<![CDATA[Introduction: Stunting remains a major public health issue worldwide, with 149 million children (21.9%) affected in 2020. In Indonesia, despite the 2024 target of 14%, prevalence was still 21.6% in 2022. Beyond nutrition, stunting is influenced by environmental, socioeconomic, and maternal factors. In North Konawe, Southeast Sulawesi, mining activities further threaten water, sanitation, and food security. The aim of this study is to see Impact of Mining Activities on the Prevalence of Stunting in Children (A Comparative Study in the Mining Area of Langgikima Pesisir and the Non-Mining Area of Wawolesea). Method: A cross-sectional study was conducted on 58 children aged 24–59 months from mining (Coastal Langgikima) and non-mining (Wawolesea) areas. Data on water access, sanitation, breastfeeding, maternal nutrition, diet, and socioeconomic status were collected through questionnaires and anthropometry. Chi-Square and logistic regression were used to analyze associations and key predictors. Result: Stunting prevalence was higher in mining areas (48.3%) compared to non-mining (27.6%). Bivariate analysis revealed significant associations with access to clean water (p=0.008), sanitation (p=0.001), exclusive breastfeeding (p=0.001), maternal nutritional status (p=0.001), and socioeconomic status (p=0.035). Multivariate analysis showed that exclusive breastfeeding remained the most influential factor, while other variables lost significance after adjustment. Conclusion: Children in mining areas face greater risk of stunting due to combined environmental, maternal, and socioeconomic vulnerabilities. Exclusive breastfeeding emerged as the strongest protective factor. Policies should integrate nutrition programs with improvements in water, sanitation, and maternal health, alongside multisectoral collaboration between health, environment, and mining sectors.]]>
