Sociodemographic Factors Toward Stunting: A Community Based Cross Sectional Study

Rahma Dewi Agustini, Sri Nurlaily Z, Jein Eka Wirahmi Taidi, Nurhidayah Nurhidayah, Puspita Sukmawaty Rasyid

Abstract


Stunting is a malnutrition problem that occurs globally and has long-term impacts on both health and cognitive. There have been no studies related to sociodemographic factors towards stunting in one of the areas with the most stunting rates in Gorontalo. This study aims to provide an overview of the prevalence of stunting and associated factors. This research method is descriptive with a cross-sectional approach in 325 children aged 6-59 months, in 8 villages in Tilango District, Gorontalo Regency. Mothers who met the criteria and came to the posyandu sequentially (consecutive sampling) were given a questionnaire. The prevalence of stunting is 116 (35.7%). Mothers who give birth to children with Birth Length (OR=3.65; 95% CI: 2.261-5.88), Birth Weight (OR:7.3; 95% CI:  3.774-14.238), Exclusive Breastfeeding (OR=3.586; 95% CI: 2.217-5.799, and Complementary Foods (OR=3.586; 95% CI: 2.217-5.799) associating against stunting. The conclusion of this study is that the prevalence of stunting in the Tilango District area is still very high, but only four of the 12 sociodemographic factors studied are associated with stunting. Nutritional status screening, monitoring of weight gain during pregnancy, as well as regular ANC examinations are important for Midwives and pregnant women at every contact, especially in first-level health facilities.


Keywords


Stunting, Sociodemographic, birth length, birth weight, exclusive breastfeeding, complementary food

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References


Alim, K. Y., Rosidi, A., & Suhartono, S. (2019). Birth length, maternal height and pesticide exposure were predictors of child stunting in agricultural area. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 6(3), 89. https://doi.org/10.21927/ijnd.2018.6(3).89-98

Amer, S., & Veldkamp, A. (2018). Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition. https://doi.org/10.1016/j.nut.2018.07.016

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

Badan Penelitian dan Pengembangan Kesehatan. (2018). Riset Kesehatan Dasar 2018 (Basic Health Research 2018).

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

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617

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

de Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal and Child Nutrition, 12, 12–26. https://doi.org/10.1111/mcn.12231

Flores-Guillén, E., Ochoa-Díaz-López, H., Castro-Quezada, I., Irecta-Nájera, C. A., Cruz, M., Meneses, M. E., Gurri, F. D., Solís-Hernández, R., & García-Miranda, R. (2020). Intrauterine growth restriction and overweight, obesity, and stunting in adolescents of indigenous communities of Chiapas, Mexico. European Journal of Clinical Nutrition, 74(1), 149–157. https://doi.org/10.1038/s41430-019-0440-y

Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Ischaq Nabil Asshiddiqi, M., Nugroho, S., Lewis, E. C., & Gittelsohn, J. (2021). Exclusive breastfeeding protects young children from stunting in a low‐income population: A study from eastern indonesia. Nutrients, 13(12), 1–14. https://doi.org/10.3390/nu13124264

Hastuti, Hadju, V., Citrakesumasari, & Maddeppungeng, M. (2020). Stunting prevalence and its relationship to birth length of 18–23 months old infants in Indonesia. Enfermeria Clinica, 30, 205–209. https://doi.org/10.1016/j.enfcli.2019.10.069

Hoddinott, J., Behrman, J. R., Maluccio, J. A., Melgar, P., Quisumbing, A. R., Ramirez-Zea, M., Stein, A. D., Yount, K. M., & Martorell, R. (2013). Adult consequences of growth failure in early childhood. American Journal of Clinical Nutrition, 98(5), 1170–1178. https://doi.org/10.3945/ajcn.113.064584

Jama, A., Gebreyesus, H., Wubayehu, T., Gebregyorgis, T., Teweldemedhin, M., Berhe, T., & Berhe, N. (2020). Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. International Breastfeeding Journal, 15(1), 1–8. https://doi.org/10.1186/s13006-020-0252-7

Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PLoS ONE, 17(7 July), 1–11. https://doi.org/10.1371/journal.pone.0271509

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 May), 1–16. https://doi.org/10.1371/journal.pone.0250562

Nuraini, A., Sari, P., Astuti, S., Gumilang, L., & Didah, D. (2021). Effect of Health Education Video on Knowledge about among Women in Childbearing Age. Althea Medical Journal, 8(1), 7–12. https://doi.org/10.15850/amj.v8n1.2150

Putri, T. A., Salsabilla, D. A., & Saputra, R. K. (2022). The Effect of Low Birth Weight on Stunting in Children Under Five: A Meta Analysis. Journal of Maternal and Child Health, 6(4), 496–506. https://doi.org/10.26911/thejmch.2021.06.04.11

Sari, N., Manjorang, M. Y., Zakiyah, & Randell, M. (2021). Exclusive breastfeeding history risk factor associated with stunting of children aged 12–23 months. Kesmas, 16(1), 28–32. https://doi.org/10.21109/KESMAS.V16I1.3291

Scott, N., Delport, D., Hainsworth, S., Pearson, R., Morgan, C., Huang, S., Akuoku, J. K., Piwoz, E., Shekar, M., Levin, C., Toole, M., & Homer, C. S. (2020). Ending malnutrition in all its forms requires scaling up proven nutrition interventions and much more: a 129-country analysis. BMC Medicine, 18(1), 1–19. https://doi.org/10.1186/s12916-020-01786-5

Siregar, M. H. (2023). Nutritional Knowledge of Prospective Brides in Indonesia: A Systematic Review. JURNAL Al-AZHAR INDONESIA SERI SAINS DAN TEKNOLOGI, 8(1), 1. https://doi.org/10.36722/sst.v8i1.1251

UNICEF. (2021). UNICEF-WHO-The World Bank: Joint child malnutrition estimates — levels and trends – 2021 edition. Unicef. https://data.unicef.org/resources/jme-report-2021/

Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9

Wali, N., Agho, K. E., & Renzaho, A. M. N. (2021). Wasting and associated factors among children under 5 years in five south asian countries (2014–2018): Analysis of demographic health surveys. International Journal of Environmental Research and Public Health, 18(9). https://doi.org/10.3390/ijerph18094578

Wicaksono, F., & Harsanti, T. (2020). Determinants of stunted children in Indonesia: A multilevelanalysis at the individual, household, and community levels. Kesmas, 15(1), 48–53. https://doi.org/10.21109/kesmas.v15i1.2771

World Health Organization. (2020). Global Nutrition Target 2025: Stunting Policy Brief. World Health Organization. https://doi.org/10.7591/cornell/9781501758898.003.0006

Wu, H., Ma, C., Yang, L., & Xi, B. (2021). Association of Parental Height With Offspring Stunting in 14 Low- and Middle-Income Countries. Frontiers in Nutrition, 8(August). https://doi.org/10.3389/fnut.2021.650976

ZA., Rohman A., 2010. Chapter 1. Fourier transform infrared (FTIR) spectroscopy: development, techniques, and application in the analyses of fats and oils, in Fourier Transform Infrared Spectroscopy, edited by Oliver J. Ress, Nova Science Publishers. New York. USA. pp 1 – 26.




DOI: http://dx.doi.org/10.52365/jm.v9i1.634

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Jurusan Kebidanan
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