露天排便行为和用水卫生是发育迟缓的风险因素

Muhammad Jamalludin, Elly Trisnawati, Otik Widiyastutik, Ismael Saleh
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摘要

发育迟缓是指 5 岁以下儿童因长期营养不良导致身材矮小而发育迟缓。2022 年,库布拉亚(Kubu Raya)是发育迟缓病例最多的地区,发病率为 27.6%。本研究的重点地区是水安巴旺地区,发病率为 12.3%。本研究的目的是了解库布拉亚地区幼儿露天排便行为与水卫生作为发育迟缓风险因素之间的关系。此类研究采用病例对照研究设计的分析观察法。研究于 2022 年 9 月至 12 月进行。研究范围包括3个村庄,即中爪哇、东兆和双溪马来亚。本研究采用目的性抽样。获得的样本数为 136 个受访者(68 个病例和 68 个对照组)。使用的研究工具是 KoboCollect 应用程序形式的问卷表和观察表。数据分析分为两个步骤,即单变量分析和双变量分析。结果显示,露天排便行为与发育迟缓之间存在关系(P=0.027)。饮水卫生也是发育迟缓的一个相关因素(p=0.006)。建议库布拉亚区卫生局和水安巴望社区卫生中心加强合作干预,更加重视发育迟缓的决定因素,即露天排便和用水卫生,这仍然是水安巴望地区发育迟缓的原因。
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OPEN DEFECATION BEHAVIOR AND WATER SANITATION AS STUNTING RISK FACTORS
Stunting is a condition where the growth of children under 5 years is stunted, due to chronic malnutrition which makes them too short for their age. Kubu Raya is the regency with the highest number of stunting cases in 2022 with a prevalence of 27.6%. The priority location in this study is the Sui Ambawang area, with a prevalence of 12.3%. With the aim of knowing the relationship between open defecation behavior and water sanitation as a risk factor for stunting in Kubu Raya Regency in toddlers. This type of research is analytic observational with a case-control research design. The research was carried out from September to December 2022. It consisted of 3 village areas, namely Central Java, East Mega and Sungai Malaya. Sampling in this study was carried out by purposive sampling. The number of samples obtained was 136 respondents (68 cases and 68 controls). The research instrument used was a questionnaire sheet and an observation sheet in the form of the KoboCollect application. Data were analyzed with 2 steps of analysis, namely univariate and bivariate analysis. The results showed that there was a relationship between open defecation behavior and stunting (p=0.027). Water sanitation is also a factor related to stunting (p=0.006). It is suggested to the Kubu Raya District Health Office and the Sui Ambawang Community Health Center to intensify collaborative interventions that put more emphasis on the determinants of stunting, namely open defecation and water sanitation which are still the causes of stunting in Sui Ambawang.
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