Analysis of Risk Factors of Stunting in Toddlers
DOI:
https://doi.org/10.26630/jk.v14i1.3701Keywords:
Environmental sanitation, Risk factors, Stunting, Toddlers.Abstract
Stunting is a childhood condition that experiences growth disorders characterized by a child's height that is not appropriate for their age and results from chronic nutritional problems. This study analyses the risk factors for stunting in West Tulang Bawang Regency. This study was a cross-sectional study. Data were collected through self-administered questionnaires from 265 mothers of children under five in three West Tulang Bawang Regency districts. This research used multivariate logistic regression to determine risk factors for stunting. The study assessed that 10.9% of their children were stunted. Nearly half of the mothers had low education (48.7%), and most did not work (79.6%). As many as 94.3% of mothers said they had a protected source of drinking water, while around 23.4% did not have sewerage. Most of the respondent's energy, fat, and carbohydrate adequacy level was classified as insufficient, and most children did not suffer from infectious diseases. The results of the correlation test showed that sewerage (AOR=4.309; p-value=0.000) was correlated with the occurrence of stunting, while a history of measles (AOR=3.482; p-value=0.150), energy adequacy level (AOR=2.691; p-value=0.057), birth order (AOR=2.949; p-value=0.050) not significantly correlated to stunting but had a high risk of stunting. Multivariate test results showed that no sewerage in families had a risk of about 4.192 times the occurrence of stunting in children compared to the presence of sewerage in West Tulang Bawang Regency.References
Amaha, N. D., & Woldeamanuel, B. T. (2021). Maternal factors associated with moderate and severe stunting in Ethiopian children: analysis of some environmental factors based on 2016 demographic health survey. Nutrition Journal, 20(1), 1-9. https://doi.org/10.1186/s12937-021-00677-6
Badan Kependudukan dan Keluarga Berencana Nasional. (2022). RAN PASTI (Rencana Aksi Nasional Percepatan Penurunan Angka Stunting Indonesia). Jakarta.
Badriyah, L. u., & Syafiq, A. (2017). The association between sanitation, hygiene, and stunting in children under two-years (an analysis of Indonesia’s Basic Health Research, 2013). Makara Journal of Health Research, 21(2), 1. https://dx.doi.org/10.38165/jk
Berhe, K., Seid, O., Gebremariam, Y., Berhe, A., & Etsay, N. (2019). Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PloS one, 14(6), e0217736.
Calimeris, L., & Peters, C. (2017). Food for thought: the birth-order effect and resource allocation in Indonesia. Applied Economics, 49(54), 5523-5534.
DeBoer, M. D., Scharf, R. J., Leite, A. M., Férrer, A., Havt, A., Pinkerton, R., . . . Guerrant, R. L. (2017). Systemic inflammation, growth factors, and linear growth in the setting of infection and malnutrition. Nutrition, 33, 248-253. https://doi.org/10.1016/j.nut.2016.06.013
Dewey, K. G., & Mayers, D. R. (2011). Early child growth: how do nutrition and infection interact? Maternal & child nutrition, 7, 129-142. https://doi.org/10.1111/j.1740-8709.2011.00357.x
Dewi, I., & Adhi, K. T. (2016). Pengaruh konsumsi protein dan seng serta riwayat penyakit infeksi terhadap kejadian stunting pada anak balita umur 24-59 bulan di wilayah kerja Puskesmas Nusa Penida III. Arc Com Health, 3(1), 36-46.
Ediana, D., & Ningsih, N. S. D. M. (2019). Faktor-faktor yang berhubungan dengan partisipasi ibu balita ke posyandu di Jorong Tarantang. Jurnal Endurance, 4(2), 220-234. http://dx.doi.org/10.22216/jen.v4i2.3626
Fall, C. H., Sachdev, H. S., Osmond, C., Restrepo-Mendez, M. C., Victora, C., Martorell, R., . . . Adair, L. (2015). Association between maternal age at childbirth and child and adult outcomes in the offspring: a prospective study in five low-income and middle-income countries (COHORTS collaboration). The Lancet Global Health, 3(7), e366-e377. http://doi.org/10.1016/S2214-109X(15)00038-8
Kementrian Kesehatan RI. (2014). Pedoman Gizi Seimbang. Jakarta: Kemenkes RI.
Kementrian Kesehatan RI. (2018). Menyusui sebagai Dasar Kehidupan. Retrieved from https://www.kemkes.go.id/article/view/19011500003/menyusui-sebagai-dasar-kehidupan.html
Kementrian Kesehatan RI. (2019). Laporan Riskesdas 2018. Retrieved from Jakarta: http://repository.bkpk.kemkes.go.id/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Kementrian Kesehatan RI. (2020). Situasi Stunting di Indonesia. Jakarta: Pusat Data dan Informasi Kemkes RI.
Kementrian Kesehatan RI. (2021a). Profil Kesehatan Indonesia 2021. Jakarta: Kementrian Kesehatan RI.
Kementrian Kesehatan RI. (2021b). Survei Status Gizi Indonesia (SSGI) Retrieved from Jakarta:
Kusumawati, E., Rahardjo, S., & Sari, H. P. (2015). Model pengendalian faktor risiko stunting pada anak bawah tiga tahun. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 9(3), 249-256. http://dx.doi.org/10.21109/kesmas.v9i3.572
Liberty, I. A., Aziz, M., & AP, M. (2021). Analysis Of Maternal Risk Factor On Stunting In Children In Palembang City. International Journal of Science, Technology & Management, 2(3), 826-836. https://doi.org/10.46729/ijstm.v2i3.198
Manggala, A. K., Kenwa, K. W. M., Kenwa, M. M. L., Jaya, A. A. G. D. P., & Sawitri, A. A. S. (2018). Risk factors of stunting in children aged 24-59 months. Paediatrica Indonesiana, 58(5), 205-212.
Masuke, R., Msuya, S. E., Mahande, J. M., Diarz, E. J., Stray-Pedersen, B., Jahanpour, O., & Mgongo, M. (2021). Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PloS one, 16(5), e0250562. https://doi.org/10.1371/journal.pone.0250562
Mia, H., & Sukmawati, S. (2021). Hubungan Hygiene Dan Sanitasi Lingkungan Terhadap Kejadian Stunting Pada Balita Di Desa Kurma. Journal Peqguruang, 3(2), 494-502.
Naylor, A. J., & Morrow, A. L. (2001). Developmental Readiness of Normal Full Term Infants To Progress from Exclusive Breastfeeding to the Introduction of Complementary Foods: Reviews of the Relevant Literature Concerning Infant Immunologic, Gastrointestinal, Oral Motor and Maternal Reproductive and Lactational Development.
Nurhayati, L., Mardiah, W., & Setyorini, D. (2020). Status gizi dan asupan zat gizi makronutrien anak stunted dan tidak stunted 1-3 tahun. Jurnal Kesehatan, 11(2), 83-92. https://dx.doi.org/10.38165/jk
Permadi, M. R., Hanim, D., & Kusnandar, K. (2021). Faktor-Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Anak Usia 6-24 Bulan. Jurnal Gizi Prima (Prime Nutrition Journal), 6(1), 75-81.
Purba, I. G., Sunarsih, E., Trisnaini, I., & Sitorus, R. J. (2020). Environmental Sanitation and Incidence of Stunting in Children Aged 12-59 Months in Ogan Ilir Regency. Jurnal Kesehatan Lingkungan, 12(3), 189-199. https://doi.org/10.20473/jkl.v12i3.2020.189-199
Rahayu, L. S., Sofyaningsih, M., & Hamka, M. P. D. (2011). Pengaruh BBLR (berat badan lahir rendah) dan pemberian ASI eksklusif terhadap perubahan status stunting pada balita di Kota dan Kabupaten Tangerang Provinsi Banten. Paper presented at the Prosiding Seminar Nasional “Peran Kesehatan Masyarakat dalam Pencapaian MDG’s di Indonesia.
Renyoet, B. S. (2021). Estimation of the economic losses potential due to underweight toddlers in Indonesia in 2013. Media Gizi Indonesia, 16(2), 111. https://doi.org/10.20473/mgi.v16i2.111-118
Rosadi, D., Rahayuh, A., Yulidasari, F., Putri, A. O., & Rahman, F. (2016). Faktor risiko yang berhubungan dengan kejadian pendek pada anak usia 6-24 bulan. KEMAS: Jurnal Kesehatan Masyarakat, 11(2), 233-240.
Rufaida, F. D., Raharjo, A. M., & Handoko, A. (2020). The Correlation of Family and Household Factors on The Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Center Work Area of Jember. Journal of Agromedicine and Medical Sciences, 6(1), 1-6. https://doi.org/10.19184/ams.v6i1.9541
Saleh, M. (2014). Hubungan kondisi sanitasi lingkungan dengan kejadian diare pada anak balita di wilayah kerja puskesmas Baranti Kabupaten Sidrap Tahun 2013. Jurnal Kesehatan, 7(1).
Sari, E. M., Juffrie, M., Nurani, N., & Sitaresmi, M. N. (2016). Asupan protein, kalsium dan fosfor pada anak stunting dan tidak stunting usia 24-59 bulan. Jurnal Gizi Klinik Indonesia, 12(4), 152-159. https://doi.org/10.22146/ijcn.23111
Sihite, N. W., & Chaidir, M. S. (2022). Keterkaitan kemiskinan, kecukupan energi dan protein dengan kejadian stunting balita di Puskesmas 11 Ilir Palembang. Darussalam Nutrition Journal, 6(1), 37-47.
Siringoringo, E. T., Syauqy, A., Panunggal, B., Purwanti, R., & Widyastuti, N. (2020). Karakteristik Keluarga Dan Tingkat Kecukupan Asupan Zat Gizi Sebagai Faktor Risiko Kejadian Stunting Pada Baduta. Journal of Nutrition College, 9(1), 54-62. https://doi.org/10.14710/jnc.v9i1.26693
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients, 11(5), 1106. https://doi.org/10.3390%2Fnu11051106
Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting in Indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC public health, 16(1), 1-11.
Wang, D., Stewart, D., Chang, C., & Shi, Y. (2015). Effect of a school-based nutrition education program on adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China. Environmental health and preventive medicine, 20(4), 271-278. doi:https://doi.org/10.1007/s12199-015-0456-4
Wishaupt, J. O., van der Ploeg, T., de Groot, R., Versteegh, F. G., & Hartwig, N. G. (2017). Single-and multiple viral respiratory infections in children: disease and management cannot be related to a specific pathogen. BMC infectious diseases, 17(1), 1-11. doi:https://doi.org/10.1186/s12879-016-2118-6
Yuliantini, E., Kamsiah, K., Maigoda, T. C., & Ahmad, A. (2022). Asupan makanan dengan kejadian stunting pada keluarga nelayan di Kota Bengkulu. AcTion: Aceh Nutrition Journal, 7(1), 79-88. doi:http://dx.doi.org/10.30867/action.v7i1.579
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