Maternal perception of sickness as a risk factor of stunting in children aged 2-5 years

Main Article Content

Maria Fatima Dete Dellu
Maria Mexitalia
Ali Rosidi

Abstract

Background
Stunting in children is caused by past nutritional problems, adversely affects the physical and mental characteristics of children and is a well-established child-health indicator of chronic malnutrition. Socio-cultural factors can affect parenting, thereby indirectly affecting child growth. The objective of this study was to determine socio-cultural factors and parental short stature as risk factors of stunting in children aged 2 to 5 years.

Methods
The study used a quantitative approach with case control design and a qualitative approach with in-depth interview. The study subjects were children aged 2-5 years, consisting of 45 cases of stunting and 45 controls (normal subjects). Socio-cultural data were obtained through interviews with the mothers, while height was measured with a stadiometer. Data were analyzed using chi square and logistic regression tests to calculate the odds ratio (OR).

Results
The logistic regression test showed that maternal perception of sickness as a curse (OR=7.43; 95% CI: 2.37-23.21), stopping breastfeeding at <24 months (OR=6.01;95% CI: 1.83-19.69) and low household expenditure for food (OR=5.78;95% CI: 1.28-26.01) were risk factors of stunting incidence with a probability of 73.8%. The most dominant risk factor of stunting was maternal perception of sickness (OR=7.43 95% CI: 2.37-23.21).

Conclusion
Maternal perception of sickness was the most dominant risk factor of stunting in children 2-5 years of age. A multidisciplinary approach is needed to address the range of raised issues and so combat stunting in children.

Article Details

How to Cite
Dellu, M. F. D., Mexitalia, M., & Rosidi, A. (2016). Maternal perception of sickness as a risk factor of stunting in children aged 2-5 years. Universa Medicina, 35(3), 156–164. https://doi.org/10.18051/UnivMed.2016.v35.156-164
Section
Original Articles

References

Senbanjo IO, Oshikoya KA, Odusanya OO, et al. Prevalence and risk factors for stunting among school children and adolescents in Abeokuta, Southwest Nigeria. J Health Pop Nutr 2011;2: 364-70.

United Nations Children’s Fund (UNICEF). Tracking progress on child and maternal nutrition: a survival and development priority. New York: United Nations Children’s Fund (UNICEF);2009.

Kusumaningrum R. Studi epidemiologi sosial kejadian stunting anak balita suku Dawan di kabupaten Timor Tengah Selatan (TTS) (Tesis). Kupang: Universitas Nusa Cendana;2014.

Kementerian Kesehatan Republik Indonesia (Kemenkes RI). Riset Kesehatan Dasar (Riskesdas) tahun 2013. Jakarta: Kementerian Kesehatan Republik Indonesia (Kemenkes RI); 2013.

Nabuasa CD, Juffrie M, Huriyati E. Riwayat pola asuh, pola makan, asupan zat gizi berhubungan dengan kejadian stunting pada anak usia 24-59 bulan di Kecamatan Biboki Utara, Kabupaten Timor Tengah Utara Provinsi Nusa Tenggara Timur. Jurnal Gizi Dietetik Indonesia 2013;1:31-43.

Yudi H. Hubungan faktor sosial budaya dengan status gizi anak usia 6-24 bulan di Kecamatan Medan Area, Kota Medan (Tesis). Medan: Universitas Sumatera Utara; 2008.

Yasmin G, Lilik K, Cesilla MD. Risk factors of stunting among school-children from eight provinces in Indonesia. Pakistan J Nutr 2014;13: 557-66.

Solihin RDM, Anwar F, Sukandar D. Kaitan antara status gizi, perkembangan kognitif, dan perkembangan motorik pada anak usia presekolah. Jurnal Penelitian Gizi Makanan 2013;36:62-72.

Hanum F. Hubungan asupan dan tinggi badan ibu dengan status gizi anak balita. Jurnal Gizi Pangan 2014;9:78-1059.

Kusuma KE, Nuryanto. Faktor risiko kejadian stunting pada anak usia 2-3 tahun (studi di Kecamatan Semarang Timur). J Nutr Coll 2013; 2:523-30.

Barstow C, Rerucha C. Evaluation of short and tall stature in children. Am Fam Physician 2015; 92:43-50.

Aguayo VM, Nair R, Badgaiyan N, et al. Determinants of stunting and poor linear growth in children under 2 years of age in India: an in-depth analysis of Maharashtra’s comperhensive nutrition survey. Matern Child Nutr 2016;12: 121-40.

Cahyani NWW, Widarsa IKT. Penerapan analisis jalur dalam analisis faktor determinan eksklusivitas pemberian ASI di wilayah kerja Puskesmas Payangan, Gianyar. J Comm Health 2014;2:96-106.

Nadiyah, Briawan D, Martianto D. Faktor risiko stunting pada anak usia 0-23 bulan di Provinsi Bali, Jawa Barat, dan Nusa Tenggara Timur. Jurnal Gizi Pangan 2014;9:125-32.

Muchina EN, Waithaka PM. Relationship between breastfeeding practices and nutritional status of children aged 0–24 months in Nairobi, Kenya. African J Food Agric Nutr Dev 2010;10: 1-14.

Teshome B, Kogi-Makau W, Getahun Z, et al. Magnitude and determinants of stunting in children under-five years of age in food surplus region of Ethiopia: The case of West Gojam Zone. Ethiop J Health Dev 2009;23:98-106

Fikadu T, Assegid S, Dube L. Factors associated with stunting among children af age 24 to 59 months in Meskan district, Gurage zone, South Ethiophia: a case-control study. BMC Public Health 2014:14;1-7.

Kamal M. Socio-economic determinants of severe and moderate stunting among under five children of rural Bangladesh. Mal J Nutr 2011; 17:105–18.

More J. Gizi bayi, anak dan remaja. Yogyakarta. Pustaka Belajar; 2014.

Picauly I, Sarci MT. Analisis determinan dan pengaruh stuntingterhadap prestasi belajar anak sekolah di Kupang dan Sumba Timur, NTT. Jurnal Pangan Gizi 2012;8:55-62.

Nasikhah R, Margawati A. Faktor resiko kejadian stunting pada balita usia 24-36 bulan di Kecamatan Semarang Timur. J Nutr Coll 2012;1:176-84.

Dekker LH, Mora-Plazas M, Marin C, et al. Stunting associated with poor socioeconomic and maternal nutrition status and respiratory morbidity in Colombian school children. Food Nutr Bull 2010;31:242-50.

Lestari W, Margawati A, Rahfiludin ZM. Faktor risiko stunting pada anak umur 6-24 bulan di kecamatan Penanggalan kota Subulussalam Provinsi Aceh. Jurnal Gizi Indonesia 2014;3: 126-34.

Nature Education. Hardy-Weinberg equilibrium; 2014. Available at: http://www.nature.com/scitable/definition/hardy-weinberg-equilibrium-122. Accessed September 2, 2016.

Stewart CP, Iannotti L, Dewey KG, et al. Contextualizing complementary feeding in a broader framework for stunting prevention. Maternal Child Nutrition 2013;9:27-45.