Pengaruh Pola Asuh dan Karakteristik Ibu terhadap Stunting di Wilayah Kerja Puskesmas Pintu Padang Kabupaten Tapanuli Selatan

The Influence of Parenting Patterns and Mother Characteristics on Stunting in the Working Area of Pintu Padang Health Center Tapanuli Selatan Regency

  • Nurani Harahap
  • Rusdiyah Sudirman Made Ali
  • Anto J. Hadi
Keywords: Karakteristik Ibu, Pola Asuh, Pola Pemberian Makan, Stunting

Abstract

Latar belakang: Stunting erat kaitannya dengan pola asuh ibu, didalam keluarga biasanya para ibu berperan penting mengatur makanan keluarga, oleh karena itu para ibu adalah sasaran utama untuk pendidikan gizi keluarga.

Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh pola asuh dan karakteristik ibu terhadap kejadian stunting di wilayah kerja Puskesmas Pintu Padang Kabupaten Tapanuli Selatan.

Metode: Jenis penelitian adalah kuantitatif dengan menggunakan desain penelitian cross sectional study. Populasi adalah seluruh balita yang ada di wilayah kerja Puskesmas Pintu Padang sebanyak 1.935 balita. Sampel penelitian adalah sebagian balita yang dijadikan peneltian sebanyak 182 yang diambil menggunakan rumus Slovin. Teknik pengambilan sampel menggunakan teknik proportionate random sampling dengan uji statistik menggunakan chi-square dan regresi logistik.

Hasil: Penelitian diperoleh bahwa usia ibu (p=0,000), pendapatan keluarga (p=0,001), tinggi badan ibu (p=0,000), pola asuh (p=0,000) dan pola pemberian makan (p=0,000) adalah variabel yang berpengaruh dengan kejadian stunting. Variabel pendidikan (p=0,299) dan suku (p=0,205) tidak berpengaruh dengan kejadian stunting serta pola pemberian makan yang paling berpengaruh terhadap kejadian stunting dengan nilai Exp (B) 5,381.

Kesimpulan: Diperoleh bahwa temuan pada penelitian ini dipengaruhi oleh faktor usia ibu, pendapatan keluarga, tinggi badan ibu, pola asuh serta pola pemberian makan sehingga diperlukan komunikasi, informasi dan edukasi pada keluarga atau masyarakat terkait stunting pada balita.

Author Biographies

Nurani Harahap

Mahasiswa Program Studi Kesehatan Masyarakat Program Magister, Fakultas Kesehatan, Universitas Aufa Royhan, Padang Sidempuan, Sumatera Utara, Indonesia

Rusdiyah Sudirman Made Ali

Departemen Kesehatan Masyarakat, Fakultas Kesehatan, Universitas Aufa Royhan, Padang Sidempuan, Sumatera Utara, Indonesia

Anto J. Hadi

Departemen Kesehatan Masyarakat, Fakultas Kesehatan, Universitas Aufa Royhan, Padang Sidempuan, Sumatera Utara, Indonesia

References

Hadi AJ, Antoni A, Dongoran IM, Ahmad H. Analysis Model of Toddlers Factor as Stunting Risk Predisposition Factor Due to Covid 19 in Stunting Locus Village Area of Indonesia. J Pharm Negat Results. 2023;14(1):6–10.

Sugiyanto S, Sumarlan S, Hadi AJ. Analysis of Balanced Nutrition Program Implementation Against Stunting in Toddlers. Unnes J Public Heal. 2020;9(2).

Adair LS, Carba DB, Lee NR, Borja JB. Stunting, IQ, and final school attainment in the Cebu Longitudinal Health and Nutrition Survey birth cohort. Econ Hum Biol. 2021;42:100999.

J Hadi A, Yetti Riman E, Sudarman S, Manggabarani S, Ahmad H, Ritonga N, et al. Socio-Family Culture Against Stunting Risk: A CrossSectional Population-Based Study. 2022;

Maliga I, Hasifah H, Antari GY, Lestari A. Pengaruh Indeks Risiko Sanitasi Terhadap Kejadian Stunting di Kecamatan Moyo Utara. J Kesehat Lingkung Indones. 2022;21(1):50–8.

Prendergast AJ. Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on stunting and anaemia among HIV-exposed children in rural Zimbabwe: a cluster-randomised controlled trial. Lancet Child Adolesc Heal [Internet]. 2019;3(2):77–90. Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S2352464218303407

Haryani S, Astuti AP, Sari K. Pencegahan Stunting Melalui Pemberdayaan Masyarakat Dengan Komunikasi Informasi Dan Edukasi Di Wilayah Desa Candirejo Kecamatan Ungaran Barat Kabupaten Semarang. J Pengabdi Kesehat. 2021;4(1):30–9.

TNP2K. 100 kabupaten/kota prioritas untuk intervensi anak kerdil (stunting). Jakarta Tim Nas Percepatan Penanggulangan Kemiskin. 2017;

Permadi MR. Hubungan inisiasi menyusu dini dan air susu ibu eksklusif dengan kejadian stunting pada anak usia 6–24 bulan di Kabupaten Boyolali. UNS (Sebelas Maret University); 2016.

Sutomo B, Anggraini DY. Makanan sehat pendamping ASI. Demedia; 2010.

Purnamasari M, Rahmawati T. Hubungan Pemberian Asi Eksklusif dengan Kejadian Stunting Pada Balita Umur 24-59 Bulan. J Ilm Kesehat Sandi Husada. 2021;10(1):290–9.

Kemenkes RI. Situasi balita pendek (Stunting) di Indonesia. Kementeri Kesehat RI. 2018;301(5):1163–78.

Depkes R. Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta, Indonesia; 2021.

Kemenkes. Studi Status Gizi Indonesia(SSGI) Provinsi Sumatera UtaraTahun 2021. 2021;

Hadi AJ, Harahap A, Ali RSM, Ahmad H. Hubungan Sosial Demografi dan Perilaku Keluarga Sadar Gizi dengan Kejadian Stunting di Wilayah Kerja Puskesmas Perawatan Menawi Kabupaten Kepulauan Yapen. Media Publ Promosi Kesehat Indones. 2023;6(5):972–81.

Teja M. Stunting Balita Indonesia Dan Penanggulangannya. Pus Penelit Badan Keahlian DPR RI. 2019;XI(22):13–8.

Ghodsi D, Omidvar N, Nikooyeh B, Roustaee R, Shakibazadeh E, Al-Jawaldeh A. Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health [Internet]. 2021 Jul 24;18(15):7844. Available from: https://pubmed.ncbi.nlm.nih.gov/34360137

Gebru KF. Determinants of stunting among under-five children in Ethiopia: A multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data. BMC Pediatr. 2019;19(1).

Cameron L. Childhood stunting and cognitive effects of water and sanitation in Indonesia. Econ Hum Biol [Internet]. 2021;40. Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S1570677X20302148

Fau SY, Nasution Z, Hadi AJ. Faktor Predisposisi Ibu Usia Remaja Terhadap Pemberian ASI Eksklusif pada Bayi di Kecamatan Luahagundre Maniamolo Kabupaten Nias Selatan. MPPKI (Media Publ Promosi Kesehat Indones Indones J Heal Promot. 2019;2(3):165–73.

Anwar M, Sirajuddin S, Amiruddin R, Thaha R, Sudargo T, Hadi AJ. The Effect of Health Social Determinant on the Life Quality of Pregnant Mother. Indian J Public Heal Res Dev. 2019;10(10):1604–8.

Juari S, Kiming N, Hadi AJ. The Relationship between the Implementation of Nutrition Conscious Families (KADARZI) and the Toddler Nutrition Status: A Cross Sectional Study. Medico-Legal Updat. 2021;21(2).

Pardede R. Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Balita Usia 24–59 Bulan di Kecamatan Muara Kabupaten Tapanuli Utara Provinsi Sumatera Utara Tahun 2017. 2017;

Sari K, Sartika RAD. The effect of the physical factors of parents and children on stunting at birth among newborns in Indonesia. J Prev Med Public Heal. 2021;54(5):309.

Simbolon G, Hadi AJ, Syam A. Faktor yang Berhubungan dengan Pemberdayaan Keluarga dalam Pencegahan Stunting di Wilayah Kerja Puskesmas Labuhan Rasoki Kota Padang Sidempuan. Media Publ Promosi Kesehat Indones. 2023;6(10):2008–36.

Mentari S, Hermansyah A. Faktor-faktor yang berhubungan dengan status stunting anak usia 24-59 bulan di wilayah kerja UPK puskesmas Siantan Hulu. Pontianak Nutr J. 2019;1(1):1–5.

Hasan M, Islam MM, Mubarak E, Haque MA, Choudhury N, Ahmed T. Mother’s dietary diversity and association with stunting among children< 2 years old in a low socio?economic environment: A case–control study in an urban care setting in Dhaka, Bangladesh. Matern Child Nutr. 2019;15(2):e12665.

Wanimbo E, Wartiningsih M. Hubungan Karakteristik Ibu Dengan Kejadian Stunting Baduta (7-24 Bulan). 2020;

Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children< 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019;19(1):1–15.

Khalid H, Martin EG. Female-headed households associated with lower childhood stunting across culturally diverse regions of Pakistan: Results from a cross-sectional household survey. Matern Child Health J. 2017;21(10):1967–84.

Vale D, Andrade ME da C, Dantas NM, Bezerra RA, Lyra C de O, Oliveira AGR da C. Social Determinants of Obesity and Stunting among Brazilian Adolescents: A Multilevel Analysis. Nutrients. 2022;14(11):2334.

Hadi AJ, Riman EY, Sudarman S, Manggabarani S, Ahmad H, Ritonga N, et al. Socio-Family Culture Against Stunting Risk: A Cross-Sectional Population-Based Study. NVEO-NATURAL VOLATILES Essent OILS Journal| NVEO. 2022;1301–11.

Rahayuwati L, Komariah M, Sari CWM, Yani DI, Hermayanti Y, Setiawan A, et al. The Influence of Mother’s Employment, Family Income, and Expenditure on Stunting Among Children Under Five: A Cross-Sectional Study in Indonesia. J Multidiscip Healthc. 2023;2271–8.

Soekatri MYE. Stunting was associated with reported morbidity, parental education and socioeconomic status in 0.5–12-year-old Indonesian children. Int J Environ Res Public Health. 2020;17(17):1–9.

Ngo N, Bhowmik J, Biswas RK. Factors Associated with Low Birthweight in Low-and-Middle Income Countries in South Asia. Int J Environ Res Public Health. 2022;19(21):14139.

Kishore S, Thomas T, Sachdev H, Kurpad A V, Webb P. Modeling the potential impacts of improved monthly income on child stunting in India: a subnational geospatial perspective. BMJ Open. 2022;12(4):e055098.

Setiawan E, Machmud R, Masrul M. Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018. J Kesehat Andalas. 2018;7(2):275.

Victora CG, Christian P, Vidaletti LP, Gatica-Domínguez G, Menon P, Black RE. Revisiting maternal and child undernutrition in low-income and middle-income countries: variable progress towards an unfinished agenda. Lancet. 2021;397(10282):1388–99.

Medina M, Barreto P, Natero V, Moratorio X, Severi C. Prevalence of malnutrition among children and women of reproductive age in Uruguay by socio-economic status and educational level. Public Health Nutr. 2020;23(S1):s101–7.

Hadi H, Fatimatasari F, Irwanti W, Kusuma C, Alfiana RD, Asshiddiqi MIN, et al. Exclusive breastfeeding protects young children from stunting in a low-income population: a study from Eastern Indonesia. Nutrients. 2021;13(12):4264.

Fawzi MCS. Lifetime economic impact of the burden of childhood stunting attributable to maternal psychosocial risk factors in 137 low/middle-income countries. BMJ Glob Heal. 2019;4(1).

Yaya S. Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa. BMJ Glob Heal. 2020;5(1).

Walrod J. Community factors associated with stunting, overweight and food insecurity: A community-based mixed-method study in four Andean indigenous communities in Ecuador. BMJ Open. 2018;8(7).

Nahar B. Early childhood development and stunting: Findings from the MAL-ED birth cohort study in Bangladesh. Matern Child Nutr. 2020;16(1).

Gatica-Domínguez G. Ethnic inequalities in child stunting and feeding practices: Results from surveys in thirteen countries from Latin America. Int J Equity Health. 2020;19(1).

Gatica-Domínguez G, Victora C, Barros AJD. Ethnic inequalities and trends in stunting prevalence among Guatemalan children: an analysis using national health surveys 1995–2014. Int J Equity Health. 2019;18(1):1–11.

Boulom S, Essink DR, Kang M-H, Kounnavong S, Broerse JEW. Factors associated with child malnutrition in mountainous ethnic minority communities in Lao PDR. Glob Health Action. 2020;13(sup2):1785736.

Boesoirie SF, Handayani R, Gatera VA, Aroeman NA, Boesoirie TS. Determination of the Difference Between Men and Women Anthropometry Auricles Using Photogrammetric Method in Sundanese Ethnic Group. Clin Cosmet Investig Dermatol. 2022;2133–41.

Rohmah M, Natalie RS. Kejadian Stunting di Tinjau dari Pola Makan dan Tinggi Badan Orang Tua Anak Usia 12-36 Bulan di Puskesmas Kinoivaro Kabupaten Sigi Provinsi Sulawesi Tengah. J Qual Women’s Heal. 2020;3(2):207–15.

Fitriahadi E. Hubungan tinggi badan ibu dengan kejadian stunting pada balita usia 24-59 bulan. J Keperawatan dan Kebidanan Aisyiyah. 2018;14(1):15–24.

Rochmah AM, Fitriahadi E. Faktor-faktor yang berhubungan dengan Stunting pada balita usia 24-59 bulan di wilayah kerja puskesmas Wonosari I. universitas aisyiyah yogyakarta; 2017.

Amin NA, Julia M. Faktor sosiodemografi dan tinggi badan orang tua serta hubungannya dengan kejadian stunting pada balita usia 6-23 bulan. J Gizi dan Diet Indones (Indonesian J Nutr Diet. 2016;2(3):170–7.

Li Z, Kim R, Vollmer S, Subramanian S V. Factors associated with child stunting, wasting, and underweight in 35 low-and middle-income countries. JAMA Netw open. 2020;3(4):e203386–e203386.

Winda SA. Tinggi Badan Ibu Terhadap Kejadian Stunting Pada Balita: Literature Review. ProNers. 2021;6(1).

Noorhasanah E, Tauhidah NI. Hubungan pola asuh ibu dengan kejadian stunting anak usia 12-59 bulan. J Ilmu Keperawatan Anak. 2021;4(1):37–42.

Nurmalasari Y, Septiyani DF. Pola asuh ibu dengan angka kejadian stunting balita usia 6-59 bulan. J Kebidanan. 2019;5(4):381–8.

Pradana Putri A, Rong J-R. Parenting functioning in stunting management: A concept analysis. J Public health Res. 2021;10(2):jphr-2021.

Wu H, Ma C, Yang L, Xi B. Association of parental height with offspring stunting in 14 low-and middle-income countries. Front Nutr. 2021;8:650976.

Campos AP. Association between breastfeeding and child stunting in Mexico. Ann Glob Heal. 2020;86(1):1–14.

Dörsam AF, Preißl H, Micali N, Lörcher SB, Zipfel S, Giel KE. The impact of maternal eating disorders on dietary intake and eating patterns during pregnancy: a systematic review. Nutrients. 2019;11(4):840.

Jahan I, Sultana R, Afroz M, Muhit M, Badawi N, Khandaker G. Dietary Intake, Feeding Pattern, and Nutritional Status of Children with Cerebral Palsy in Rural Bangladesh. Nutrients. 2023;15(19):4209.

Bella FD, Fajar NA, Misnaniarti M. Hubungan pola asuh dengan kejadian stunting balita dari keluarga miskin di Kota Palembang. J Gizi Indones (The Indones J Nutr. 2020;8(1):31–9.

Uwiringiyimana V. Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition [Internet]. 2019;60:11–8. Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S0899900718304611

Tello B, Rivadeneira MF, Moncayo AL, Buitrón J, Astudillo F, Estrella A, et al. Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. Int Breastfeed J. 2022;17(1):19.

Published
2023-11-06
How to Cite
Harahap, N., Made Ali , R. S., & J. Hadi, A. (2023). Pengaruh Pola Asuh dan Karakteristik Ibu terhadap Stunting di Wilayah Kerja Puskesmas Pintu Padang Kabupaten Tapanuli Selatan : The Influence of Parenting Patterns and Mother Characteristics on Stunting in the Working Area of Pintu Padang Health Center Tapanuli Selatan Regency. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(11), 2304-2314. https://doi.org/10.56338/mppki.v6i11.4298

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