Jurnal Promotif Preventif
Vol 9 No 3 (2026): Juni 2026: JURNAL PROMOTIF PREVENTIF

Determinants of Chronic Energy Deficiency among Pregnant Women in Stunting-Endemic Communities of South Sulawesi, Indonesia: A Cross-Sectional Study

Irma Irma (Prodi Gizi, Fakultas Ilmu keolahragaan dan Kesehatan, Universitas Negeri Makassar, Makassar, Indonesia)
Sugirah Nour Rahman (Prodi Gizi, Fakultas Kedokteran, Universitas Lampung, Lampung Indonesia)
Hasra Ryska (Prodi Gizi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Palopo, Palopo, Indonesia)
Jihan Fadhilah Arsyad (Prodi Gizi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Palopo, Palopo, Indonesia)



Article Info

Publish Date
30 Jun 2026

Abstract

Chronic Energy Deficiency (CED) among pregnant women remains a major public health problem because it increases the risk of adverse pregnancy outcomes and child stunting. Evidence on factors associated with CED in stunting-endemic areas is still limited. This study aimed to identify determinants of CED among pregnant women in stunting-endemic communities of Bone Regency, South Sulawesi, Indonesia. A community-based cross-sectional study was conducted among 209 pregnant women from 40 stunting-focus villages using a total sampling approach. CED was defined as a mid-upper arm circumference (MUAC) of <23.5 cm. Data were analyzed using Chi-square tests and multivariable logistic regression. The prevalence of CED was 29.7%. Factors significantly associated with CED were age of the last child (AOR=4.53; 95% CI: 1.46–14.38), ANC utilization (AOR=3.81; 95% CI: 2.69–5.66), pregnancy spacing (AOR=5.36; 95% CI: 2.53–11.37), household smoking history (AOR=4.63; 95% CI: 2.35–9.14), and family income (AOR=4.82; 95% CI: 2.31–9.53). Pregnancy spacing was the strongest determinant. CED remains common among pregnant women in stunting-endemic areas. Strengthening family planning, improving ANC utilization, promoting smoke-free households, and supporting low-income families are essential to improve maternal nutrition and support stunting prevention.

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Journal Info

Abbrev

JPP

Publisher

Subject

Health Professions Public Health

Description

Epidemiologi; Kesehatan Lingkungan; Administrasi dan Kebijakan Kesehatan; Gizi Kesehatan Masyarakat; Promosi Kesehatan; Kesehatan dan Keselamatan ...