Factors Associated with Stunting in Children Under Five: A Cross-Sectional Study from Ritaebang Health Center, West Solor, East Flores, Indonesia
Abstract
Background: Stunting in children under five years of age is a global nutritional problem. World Health Organization (WHO) puts Indonesia as the third country with the highest cases in Asia. Prevalence of stunting in children under five years of age in East Nusa Tenggara touches 40.3%, the highest compared to other provinces in Indonesia. The study aims to discover factors associated with stunting incidences in children under five years of age in the working area of Ritaebang Community Health Center, West Solor, East Flores.
Subjects and Method: This cross-sectional study was conducted in the working area of Ritaebang Community Health Center, West Solor, East Flores during the month of June – July 2022. A total of 70 children under five years of age were selected by using random sampling. The dependent variables were birth weight, consumption pattern, clean water availability, maternal education, number of family members, and family income. The independent variable was stunting children under five years of age. The data were collected by using questionnaires, and analyzed by using SPSS.
Results: The stunting incidences in children under five years of age were significantly associated with exclusive breastfeeding (OR= 3.91; p= 0.046), consumption pattern (OR= 19.63; p<0.001), the availability of clean water (OR= 6.37; p= 0.001), maternal education, (OR= 3.14; p= 0.033), number of family members (OR= 6.71; p= 0.007), and family income (OR= 12.25; p= 0.008), and were also associated with birth weight (OR= 3.61; p= 0.214), however it was not statistically significant.
Conclusion: Stunting incidences is associated with birth weight, breastfeeding, consumption pattern, clean water availability, maternal education, number of family members, and family income.
Keywords: stunting, birth weight, clean water, environment.
Correspondence:
Marina A.B Ndetu. Public Health Department, Public Health Faculty, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, East Nusa Tenggara. 85001. Email: Marinandetu12@gmail.com piusweraman@yahoo.com.
Journal of Health Promotion and Behavior (2023), 08(01): 1-7
DOI: https://doi.org/10.26911/thejhpb.2023.08.01.01
References
Borithnaban M (2016). Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Anak Balita Di Wilayah Kerja Puskesmas Batakte. In Skripsi. Universitas Nusa Cendana Kota Kupang. Respiratory UNDANA.
Rahmaniar R (2021). Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Stunting di Dinas Kesehatan Kabupaten Lahat (Analysis of Factors Associated with Stunting Incidence at the Lahat District Health Office). Sekolah Tinggi Ilmu Kesehatan Bina Husana, 45-56.
Kurniawan A (2020). Hubungan Berat Badan Lahir, Panjang Badan Lahir Dan Jenis Kelamin Dengan Kejadian Stunting (Relationship between Birth Weight, Birth Length and Gender with Stunting Incidence). Health Sci. J. Indones, 12 (151–156).
Larasari NN (2017). Faktor-Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita Usia 25-59 Bulan Di Posyandu Wilayah Puskesmas Wono-sari II Tahun 2017 (Factors Related to Stunting Incidents in Toddlers Age 25-59 Months at Posyandu in Wonosari II Health Center in 2017). In Poltekes Kementrian Kesehatan Yogyakarta.
Rahmadi A (2016). Hubungan Berat Badan Dan Panjang Badan Lahir Dengan Kejadian Stunting Anak 12-59 Bulan Di Provinsi Lampung (Relationship between body weight and birth length with stunting in children 12-59 months in Lampung province). J. Kep Sai Betik, 12(2), 209–218.
Mulyaningrum FM, Susanti MM, Nuur UA (2021). Faktor – Faktor Yang Mempengaruhi Stunting Pada Balita di Kabupaten Grobogan (Factors Affecting Stunting in Toddlers in Grobogan Regency). J. Kep. Dan Kesh. Masy, 74–84. Doi: 10.31596/jcu.v10i1.704
Indrawati S (2016). Hubungan Pemberian Asi Eksklusif Dengan Kejadian Stunting Pada Anak Usia 2-3 Tahun Di Desa Karangrejek Wonosari Gunung kidul (Relationship between exclusive breastfeeding and stunting in children aged 2-3 years in Karang rejek village, Wonosari, Gunung kidul). Universitas Aisyiyah Yogya¬karta.
Rahmat AH, Mico A (2016). Kejadian Sttunting Pada Anak Balita Berdasarkan Pola Asuh Dan Pendapatan Keluarga di Kota Aceh (Stunting Incidence in Toddlers Based on Parenting Patterns and Family Income in Aceh). City. J. Kesehat. Indones., 8(2), 63–79.
Ika L, Ariati P (2019). Faktor-Faktor Resiko Penyebab Terjadinya Stunting Pada Balita Usia 23-59 Bulan (Risk Factors Causing Stunting in Toddlers Age 23-59 Months). Kebidanan, Vi(1), 28–37. Doi: 10.35316/oksitosin.v6i1.341.
Simamarta FNIB (2020). Hubungan Pola Makan Dengan Kejadian Stunting Pada Anak Usia 4-6 Tahun Di Paud Terintegrasi Posyandu Kecamatan Lubuk Pakam (Relationship between diet and the incidence of stunting in children aged 4-6 years at the Integrated Early Childhood Service Pos¬yandu, Lubuk Pakam District). Poltekkes Medan. Retrievd at: 12 Agustus 2022.
Sari DN, Medhyna V (2018). Faktor – Faktor Yang Mempengaruhi Kejadian Stunting Pada Balita di Puskesmas Biaro Kabupaten Agam Tahun 2018 (Sari DN, Medhyna V (2018). Factors Affecting Stunting Incidents in Toddlers at the Biaro Health Center, Agam Regency in 2018). 1(2), 18–35.
Nurjana LO (2018). Faktor Faktor Yang Berhubungan Dengan Kejadian Stunting di Wilayah Kerja UPT Puskesmas Klecorejo Medium (Actor Factors Related to Stunting Incidents in the Work Area of UPT Puskesmas Klecorejo Medium). STIKes Bakti Husada Mulia. Retrievd at: 12 Agustus 2022.
Rezki A (2022). Hubungan Faktor Kese-hatan Lingkungan Terhadap Kejadian Stunting Pada Balita di Wilayah Puskesmas Kassi (The Relationship of Environmental Health Factors to Stunting Incidence in Toddlers in the Kassi Community Health Center Area). Uin Alauddud. Retrievd at: 12 Agustus 2022.
Simanjuntak DR (2018). Hubungan Ketersediaan Air Bersih, Sanitasi, Lingkungan Dan Perilaku Higiene Dengan Balita Stunting Di Desa Cimarga Kabupaten Sumedang Tahun 2018 (Relationship between Clean Water Availability, Sanitation, Environment and Hygiene Behavior with Stunting Toddlers in Cimarga Village, Sumedang Regency in 2018). Universitas Kristen Indonesia Jakarta. Retrieved at: 12 Agustus 2022.
Tatu SS, Mau DT, Rua YM (2021). Faktor-Faktor Resiko Yang Berhubungan Dengan Kejadian Stunting Pada Balita Di Desa Kabuna Kecamatan Kakuluk Mesak Kabupaten Belu ( Jurnal Sahabat Keperawatan, 3(1). Doi: 10.32938/jsk.v3i01.911.