitudes Regarding Gastritis Prevention among Students at Al-Karim Islamic High School, Central Bengkulu. Ministry of Health Polytechnic of Health, Bengkulu [Google Scholar] [Crossref]
35. Pradono, J., & Sulistyowati, N. (2014). The Relationship Between Education Level, Knowledge of Environmental Health, Healthy Living Behavior, and Health Status (Correlation Study on the Population Aged 10-24 Years in Central Jakarta). Health System Research Bulletin, 17(1), 89–95 [Google Scholar] [Crossref]
36. Rastogi, P. N. (2002). Knowledge Management and Intellectual Capital as a Paradigm of Value Creation. Human Systems Management, 21(4), 229-240 [Google Scholar] [Crossref]
37. Romer, P. M. (1999). "Endogenous Technological Change". Journal of Political Economy. [Google Scholar] [Crossref]
38. Rosen, H. S. 1999. Public Finance. New York: McGraw-Hill [Google Scholar] [Crossref]
39. Indonesian Statistics, (2025). Statistical Yearbook of Indonesia 2025. Directorate of Statistical Dissemination, Volume 53. [Google Scholar] [Crossref]
40. Syafrizal, 2004. Regional Economics Theory and Application, Padang, Baduose Media. [Google Scholar] [Crossref]
41. Schultz, T. W. (1961). Investment in Human Capital. The American Economic Review, 51(1), 1-17. [Google Scholar] [Crossref]
42. Sundas, A., Contreras, I., Mujahid O., Beneyto, A., & Vehi, J. (2024). The Effects of Environmental Factors on General Human Health, A Scoping Review. PudMed [Google Scholar] [Crossref]
43. Disclaimer. Retrieved from https://www.mdpi.com/2227-9032/12/21/2123 [Google Scholar] [Crossref]
44. Tarigan, R. (2003). Regional Development Planning. Jakarta: Rajawali Press. [Google Scholar] [Crossref]
45. Tarigan, Robinson, (2004). Regional Development Planning. Jakarta: Bumi Aksara [Google Scholar] [Crossref]
46. UNDP (United Nations Development Programme). (1990). Human Development Report 1990. New York: Oxford University Press. [Google Scholar] [Crossref]
47. United Nations, (2025). The Millennium Development Goals Report 2011, United Nations, New York, 2011, Ban Ki-moon, 2015. Retrieved from (https://www.un.org/millenniumgoals/pdf/(2011_E)%20MDG%20Report%202011_Book%20LR.pdf [Google Scholar] [Crossref]
48. Wan, T. T. H. (2002). Evidence-based health care management: Multivariate modeling approaches (1st ed.). Norwell, MA: Kluwer Academic Publishers. [Google Scholar] [Crossref]
49. Weiss, J. (2005). Poverty Targeting in Asia, Research Director, Asian Development Bank Institute, Tokyo, Japan. [Google Scholar] [Crossref]
50. WHO, 2026. Environmental Health, 2026. Retrieved from https://www.who.int/healthtopics/environmental-health [Google Scholar] [Crossref]
Metrics
Views & Downloads
Similar Articles
- Migrant Health in Morocco: Between Law and Reality
- CaknaMinda: An Educator-Centred Mobile App for Early Screening of Mental Health and Schizophrenia Risks
- Health System and Nursing Strategies for Enhancing Male Participation in Family Planning: Evidence from Tema General Hospital, Ghana.
- From Īśvara-Praṇidhāna to Parā-Bhakti: Convergent Paths of Aṣṭāṅga Yoga and Bhakti Yoga
- Evidence-Based Psycho-Oncological Interventions: A Multimodal Approach to Supportive Care