Stunting Among Low-Income Families in Indonesia: Is Mother's Employment a Risk Factor?

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ratna Dwi Wulandari, Agung Dwi Laksono, Yuly Astuti, Ratu Matahari, Nikmatur Rohmah, Rohani Budi Prihatin, Frima Elda
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Abstract

Background: It is widely believed that poverty is a significant factor in causing stunting, and parental habits can also play a role. In this context, households with employed mothers are often suspected of increasing the risk of stunting in children. This study aimed to examine the role of maternal employment status in stunted children among low-income families in Indonesia. Study Design: A cross-sectional analysis.

Methods: In general, 47021 children were investigated in this study. The children's nutritional health and maternal work status were used as the outcome and variables, respectively. Seven control variables were evaluated, including residence type, marital status, mother's age, education level, child age, antenatal care (ANC), and gender. Finally, a binary logistic regression analysis was employed, ensuring the validity and reliability of the results.

Results: Overall, 19.0% of Indonesian children under two from low-income households experienced stunted growth. Meanwhile, 23.5% of mothers were employed in low-income homes. Regarding nutritional status, the findings revealed that employed mothers had stunted kids, which is slightly higher than that in unemployed mothers. More importantly, it was found that unemployed mothers were 1.022 times more likely to have stunted kids than employed mothers (95% confidence interval: 1.015-1.030), underscoring the crucial role of maternal employment in child nutrition.

Conclusion: Maternal employment status played a role in having stunted children among low-income families, and unemployed mothers were a risk factor for having this type of child. Empowering unemployed mothers through job opportunities, financial support, and access to childcare and nutrition programs can help reduce child stunting in low-income families.

Abstract Image

Abstract Image

印度尼西亚低收入家庭的发育迟缓:母亲的就业是一个风险因素吗?
背景:人们普遍认为贫困是导致发育迟缓的一个重要因素,父母的习惯也可能起作用。在这种情况下,母亲有工作的家庭往往被怀疑会增加儿童发育迟缓的风险。本研究旨在考察印度尼西亚低收入家庭中母亲就业状况对发育迟缓儿童的影响。研究设计:横断面分析。方法:共调查47021例儿童。儿童的营养健康状况和母亲的工作状况分别作为结果和变量。评估了7个控制变量,包括居住类型、婚姻状况、母亲年龄、受教育程度、儿童年龄、产前保健(ANC)和性别。最后采用二元logistic回归分析,保证了结果的效度和信度。结果:总体而言,来自低收入家庭的印尼两岁以下儿童中有19.0%发育不良。与此同时,23.5%的母亲受雇于低收入家庭。关于营养状况,调查结果显示,就业母亲的孩子发育迟缓,这一比例略高于失业母亲。更重要的是,研究发现,失业母亲的发育不良儿童的可能性是就业母亲的1.022倍(95%置信区间:1.015-1.030),这凸显了母亲就业对儿童营养的关键作用。结论:低收入家庭中母亲的就业状况与发育迟缓儿童的发生有一定的关系,母亲的失业是发育迟缓儿童的危险因素。通过就业机会、财政支持以及获得儿童保育和营养项目来增强失业母亲的权能,有助于减少低收入家庭的儿童发育迟缓。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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