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The Determinants of Stunting Among Children Under Five In Central Java Based On Indonesian Nutritional Status Survey 2022 Suyatno; Lilis Wijayanti; Hasna Izdihar Latifah
Media Gizi Indonesia Vol. 21 No. 2 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i2.247-262

Abstract

Stunting remains a major public health problem in Indonesia, particularly in densely populated provinces with a high rates of stunting cases, such as Central Java. The research aimed to investigate determinants of stunting among children under five in Central Java, utilizing the Indonesian Nutritional Status Survey (SSGI) 2022. The analyses included 65,323 children under five, applying a multistage cluster sampling design with complex-sample logistic regression. The strongest predictors of stunting were older child age (AOR=3.27; 95% CI: 2.36–4.53) and low birth weight (AOR=2.39; 95% CI: 2.02–2.84). Stunting occurred more frequently among children whose mothers had less education and from high parity, as well as those living in household with food insecurity. A consistent social gradient was observed, with children from the poorest households being more than twice as vulnerable to stunting as those from the wealthiest households (AOR=2.24; 95% CI: 1.87–2.68). Health care services gaps, including incomplete immunization, lack of Mid-Upper Arm Circumference (MUAC) monitoring, and absence of deworming tablets, significantly increased stunting risks, as did a history of pneumonia. Rural dwelling of children increased the odds for stunting when compared to residing in urban areas (AOR=1.20; 95% CI: 1.09–1.32). These findings underscore the combined influence of biological, maternal, socioeconomic, health service-related, and urban-rural disparities underlying stunting in Central Java. To accelerate stunting reduction, it is important to prioritize the implementation of multisectoral actions for strengthening maternal education, and early childhood optimum nutrition, food security, and reducing rural-urban disparities in access to quality primary health care.
Maternal and Birth History Risk Factors of Stunting Among Underfive Children in Demak Regency, Central Java, Indonesia Pradigdo, Siti Fatimah; Kartasurya, Martha Irene; Suyatno; Naintina Lisnawati
Media Gizi Indonesia Vol. 21 No. 2 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i2.263-274

Abstract

In Indonesia, stunting remains a public health problem, with a prevalence of > 20%. The objective of this study was to find the determinants of under five children stunting in family characteristics, maternal factors, birth history, and environmental factors. This case-control study was conducted on 1,093 children in ten villages with high stunting rates in Demak District based on stunting loci from the Ministry of Health. A total of 537 stunted children and 556 non-stunted children were found. Data were collected through structured interviews, maternal and child health cards, and anthropometric measurements of children using an infantometer, stadiometer, and digital weighing scales, conducted by trained personnel. The data were analyzed using Chi Square, and multiple logistic regression. Factors associated with stunting were: number of children (OR=1.441; CI 95%= 1.096-1.895), child food expenditure (OR=1.379; CI 95%= 1.087-1.750), Maternal height (OR=2.633; CI 95%=1.994-3.478), MUAC (p=0.04; OR=1.350; CI 95%=1.013–1.798), maternal knowledge (OR=1.630; CI 95%=1.262–2.105), complementary feeding (OR=1.387; OR 95%=1.087–1.771), Birth weight (OR=2.178; CI 95%=1.397–3.396). Birth length (1.638; CI 95%=1.263-2.125). Upper respiratory tract infection (OR=1.302; 95% CI=1.023 – 1.658). The main determinants of stunting were the number of children >2, low birth weight, low expenditure for child' food, upper respiratory tract infection, stunted mother and early complementary feeding.
Co-Authors Abdullah, Abduljabbar Abni, Septia Rizqi Nur Achadi Budi Santosa Adelia, Revina Adibah Belva Adelia Afifah, Rizqi Nur Agung Praptono Agung Septiadi Agustini, Ni Made Sri AGUSTYA PRATIWI, MASYITHA Ainun Mardhiah Alfi Fairuz Asna Anas Ahmadi Anas Ahmadi Andi Ahmad Munajat Andriana, Wahyu Dian Arif Adi Saputro Artadiyanti, Ni Made Novi Aryani, Reni Asrori, Muhamad Zainul Asteria, Prima Vidya AYU ANJARSARI, PUTRI Ayu Lestari AYU RISWATI, MARDIYAH Bachtera Indarto, Bachtera Bambang Yulianto Billah, A.A.M Bramantoro, Ardianto Budi Astuti Caecilia Putri Gennosa Cahyaningsih, Ayu Marlina Danti I, Dania Rithma Danur Bagaskoro Satria Ulung Darni DEVI QORIAYUNI, RIZKY Diah Utami Lutfiani Dian Sita Hapsari Didik Imam Margatot Dinillah, Laila Latifah Djoko Widodo Dody Hartanto Dwi Riyanti Dwi Turistiani, Trinil Dwiyanti Utami Eko Mulyadi Elisa Umami Enung Hasanah Ety Fitriyani Feriandi, Yoga Ardian fitriana, ika Frans Marzuki Gatut Yudoyono George Mason Ghina Nurjannah Gilbert William Onsent Gontjang Prajitno Hadi Sutopo Hary Hermawan Hasna Izdihar Latifah Heidy Andriani Heni Pujiastuti Hidayati, Dian INDARTI, TITIK Indrawati, Dianita IRWANSYAH Islamiati, Zuha Nur ITOK DWI KURNIAWAN Kavin, Layli Adha Nadira Kendis Hutamia Kevin Pierre Armando Leatemia Khoiri, Abdul Aziz KHOLIFAH Kriswanto, Didi Kusnanto Lalu Apriliansah Lilis Wijayanti Lindriany, Julita Lusiana Manik, Toba Sastrawan Mardi Santoso Martha Irene Kartasurya Marusaha Simarmata Masyithah Maghfirah Rizam Maulidiyah, Ajeng Putri Cahyani Moh. Yusril Hermansya Mohammad, Nhelbourne K. MUFID, YAN Muhammad Assegaf Baalwi Muhammad Rizky Irawan Muhammad Zahidi Muthmainnah, Melania Suweni Muntini NABILAH, AMALIA Nafilah Azhar Anindita Nahak, Theresia Wilmince Naim, Haniifan Muhammad Naintina Lisnawati Nandaita Miftahul Lael Nasori Nofianus Elu Novelia, Ivana Nugroho, Dhimas Setyo Nurina Rizka Ramadhania Nurjanah, Ana Oki Purnomo Ollcyalliztacyra Baktinadi Pamukhti, Bagas Biyanzah Drajad Pradikta, Zendy Prasetya, Rahmad Aji Pratiwi, Resti Prima Retno Wikandari Purwaningsih, Sriyani Purwati Anggraini, Purwati Putri, Maritza Dita Fiorenza APrilia Putri, Phasa Amalia Arzetty Rafiq, Abdul Ragil Marghubi Raharjo, Resdianto Permata Rahayu, Septia Rahmatika, Nuniek Rahul Kristian Sitompul Ramadhania, Nurina Rizka Ranthy Pancasasti, Ranthy Ratih Dewi Saputri Regita Citrazalzabilla Ria Fitriah Rikke Kurniawati RONI Rudi Umar Susanto Salmah Salsabila, Ti’laili Satria Tegar Ade Purnama Sayuti, Muhammad Sebastian Nayaka Arella Taufano Setya Yuwana Sintha Amelia Sanada Siti Fatimah Pradigdo Siti Partini Suardiman Siti Rahma Soleman Sofyan Manullang Sri Mintasih Sri Susanti Sudikan, Setya Yuwana Suhartono Sukirman Supratno, Haris Supratono Karel Pareres Susanto, Rudi Umar Susi Maulida, Susi Susilo Indrawati Suwandana, Engkin Syamsul Sodiq Tengsoe Tjahjono, Tengsoe Tika Julaika Titik Taufikurohmah Titik Taufikurohmah Tursilowati, Diyah Ayu Indah Urip Zaenal Fanani Vincentia Audia Kirana Putri Vini Novilia Virgiawan Rambu Rabana Wantini Wardana, Andika Pramudya Wati, First Ambar Wijaya Gati , Norman Yani Handayani Yohana, Nabilla Yosua Rony Yuliana, Rohmah Yunianika, Ika Tri Yuniseffendri Zixy Mahar Nurtias Zulqurnain, Muhammad