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All Journal AcTion: Aceh Nutrition Journal Community Development Journal: Jurnal Pengabdian Masyarakat Journal SAGO Gizi dan Kesehatan Jurnal Kesehatan Tambusai Jurnal EduHealth AJAD : Jurnal Pengabdian kepada Masyarakat Journal of Education Research Sahabat Sosial: Jurnal Pengabdian Masyarakat International Journal of Health Sciences Journal Of Carbazon
Safridha Kemala Putri
Poltekkes Kemenkes Aceh, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Determinants of environmental health factors associated with the risk of stunting among children under five in North Aceh District Ibrahim, Ibrahim; Safwan, Safwan; Putri, Safridha Kemala; Fadjri, T. Khairul
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2901

Abstract

Stunting among children under five years of age remains a major public health concern and reflects long-term nutritional deficiencies, often linked to poor environmental health conditions. The North Aceh District reports a stunting prevalence higher than the provincial and national averages, indicating a critical research gap regarding the environmental determinants contributing to this burden in the region. This study aimed to analyze the association between environmental health factors and the risk of stunting among children under five years of age in North Aceh District. This quantitative cross-sectional study was conducted from April to August 2025 in the working areas of the Simpang Keramat and Kuta Makmur Public Health Centers. A total of 90 children under five were selected through purposive sampling. Data were collected using structured questionnaires and through direct observations. Instrument validity and reliability were assessed prior to data collection. Statistical analyses were performed using the chi-square test. The prevalence of stunting among children under five years of age was 54.4%. Significant associations were found between stunting and clean water availability (OR = 4.8; p < 0.001), latrine availability (OR = 5.1; p = 0.002), waste management practices (OR = 8.5; p < 0.001), household waste disposal (OR = 4.9; p < 0.001), and the presence of helminth eggs in feces (OR = 5.0; p = 0.001). Overall, inadequate household waste management was the strongest environmental determinant of child stunting. In conclusion, environmental sanitation conditions, particularly household waste management, play a substantial role in the risk of stunting in children under five years of age. Strengthening community-based sanitation interventions and improving household waste management practices may effectively reduce infection-related risks and lower the prevalence of stunting in North Aceh District.
Co-Authors Abdullah, Rusli Anshar Rante Arifuddin Asri Jumadewi Ayatullah Ayatullah, Ayatullah Bintang, Andi Cahya, Mochamad Robby Fajar Darmawati Darmawati Darmawati Darmawati Darmawati Dwi Nur Aini, Dwi Nur Erlinawati Erlinawati Erlinawati Fachry Abda El Rahman Fadjri, T. Khairul Fajarna, Farah Farah Fajarna Farah Fajarna Fitrah Fitrah, Fitrah Fitri Andriani, Fitri Fitriana Fitriana Fitriana Fitriana Fitriana Fitriyanstanti, Devi Ganoko, Marwan Ahmad Hastuti Syahnita, Hastuti Herlambang Prehananto, Herlambang Hilal, Achmad Hitipeuw, Anthoneta Johanna Ibrahim Ibrahim Jaya, Rachmad Juwariyah, Siti Kasmara, Dwi Pratiwi Lubis, Nita Andriani Mahoklory, Serly Sani Mahyudin Mahyudin Malaha, Naomi MAURITZ PANDAPOTAN MARPAUNG Megasari, Anis Laela Meillisa Carlen Mainassy Miftaku Ni'amah Mildaratu, Mildaratu Mohammad Arifin Noor Muhamad Risal Tawil Muhammad Syafri, Muhammad Mutia, Liza Nasution, Titi Anggraini Nazara, Desman Serius Nelvi Indah Irayana Nur Iffah Nursinah, A. Pannyiwi, Rahmat RACHMAT RAMLI Rahmat, Rezqiqah Aulia Rasyid, Djusmadi Rena Augia Putrie Retno Setyawati Rosmiati, Karolina Safwan Safwan Safwan, Safwan SAHABUDDIN SAHABUDDIN Salakory, Jacomina Anthonete Saputra, M. Khalid Fredy Satria Eureka Nurseskasatmata Sembiring, Endam Apulina Br Siti Hadijah Situmorang, Paska Ramawati Suat, Hatty Syarief, Syarifah Wahyuni Al Syarifah Wahyuni Titi Lasmini Ulya, Rozatul WARDHANI, SRI MURI DASA Wiranti, Bhakti Yenni Sasmita Yunita Kristina Yusnayanti, Cici Yusrianto, Yusrianto Zulkahfi, Zulkahfi Zuriani Rizki