The association of sociodemographic, nutrition, and sanitation on stunting in children under five in rural area of West Java Province in Indonesia.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tria Astika Endah Permatasari, Yudi Chadirin, Ernirita, Feby Elvira, Bella Arinda Putri
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引用次数: 1

Abstract

Background: The prevalence of stunting in Indonesia has decreased gradually. The strategy to reduce stunting is currently prioritized on improving socio-economic levels, fulfilling food intake, and sanitation conditions. This study aims to analyze the association between sociodemographics, nutrition, and sanitation on stunting in rural West Java Province in Indonesia.

Design and methods: A cross-sectional study was conducted in May-August 2022 among 247 mother-children pairs, selected by systematic random sampling from a rural area of West Java Province in Indonesia. The sociodemographic characteristics were measured using a structured questionnaire. The nutritional status of the children under five was assessed by length/height-for-age (HAZ), and was calculated using WHO Anthro software. Sanitation is assessed using observation and interviews with a structured questionnaire.

Results: The prevalence of stunting in children under five was 20.7% (5.3% severely stunted and 15.4% stunted). Binary logistic regression analysis using SPSS version 22.0 show that mother's height as the dominant factor associated with stunting in children under five (AOR = 3.45, 95% CI: 1.12-4.67, p = 0.008). In addition, children's age (AOR = 0.250, 95% CI: 0.104-0.598, p = 0.002); balanced diet practices (AOR = 1.57, 95% CI: 0.965-2.56, p = 0.069), and building materials (AOR = 1.869, 95% CI: 0.87-4.00, p = 0.108 are also related to stunting in children under five.

Conclusions: Efforts to improve maternal nutrition need to be carried out from the period before pregnancy to the first 1000 days of life. Education on healthy home indicators, especially the use of this type of building materials for houses, needs to be done to improve sanitation as an effort to prevent stunting in children under five.

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社会人口学、营养和卫生与印度尼西亚西爪哇省农村地区5岁以下儿童发育迟缓的关系。
背景:印度尼西亚的发育迟缓患病率逐渐下降。减少发育迟缓战略目前的重点是提高社会经济水平、实现食物摄入和卫生条件。本研究旨在分析印度尼西亚西爪哇省农村地区社会人口统计学、营养和卫生条件与发育迟缓之间的关系。设计与方法:本研究于2022年5月至8月在印度尼西亚西爪哇省农村地区通过系统随机抽样选取247对母子进行横断面研究。社会人口学特征采用结构化问卷进行测量。5岁以下儿童的营养状况通过身高/年龄比(HAZ)进行评估,并使用WHO anthroo软件进行计算。卫生状况通过观察和结构化问卷访谈进行评估。结果:5岁以下儿童发育迟缓患病率为20.7%,其中重度发育迟缓5.3%,发育迟缓15.4%。采用SPSS 22.0版本进行二元logistic回归分析显示,母亲身高是5岁以下儿童发育迟缓的主导因素(AOR = 3.45, 95% CI: 1.12-4.67, p = 0.008)。此外,儿童年龄(AOR = 0.250, 95% CI: 0.104 ~ 0.598, p = 0.002);均衡饮食习惯(AOR = 1.57, 95% CI: 0.965-2.56, p = 0.069)和建筑材料(AOR = 1.869, 95% CI: 0.87-4.00, p = 0.108)也与5岁以下儿童发育迟缓有关。结论:改善孕产妇营养需要从孕前到出生后1000天进行。需要开展关于健康家庭指标的教育,特别是这类房屋建筑材料的使用,以改善环境卫生,作为防止五岁以下儿童发育迟缓的一项努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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