Jurnal Kesehatan Masyarakat Perkotaan
Vol. 6 No. 2 (2026): Jurnal Kesehatan Masyarakat Perkotaan

Socio-economic, Environmental, and Maternal Determinants of Stunting in Children Under Five Years of Age: A Systematic Review

Natasia (Universitas Mohammad Husni Thamrin)
Haerurahman Fardiansyah (Universitas Mohammad Husni Thamrin)
Ajwan (Universitas Mohammad Husni Thamrin)



Article Info

Publish Date
29 Sep 2026

Abstract

Background: Stunting remains a serious chronic nutritional problem in Indonesia, with prevalence declining from 21.5% (2023) to 19.8% (2024) (Kemenkes RI, 2025), yet disparities across economic groups and regions remain wide. Objective: To synthesize evidence from the past five years (2021–2026) on socioeconomic, environmental, and maternal determinants of stunting among Indonesian children under five. Methods: A systematic literature review was conducted following the PRISMA framework, searching Scopus, PubMed, ScienceDirect, DOAJ, Google Scholar, and Sinta/Garuda. Included articles were limited to primary studies indexed in Sinta 1–4 or Scopus Q1-Q3, published 2021–2026, focusing on Indonesia; systematic and scoping reviews were excluded. Twenty-nine articles met the criteria and were synthesized narratively and in tabular form. Results: Socioeconomic determinants (maternal education, poverty, maternal employment) increased stunting risk by 1.2–2.2 times. Environmental determinants (inadequate hygiene, unimproved water sources) increased risk by 1.2–1.4 times. Maternal determinants, particularly chronic energy deficiency (CED) in pregnant women (AOR 1.63) and low birth weight history (3.3 times risk), were the strongest predictors, while exclusive breastfeeding was protective. Conclusion: Childhood stunting in Indonesia results from a complex interaction of three determinant domains, requiring integrated nutrition-specific and nutrition-sensitive interventions targeted at the poorest households and regions with the highest disparities.

Copyrights © 2026






Journal Info

Abbrev

jkmp

Publisher

Subject

Health Professions Public Health

Description

Jurnal Kesehatan Masyarakat Perkotaan is a peer-reviewed and open access journal that focuses on promoting health sciences generated from basic sciences, clinical, and community or public health research to integrate researches in all aspects of human health. This journal publishes original ...