Risk of Stunting in Children: Links to Internal and Social Family Interactions in Central Buton District (a Case Study)
DOI:
https://doi.org/10.58545/jkki.v3i3.55Abstract
With a high prevalence of stunting in children in the Central Buton District. This study aims to explore the relationship between internal family dynamics and external social relationships affecting children's nutrition. The study was based on the hypothesis that more frequent and qualitative family interactions and involvement in social activities would correlate with a lower risk of stunting. This study used a cross-sectional study design. Analyzing secondary data from the 2021 Family Data Collection (PK21). The study included 6,586 target families as a sample, the analysis included family dynamics as an exposure variable and used the family happiness index formula to identify family interaction and social interaction. The study used logistic regression from Scikit-learn to evaluate the data in the final stage. Data analysis revealed that internal family interactions, although important, showed no statistically significant association with stunting risk (p=0.3699). However, social interaction had a highly significant association with reduced risk of stunting, with a regression coefficient of -1.9934 and Odds Ratio (AOR) of 0.1362 (95% CI: 0.0739 - 0.2510, p<0.0001) in logistic regression analysis. These findings confirm that strong social engagement and community support are key factors in reducing the prevalence of stunting among children in the Mawasangka sub-district. This study concludes that engagement in community social activities has a significant impact on reducing the risk of stunting in children. The findings suggest that interventions aimed at reducing stunting should go beyond intra-family interventions and include increased social interaction and community support to achieve optimal outcomes in stunting prevention.
Keywords:
Stunting, Family Interaction, Social Interaction, Child Nutrition Status, Family Data Collection (PK21)Downloads
References
Aubel, J. (2011). The role and influence of grandmothers on child nutrition: culturally designated advisors and caregivers. Maternal &Amp; Child Nutrition, 8(1), 19-35. https://doi.org/10.1111/j.1740-8709.2011.00333.x DOI: https://doi.org/10.1111/j.1740-8709.2011.00333.x
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal &Amp; Child Nutrition, 14(4). https://doi.org/10.1111/mcn.12617 DOI: https://doi.org/10.1111/mcn.12617
BKKBN RI. (2022). Laporan Pendataan Keluarga 2021. Accessed September 7,2022. https://portalpk21.bkkbn.go.id/laporan/tabulasi
Cumming, O. and Cairncross, S. (2016). Can water, sanitation, and hygiene help eliminate stunting? current evidence and policy implications. Maternal &Amp; Child Nutrition, 12(S1), 91-105. https://doi.org/10.1111/mcn.12258 DOI: https://doi.org/10.1111/mcn.12258
Esimai, O., Ojofeitimi, E., & Oyebowale, O. (2001). Sociocultural practices influencing under-five nutritional status in an urban community in Osun state, Nigeria. Nutrition and Health, 15(1), 41-46. https://doi.org/10.1177/026010600101500105 DOI: https://doi.org/10.1177/026010600101500105
Gu, L., Yang, L., & Li, H. (2023). Does neighborhood social capital longitudinally affect the nutritional status of school-aged children? evidence from China. Nutrients, 15(3), 633. https://doi.org/10.3390/nu15030633 DOI: https://doi.org/10.3390/nu15030633
Hagos, S., Hailemariam, D., WoldeHanna, T., & Lindtjørn, B. (2017). Spatial heterogeneity and risk factors for stunting among children under age five in Ethiopia: a Bayesian geo-statistical model. Plos One, 12(2), e0170785. https://doi.org/10.1371/journal.pone.0170785 DOI: https://doi.org/10.1371/journal.pone.0170785
Husniyeh, M., Susanto, T., & Susumaningrum, L. (2023). Hubungan kualitas hidup keluarga dengan status gizi pada balita di kecamatan panti kabupaten Jember. Kelimutu Nursing Journal, 2(1), 112-128
Jannah, R. N., Susanto, T., Susumaningrum, L. A., & Kholidi, M. (2022). Relationship between family connectedness and nutritional status among under-five children in Jember regency of Indonesia. Journal of Community Empowerment for Health, 5(1), 30. https://doi.org/10.22146/jcoemph.66461 DOI: https://doi.org/10.22146/jcoemph.66461
Kementerian Kesehatan Republik Indonesia, (2021). Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional,Provinsi,dan Kabupaten/Kota Tahun 2021. Jakarta : Litbang Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2013). Riset Kesehatan Dasar 2013. Jakarta: Balitbang Kemenkes RI.
Lam, W.W., Fielding, R., McDowell, I., Johnston, J.M., Chan, S.S., Leung, G., & Lam, T.H. (2012). Perspectives on family health, happiness and harmony (3H) among Hong Kong Chinese people: a qualitative study. Health education research, 27 5, 767-79. DOI: https://doi.org/10.1093/her/cys087
Moestue, H. and Huttly, S. (2008). Adult education and child nutrition: the role of family and community. Journal of Epidemiology &Amp; Community Health, 62(2), 153-159. https://doi.org/10.1136/jech.2006.058578 DOI: https://doi.org/10.1136/jech.2006.058578
Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T. A., Miranti, R., & Wiyono, V. H. (2021). Beyond personal factors: multilevel determinants of childhood stunting in Indonesia. Plos One, 16(11), e0260265. https://doi.org/10.1371/journal.pone.0260265 DOI: https://doi.org/10.1371/journal.pone.0260265
Rahayu, A (2018). Study Guide – Stunting Dan Upaya Pencegahannya Bagi Mahasiswa Kesehatan Masyarakat . Yogyakarta: penerbit CV. MINE.
Rahayuwati, L., Sari, C. W. M., Komariah, M., & Fauziah, S. R. (2023). Family household characteristics and stunting: an update scoping review. Nutrients, 15(1), 233. https://doi.org/10.3390/nu15010233 DOI: https://doi.org/10.3390/nu15010233
Rahmadiyah, D. C., Sahar, J., & Widyatuti, W. (2022). Public health interventions to reduce stunting in toddlers: a systematic review. Open Access Macedonian Journal of Medical Sciences, 10(F), 158-167. https://doi.org/10.3889/oamjms.2022.8610 DOI: https://doi.org/10.3889/oamjms.2022.8610
Ramadhani, A. P., Susanto, T., Rasni, H., & Kurdi, F. (2023). Grand Parent of Parenting Style and Incidence of Stunting Among Toddlers in Indonesia: A Literature Review. Jurnal Kesehatan Komunitas Indonesia, 3(1), 95–114. https://doi.org/10.58545/jkki.v3i1.48 DOI: https://doi.org/10.58545/jkki.v3i1.48
Sari, F. M., Murti, B., Sutisna, S. E., & Kusnandar, K. (2020). Health promotion model for improvement of the nutritional status of children under five years. Global Journal of Health Science, 12(8), 144. https://doi.org/10.5539/gjhs.v12n8p144 DOI: https://doi.org/10.5539/gjhs.v12n8p144
Martin, S. L., McCann, J. K., Gascoigne, E., Allotey, D., Fundira, D., & Dickin, K. L. (2021). Engaging family members in maternal, infant and young child nutrition activities in low- and middle-income countries: A systematic scoping review. Maternal & child nutrition, 17 Suppl 1(Suppl 1), e13158. https://doi.org/10.1111/mcn.13158 DOI: https://doi.org/10.1111/mcn.13158
United Nations Children’s Fund. (2020). Situasi Anak di Indonesia – Tren, Peluang, dan Tantangan Dalam Memenuhi Hak-Hak Anak. Jakarta: UNICEF Indonesia
Ustman, U., Susanto, T., Rasni, H., Merina, N. D., & Kurdi, F. (2022). Young father-child relationship pattern and nutrition status among under-five children in Jember Regency, Indonesia. Journal of Community Empowerment for Health, 5(3), 175-181. https://doi.org/10.22146/jcoemph.v5i3.137 DOI: https://doi.org/10.22146/jcoemph.66458
Villanueva, K., Badland, H., Kvalsvig, A., O’Connor, M., Christian, H., Woolcock, G., … & Goldfeld, S. (2016). Can the neighborhood-built environment make a difference in children's development? building the research agenda to create evidence for place-based children's policy. Academic Pediatrics, 16(1), 10-19. https://doi.org/10.1016/j.acap.2015.09.006 DOI: https://doi.org/10.1016/j.acap.2015.09.006
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sari Arie Lestari
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Most read articles by the same author(s)
- Mohamad Guntur Nangi, Syamsu A Kamaruddin, Arlin Adam, Sari Arie Lestari, Social Media as a Virtual Public Sphere in Health Education: A Systematic Review from the Perspective of Habermas' Public Sphere Theory , Jurnal Kesehatan Komunitas Indonesia: Vol. 4 No. 1: April 2024