Underweight has the biggest risk against burden of disease. The aim of the study was to determine the factors related with underweight in child aged 24-59 months lived in North Sumatra based on three characteristics caused an underweight; there are child characteristics, maternal characteristics, and parenting characteristics. This study used cross-sectional design and using chi-square statistical analysis. The sample used in this study was 280 child aged 24-59 months living in North Sumatra province, Indonesia. The data was obtained from 2014 Indonesian Family Life Survey collected by RAND Corporation. Prevalence of underweight in child aged 24-59 months lived in North Sumatra was 26% (Girls: 32,6%, Boys: 19,9%). The statistical analyses found that female child (OR 95% CI= 0,514: p=0,02), maternal low body mass index (OR 95% CI = 3,750: p=0,04) and cigarette expenditure (OR 95% CI = 1,800: p=0,040) contribute to underweight child aged 24-59 month in North Sumatra province. Child gender, maternal body mass index, and cigarette expenditure were the significant determinants for underweight in under-five children in North Sumatra. The intervention is necessary to be implemented by all parties to decrease the prevalence of underweight.
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