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All Journal Jurnal Gizi dan Pangan Jurnal Kedokteran Brawijaya Journal of Nutrition College Research Journal of Life Science Indonesian Journal of Human Nutrition Jurnal Media Gizi Indonesia (MGI) Majalah Kesehatan FKUB JFMR (Journal of Fisheries and Marine Research) AcTion: Aceh Nutrition Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research International Journal of Science and Society (IJSOC) Journal of Nursing Science Update
Nurul Muslihah
Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Engineering Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Determinants of stunting in urban and rural areas of Indonesia: A systematic review Fanny Dewi, Tjokorda Istri Anom; Wirawan, Nia Novita; Muslihah, Nurul
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
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.v10i3.2690

Abstract

Stunting, a chronic form of undernutrition, is linked to impaired growth, delayed cognitive development, and adverse health and economic outcomes across the life course. Environmental, socioeconomic, and behavioral variations between urban and rural settings contribute differently to stunting risk, although the evidence remains fragmented. This study systematically reviewed the determinants of stunting in urban and rural Indonesia to provide a comprehensive and contextual understanding. The review followed the PRISMA guidelines, with searches conducted in PubMed, Scopus, and Web of Science restricted to the past ten years. The methodological quality of the eligible studies was appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. From 659 initial records, 11 studies met the inclusion criteria: 4 focused on urban settings, 4 on rural settings, and 3 covered both. The prevalence of stunting in rural areas of Indonesia reached 53,3%, compared to 34,9% in urban areas. Rural stunting is primarily associated with structural and service-related limitations, including inadequate health services, sanitation, and maternal education. In contrast, urban stunting was more strongly associated with behavioral factors, particularly unhealthy dietary practices such as excessive snack consumption. These findings highlight the need for context-specific interventions, prioritizing structural improvements in rural areas and promoting healthier dietary behaviors in urban areas.
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Patawari Abdul Patawari Aida Sartimbul Ali Khomsan Aliviyanti, Dian Annisa Rizky Maulidana AS. Zakaria Asmika, Asmika Asti Melani Astari Ayu Intan Safitri, Ayu Intan Bunga Farida Dewi Liesnoor Setyowati Diyan, Diyan Tauhidah Romadhoni Dodik Briawan Dwi Candra Pratiwi Erfan Rohadi Fahazria, Fanny Hanifa Fanny Dewi, Tjokorda Istri Anom Felixtha Robertus Ginting Fitrinisa, Wida Rizki Ginting, Felixtha Robertus Gultom, Elisabeth Hadi Riyadi Hayati, Yati Sri I Wayan Edi Sanjana Intan Yusuf Habibie Kuswantoro Rusca Putra Merry P Netty Dyah Kurniasari Nia Novita Wirawan Nia Novita Wirawan, Nia Novita Nora Idiawati Palupi, Khairizka Citra Patawari, Abdul Pratiwi, Dwi Candra Rakhmani, Shinta Kirana Rita Yuliana Sari Sanjana, I Wayan Edi Sari Kusuma, Titis Setiawan, Eunike Cecilia Soemardini Soemardini Titin Andri Wihastuti Yuhasnara, Sofhin Madison Yulian Wiji Utami Yulian Wiji Utami Zainudiin Zainudiin Zulhadiman, Zulhadiman