Logistic Regression Analysis of Risk Factors for Stunting Among Toddlers Aged 24-59 Months in Southeast Sulawesi, Indonesia
Abstract
Background: Stunting in toddlers is a health problem that can hinder human development globally.This condition has the potential to increase the number of stunting toddlers for toddlers under five years of age. The purpose of the study was to analyze the risk factors for stunting in toddlers under five during the pandemic. Methods: This research is an analytical survey of case-control study design with a 1:1 ratio selected using a simple random sampling technique source of data from primary and secondary data collection. Bivariate analysis was performed using Odds Ratio and chi-square tests, and multivariate analysis was performed using binary logistic regression. Results: The results showed that the variables that had risk factors for stunting were history of infectious disease (OR=5.769; p=0.004), low birth weight (LBW) (OR=4.444; p=0.017), history of exclusive breastfeeding (OR=4.552; p=0.010), family income (OR=6.314; p-value =0.004), knowledge (OR=3.818; p= 0.002) and the most dominant risk factor is family income. Conclusion: Important to reduce stunting cases through cross-sectoral collaboration regarding the modification of health services according to the socioeconomic level of the community.
Full Text:
PDFReferences
Mannar V, Micha R, Allemandi L, Afshin A, Baker P, Battersby J, Bhutta Z, Corvalan C, Di Cesare M, Chen K, et al. 2020 Global Nutrition Report: Action on Equity to End Malnutrition. Bristol (UK): Development Initiatives Poverty Research; 2020. Available from: https://globalnutritionreport.org/reports/2020-global-nutrition-report/ (Accessed on 2 Jan 2025)
Akbar MT, Mahardhika DW, Sihaloho ED. Stunting in Eastern Indonesia: Determinants and Solution from Indonesian Family Life Survey. Jurnal Cita Ekonomika. 2021;15(1):1–13. http://dx.doi.org/10.51125/citaekonomika.v15i1.3230
Yunitasari E, Lee BO, Krisnana I, Lugina R, Solikhah FK, Aditya RS. Determining the Factors That Influence Stunting during Pandemic in Rural Indonesia: A Mixed Method. Children. 2022;9(8):1189. http://dx.doi.org/10.3390/children9081189
Anggraini Y, Romadona NF. Review of Stunting in Indonesia. Proceedings of the International Conference on Early Childhood Education and Parenting 2019 (ECEP 2019). 2020. http://dx.doi.org/10.2991/assehr.k.200808.055
Indriyan E, DewI YLR, Salimo H. Biopsychosocial Determinants of Stunting in Children Under Five: A Path Analysis Evidence from the Border Area West Kalimantan. Journal of Maternal and Child Health. 2018;03(02):146–155. http://dx.doi.org/10.26911/thejmch.2018.03.02.07
Acito F. Logistic Regression. In: Predictive Analytics with KNIME. Cham: Springer Nature Switzerland; 2023;125–167. http://dx.doi.org/10.1007/978-3-031-45630-5_7
Humphries DL, Scott ME, Vermund SH, editors. Nutrition and Infectious Diseases. Cham: Springer International Publishing; 2021. http://dx.doi.org/10.1007/978-3-030-56913-6
Calder PC. Nutrition, immunity and COVID-19. BMJ Nutrition, Prevention & Health. 2020;3(1):74–92. http://dx.doi.org/10.1136/bmjnph-2020-000085
Jawaldeh AA, Doggui R, Borghi E, Aguenaou H, Ammari LE, Abul-Fadl A, et al. Tackling Childhood Stunting in the Eastern Mediterranean Region in the Context of COVID-19. Children. 2020;7(11):239. http://dx.doi.org/10.3390/children7110239
Utami NH, Rachmalina R, Irawati A, Sari K, Rosha BC, Amaliah N. Short birth length, low birth weight and maternal short stature are dominant risks of stunting among children aged 0-23 months: Evidence from Bogor longitudinal study on child growth and development, Indonesia. Malaysian Journal of Nutrition. 2018;24(1),11-23.
Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, et al. Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLOS Medicine. 2016;13(11):e1002164. http://dx.doi.org/10.1371/journal.pmed.1002164
Huriah T, Nurjannah N. Risk Factors of Stunting in Developing Countries: A Scoping Review. Open Access Macedonian Journal of Medical Sciences. 2020;8(F):155–160. http://dx.doi.org/10.3889/oamjms.2020.4466
Gonete AT, Kassahun B, Mekonnen EG, Takele WW. Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital. Petry CJ, editor. PLOS ONE. 2021;16(1):e0245528. http://dx.doi.org/10.1371/journal.pone.0245528
Fadmi FR, Kuntoro K, Widjanarko Otok B, Melaniani S. Stunting incident prevention: a systematic literature review. Journal of Public Health in Africa. 2023;14(2):6. http://dx.doi.org/10.4081/jphia.2023.2547
FAO, IFAD, UNICEF, WFP and WHO. 2022. In Brief to The State of Food Security and Nutrition in the World 2022. Repurposing food and agricultural policies to make healthy diets more affordable. Rome: FAO; 2022. https://doi.org/10.4060/cc0640en
Fadmi FR, Otok BW, Kuntoro, Melaniani S, Sriningsih R. Segmentation of stunting, wasting, and underweight in Southeast Sulawesi using geographically weighted multivariate Poisson regression. MethodsX. 2024;12:102736. http://dx.doi.org/10.1016/j.mex.2024.102736
Anindya AD, Sudiarti T. The Relationship Between Diverse Food Consumption and Stunting in Infants Aged 6-24 Months in Indonesia. Contagion: Scientific Periodical Journal of Public Health and Coastal Health. 2023;5(1):31. http://dx.doi.org/10.30829/contagion.v5i1.14950
Shofiya D, Sumarmi S, Ahmed F. Nutritional Status, Family Income and Early Breastfeeding Initiation as Determinants to Successful Exclusive Breastfeeding. Journal of Public Health Research. 2020;9(2):110-112. http://dx.doi.org/10.4081/jphr.2020.1814
Sirajuddin, Asbar R, Nursalim, Tamrin A. Breastfeeding practices can potential to prevent stunting for poor family. Enfermería Clínica. 2020;30:13–17. http://dx.doi.org/10.1016/j.enfcli.2020.02.007
Aldana-Parra F, Vega GO, Fewtrell M. Associations between maternal BMI, breastfeeding practices and infant anthropometric status in Colombia; secondary analysis of ENSIN 2010. BMC Public Health. 2020;20(1):232. http://dx.doi.org/10.1186/s12889-020-8310-z
Akseer N, Tasic H, Nnachebe Onah M, Wigle J, Rajakumar R, Sanchez-Hernandez D, et al. Economic costs of childhood stunting to the private sector in low- and middle-income countries. eClinicalMedicine. 2022;45:101320. http://dx.doi.org/10.1016/j.eclinm.2022.101320
24. Pratiwi IR, Alibasjah RW, Sulistiyana CS. The Correlation Between Mother’s Knowledge, Education and Family Income With Nutritional Status Of Toddler (Aged 1-5 Years). In: Proceedings of the International Conference on Applied Science and Health. 2019;4. p. 182–7. Available from: https://publications.inschool.id/index.php/icash/article/view/632
Fadmi FR, Sanatang S, Gerung J. Peningkatan Pendapatan Keluarga Melalui Pembuatan Konektor Masker Rajut pada Masa Pandemi Covid-19. Abdimas Universal. 2022;4(2):180–185. http://dx.doi.org/10.36277/abdimasuniversal.v4i2.227
Rahma IM, Mutalazimah M. Correlation between Family Income and Stunting among Toddlers in Indonesia: A Critical Review. Proceedings of the International Conference on Health and Well-Being (ICHWB 2021). 2022. http://dx.doi.org/10.2991/ahsr.k.220403.011
Hasan M, Islam MM, Mubarak E, Haque MdA, Choudhury N, Ahmed T. Mother’s dietary diversity and association with stunting among children <2 years old in a low socio‐economic environment: A case–control study in an urban care setting in Dhaka, Bangladesh. Maternal & Child Nutrition. 2018;15(2):e12665. http://dx.doi.org/10.1111/mcn.12665
Canguilhem G. Knowledge of Life. New York, USA: Fordham University Press; 2022. Available from: http://dx.doi.org/10.1515/9780823291977
Lehrer K. Theory of knowledge. New York: Routledge; 2018. https://doi.org/10.4324/9780429494260
Darmawan A, Basry NR, Wahyuddin W. Mother’s Knowledge and Hygiene Sanitation Against Stunting in Toddlers. Jurnal Riset Kesehatan. 2022;11(1):1–6. http://dx.doi.org/10.31983/jrk.v11i1.8060
Mediani HS, Hendrawati S, Pahria T, Mediawati AS, Suryani M. Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary Healthcare. 2022;15:1069–1082. http://dx.doi.org/10.2147/jmdh.s356736
DOI: https://doi.org/10.33846/hd20206
Refbacks
- There are currently no refbacks.
____________________________________________________________________________________________________________________________________________
Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408