ABSTRAK
Penelitian ini bertujuan untuk menganalisis determinan gejala depresi maternal pada periode lima tahun pertama pasca persalinan terutama faktor sosio-ekonomi, kesehatan ibu dan anak serta dukungan sosial. Dalam penelitian ini gejala depresi maternal diukur menggunakan instrumen CESD-10. Ibu dianggap memiliki gejala depresi jika total score CESD-10 sebesar sepuluh atau lebih. Penelitian ini menggunakan data Indonesia Family Life Survei IFLS tahun 2014 IFLS5 . Penelitian ini memiliki tiga model analisis untuk mengetahui determinan gejala depresi maternal menurut periode pasca persalinan yaitu 0 ndash; 59 bulan pasca persalinan, 0 ndash; 23 bulan pasca persalinan dan 24 ndash; 59 bulan pasca persalinan. Hasil analisis menunjukkan bahwa kesehatan ibu dan anak, kondisi sosio-ekonomi dan dukungan sosial berhubungan dengan gejala depresi maternal pada lima tahun pertama pasca persalinan. ibu tanpa penyakit kronis, tidak menderita anemia serta memiliki balita sehat memiliki peluang mengalami gejala depresi maternal lebih rendah. Pendidikan dan tingkat ekonomi memiliki hubungan negatif dengan gejala depresi maternal sedangkan ibu bekerja memiliki peluang depresi maternal lebih tinggi dibanding ibu tidak bekerja. Ibu yang tinggal di keluarga besar memiliki peluang mengalami depresi maternal lebih tinggi dibanding ibu yang tinggal di keluarga inti. Pada analisis menurut periode pasca persalinan faktor kesehatan ibu dan anak berhubungan dengan gejala depresi maternal baik pada periode 0 ndash; 23 bulan maupun 24 ndash; 59 bulan pasca persalinan kecuali anemia hanya memiliki hubungan bermakna pada periode 0 ndash; 23 bulan pasca persalinan. Kondisi ekonomi memiliki hubungan negatif pada periode 24 ndash; 59 bulan pasca persalinan, namun tidak pada periode 0 ndash; 23 bulan pasca persalinan. Gejala depresi maternal pada periode 0 ndash; 23 bulan lebih banyak berhubungan dengan kondisi kesehatan ibu dan anak, namun pada periode selanjutnya faktor lain mulai memberikan hubungan dengan gejala depresi maternal.

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ABSTRACT
This study aims to analyze the determinants of maternal depressive symptoms in first five years postpartum, especially socio economic, maternal and child health and social support factors. Maternal depressive symptoms were measured using CESD 10. Mothers were categorized to have maternal depressive symptoms if had ten or more of the total score of CESD 10. This study used data from the Indonesia Family Life Survey IFLS 2014 IFLS5 . This study had three models to analyze the determinants of maternal depressive symptoms in 0 59 months postpartum, 0 23 months postpartum and 24 59 months postpartum. This study found that maternal and child health, socio economic status and social support were associated with maternal depressive symptoms in the first five years postpartum. Mothers without chronic disease, not suffering from anemia and having healthy under five years old children had lower probability of maternal depressive symptoms. Education and economic levels had a negative association with maternal depressive symptoms. Working mothers had higher probability of maternal depressive symptoms than unemployed mothers. Mothers who living in extended families had a higher probability of maternal depression symptom than mothers who live in nuclear families. According to postpartum period analysis, maternal and child health factors were associated with maternal depressive symptoms in both the 0 23 months and 24 49 months postpartum period unless anemia only had a significant relationship in the 0 23 months postpartum period. Economic conditions had a negative relationship in the period 24 59 months postpartum, but not in the period 0 23 months postpartum. Symptoms of maternal depression in the period 0 23 months were more associated with maternal and child health conditions. But in the next period, other factors begin to have the relationship to maternal depressive symptoms.