Determinan stunting pada balita usia 6–59 bulan di Kecamatan Trienggadeng, Pidie Jaya, Aceh

Author(s): Ramadhaniah Ramadhaniah, Aryandi Darwis, Ayu Rafiony, Suaebah Suaebah
DOI: 10.30867/gikes.v7i2.2684

Abstract

Background: Stunting is a chronic nutritional problem in Indonesia. The Trienggadeng District of Pidie Jaya requires locally specific evidence on breastfeeding practices, immunization, colostrum administration, and birth weight to support targeted prevention.

Objectives: To identify factors associated with stunting among children aged 6–59 months in Trienggadeng District, Pidie Jaya, Aceh.

Methods: A case-control study was conducted from May to August 2022 in 17 villages selected using cluster sampling. The study included 214 children (107 cases and 107 controls). Data were collected through anthropometric screening and interviews using a standardized questionnaire and analyzed using univariate and bivariate methods.

Results: Children who were not exclusively breastfed (OR = 16.85; 95% CI: 8.07–35.74), did not receive early initiation of breastfeeding (OR = 8.16; 95% CI: 3.97–17.33), had incomplete immunization (OR = 14.24; 95% CI: 7.08–29.71), did not receive colostrum (OR = 3.27; 95% CI: 1.78–6.03), or had low birth weight (OR = 19.09; 95% CI: 5.64–99.24) had higher odds of stunting (all p = 0.0001). Low birth weight showed the largest crude OR value.

Conclusion: Exclusive breastfeeding, early initiation of breastfeeding, immunization status, colostrum administration, and birth weight were associated with stunting. Prevention should strengthen antenatal care, low birth weight prevention, breastfeeding support, immunization coverage, and early life nutrition services.

Keywords

colostrum, exclusive breastfeeding, immunization, low birth weight, stunting

Full Text:

PDF

References

Alam, A. S., Wahiduddin, Ansariadi, Noor, N. N., Syafar, M., & Hidayanty, H. (2023). Determinant of stunting in children aged 12–24 months during the COVID-19 pandemic era in Makassar City. Gaceta Médica de Caracas, 131(1), 31–39. https://doi.org/10.47307/GMC.2023.131.1.5

Dewi, N. K., Kusumasari, H. A. R., Andarini, S., & Indrawan, I. W. A. (2023). Nutritional factors affecting stunting among toddlers. Amerta Nutrition, 7(1SP), 25–29. https://doi.org/10.20473/amnt.v7i1SP.2023.25-29

Gosho, M., Ohigashi, T., Nagashima, K., et al. (2023). Bias in odds ratios from logistic regression methods with sparse data sets. Journal of Epidemiology, 33(6), 265–275. https://doi.org/10.2188/jea.JE20210089

Gusnedi, G., Nindrea, R. D., Purnakarya, I., Umar, H. B., Andrafikar, Syafrawati, Asrawati, Susilowati, A., Novianti, Masrul, & Lipoeto, N. I. (2023). Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis. Asia Pacific Journal of Clinical Nutrition, 32(2), 184–195. https://doi.org/10.6133/apjcn.202306_32(2).0001

Kementerian Kesehatan Republik Indonesia. (2018). Riset kesehatan dasar (Riskesdas). Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan Republik Indonesia. (2023). Buku kesehatan ibu dan anak.

Nurfadillah, N., Syam, A., & Hidayanti, H. (2023). Socioeconomic vulnerability and child stunting in post-disaster communities in Indonesia: Evidence from affected districts. Jurnal Kesehatan Masyarakat Nasional, 18(2), 101–109.

Nusantri, P. H. R., Shinta, A., Mariyona, K., & Nugrahmi, M. A. (2023). Hubungan pemberian imunisasi dasar lengkap dengan kejadian stunting di Kabupaten Pasaman Barat tahun 2023. Human Care Journal, 8(3), 565–571.

https://ojs.fdk.ac.id/index.php/humancare/article/view/2729/pdf

Octavia, L., & Rachmalina, R. (2022). Child malnutrition during the COVID-19 pandemic in Indonesia. Pediatric Gastroenterology, Hepatology & Nutrition, 25(4), 347–350. https://doi.org/10.5223/pghn.2022.25.4.347

Permatasari, R. P., Simbolon, D., & Yunita, Y. (2024). Pencegahan stunting melalui pemberian ASI eksklusif di Indonesia: Pendekatan meta-analisis. Amerta Nutrition, 8(1SP), 105–112. https://doi.org/10.20473/amnt.v8i1sp.2024.105-112

Rahmad, A. H. A., Miko, A., & Fitri, Y. (2024). Determinants of stunting among children under five in post-disaster areas of Aceh Province, Indonesia. AcTion: Aceh Nutrition Journal, 9(1), 45–54.

Rahmadiani, I., Fibriana, A. I., & Azam, M. (2024). Low birth weight is related to stunting incidents: Indonesian Nutrition Status Survey data analysis. medRxiv. https://doi.org/10.1101/2024.06.10.24308684

Ramadhaniah, B. W. (2021). Jurnal kesehatan jurnal kesehatan. Jurnal Kesehatan, 9(3), 140–149.

Rasidah, R., Nuraskin, C. A., Al Rahmad, A. H., Reca, R., Salfiyadi, T., Mardiah, A., & Usrina, N. (2025). Pencegahan stunting melalui edukasi gizi seimbang dan pemanfaatan pekarangan untuk kebun gizi dan toga di Desa Bayu, Kecamatan Darul Imarah, Aceh Besar. Jurnal PADE: Pengabdian & Edukasi, 7(2), 81-86. http://dx.doi.org/10.30867/pade.v7i2.2727

Rinanda, T., Riani, C., Artarini, A., & Sasongko, L. (2023). Correlation between gut microbiota composition, enteric infections and linear growth impairment: A case-control study in childhood stunting in Pidie, Aceh, Indonesia. Gut Pathogens, 15(1), 1–14. https://doi.org/10.1186/s13099-023-00581-w

Setyani, F. W., & Idiana, A. (2024). The influence of pregnant women’s nutrition and parenting patterns on the incidence of stunting among toddlers in Pidie Jaya. 6(1), 96–101.

Supriyanto, Y., Paramashanti, B. A., & Astiti, D. (2018). Berat badan lahir rendah berhubungan dengan kejadian stunting pada anak usia 6–23 bulan. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 5(1), 23–30. https://doi.org/10.21927/ijnd.2017.5(1).23-30

Trisira, N. P., Anisa, W., Shafira, R. D., & Barus, M. B. (2022). History of exclusive breastfeeding with stunting in children aged 2 to 5 years: A literature review. The Lancet, 300–316.

Victora, C. G., Bahl, R., Barros, A. J. D., et al. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490.

Wanda, Y. D., Elba, F., Didah, D., Susanti, A. I., & Rinawan, F. R. (2021). Riwayat status imunisasi dasar berhubungan dengan kejadian balita stunting. Jurnal Kebidanan Malahayati, 7(4), 851–856. https://doi.org/10.33024/jkm.v7i4.4727

World Health Organization. (2019). Antenatal care for a positive pregnancy experience.

World Health Organization. (2021). Infant and young child feeding.

World Health Organization. (2025). WHO recommendations on maternal health: Guidelines approved by the WHO Guidelines Review Committee (2nd ed.).

DOI: http://dx.doi.org/10.30867/gikes.v7i2.2684

Refbacks

  • There are currently no refbacks.