Volume 7, Issue 4 (Autumn 2021)                   JCCNC 2021, 7(4): 295-302 | Back to browse issues page


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Usman S, Salma W O, Asriati A. Determinants of Stunting Incidence in Children Under Five Years of Age at the Rumbia Health Center, Indonesia. JCCNC 2021; 7 (4) :295-302
URL: http://jccnc.iums.ac.ir/article-1-322-en.html
1- Department of Health, College of Public Health, Haluoleo University, Kendari, Indonesia.
2- Departement of Nutrition, College of Public Health, Haluoleo University, Kendari, Indonesia. , salmawaode849@gmail.com
3- Departement of Medicine, Faculty of Medicine, Haluoleo University, Kendari, Indonesia.
Abstract:   (1345 Views)
Background: Stunting is linear growth retardation and a major public health problem among children worldwide. This study was done to investigate the determinants of stunting in children under five years at the Rumbia Health Center, Indonesia.
Methods: This case-control study was done on 82 (41 cases and 41 controls) subjects matched by age and sex, taken by purposive sampling involving infants and children aged 6-59 months in Rumbia District, Bombana Regency, Indonesia, consisting of 5 Village. Data were collected using medical records and a researcher-made questionnaire and analyzed by odds ratios and logistic regression using SPSS 16. The significance level was set at 0.05. 
Results: The results based on multivariate analysis showed that the incidence of stunting was influenced by a number of factors, including a history of exclusive breastfeeding (OR=0.352), birth weight (OR=5.106), family income (OR=0.703), and mother’s education level (OR=0.175). However, the mother’s education level was significantly related to the incidence of stunting in this analysis model (p=0.003).
Conclusion: Indonesian mothers should be more active in accessing information about stunting and how to prevent it. Community health nurses and other members of the health care team are recommended to intensify the provision of stunting education and information to the community, especially to at-risk families. Also, special attention must be paid to women’s access to higher education. 
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● Chronic malnutrition is recognized as the best indicator of the quality of human capital of a country. 
● Many children in underdeveloped countries suffer from stunting or low height for age.
● Stunting leads to wide-ranging adverse outcomes, including short-term outcomes, such as morbidity and mortality in infants/toddlers, medium-term outcomes, such as reduced mental and cognitive abilities, and long-term outcomes, including its impact on human resource quality and degenerative diseases in adulthood. 
● The findings of this study showed that lower levels of maternal education greatly affect the incidence of stunting in children.

Plain Language Summary 
Stunting in children is a form of growth disorder caused by chronic malnutrition, especially in the first 1000 days of life. Stunting indicates a public health problem because it is associated with an increased risk of morbidity and mortality, decreased motor and mental function development, and reduced physical capacity. Many factors influence the incidence of stunting, including exclusive breastfeeding for less than 6 months of age, low birth weight, low family income, and low maternal education level. The findings of this study determined mothers’ education as the predictor of the incidence of stunting in children. 

Type of Study: Research | Subject: General
Received: 2021/08/21 | Accepted: 2021/10/2 | Published: 2021/11/1

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