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Factors associated with the stunting incidence in children aged 6–23 months in Central Java.

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Titel: Factors associated with the stunting incidence in children aged 6–23 months in Central Java.
Autoren: Deviani, Hana Eka, Dieny, Fillah Fithra, Purwanti, Rachma, Syauqy, Ahmad
Quelle: Nutrition & Food Science; 2025, Vol. 55 Issue 4, p674-688, 15p
Schlagwörter: JUVENILE diseases, SOCIAL impact, NUTRITIONAL status, AGE groups, COMMUNICABLE diseases
Abstract: Purpose: This study aims to find the association between intake history (exclusive breastfeeding and prelacteal intake) and infection history (acute respiratory infection [ARI], pneumonia, pulmonary TB and diarrhea) with the incidence of stunting in under-fives (6–23 months) in Central Java using the 2018 Indonesian Basic Health Research or Riset Kesehatan Dasar (Riskesdas) data. Design/methodology/approach: This study is an advanced analysis using 2018 Basic Health Research (Riskesdas) data. Data were collected by the Riskesdas team from April to May 2018. The design of this study used a cross-sectional design and no intervention. The data used in this study were taken at the Central Java Province level. The population of this study was all under-five children aged 6–23 months from 2,752 Census Blocks in Central Java in 2018; in one Census Block, there were ten households. Data were obtained from as many as 2,144 infants. The implementation of Riskesdas in 2018 has received ethical approval from the Health Research Ethics Commission, Balitbangkes Kemenkes Republic of Indonesia Number; No. LB.02.01/2/KE.267/2017. Findings: There was a significant association between gender and history of pneumonia infection on stunting among under-five children in Central Java. However, the subject's residence has no association with stunting in this study, as well as a history of exclusive breastfeeding, a history of prelacteal intake and a history of IMD practices. The probability of boys with a history of pneumonia infection being stunted was 49.1%, while girls with a history of pneumonia infection had a 43% chance of being stunted. The probability that boys without a history of pneumonia infection would be stunted was 33.7%. Research limitations/implications: The limitation of this study is that the cross-sectional study design is not an easy-to-identify causal mechanism. In addition, the frequency and duration of infections experienced by the infants; the frequency and number of times the infants were breastfed; and the type and amount of macro- and micronutrients consumed by the infants could not be analyzed in this study because of the limitations of secondary data. Furthermore, there were several questions in the questionnaire that were taken based on retrospective data, which may cause information bias. Practical implications: This research is expected to increase community motivation to provide exclusive breastfeeding to children and continue breastfeeding until the child is two years old. Additionally, through this research, it is hoped that the community will be more motivated to provide complementary feeding to their children at the appropriate time (after the child reaches six months of age). Providing exclusive breastfeeding and ensuring timely introduction of complementary feeding are efforts aimed at preventing infectious diseases in children, which can impact the nutritional status of children if not managed properly. This research is expected to increase community motivation to provide exclusive breastfeeding to children and continue breastfeeding until the child is two years old. Additionally, through this research, it is hoped that the community will be more motivated to provide complementary feeding to their children at the appropriate time (after the child reaches six months of age). Providing exclusive breastfeeding and ensuring timely introduction of complementary feeding are efforts aimed at preventing infectious diseases in children, which can impact the nutritional status of children if not managed properly. Social implications: This research is expected to assist educational institutions and government agencies through service and development efforts in achieving the long-term goals of the SDGs, particularly concerning health and well-being. By understanding Indonesia's potential, the government and institutions can maximize these opportunities to develop precise programs aimed at addressing the root causes of stunting. This way, the hopes of all society, especially children as the next generation, to live healthy and prosperous lives can be realized. Originality/value: Several studies have shown a greater risk for toddlers with a history of infection to experience stunting. There are many studies on stunting in under-five subjects both at the national and regional levels, but none have analyzed the relationship between exclusive breastfeeding history, prelacteal intake and infections (ARI, pneumonia, pulmonary TB and diarrhea) and stunting at the Central Java level using secondary data from Riskesdas in 2018. [ABSTRACT FROM AUTHOR]
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Datenbank: Biomedical Index
Beschreibung
Abstract:Purpose: This study aims to find the association between intake history (exclusive breastfeeding and prelacteal intake) and infection history (acute respiratory infection [ARI], pneumonia, pulmonary TB and diarrhea) with the incidence of stunting in under-fives (6–23 months) in Central Java using the 2018 Indonesian Basic Health Research or Riset Kesehatan Dasar (Riskesdas) data. Design/methodology/approach: This study is an advanced analysis using 2018 Basic Health Research (Riskesdas) data. Data were collected by the Riskesdas team from April to May 2018. The design of this study used a cross-sectional design and no intervention. The data used in this study were taken at the Central Java Province level. The population of this study was all under-five children aged 6–23 months from 2,752 Census Blocks in Central Java in 2018; in one Census Block, there were ten households. Data were obtained from as many as 2,144 infants. The implementation of Riskesdas in 2018 has received ethical approval from the Health Research Ethics Commission, Balitbangkes Kemenkes Republic of Indonesia Number; No. LB.02.01/2/KE.267/2017. Findings: There was a significant association between gender and history of pneumonia infection on stunting among under-five children in Central Java. However, the subject's residence has no association with stunting in this study, as well as a history of exclusive breastfeeding, a history of prelacteal intake and a history of IMD practices. The probability of boys with a history of pneumonia infection being stunted was 49.1%, while girls with a history of pneumonia infection had a 43% chance of being stunted. The probability that boys without a history of pneumonia infection would be stunted was 33.7%. Research limitations/implications: The limitation of this study is that the cross-sectional study design is not an easy-to-identify causal mechanism. In addition, the frequency and duration of infections experienced by the infants; the frequency and number of times the infants were breastfed; and the type and amount of macro- and micronutrients consumed by the infants could not be analyzed in this study because of the limitations of secondary data. Furthermore, there were several questions in the questionnaire that were taken based on retrospective data, which may cause information bias. Practical implications: This research is expected to increase community motivation to provide exclusive breastfeeding to children and continue breastfeeding until the child is two years old. Additionally, through this research, it is hoped that the community will be more motivated to provide complementary feeding to their children at the appropriate time (after the child reaches six months of age). Providing exclusive breastfeeding and ensuring timely introduction of complementary feeding are efforts aimed at preventing infectious diseases in children, which can impact the nutritional status of children if not managed properly. This research is expected to increase community motivation to provide exclusive breastfeeding to children and continue breastfeeding until the child is two years old. Additionally, through this research, it is hoped that the community will be more motivated to provide complementary feeding to their children at the appropriate time (after the child reaches six months of age). Providing exclusive breastfeeding and ensuring timely introduction of complementary feeding are efforts aimed at preventing infectious diseases in children, which can impact the nutritional status of children if not managed properly. Social implications: This research is expected to assist educational institutions and government agencies through service and development efforts in achieving the long-term goals of the SDGs, particularly concerning health and well-being. By understanding Indonesia's potential, the government and institutions can maximize these opportunities to develop precise programs aimed at addressing the root causes of stunting. This way, the hopes of all society, especially children as the next generation, to live healthy and prosperous lives can be realized. Originality/value: Several studies have shown a greater risk for toddlers with a history of infection to experience stunting. There are many studies on stunting in under-five subjects both at the national and regional levels, but none have analyzed the relationship between exclusive breastfeeding history, prelacteal intake and infections (ARI, pneumonia, pulmonary TB and diarrhea) and stunting at the Central Java level using secondary data from Riskesdas in 2018. [ABSTRACT FROM AUTHOR]
ISSN:00346659
DOI:10.1108/NFS-07-2024-0251