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All Journal AcTion: Aceh Nutrition Journal
Megawati Simanjuntak
Faculty of Human Ecology, Bogor Agricultural University, West Java
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Structural determinants of stunting among children aged 0–59 months: A PLS-SEM analysis of family, environmental, and health factors in Banten, Indonesia Adam Sugiharto; Megawati Simanjuntak; Yulina Eva Riany; Muhammad Rizal Martua Damanik; Diah Krisnatuti
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i2.3202

Abstract

Stunting remains a major public health problem among children under five years of age in Indonesia, particularly among socioeconomically vulnerable families. Previous studies have mostly examined stunting determinants separately and rarely analyzed their structural relationships. This study aimed to analyze the structural relationships between family economic pressure, access to health facilities, feeding practices, and child nutritional status using Partial Least Squares Structural Equation Modeling (PLS-SEM). A cross-sectional study was conducted from July to September 2025 in Sumur District, Banten Province, Indonesia, involving 402 mothers with children aged 0–59 months from families at risk of stunting. Data were collected through structured interviews, anthropometric measurements and standardized questionnaires. Data were analyzed using SPSS 23 and SmartPLS 3.0. PLS-SEM analysis showed that family economic pressure significantly influenced feeding practices (β = 0.321; p < 0.001), and access to health facilities positively affected feeding practices (β = 0.130; p = 0.024). However, feeding practices did not significantly influence HAZ (β = 0.015; p = 0.768). Birth weight was associated with the nutritional status of the child. In conclusion, these findings highlight the importance of strengthening economic resilience and improving access to supportive health services in family based stunting prevention strategies.
Co-Authors Adam Sugiharto Diah Krisnatuti Muhammad Rizal Martua Damanik Yulina Eva Riany