Effect Size Estimation of Child Stunting Determinants in Surakarta, Central Java
DOI:
https://doi.org/10.26911/jepublichealth.2024.09.01.01Abstract
Background: Child growth is one of the public health indicators in monitoring the nutritional and health status of a population. One of the nutritional problems that is of major concern is the prevalence of stunting in toddlers. Stunting is still a problem in the world. This study aims to analyze the reestimation of the magnitude of the determinant effect of stunting on children under five in the city of Surakarta, Central Java.
Subjects and Method: This was a cross-sectional study conducted in Pajang and Sibela community health centers (Puskesmas) in Surakarta, Central Java. Total sample of 200 children under five was selected using fixed disease sampling, consisted of 50 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were exclusive breastfeeding, maternal height, maternal history of illness, maternal age at pregnancy, maternal height, and family income. The data were collected using questionnaire and analyzed using a multiple logistic regression.
Results: Maternal age ≥20 years (aOR= 0.19; 95% CI= 0.06 to 0.58; p=0.004), maternal height ≥160 cm (aOR= 0.30; 95% CI= 0.12 to 0.74; p= 0.009), and family income high (aOR= 0.29; 95% CI= 0.12 to 0.72; p=0.008) reduces the risk of stunting. Children under five who were not exclusively breastfed (aOR= 27.06; 95% CI= 8.13 to 90.05; p <0.001) and frequent illness in mothers (aOR= 12.69; 95% CI= 4.59 to 35.10; p<0.001) increases the risk of stunting.
Conclusion: Maternal age ≥20 years, maternal height ≥160 cm, and family income high reduce the risk of stunting. Children under five who were not exclusively breastfed and frequent illness in mothers increase the risk of stunting.
Keywords: stunting, maternal age, maternal height, income, breastfed, illness, children
References
Akombi BJ, Agho KE, Hall JJ, Wali N, Renzaho AM, Merom D (2017). Stunting wasting and underweight in sub-Saharan Africa: a systematic review. Int J Environ Res Public Health. 14(8): 863.
Amin NA, Hadi M (2016). Faktor sosio-demografi dan tinggi badan orang tua serta hubungannya dengan kejadian stunting pada balita usia 6-23 bulan. J. Gizi Dietetik Indones. 2(3): 170-177.
Annisa FO, Rohmawati N, Ririanty M (2012). Faktor-faktor yang mempengaruhi kejadian stunting pada anak balita di wilayah pedesaan dan perkotaan. e-Jurnal Pustaka Kesehatan.
Andarwulan S, Hubaedah A, Waroh YK (2019). Factor analysis of working mothers and housewives of preschool children 36-72 month in kindegarten againt stunting in the Kalisari district, Mulyorejo district, Surabaya. Proceeding of international conference on science, health, and technology: 33-36.
Aramico B, Sudargo T, Susilo J (2016). Hubungan sosial ekonomi, pola asuh, pola makan dengan stunting pada siswa sekolah dasar di Kecamatan Lut Tawar, Kabupaten Aceh Tengah. J Gizi Dietetik Indones. 1(3): 121-130
Arifin FO, Ririanty M (2004). Faktor-faktor yang mempengaruhi kejadian stunting pada anak balita di wilayah pedesaan dan perkotaan. e-Jurnal Pustaka Kesehatan.
Atsu BK, Guure C, Laar AK (2017). Determinants of overweight with concurrent stunting among Ghanaian children. BMC pediatr. 17: 1-12.
Bening S, Margawati A, Rosidi A (2018). Asupan zink riwayat ispa dan pengeluaran pangan sebagai faktor resiko stunting pada anak usia 2-5 tahun di kota Semarang. J Gizi. 7(1).
Berg LM, Azpeitia G, Súarez D, Rodríguez A, Ferrer JF, Majem L (2010). Factors associated with stunting among children aged 0 to 59 months from the central region of Mozambique. Nutri-ents. 9(5): 491.
Chirande L, Charwe D, Mbwana H, Victor R, Kimboka S, Issaka AI, Agho KE (2015). Determinants of stunting and severe stunting among under-fives in Tanzania: evidence from the 2010 cross-sectional household survey. BMC pediatr. 15: 1-13
Cunningham WA, Raye CL, Johnson MK (2005). Neural correlates of evaluation associated with promotion and prevention regulatory focus. Cogn. Affect. Behav. Neurosci. 5: 202-211.
Desmon C, Christijani R, Nurhidayati N (2022). Hubungan risiko status kesehatan dengan kejadian stunting pada anak 24-36 bulan. Food Nutr Res. 45(2): 83-90
Deviatin NS (2021). Factors that associated with the practice of exclusive breast-feeding. JIPJISK. 11(1): 217-226.
Fitri L, Ernita (2019). Hubungan pemberian asi eksklusif dan mpasi dini dengan kejadian stunting pada balita. J Ilmu Kebidanan. 8(1): 19–24.
Hidayatunnikmah N, Irawan R, Prasety, B (2018). The influence of maternal nutrition consumption level during breastfeeding on breast milk macro-nutrient component and infants weight 121. HNST. 2(1): 121–127.
Kemenkes RI (2018). Situasi balita pendek (stunting) di Indonesia. Kementerian Kesehatan RI. 301(5): 1163-1178.
Kim AHA, Miko A, Hadi A (2017). Kajian stunting pada anak balita ditinjau dari pemberian ASI eksklusif, MP-ASI, status imunisasi dan karakteristik keluarga di Kota Banda Aceh. J Kesehatan Ilmiah Nasuwakes. 6(2): 169-184.
Laila MN, Yuniarti Y, Noviardhi A, Muninggar DLP, Jaelani M (2020). Edukasi gizi berbasis aplikasi android mening-katkan pengetahuan empat pilar penatalaksanaan diabetes melitus pada peserta prolanis. J Riset Gizi. 8(1): 18-24.
Lubis NL (2013). Wanita dan perkembangan reproduksinya ditinjau dari aspek fisik dan psikologinya. Jakarta: Kencana Prenada Media Group
Lufianti A, Rahmawati, Sari EM (2020). Hubungan riwayat pemberian asi dan pemberian MPASI dengan kejadian stunting di wilayah kerja Puskesmas Tawangharjo. The Shine Cahaya Dunia Ners. 5(2).
Manggala AK, Kenwa WM, Kenwa MML, Sakti AAGDPJ, Sawitri AAS (2018). Risk factors of stunting in children aged 24-59 months. Paediatr. Indones. 58(5): 205–212. Doi: 10.14238/pi58.5.2018.20512.
Manuaba I (2012). Ilmu kebidanan, penyakit kandungan dan keluarga berencana. Jakarta: EGC.
Mensah GA, Wei GS, Sorlie PD, Fine LJ, Rosenberg Y, Kaufmann PG, Gordon D (2017). Decline in cardiovascular mortality: possible causes and implications. Circ Res. 120(2): 366-380.
Monita F, Suhaimi D, Ernalia Y (2016). Hubungan usia, jarak kelahiran dan kadar hemoglobin Ibu hamil dengan kejadian berat bayi lahir rendah di RSUD Arifin Achmad Provinsi Riau. Jom FK. 3(1).
Murti B (2010). Desain dan ukuran sampel untuk penelitian kesehatan 1 ed. Yogyakarta: Gadjah mada university press.
Namangboling AD, Murti B, Sulaeman ES (2017). Hubungan riwayat penyakit infeksi dan pemberian ASI eksklusif dengan status gizi anak usia 7-12 bulan di Kecamatan Kelapa Lima Kota Kupang. Sari Pediatri. 19(2): 91-6.
Nasikhah L, Setiawati S, Subroto T (2012). Hubungan riwayat penyakit infeksi dengan kejadian stunting pada anak usia 12-59 bulan. J Kebidanan Malahayati. 7(2): 200-206.
Picauly I (2023). Relationships between exclusive breastfeeding, and history of illness, and stunting in children under five. J Matern Child Health. 8(1).
Rahmad AHA, Miko A (2016). Kajian stunting pada anak balita berdasarkan pola asuh dan pendapatan keluarga di Kota Banda Aceh. J Kesehatan Masyarakat Nasional. 8(2): 63-79.
Rahman BA, Nicko C (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia. 40(1): 21-34.
Rakhmahayu A, Dewi YLR, Murti B (2019). Logistic regression analysis on the determinants of stunting among children aged 6-24 months in Purworejo Regency, Central Java. J Matern Child Health. 4(3). 158–169.
Riskesdas (2018). Hasil utama riskesdas 2018. Kementerian kesehatan badan penelitian dan pengembangan ke-sehatan: 8-12.
Sajalia H, Dewi YLR, Murti B (2018). Life course epidemiology on the determinants of stunting in children under five in East Lombok, West Nusa Tenggara. J Matern Child Health. 3(4).
Sani E, Rahardjo S, Sari HP (2015). Model pengendalian faktor risiko stunting pada anak bawah tiga tahun. Kesmas: J Kesehatan Masyarakat Nasional. 9(3): 249-256
Sekretariat Wakil Presiden Republik Indonesia (2017). 100 kabupaten/kota prioritas untuk intervensi anak kerdil (stunting). Jakarta: Sekretariat Wakil Presiden Republik Indonesia.
Siswosudarmo R, Emilia O (2008). Obstetri fisiologi. Yogyakarta: Pustaka Cendekia.
Suryani AAF, Fauzi H, Mufidah AI, Sofiana A, Dhamayanti E, Astria KA, Wijayanti KD (2022). Sosialisasi berantas stunting “BENING” dan praktik pe-ngelolaan sampah masakan sebagai upaya pencegahan stunting. J. Pengabdian Masyarakat. 1(5): 301-306.
Susin T, Rozikhan R (2005). Usia Ibu saat hamil dan kejadian stunting pada anak usia 1-3 tahun. Midwifery Care J. 1(5): 122-126.
Syahida AA, Daliman D (2022). Literature review: telaah pendekatan teori kognitif sosial Albert Bandura ter-hadap stunting. Proceeding Seminar Nasional Psikologi UAD.
TNP2K (2017). 1000 Kabupaten/Kota prio-ritas untuk intervensi anak kerdil (stunting). Tim Nasional Percepatan Penanggulangan Kemiskinan
UNICEF (2013). Improving child nutrition. the United Nations International Children's Emergency Fund. doi:978-92-806-4686-3.
WHO (2014). Reducing stunting in children: equity considerations for achieving the global nutrition targets 2025. World Health Organization
WHO (2020). World health statistics and visualization dashboard: child stunting. World Health Organization
Zomratun AB, Sarwanda BA (2018). Hubungan pemberian ASI eksklusif dengan status gizi anak usia 7-12 bulan di Kota Surabaya. 19(2): 74-6.
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Published
2024-01-16
Issue
Vol. 9 No. 1 (2024)
Section
Articles
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