Factors Affecting The Occurence of Stunting among Children Under 2 Years of Age in Pemalang, Central Java

Arwinda Nugraheni1), Arya Reza Gama2), Agung Wibowo3)Murni4), Hari Peni Julianti1), Dea Amarilisa Adespin1)Teddy Wahyu Nugroho1)Diah Rahayu Wulandari1)


1)Public Health Departement, Faculty of Medicine, Universitas Diponegoro

2)Environtmental Engineering, Faculty of Engineering, Universitas Diponegoro

3)Department of Civil Engineering, Faculty of Engineering, Universitas Diponegoro

4)Faculty of Public Health, Universitas Diponegoro



Background: Stunting in infants is a manifestation of the long-term impact of several factors related to poverty, social and culture, increased exposure to infectious/noninfectious diseases, food insecurity, and public access to health services. Pemalang was included in 10 cities/ districts of Central Java that received priority for stunting intervention. In order to prevent stunting it is essential to examine the causes of stunting in children in these areas. This study aimed to investigate the factors affecting the occurrence of stunting among children under 2 years of age in Pemalang, Central Java.

Subjects and Method: This was an observational analytic study conducted in the working area of Kebondalem Health Center, Pemalang, Central Java, in July 2019. A total of 142 children under 2 years of age was selected for this study. The dependent variable was stunting. The independent variables were maternal education, paternal occupation, family income, family indicator, complete immunization, nutritional intake, and hygiene. The data were collected by anthropometric measurement and questionnaire. The data were analyzed by logistic regression.

Results: Of 142 children under 2 years of age, 74.6% had low maternal education. A

total of 46.5% fathers were employees. A total of 42.3% had low family income. Working fathers (OR= 0.04; 95% CI= 0.01 to 0.43; p= 0.007) and harmonious family (OR= 0.43, 95% CI= 0.08 to 0.63; p= 0.004) were associated with lower risk of stunting. Low family income (OR= 9.50; 95% CI= 1.02 to 88.55; p= 0.048) was associated with higher risk of stunting. Complete immunization, nutritional intake, and hygiene, did not show significant association with the risk of stunting.

Conclusion: Paternal occupation, harmonious family, and family income, are associated with the risk of stunting.

Keywords: stunting, risk factor

Correspondence: Arwinda Nugraheni. Faculty of Medicine, Universitas Diponegoro. Jl. Prof. H. Soedarto S.H, Tembalang, Semarang 50275, Central Java. Email: arwindanugraheni@gmail.com. Mobile: 085641474755.

DOI: https://doi.org/10.26911/the6thicph.03.05

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