Factors Associated with Nutritional Status in Children Under Five in Urban Surabaya, East Java


Triana Ulfa Nur Aziza1), Yulia Lanti Retno Dewi2),  Eti Poncorini Pamungkasari2)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: Nutritional status of children is a proxy indicator for assessing the entire population health status and one of the major predictors of child survival. Factors that contribute to malnutrition are many and varied. Water, sanitation, and hygiene (WASH) has been linked to all four ―pillars‖ of the food and nutrition security framework, as immediate or proximate risk factors, but also as more distant causes. This study aimed to determine factors associated with nutritional status in children under five.

Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posyandu) in Surabaya, East Java, from August to September 2019. A sample of 200 children aged 6-59 months was selected by proportional stratified random sampling. The dependent variable was nutritional status (weight for age). The independent variables were birthweight, family income, maternal knowledge, maternal education, and environmental sanitation. Body weight was measured by weight scale. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression.

Results: The risk of poor nutritional status in children under five increased with low birthweight (OR= 20.69; 95% CI= 4.12 to 103.96, p<0.001), low family income (OR= 18.50; 95% CI= 2.40 to 14.25; p= 0.005), and poor environment sanitation (OR= 2.63; 95% CI= 0.24 to 29.02; p= 0.008). The risk of poor nutritional status in children under five decreased with good maternal knowledge (OR= 0.09; 95% CI= 0.01 to 0.61; p= 0.014) and high maternal education (OR= 0.08; 95% CI= 0.01 to 0.52; p= 0.008).

Conclusion: The risk of poor nutritional status in children under five increases with low birthweight, low family income, and poor environment sanitation, but decreases with good maternal knowledge and high maternal education

Keywords: nutritional status, birthweight, sanitation, children under five

Correspondence: Triana Ulfa Nur Aziza. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: trianaulfanuraziza@gmail.com. Mobile: +6285843292483.

DOI: https://doi.org/10.26911/the6thicph.03.76

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