Risk Factors of Stunting in Kedisan, Gianyar District, Bali, Indonesia
Downloads
Background: Stunting is a nutritional status based on measurements of the Length-for-Age or Height-for-Age index of the anthropometric standards assessment of nutritional status of children. The report of the Public Health Center (PHC) of Tegallalang I revealed the largest number of stunting cases in Kedisan Village, with 28 toddlers suffering from stunting based on 2017 data. Purpose: This study aims to investigate the risk factors associated with stunting at Kedisan Village, Tegallalang Sub-district, Gianyar District. Methods: This is an analytic study employing a case-control approach. Sampling was carried out using a total sampling technique; that is, by utilizing all cases of children under five who were declared stunted in the village in question (a total of 28 cases). The case:control ratio used was 1:1; thus, the total sample used in the study was 56 samples from May 2017. Bivariate analysis was conducted using a chi-square test. Results: The majority of respondents were employed (i.e., 67.80% in the case group and 53.50% in the control group); in terms of the most recent level of education, 35.70% of respondents in the case group had a junior high school education, while 46.40% in the control group had a senior high school education. The results of the bivariate analysis found that the risk factor that was most significantly related with the incidence of stunting was complementary foods with breast milk (p = 0.03; OR: 4.63), while other risk factors were not related to the occurrence of stunting. Conclusions: The factor that influenced the occurrence of stunting in Kedisan Village was complementary foods with breast milk.
Abeshu, M. A., Lelisa, A., & Geleta, B. (2016). Complementary feeding: review of recommendations, feeding practices, and adequacy of homemade complementary food preparations in developing countries – lessons from Ethiopia. Frontiers in Nutrition, 3, 1–9. https://doi.org/10.3389/fnut.2016.00041
Al-Mansoob, M. A. K., & Masood, M. S. A. (2018). The relationship between stunting and some demographic and socioeconomic factors among Yemeni children and adolescents. Advances in Public Health, 2018, 1–6. https://doi.org/10.1155/2018/5619178
Aramico, B., & Husna, Z. (2017). Analisis determinan stunting pada baduta di Wilayah Kerja Puskesmas tahun 2016. Jurnal Gizi dan Dietetik Indonesia, 4(3), 154–160. https://doi.org/10.21927/ijnd.2016.4(3).154-160
Aryastami, N. K., Shankar, A., Kusumawardani, N., Besral, B., Jahari, A. B., & Achadi, E. (2017). Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutrition, 3(1), 1–6. https://doi.org/10.1186/s40795-017-0130-x
Awaliyah, S. N., Rachmawati, I. N., & Rahmah, H. (2019). Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction. BMC Nursing, 18(Suppl 1), 1–7. https://doi.org/10.1186/s12912-019-0359-6
Badriyah, L., & 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), 35–41. https://doi.org/10.7454/msk.v21i2.6002
Bommer, C., Vollmer, S., & Subramanian, S. V. (2019). How socioeconomic status moderates the stunting-age relationship in low-income and middle-income countries. BMJ Global Health, 4(1), 1–10. https://doi.org/10.1136/bmjgh-2018-001175
Brahm, P., & Valdés, V. (2017). Benefits of breastfeeding and risks associated with not breastfeeding. Rev Chil Pediatr., 88(1), 15–21.
Cetthakrikul, N., Topothai, C., Suphanchaimat, R., Tisayaticom, K., Limwattananon, S., & Tangcharoensathien, V. (2018). Chilhood stunting in Thailand: when prolonged breastfeeding interacts with household poverty. BMC Pediatrics, 18(1), 1–9.
de Onis, M., & Branca, F. (2016). Childhood stunting: a global perspective. Maternal and Child Nutrition, 12(Suppl 1), 12–26. https://doi.org/10.1111/mcn.12231
Dearden, K. A., Schott, W., Crookston, B. T., Humphries, D. L., Penny, M. E., Behrman, J. R., & The Young Lives Determinants and Consequences of Child Growth Project Team. (2017). Children with access to improved sanitation but not improved water are at lower risk of stunting compared to children without access: a cohort study in Ethiopia, India, Peru, and Vietnam. BMC Public Health, 17(1), 1–19. https://doi.org/10.1186/s12889-017-4033-1
Jonah, C. M. P., Sambu, W. C., & May, J. D. (2018). A comparative analysis of socioeconomic inequities in stunting: a case of three middle-income African countries. Archives of Public Health, 76(1), 1–15. https://doi.org/10.1186/s13690-018-0320-2
Kaminsky, R. G., Castillo, R. V., & Flores, C. A. (2015). Growth retardation and severe anemia in children with trichuris dysenteric syndrome. Asian Pacific Journal of Tropical Biomedicine, 5(7), 591–597. https://doi.org/10.1016/j.apjtb.2015.05.005
Khasanah, D. P., Hadi, H., & Paramashanti, B. A. (2016). Waktu pemberian makanan pendamping ASI (MP-ASI) berhubungan dengan kejadian stunting anak usia 6-23 bulan di Kecamatan Sedayu. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 4(2), 105. https://doi.org/10.21927/ijnd.2016.4(2).105-111
Kuchenbecker, J., Jordan, I., Reinbott, A., Herrmann, J., Jeremias, T., Kennedy, G., ... Krawinkel, M. B. (2015). Exclusive breastfeeding and its effect on growth of malawian infants: Results from a cross-sectional study. Paediatrics and International Child Health, 35(1), 14–23. https://doi.org/10.1179/2046905514Y.0000000134
Kusumawati, E., Rahardjo, S., & Sari, H. P. (2015). Model of stunting risk factor control among children under three years old. Kesmas: National Public Health Journal, 9(3), 249–256. https://doi.org/10.21109/kesmas.v9i3.572
Lestari, E. D., Hasanah, F., & Nugroho, N. A. (2018). Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatrica Indonesiana, 58(3), 123–127. https://doi.org/10.14238/pi58.3.2018.123-7
Millward, D. J. (2017). Nutrition , infection and stunting: the roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews, 30, 50–72. https://doi.org/10.1017/S0954422416000238
Ministry of Health RI. (2018). Buletin: stunting situation in Indonesia. Ministry of Health RI. Jakarta. Retrieved January 20, 2020, from https://www.kemkes.go.id/download.php?file=download/pusdatin/buletin/Buletin-Stunting-2018.pdf
Mistry, S. K., Hossain, M. B., & Arora, A. (2019). Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: a post-program comparison study. Nutrition Journal, 18(1), 1–9. https://doi.org/10.1186/s12937-019-0473-z
Pangkong, M., Rattu, A. J. ., & Malonda, N. S. . (2017). Hubungan antara pemberian ASI eksklusif dengan kejadian stunting pada anak usia 13-36 bulan di wilayah kerja Puskesmas Sonder. Kesmas: Jurnal Kesehatan Masyarakat Universitas Sam Ratulangi, 6(3), 1–8.
Prawirohartono, E., Nurdiati, D., & Hakimi, M. (2016). Prognostic factors at birth for stunting at 24 months of age in rural Indonesia. Paediatrica Indonesiana, 56(1), 48–56. https://doi.org/10.14238/pi56.1.2016.48-56
Rahmadi, A. (2016). Hubungan berat badan dan panjang badan lahir dengan kejadian stunting anak 12-59 bulan di Provinsi Lampung. Jurnal Keperawatan, 12(2), 209–218.
Terati, Yuniarti, H., & Susanto, E. (2018). Effects of diet and breastfeeding duration on the stunting status of children under 5 years of age at maternal and child health centers of the Palembang regional office of health. Pakistan Journal of Nutrition, 17(2), 51–56. https://doi.org/10.3923/pjn.2018.51.56
Uliyanti, Tamtomo, D. G., & Anantanyu, S. (2017). Faktor yang berhubungan dengan kejadian stunting pada balita usia 24-59 bulan. Jurnal Vokasi Kesehatan, 3(2), 67–77.
Vonaesch, P., Tondeur, L., Breurec, S., Bata, P., Nguyen, L. B. L., Frank, T., ... Vray, M. (2017). Factors associated with stunting in healthy children aged 5 years and less living in Bangui (RCA). PLoS ONE, 12(8), 1–17. https://doi.org/10.1371/journal.pone.0182363
Walson, J. L., & Berkley, J. A. (2018). The impact of malnutrition on childhood infections. Current Opinion in Infectious Diseases, 31(3), 231–236. https://doi.org/10.1097/QCO.0000000000000448
World Health Organization. (2014). Global nutrition targets 2025: stunting policy brief. Retrieved January 20, 2020, from https://www.who.int/nutrition/topics/globaltargets_stunting_policybrief.pdf
Zhao, A., Gao, H., Li, B., Zhang, J., Win, N. N., Wang, P., ... Zhang, Y. (2016). Inappropriate feeding behavior: One of the important causes of malnutrition in 6- to 36-month-old children in Myanmar. American Journal of Tropical Medicine and Hygiene, 95(3), 702–708. https://doi.org/10.4269/ajtmh.16-0019
- Every manuscript submitted to must observe the policy and terms set by the Jurnal Berkala Epidemiologi
- Publication rights to manuscript content published by the Jurnal Berkala Epidemiologi is owned by the journal with the consent and approval of the author(s) concerned. (download copyright agreement)
- Complete texts of electronically published manuscripts can be accessed free of charge if used for educational and research purposes according to copyright regulations.
JBE by Universitas Airlangga is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.