Hubungan Praktik Kesehatan pada Awal Kehidupan dengan Kejadian Stunting pada Balita
Abstract
Banten has the highest prevalence of stunting (29.6%) on Java island and has increased in the last threeyears. Health practice such as early initiation of breastfeeding, exclusive breastfeeding, complementary feeding,and vitamin A was important during child’s early life growth. This study analyzes the association between early lifehealth practice and stunting among children aged 6-23 months in Banten 2017. This study used a cross-sectionaldesign and used secondary data from PSG. The population in this study are the children aged 6-23 months whohad become the sample of Banten Province PSG. Sampling used total sampling and selected 840 children whomet the inclusion criteria. Analysis using chi-square test and multiple logistic regression. There were 25.36% ofthe child were stunting. There was no association between early life health practice and stunting (p=0.111) aftercontrolled by child’s age, number of household, mother’s education and the interaction between health practiceane mother’s education. The interaction test showed that children who got inappropriate health practice and highmother’s education was 0.63 times become stunting (95% CI:0.36-1.11) and children who got appropriate healthpractice and low mother’s education was 1.82 times become stunting (95% CI:0.90-3.67). Health practice was notassociated with stunting, but the interaction variables of health practice and mother’s education was associated.
References
1. United Nations Children's Fund. Improving child nutrition. New York: United Nations Children's Fund; 2013.
2. Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW. Contextualising complementary feeding in a broader framework for stunting prevention. Maternal & child nutrition. 2013;9:27-45.
3. United Nations Children's Fund, World Health Organization, The World Bank Group. Levels and trends in child malnutrition. New York; 2018.
4. Kementrian Kesehatan, Direktorat Gizi Masyarakat. Pemantauan status gizi tahun 2017. Jakarta: Kementrian Kesehatan RI; 2017.
5. World Health Organization [Internet]. Geneva: Cut-off points and summary statistics; [cited 2018 January 10]. Available from:https://www.who.int/nutgrowthdb/about/introduction/en/index5.html.
6. World Health Organization [Internet]. Geneva: The WHO child growth standards; [cited 2018 January 10]. Available from: https://www.who.int/childgrowth/en/.
7. United Nations Children's Fund. UNICEF’s approach to scaling up nutrition for mothers and their children. New York; 2015.
8. Kismul H, Acharya P, Mapatano MA, Hatløy A. Determinants of childhood stunting in the Democratic Republic of Congo: further analysis of Demographic and Health Survey 2013–14. BMC public health. 2018;18(1):74.
9. Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatrica Indonesiana. 2018;58(1):123-7.
10. Khasanah DP, Hadi H, Paramashanti BA. 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). 2016;4(2):105-11.
11. Simanjuntak BY, Haya M, Suryani D, Ahmad CA. Early Inititation of Breastfeeding and Vitamin A Supplementation with Nutritional Status of Children Aged 6-59 Months. Kesmas: National Public Health Journal. 2018;12(1):107-13.
12. García Cruz L, Gonzalez Azpeitia G, Reyes Suarez D, Santana Rodríguez A, Loro Ferrer J, Serra-Majem L. Factors associated with stunting among children aged 0 to 59 months from the central region of Mozambique. Nutrients. 2017;9(5):491.
13. Abeway S, Gebremichael B, Murugan R, Assefa M, Adinew YM. Stunting and Its Determinants among Children Aged 6–59 Months in Northern Ethiopia: A Cross-Sectional Study. Journal of nutrition and metabolism. 2018;2018(1078480):1-8.
14. Keputusan Mentri Kesehatan Republik Indonesia Nomor 10 Tentang Standar Antropometri Penilaian Status Gizi Anak, (2011).
15. Laksminingsih E. Can early initiation to breastfeeding prevent stunting in 6–59 months old children? Journal of Health Research. 2018;32(5):334-41.
16. Utami Hamdany Sakti A, Saifuddin Sirajuddin. Risk factors of stunting case on children aged 24-59 months in slums of makassar city IOSR Journal of Nursing and Health Science. 2018;7(1):17-22.
17. Paramashanti BA, Hadi H, Gunawan IMA. Pemberian ASI eksklusif tidak berhubungan dengan stunting pada anak usia 6–23 bulan di Indonesia. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2016;3(1):162-74.
18. Ni’mah K, Nadhiroh SR. Faktor yang berhubungan dengan kejadian stunting pada balita. Media Gizi Indonesia. 2016;10(1):13-9.
19. Paramashanti BA, Paratmanitya Y, Marsiswati M. Individual dietary diversity is strongly associated with stunting in infants and young children. Jurnal Gizi Klinik Indonesia. 2017;14(1):19-26.
20. Permadi MR. Hubungan Inisiasi Menyusu Dini dan Air Susu Ibu Eksklusif Dengan Kejadian Stunting pada Anak Usia 6-24 bulan di Kabupaten Boyolali [Tesis]. Surakarta: Universitas Sebelas Maret; 2016.
21. Rahmad AHA, Miko A. Kajian Stunting pada Anak Balita berdasarkan Pola Asuh dan Pendapatan Keluarga Di Kota Banda Aceh. Kesmas Indonesia. 2016;8(02):63-79.
22. Fitri L. Hubungan BBLR Dan Asi Ekslusif Dengan Kejadian Stunting Di Puskesmas Lima Puluh Pekanbaru. Jurnal Endurance: Kajian Ilmiah Problema Kesehatan. 2018;3(1):131-7.
23. Subandra Y, Zuhairini Y, Djais J. Hubungan pemberian ASI Eksklusif dan Makanan Pendamping ASI terhadap Balita Pendek Usia 2 sampai 5 tahun di Kecamatan Jatinangor. Jurnal Sistem Kesehatan. 2018;3(1).
24. Sulistyaningsih DA, Panunggal B, Murbawani EA. Hubungan Antara Status Iodium Dan Panjang Badan Pada Anak Stunting Usia 12-24 Bulan [Skripsi]. Semarang: Diponegoro University; 2018.
25. World Health Organization [Internet]. Geneva: Infant and young child feeding; [cited 2018 January 10]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/infant-and-young-child-feeding.
26. Joan Webster-Gandy AM, and Michelle Holdsworth. Oxford handbook of nutrition and dietetics. Jakarta: Penerbit Buku Kedokteran EGC; 2016.
2. Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW. Contextualising complementary feeding in a broader framework for stunting prevention. Maternal & child nutrition. 2013;9:27-45.
3. United Nations Children's Fund, World Health Organization, The World Bank Group. Levels and trends in child malnutrition. New York; 2018.
4. Kementrian Kesehatan, Direktorat Gizi Masyarakat. Pemantauan status gizi tahun 2017. Jakarta: Kementrian Kesehatan RI; 2017.
5. World Health Organization [Internet]. Geneva: Cut-off points and summary statistics; [cited 2018 January 10]. Available from:https://www.who.int/nutgrowthdb/about/introduction/en/index5.html.
6. World Health Organization [Internet]. Geneva: The WHO child growth standards; [cited 2018 January 10]. Available from: https://www.who.int/childgrowth/en/.
7. United Nations Children's Fund. UNICEF’s approach to scaling up nutrition for mothers and their children. New York; 2015.
8. Kismul H, Acharya P, Mapatano MA, Hatløy A. Determinants of childhood stunting in the Democratic Republic of Congo: further analysis of Demographic and Health Survey 2013–14. BMC public health. 2018;18(1):74.
9. Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatrica Indonesiana. 2018;58(1):123-7.
10. Khasanah DP, Hadi H, Paramashanti BA. 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). 2016;4(2):105-11.
11. Simanjuntak BY, Haya M, Suryani D, Ahmad CA. Early Inititation of Breastfeeding and Vitamin A Supplementation with Nutritional Status of Children Aged 6-59 Months. Kesmas: National Public Health Journal. 2018;12(1):107-13.
12. García Cruz L, Gonzalez Azpeitia G, Reyes Suarez D, Santana Rodríguez A, Loro Ferrer J, Serra-Majem L. Factors associated with stunting among children aged 0 to 59 months from the central region of Mozambique. Nutrients. 2017;9(5):491.
13. Abeway S, Gebremichael B, Murugan R, Assefa M, Adinew YM. Stunting and Its Determinants among Children Aged 6–59 Months in Northern Ethiopia: A Cross-Sectional Study. Journal of nutrition and metabolism. 2018;2018(1078480):1-8.
14. Keputusan Mentri Kesehatan Republik Indonesia Nomor 10 Tentang Standar Antropometri Penilaian Status Gizi Anak, (2011).
15. Laksminingsih E. Can early initiation to breastfeeding prevent stunting in 6–59 months old children? Journal of Health Research. 2018;32(5):334-41.
16. Utami Hamdany Sakti A, Saifuddin Sirajuddin. Risk factors of stunting case on children aged 24-59 months in slums of makassar city IOSR Journal of Nursing and Health Science. 2018;7(1):17-22.
17. Paramashanti BA, Hadi H, Gunawan IMA. Pemberian ASI eksklusif tidak berhubungan dengan stunting pada anak usia 6–23 bulan di Indonesia. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2016;3(1):162-74.
18. Ni’mah K, Nadhiroh SR. Faktor yang berhubungan dengan kejadian stunting pada balita. Media Gizi Indonesia. 2016;10(1):13-9.
19. Paramashanti BA, Paratmanitya Y, Marsiswati M. Individual dietary diversity is strongly associated with stunting in infants and young children. Jurnal Gizi Klinik Indonesia. 2017;14(1):19-26.
20. Permadi MR. Hubungan Inisiasi Menyusu Dini dan Air Susu Ibu Eksklusif Dengan Kejadian Stunting pada Anak Usia 6-24 bulan di Kabupaten Boyolali [Tesis]. Surakarta: Universitas Sebelas Maret; 2016.
21. Rahmad AHA, Miko A. Kajian Stunting pada Anak Balita berdasarkan Pola Asuh dan Pendapatan Keluarga Di Kota Banda Aceh. Kesmas Indonesia. 2016;8(02):63-79.
22. Fitri L. Hubungan BBLR Dan Asi Ekslusif Dengan Kejadian Stunting Di Puskesmas Lima Puluh Pekanbaru. Jurnal Endurance: Kajian Ilmiah Problema Kesehatan. 2018;3(1):131-7.
23. Subandra Y, Zuhairini Y, Djais J. Hubungan pemberian ASI Eksklusif dan Makanan Pendamping ASI terhadap Balita Pendek Usia 2 sampai 5 tahun di Kecamatan Jatinangor. Jurnal Sistem Kesehatan. 2018;3(1).
24. Sulistyaningsih DA, Panunggal B, Murbawani EA. Hubungan Antara Status Iodium Dan Panjang Badan Pada Anak Stunting Usia 12-24 Bulan [Skripsi]. Semarang: Diponegoro University; 2018.
25. World Health Organization [Internet]. Geneva: Infant and young child feeding; [cited 2018 January 10]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/infant-and-young-child-feeding.
26. Joan Webster-Gandy AM, and Michelle Holdsworth. Oxford handbook of nutrition and dietetics. Jakarta: Penerbit Buku Kedokteran EGC; 2016.
Authors
Rachmawati, S., Machmud, P. B., & Hatma, R. D. (2019). Hubungan Praktik Kesehatan pada Awal Kehidupan dengan Kejadian Stunting pada Balita. Media Kesehatan Masyarakat Indonesia, 15(2), 120-127. https://doi.org/10.30597/mkmi.v15i2.6334
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