Low Participation of Children's Weight as a Barrier to Acceleration Stunting Decrease in the Rural Area Bali Province: Further Analysis of Riskesdas 2018

Hertog Nursanyoto, A. Kusumajaya, R. Mubasyiroh, Sudikno, Olwin Nainggolan, Ni Ketut Sutiari, I. M. Suarjana, P. Januraga, Kadek Tresna Adhi
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Abstract

Stunting in rural areas tends to be higher than in urban areas. This study aims to determine the risk factors for stunting in rural areas in Bali. The analysis carried out is a further analysis of the 2018 basic health research (RISKESDAS 2018). The independent variable was the stunting status of children, which was determined based on the height-for-age index (HAZ). The independent variables consist of socio-demographic; the environment; and health services factors. The relationship between variables was analyzed by logistic regression method. Estimation of the proportion of stunting that can be prevented using Population Attributable Fraction (PAF) analysis. RISKESDAS 2018 data shows that the percentage of stunting in rural Bali is 29.3% higher than urban areas which is only 19.1%. The results of logistic regression analysis showed that under-fives weighing less than 8 times/year were at risk of stunting by 2.02 times compared to the other. PAF analysis shows that 3.5 percent of stunting under five in rural areas can be prevented by Monthly Weighing for children under five years old. Monthly Weighing in rural Bali through the Integrated Service Care (POSYANDU) is one of the efforts to prevent stunting children and monitor their the growth and development early.
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巴厘省农村地区儿童体重参与率低是加速减少发育迟缓的障碍:2018年风险进一步分析
农村地区的发育迟缓率往往高于城市地区。本研究旨在确定巴厘岛农村地区发育迟缓的危险因素。所进行的分析是对2018年基础卫生研究(RISKESDAS 2018)的进一步分析。自变量为儿童发育迟缓状况,由身高年龄比指数(HAZ)确定。自变量包括社会人口统计学;环境;还有健康服务因素。采用logistic回归分析各变量之间的关系。利用人口归因分数(PAF)分析估计可预防的发育迟缓比例。2018年的数据显示,巴厘岛农村地区的发育迟缓比例比城市地区高29.3%,而城市地区仅为19.1%。logistic回归分析结果显示,体重小于8次/年的5岁以下儿童发育迟缓风险是其他儿童的2.02倍。PAF分析显示,农村地区3.5%的5岁以下儿童发育迟缓可以通过对5岁以下儿童进行每月称重来预防。通过综合服务护理(POSYANDU)在巴厘岛农村每月称重是预防发育迟缓儿童和早期监测其生长发育的努力之一。
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