Analysis of Risk Factors for Stunting in Toddlers in South Tapanuli Regency in 2024
Abstract
Stunting is a major public health issue with long-term effects on the quality of human resources. The prevalence of stunting in South Tapanuli Regency increased from 30.8% in 2021 to 39.8% in 2022. This study aims to identify risk factors contributing to stunting in toddlers. The study employs a cross-sectional design with a correlational approach. The sample consists of 350 toddlers selected through purposive sampling, with data collected via structured interviews. The main contributing factors to stunting include a history of low birth weight (p=0.009), the introduction of complementary feeding before six months of age (p=0.000), and incomplete immunization status, which increases the risk of stunting with an odds ratio (OR) of 2.510. Virtual care is associated with a stable or improved HRQOL and patient and family satisfaction in pediatric T1DM. Decision makers need to consider expanding virtual access to pediatric diabetes care that can improve equitable access to quality care across healthcare systems globally.
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References
Kesehatan K. Petunjuk Teknis Bumil Sehat. 2022
Kemenkes. Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 tentang pedoman gizi seimbang. 2014
Litbangkes. Buku Saku Hasil Studi Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. Kementerian Kesehatan RI. 2021. 16 p.
Badan Kebijakan Pembangunan Kesehatan. Kementerian Kesehatan. Status Gizi SSGI 2022. 2022;1–156.
Yuwanti Y, Mulyaningrum FM, Susanti MM. Faktor – Faktor Yang Mempengaruhi Stunting Pada Balita Di Kabupaten Grobogan. J Keperawatan dan Kesehat Masy Cendekia Utama. 2021;10(1):74.
Bhutta ZA, Akseer N, Keats EC, Vaivada T, Baker S, Horton SE, et al. How countries can reduce child stunting at scale: Lessons from exemplar countries. Am J Clin Nutr. 2020;112:894S-904S.
Lewa AF, Kusika SY, Muliani, Rahmawati, Jannah I. Risk factors of stunting events in child 6–23 months old in Biromaru Public Health Center Sigi. Enferm Clin [Internet]. 2020;30:131–5. Available from: https://doi.org/10.1016/j.enfcli.2019.10.056
Kragel EA, Merz A, Flood DMN, Haven KE. Risk factors for stunting in children under the age of 5 in rural guatemalan highlands. Ann Glob Heal. 2020;86(1):1–5.
Santos MP, Turner B, Chaparro MP. The double burden of malnutrition in Peru: An update with a focus on social inequities. Am J Clin Nutr. 2021;113(4):865–73.
Brar S, Akseer N, Sall M, Conway K, Diouf I, Everett K, et al. Drivers of stunting reduction in Senegal: A country case study. Am J Clin Nutr. 2020;112:860S-874S.
Wigle JM, Akseer N, Mogilevskii R, Brar S, Conway K, Enikeeva Z, et al. Drivers of stunting reduction in the Kyrgyz Republic: A country case study. Am J Clin Nutr. 2020;112:830S-843S.
Nasution Nasution Z, Lubis Z, Nurhayati I, Irianti E, Mahdiah M, Zahara R. Breastfeeding/ Complementary Feeding Behavior and Food Diversity of Stunting Toddlers in North Sumatra. Devot J Res Community Serv. 2023;4(9):1741–7.
Dasantos PT, Dimiati H. Hubungan Berat Badan Lahir Dan Panjang Badan. J Averrous. 2020;6(2):29–43.
Chowdhury TR, Chakrabarty S, Rakib M, Afrin S, Saltmarsh S, Winn S. Factors associated with stunting and wasting in children under 2 years in Bangladesh. Heliyon [Internet]. 2020;6(9):e04849. Available from: https://doi.org/10.1016/j.heliyon.2020.e04849
Sani M, Solehati T, Hendrawati S. Hubungan usia ibu saat hamil dengan stunted pada balita 24-59 bulan. 2019;13(4):284–91
Palupi J, Syiska Atik Maryanti. Hubungan Riwayat Usia Penyapihan dengan Status Gizi Usia 24-36 Bulan. Arter J Ilmu Kesehat. 2022;3(1):15–20
Dwi A, Febriani B, Daud D, Rauf S, Nawing HD, Ganda IJ, et al. Risk Factors and Nutritional Profiles Associated with Stunting in Children. Pediatr Gastroenterol Hepatol Nutr. 2020;23(5):457–63.
Garenne M, Myatt M, Khara T, Dolan C, Briend A. Concurrent wasting and stunting among under-five children in Niakhar, Senegal. Matern Child Nutr. 2019;15(2):1–8.
Rachmawati PD, Triharini M, Suciningtyas PD. The contribution of family functions, knowledge and attitudes in children under five with stunting. Enferm Clin [Internet]. 2021;31:S296–300. Available from: https://doi.org/10.1016/j.enfcli.2020.12.035
Mamlua’tul Mufidah I, Basuki H. Analisis Regresi Linier Berganda Untuk Mengetahui Faktor Yang Mempengaruhi Kejadian Stunting Di Jawa Timur. Indones Nurs J Educ Clin. 2023;3(3):51–9.
Kusmayanti Y, Negara MIP. Hubungan lama pemberian Asi Ekslusif dengan status gizi balita stunting umur 24 - 36 bulan di kelurahan TuguRaja Kecamatan Cihideung Kota Tasikmalaya Tahun 2023. J Fak Ilmu Kesehat. 2021;3(2):49–56.
Aisyah HF. Gambaran Pola Asuh Ibu dengan Balita Stunting dan Tidak Stunting di Kelurahan Tengah, Kecamatan Kramat Jati, DKI Jakarta. ndonesian J Heal Promot Behav. 2021;3(2):71–8.
Wangiyana NKAS, Karuniawaty TP, John RE, Qurani RM, Tengkawan J, Septisari AA, et al. Praktik Pemberian Mp-Asi Terhadap Risiko Stunting Pada Anak Usia 6-12 Bulan Di Lombok Tengah [the Complementary Feeding Practice and Risk of Stunting Among Children Aged 6-12 Months in Central Lombok]. Penelit Gizi dan Makanan (The J Nutr Food Res. 2021;43(2):81–8.
Zahrawani TF, Nurhayati E, Fadillah Y. Hubungan Kondisi Jamban dengan Kejadian Stunting di Puskesmas Cicalengka Tahun 2020 The Relationship of Latrine Conditions with Incidence of Stunting in the Cicalengka Public Health Center in 2020. J Integr Kesehat dan Sains. 2022;4(1):1–5.
Kemenkes. Komunikasi Nasional Strategi. Kemenkes. 2023;1–85.
Vasera RA, Kurniawan B. Hubungan Pemberian Imunisasi Dengan Kejadian Anak Stunting Di Puskesmas Sungai Aur Pasaman Barat Tahun 2021. J Kedokt STM (Sains dan Teknol Med. 2023;6(1):82–90.
Asmin E, Abdullah MR. ASI Eksklusif dan Imunisasi Berhubungan dengan Kejadian Stunting pada Anak Usia 9-24 Bulan di Puskesmas Rumah Tiga, Ambon. Poltekita J Ilmu Kesehat. 2021;15(2):196–201.
Hutabarat DTH, Bima MA, Syahfitri N, Manurung SD. Kajian Literatur Tentang Upaya Pencegahan Stunting Anak Melalui Imunisasi Dan Asupan Gizi. J Ilm Wahana Pendidik [Internet]. 2024;10(April 2024):298–310. Available from: http://repo.iain-tulungagung.ac.id/5510/5/BAB 2.pdf
Ali NB, Tahsina T, Emdadul Hoque DM, Hasan MM, Iqbal A, Huda TM, et al. Association of food security and other socioeconomic factors with dietary diversity and nutritional statuses of children aged 6-59 months in rural Bangladesh. PLoS One. 2019;14(8):1–18.
Dwi A, Febriani B, Daud D, Rauf S, Nawing HD, Ganda IJ, et al. Risk Factors and Nutritional Profiles Associated with Stunting in Children. Pediatr Gastroenterol Hepatol Nutr. 2020;23(5):457–63.
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