Document Type : Original Article
Authors
- Kusuma Estu Werdani 1, 2
- Syifa Kurnia 1
- Anggia Rahma 1
- Purwo Setiyo Nugroho 3
- Bintang Agustina Pratiwi 4
- Anggi Putri Aria Gita 5
- Anisa Catur Wijayanti 1, 2
1 Department of Public Health, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
2 Chronic Disease Research Center, Research Group of Digitalization in Chronic Sexual and Reproductive Health Intervention, Universitas Muhammadiyah Surakarta, Indonesia
3 Faculty of Public Health, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
4 Faculty of Health Sciences, Universitas Muhammadiyah Bengkulu, Bengkulu, Indonesia
5 Department of Health Administration, Faculty of Health Sciences, Universitas Kusuma Husada, Surakarta, Indonesia
Abstract
Background: Stunting remains a significant public health concern in Indonesia, particularly in rural areas. Although the national stunting prevalence declined to 19.8%, disparities persist. Despite interventions, there is limited evidence on the combined effects of maternal, environmental, and health servicerelated factors that contribute to stunting in this region. This study aimed to analyze the risk factors for stunting.
Methods: A case-control design was used, involving 85 stunted and 85 non-stunted toddlers in Jumapolo, Karanganyar, Central Java. Data were analyzed through univariate and bivariate analyses using the Chi-square test, followed by multivariate analysis with logistic regression.
Results: Six variables met criteria for inclusion in the final model: mother education (OR=2.042, 95% CI [1.059, 3.937], P=0.048), family income (OR=4.358, 95% CI [0.894, 21.256], P=0.102), birth weight (OR=5.203, 95% CI [1.659, 16.318], P=0.005), birth height (OR=3.128, 95% CI [1.441, 6.786], P=0.006), integratedservices- post (Posyandu) visit (OR=3.257, 95% CI [1.338, 7.929], P=0.013), and hand hygiene behavior by toddler (OR=3.087, 95% CI [1.391, 6.851], P=0.008). The most dominant factor was irregular Posyandu visits. Toddlers were 3.286 times more likely to be stunted (CI 95% 1.271-8.493, value 0.014). Additionally, toddlers with poor hand hygiene had 2.964 times higher odds of stunting (CI 95% 1.251-7.023, P=0.014). The findings suggest that limited access to routine health services and inadequate hygiene practices significantly contribute to stunting.
Conclusion: Intervention should prioritize promoting regular attendance of health services and improving hand hygiene practices among toddlers.
Highlights
Kusuma Estu Werdani (Google Scholar)
Keywords
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