Faktor-Faktor yang Berhubungan dengan Stunting di Wilayah Kerja Puskesmas Lueng Keubeu Jagat Kabupaten Nagan Raya Tahun 2021
DOI:
https://doi.org/10.33143/jhtm.v8i2.2329Abstract
Balita stunting di wilayah Puskesmas Lueng Keubeu jagat masih tinggi. Upaya yang dilakukan untuk menurukan angka kejadian stunting berupa penyuluhan, pemberian makanan tambahan belum memberikan dampak yang signifikan. Penelitian ini bertujuan untuk mengetahuai faktor penyebab kejadian stunting usia 2-5 tahun di Puskesmas Lueng Keubeu. Desain Penelitian ini adalah cross sectional study. Data yang dikumpulkan menggunakan kuesioner dengan besar sampel 124 ibu balita yang terdiri dari 62 ibu yang memiliki balita stunting dan 62 ibu yang memiliki balita normal. Hasil analisis bivariat menunjukkan bahwa ada hubungan pengetahuan (p=0.003), riwayat asi eksklusif (p=0.008), dukungan suami (p=0.007), pendapatan keluarga (p= 0.004), dan pola makan (p=0.000) dengan stunting. Factor dominan yang paling berpengaruh terhadap stunting adalah riwayat asi eksklusif (p=0.04 dan OR=0.235). Berdasarkan analisis multivariat, variabel dominan yang berhubungan dengan kejadian stunting secara berturut turut adalah Riwayat asi eksklusif (OR=0.235; 95%CI: 0.088-0.630 ), dukungan suami (OR=0.129; 95%CI: 0.043-0.390) dan pola makan (OR=0.068; 95%CI: 0.024-0.192). Disimpulkan bahwa pemberian asi eksklusif dapat menurunkan kejadian stunting 0.23 kali dari pada balita tidak mendapatkan asi ekslusif.
Kata kunci : Pengetahuan, Riwayat Asi Eklusif, Dukungan Suami, Pendapatan Keluarga, Pola Makan, Stunting
Stunting toddlers in the Lueng Keubeu Jagat Health Center area was still high. Efforts made to reduce stunting rates in the form of counseling, supplementary feeding have not had a significant impact. This study aims to determine the factors that cause stunting at the age of 2-5 years at the Lueng Keubeu Public Health Center. Design this research is a cross sectional study. The data were collected using a questionnaire with a sample size of 124 mothers with toddlers consisting of 62 mothers who had stunting toddlers and 62 mothers who had normal toddlers. The results of the bivariate analysis showed that there was a relationship between knowledge (p = 0.003), history of exclusive breastfeeding (p = 0.008), husband's support (p = 0.007), family income (p = 0.004), and diet (p = 0.000) with stunting. The dominant factor that most influenced stunting was a history of exclusive breastfeeding (p=0.04 and OR=0.235). Based on multivariate analysis, the dominant variables related to the incidence of stunting sequentially were history of exclusive breastfeeding (OR=0.235; 95%CI: 0.088-0.630 ), husband's support (OR=0.129; 95%CI: 0.043-0.390) and diet ( OR=0.068; 95%CI: 0.024-0.192). It was concluded that that exclusive breastfeeding could reduce the incidence of stunting by 0.23 times compared to infants who did not receive exclusive breastfeeding.
Keywords : Knowledge, Exclusive Breastfeeding History, Husband's Support, Family Income, Diet, StuntingReferences
Agustin, L., & Rahmawati, D. (2021). Hubungan Pendapatan Keluarga Dengan Kejadian Stunting. Indonesian Journal of Midwifery, 4(1), 30–34.
Anshori, L. M., Sutrisna, B., & Fikawati, S. (2020). Relationship energy and protein intake with the incidence of stunting among toddler aged (25-60 months) in Mangkung Village, District of central Lombok. Indian Journal of Public Health Research and Development, 11(3), 1604–1609. https://www.embase.com/search/results?subaction=viewrecord&id=L2004451861&from=export
breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. BMC Public Health, 35(2), 271–278.
Dayuningsih, Permatasari, T. A. E., & Supriyatna, N. (2019). Pola asuh makan, frekuensi konsumsi pangan dan kejadian stunting pada anak balita.
Dwi, A., Yadika, N., Berawi, K. N., & Nasution, S. H. (2019). Pengaruh Stunting terhadap Perkembangan Kognitif dan Prestasi Belajar. September, 273–282.
Febrianita, Y., Fitri, A., Roza, A., & Saputra, R. (2020). The Relationship of Exclusive Breast Milk With Stunting in Children Under the Age of Two Years Tapung Kampar Distric. International Journal of Innovative Science and Research Technology, 5(7), 1262–1264. https://doi.org/10.38124/ijisrt20jul844
Fikawati, S., Adhi, E. K., Syafiq, A., & Bakara, S. M. (2019). Age of Milk Introduction is a Dominant Factor of Stunting Among Toddlers Aged 24 Months in Bogor District: A Cross-Sectional Study. Pakistan Journal of Nutrition, 18(10), 969–976. https://doi.org/10.3923/pjn.2019.969.976
Ghifari, Y. E. D. (2021). The correlation of mother’s knowledge, mother’s attitude, and low birth weight (LBW) with stunting in toddlers at Kulon Progo District, Yogyakarta. In Public health and Comunity Medice.
Halimatunnisa, M., Indarwati, R., Ubudiyah, M., Trihartuty, Martha Sari, N. K. P., & Suhardin, S. (2020). Family Determinants of Stunting in Indonesia: A Systematic Review. International Journal of Psychosocial …, 24(09), 815–822. https://www.researchgate.net/profile/Saverinus-Suhardin/publication/348805833_Family_Determinants_of_Stunting_in_Indonesia_A_Systematic_Review/links/6011291b299bf1b33e290f78/Family-Determinants-of-Stunting-in-Indonesia-A-Systematic-Review.pdf
Kemenkes. (2018). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil. In Journal of Materials Processing Technology (Vol. 1, Issue 1).
Kemenkes RI. (2018). Buletin Stunting. Kementerian Kesehatan RI, 301(5), 1163–1178.
Kismul, H., Acharya, P., Mapatano, M. A., & Hatløy, A. (2017). Determinants of childhood stunting in the Democratic Republic of Congo: Further analysis of Demographic and Health Survey 2013-14. BMC Public Health, 18(1), 1–14. https://doi.org/10.1186/s12889-017-4621-0
Krisnana, I., Suryawan, A., & Muftiyaturrohmah, M. (2020). Analysis of fathers’ support based on maternal perceptions through stunting incidence in toddler at coastal areas. Systematic Reviews in Pharmacy, 11(5), 761–767. https://doi.org/10.31838/srp.2020.5.110
Kurniatin, L. febri, & lepita. (2020). Deteminan Kejadian Stunting Pada Anak Usia 24-59 Bulan Di Wilayah Puskesmas Saigon Kecamatan Pontianak Timur Determination Stunting Of Children 24-59 Months In The Puskesmas. Jurnal Kesehatan Poltekkes Kemenkes Pangkalpinang, 8(1), 9–16.
Maria, I., Nurjannah, N., & Usman, S. (2020). Analisis Determinan Stunting menurut Wilayah Geografi di Indonesia Tahun 2018. 7, 239–250.
Oktavianisya, N., Sumarni, S., & Aliftitah, S. (2020). Faktor yang mempengaruhi kejadian stunting pada anak usia 2-5 tahun di kepulauan mandingin.
Pantaleon, M. G., Hadi, H., & Gamayanti, I. L. (2015). Stunting berhubungan dengan perkembangan motorik anak di Kecamatan Sedayu , Bantul , Yogyakarta. Jurnal Gizi Dan Dietetik Indonesia, 3(Januari), 10–21..
Rahmawati, U. hasniah, Aini, L., & Rasni, H. (2019). Hubungan pelaksanaan peran keluarga dengan kejadian stunting pada balita di kecamatan arjasa kabupaten jember.
Ramadhan, R., & Ramadhan, N. (2018). Determinasi Penyebab Stunting di Provinsi Aceh. Sel Jurnal Penelitian Kesehatan, 5(2), 68–76. https://doi.org/10.22435/sel.v5i2.1595
Ramdhani, A., Handayani, H., & Setiawan, A. (2020). Hubungan Pengetahuan Ibu dengan Kejadian Stunting. In Semnas LPPM.
Riskesdas. (2018). HASIL UTAMA RISKESDAS 2018.
Rokhman, A., & Nana, Q. (2020). Hubungan Status Sosial Ekonomi Dan Penyakit Infeksi Dengan Kejadian Stunting Pada Anak Usia Prasekolah 3-5 Tahun Di Kecamatan …. Jurnal Kesehatan, 9(2), 73–85. https://doi.org/10.37048/kesehatan.v9i2.277
Sari, M. T., Daryanto, & Oesmani, M. (2020). Maternal Characteristics and Knowledge on the Risk of Childhood Stunting at Simpang Kawat Community Health Center, Jambi. https://doi.org/10.26911/the7thicph.03.84
Stiller, C. K., Golembiewski, S. K. E., Golembiewski, M., Mondal, S., Biesalski, H. K., & Scherbaum, V. (2020). Maternal nutritional status and child feeding practices: A retrospective study in Santal communities, Birbhum District, West Bengal, India. International Breastfeeding Journal, 15(1), 1–24. https://doi.org/10.1186/s13006-020-00262-3
Triana, N. Y., & Haniyah, S. (2020). Relationship of Exclusive Breastfeeding, Complementary Feeding and Nutritional Intake with Stunting in Children in Karanglewas Health Center. Advances in Health Sciences Research, 20, 74–78. https://doi.org/10.2991/ahsr.k.200204.017
Widyaningsih, N. N., & Anantanyu, S. (2018). Jurnal Gizi Indonesia Keragaman pangan , pola asuh makan dan kejadian stunting pada balita usia 24-59 bulan. Jurnal Gizi Idonesia, 7(1).
Wiliyanarti, P. F. (2020). Peran Keluarga dan Pola Makan Balita Stunting. Jurnal Keperawatan Muhamdiyah, 5(1).
Eksklusif untuk Mencegah Stunting. JI-KES (Jurnal Ilmu Kesehatan), 3(1), 29–33. https://doi.org/10.33006/ji-kes.v3i1.128
Downloads
Issue
Section
License
I. ORIGINALITY, AUTHORSHIP, AND COPYRIGHT
The manuscripts submitted for publication must be research works written in English that have not been previously published and  are not being considered for publication elsewhere. All the authors must have agreed to the submission and to the order of their names on the title page. They must also have agreed that the corresponding author may act on their behalf throughout the editorial review and publication process. The corresponding author is responsible for obtaining such agreement.
Requests for changes in authorship (order of listing or addition or deletion of names) after submission should be accompanied by signed statements of agreement from all the parties involved. To maintain and protect the publisher‘s ownership and rights and to protect the original authors from misappropriations of their published work, author(s) are required to sign a Journal Publishing Agreement and send it to the editorial office (jhtm@uui.ac.id).
II. PERMISSION
The author is responsible for acquiring the permission(s) to reproduce any copyrighted figures, tables, data, or text that are being used in the submitted paper. Authors should note that text quotations of more than 250 words from a published or copyrighted work will require grant of permission from the original publisher to reprint. The written permission letter(s) must be submitted together with the manuscript.
III. EDITORIAL REVIEW AND REVISION
All papers will be critically read by at least two anonymous reviewers, selected for their competence in the subject area of the paper. Acceptance of the paper will depend upon its scientific merit and suitability for the journal. A paper may be accepted in its original form or subject to revision.
The reviewers' (and editor's) suggestions will be conveyed to the author, who will then have an opportunity to revise the paper. A manuscript returned to an author for revision can be held for a maximum of eight weeks.
The accepted paper will be edited by native English speakers. The cost of language editing service is currently free.
IV. PROOFS
Galley proofs (PDF format) for an accepted article will be sent by e-mail to the corresponding author for copyediting corrections. The core content of an article cannot be changed at this time. It is the author's responsibility to check the entire manuscript, including tables, figure legends, and cited reference numbers, not just the items queried. The proofs should be corrected and mailed to the editorial office within 48 hours of receipt in order to expedite publication. Only one set of corrections will be accepted. In other words, it is important to ensure that all of your corrections are sent to us in one communication.
V. Â REPRINTS
Five free reprint copies of the published article will be shipped to the corresponding authors in Indonesia only, approximately two weeks after the issue is printed. Authors, including overseas authors, who wish to purchase reprints, are required to complete the Reprint Order Form, which will be sent with the galley proofs to corresponding authors. This form must be returned together with the corrected galley proofs.