Background : Aceh is one of the province in Indonesia with high prevalence of stunting that is 39% compared withnational 35,6%. Subulussalam has a highly proportion of stunting.Objective : This study was aimed to analyze the risk factors for stunting among children between 6-24 months old.Methods : The design was case-control study, the subjects were children between 6-24 months with 55 stunted and 55normal. The subjects chosen by consecutive sampling. The risk factors were education levels and employment of parent,family income, suffering from diarrhea and URTI, energy and protein intake, height of the parent, birth weight,exclusive breastfeeding, the time of complementary feeding, parenting style and source of clean water. Data analysisusing the odds ratio with 95% confidence interval and regression analysis.Results : The risk factors for stunting were low income of family (OR=8,5, 95%CI: 2,68-26,89), suffering from diarrhea(OR=5,04, 95%CI: 1,84-13,81) and URTI (OR=5,71, 95%CI: 1,95-16,67), inadequate of energy (OR=3,09, 95%CI:1,02-9,39) and protein intake (OR=5,54, 95%CI: 2,43-12,63), short stature of the parent (OR=11,13, 95%CI: 4,37-28,3), low birth weight (OR=3,26, 95%CI: 1,46-7,31), not exclusively breastfeeding (OR=6,54, 95%CI: 2,84-15,06),giving complementary feeding too early (OR=6,54, 95%CI: 2,84-15,06), and poor parenting style of feeding practices(OR=4,59, 95%CI: 2,05-10,25), child hygiene practices (OR=3,26, 95%CI: 1,46-7,31) and treatment of childrenpractices (OR=2,46, 95%CI: 1,13-5,34). Regression analysis showed that the dominant risk factor for stunting wasshort stature of the parent (OR=13,16, 95%CI: 3,72-46,52).Conclusions : The dominant risk factor for stunting was short stature of the parent.
Background : In 2013, the prevalence of stunting and severe stunting in Brebes reached 26.9 % and 16.8 %. These prevalences of stunting were higher than the stunting prevlence in Central Java Province (11.0%). This study aimed to determine risk factors of stunting among children aged 12-24 months in Brebes District.Methods: This research was conducted with a case-control design on 77 cases (stunting) and 77 controls (normal) in Brebes Subdistrict. Data on birth weight, birth length, infection history, pesticide exposure were obtained through interviews, using structured questionnaires. The analysis was conducted by calculating Odd Ratios and logistic regressions.Results : Multivariate results showed that the risk factors of stunting in children aged 12-24 months in Brebes subdistrict were low energy adequacy levels (OR =7.71; 95%CI: 3.63-16.3; p=0.001), low protein adequacy levels (OR=7.65 ; 95%CI:3.67-15.9, p=0.001); low zinc adequacy levels (OR=8.78; 95%CI:3.53-21.5, p=0,001); low birth weight (OR=3.63; 95%CI:1.65-7.96; p=0.002) and high exposure to pesticides (OR=8.48; 95%CI:3.93-18.28; p=0,001). These three variables are contributing to stunting of 45 %. Low compliance of vitamin A capsule consumption, the frequencies of diarrhea respiratory infection were not the risk factors for stunting in this study.Conclusions: The risk factors of stunting among children aged 12-24 months were low energy adequacy levels, low protein adequacy levels, low zinc adequacy levels, low birth weight and high exposure to pesticides. The highest risk was the high pesticide exposure.
Background: The problem of stunting occurs in developing countries including Indonesia. In Indonesia the prevalence of child stunting is 30.8%, still above the world prevalence, which is 22.2%. The prevalence of stunting in sub-Saharan Africa is 34.5%, in Ethiopia is 52.4%, and the prevalence of stunting in Congo is 40%. While WHO stipulates that nutrition problems should not exceed 20%. Stunting could inhibit linear growth, development and degenerative diseases later in adulthood.Objective: This review discussed the risk factors of child stunting in developing countries.Discusion: One of the causes of increased stunting in children was due to inadequate nutritional intake in a long period. Stunting was often not realized by parents and only visible after the age of 2 due to low stature. Based on the results of the literature review the likelihood of stunting in developing country were: 16.43 times morelikely due to low birth length, 3.27 times higher due to maternal education, 2.45 times higher if the children were living in rural area, 4.5 times higher due to low birth weight, no risk Antenatal Care increase the risk 3.4 times, 6.38 times higher due to no immunization, and no exclusive breastfeeding increase the risk of stunting 4.0 times.Conclusion: The risk factor for child stunting in developing countries are exclusive breastfeeding, socioeconomic, low birth weight, length of birth, low maternal education, infectious disease.ABSTRAKLatar Belakang: Masalah stunting (stunting) yang terjadi di Negara Berkembang seperti Indonesia masih tinggi yaitu 30,8% masih di atas dunia yaitu 22,2%. Stunting di sub sahara Afrika 34,5%, di Ethiopia 52,4%, prevalensi stunting di Congo 40%. Word Health Organization sudah menentukan bahwa terjadinya masalah gizi suatu negara sebaiknya kurang dari 20%. Stunting memiliki risiko gangguan pertumbuhan, perkembangan dan penyakit degeneratif pada usia dewasa nanti.Tujuan: Review ini bertujuan untuk mengidentifikasi faktor risikos apa saja yang dapat menentukan terjadinya stunting anak di Negara berkembang.Ulasan: Berdasarkan dari beberapa hasil penelitian menyebutkan bahwa salah satu penyebab stunting pada anak adalah karena tidak terpenuhinya gizi yang baik pada kurun waktu yang panjang dan sering kali tidak disadari oleh orang tuanya sehingga setelah anak usia di atas 2 tahun baru terlihat bahwa anaknya mengalami stunting. Berdasarkan hasil literatur review menunjukkan bahwa faktor risiko terjadinya stunting adalah panjang lahir berisiko 16,43 kali, pendidikan ibu yang rendah berisiko 3,27 kali, serta anak yang tinggal di desa berisiko 2,45 kali, BBLR berisiko 4,5 kali, tidak ANC berisiko 3,4 kali, tidak imunisasi berisiko 6,38 kali, dan tidak ASI Eksklusif berisiko 4,0 kali adalah merupakan faktor risiko stunting anak di negara berkembang.Kesimpulan: Hasil sintesis ini secara konsisten yang menjadi faktor risikos terjadinya stunting pada anak di negara berkembang adalah tidak diberikan ASI eksklusif, sosial ekonomi, berat bayi lahir rendah, panjang lahir, pendidikan ibu rendah, penyakit infeksi.
The aim of this study was to assess food safety education using school book covers and videos to Public Elementary School PES students in Cimahi City, West Java, Indonesia to order to improve knowledge, attitude, and practice of street food safety. We used quasy experiment with pretest−posttest control group design. We selected the intervention group from four public elementary schools in South Cimahi City where food poisoning had occurred, and the control group from four public elementary schools in North Cimahi City by simple random sampling. Samples consisted of 224 students; 112 as control and 112 as intervention group. This study was conducted for six months, in which the food safety education regarding street food safety used diffferent book covers for ten subject note books and videos. The book covers which consisted of materials on bacteriological and chemical food safety were explained once a week within 50−60 minutes duration. The videos regarding street food safety were given for 3 (three) times within 6 months. Before food safety education, there was no significant difference in knowledge, attitude, and practice (p>0.05) between the control and intervention groups. After six month food safety education, knowledge, attitude, and practice significantly improved (p<0.05) in intervention group compared to control group. Within intervention group, knowledge was improved from 5.4% (pre intervention) to 91.1% (post intervention), attitude from 69.6% (pre intervention) to 97.3% (post intervention), and practice from 21.4% (pre intervention) to 59.8% (post intervention). This study provides evidence that food safety education using book covers and videos to the elementary students for six months improved their knowledge, attitude, and practice of street food safety.
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