新加坡公共卫生中心12-24月龄儿童发育迟缓的决定因素

Erwina Sumartini, D. A. Gurnida, E. Fadlyana, H. Susiarno, Kusnandi Rusmil, J. Effendi
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Data analyzed in several ways; univariable, bivariable with chi-square, and multivariable with logistic regression. Research result shows stunting prevalence was 22.5%, next pertain factor of stunting are gender (POR=0.564, 95% CI=0.339–0.937, p value=0.011), exclusive breastfeeding giving history (POR=1.46, 95% CI=1.00–2.14, p value=0.046), and clinically health (POR=1.47, 95% CI=1.00–2.16, p value=0.044). Moreover, dominant factor were gender (OR=0.56, 95% CI=0.339–0.937, p value=0.027) and clinically health (OR=1.68, 95% CI=1.022–2.771, p value=0.041). Thus, gender and clinical health are stunting determinant factors. Children’s health should increase to create maximum growth. DETERMINAN STUNTING PADA ANAK USIA 12–24 BULAN DI PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA Stunting merupakan kondisi kegagalan pertumbuhan fisik yang ditandai dengan tinggi badan menurut usia berada di bawah −2SD. Penelitian ini bertujuan mengetahui faktor determinan stunting pada anak usia 12–24 bulan di wilayah kerja Puskesmas Singaparna Kabupaten Tasikmalaya. Penelitian menggunakan desain cross-sectional untuk variabel jenis kelamin, berat badan lahir, riwayat ASI eksklusif, kelengkapan imunisasi, dan  sehat secara klinis, sedangkan desain case-control untuk variabel asupan nutrisi. Pengambilan sampel secara total sampling sejumlah 376 anak, selanjutnya diambil 30 anak untuk kelompok kasus dan kontrol dengan metode random sederhana periode Desember 2017 hingga Februari 2018. Instrumen menggunakan kuesioner, food frequency questionaire (FFQ), dan infantometer. Analisis data dilakukan secara univariabel, bivariabel dengan chi-square , dan multivariabel dengan regresi logistik. Hasil penelitian menunjukkan prevalensi stunting sebesar 22,6%, faktor yang berhubungan dengan stunting di antaranya jenis kelamin (POR=0,564; IK95%=0,339–0,937; p=0,011), riwayat pemberian ASI eksklusif (POR=1,46; IK95%=1,00–2,14, p=0,046), dan sehat secara klinis (POR=1,47; IK95%=1,00–2,16; p=0,044). Faktor dominan yang berhubungan dengan stunting adalah jenis kelamin (OR=0,56; IK95%=0,339–0,937; p=0,027) dan sehat secara klinis (OR=1,68; IK95%=1,022–2,771; p=0,041). Jenis kelamin dan sehat secara klinis merupakan faktor determinan stunting . 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引用次数: 2

摘要

发育迟缓是一种以年龄在- 2SD以下的身高为标志的身体生长衰竭状况。研究目的是了解新加坡公共卫生中心Tasikmalaya摄政区12-24月龄幼儿发育迟缓的主要因素。本研究采用性别、体重、纯母乳喂养史、完全免疫、临床健康变量的横断面设计,营养摄入变量采用病例对照。研究对象为2017年12月至2018年2月,采用简单随机方法抽取幼儿376人,对照组和病例各30人。该仪器是一份问卷,食物频率问卷(FFQ)和红外线计。用几种方法分析的数据;单变量,双变量卡方,多变量逻辑回归。研究结果显示,发育迟缓患病率为22.5%,其次为性别(POR=0.564, 95% CI=0.339 ~ 0.937, p值=0.011)、纯母乳喂养史(POR=1.46, 95% CI=1.00 ~ 2.14, p值=0.046)、临床健康状况(POR=1.47, 95% CI=1.00 ~ 2.16, p值=0.044)。显性因素为性别(OR=0.56, 95% CI=0.339 ~ 0.937, p值=0.027)和临床健康(OR=1.68, 95% CI=1.022 ~ 2.771, p值=0.041)。因此,性别和临床健康是发育迟缓的决定因素。儿童的健康应该增加,以创造最大的成长。决定性的发育迟缓padanakusia 12-24 BULAN DI PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA发育迟缓merupakan kondisi kegagalan pertumbuhan finisik yang ditandai dengan tinggi badan menurut USIA berada DI bawah - 2SD。Penelitian ini bertujuan mengetahui决定发育迟缓的因素在12-24岁时发生了变化,在12-24岁时发生了变化。Penelitian menggunakan设计了横截面untuk变量jenis kelamin, berat badan lahir, riwayat ASI eksklusif, kelengkapan imunisasi, dan sehat secara klinis, sedangkan设计了病例对照untuk变量asupan nutrisi。彭甘比兰样本总采样次数为376次,selanjutnya diambil 30次,kelompok kasus dan control dengan方法随机采样时间为2017年12月至2018年2月。实验仪器:蒙古纳坎测量仪、食物频率问卷(FFQ)、胰岛素计。分析数据采用单变量、双变量登根卡方、多变量登根回归logistic分析。Hasil penelitian menunjukkan prevalensis发育迟缓sebesar 22,6%, factor for yang berhubungan dengan发育迟缓di antaranya jenis kelamin (POR= 0.564;IK95% = 0339 - 0937;p= 0.011), riwayat pemberian ASI eksklusif (POR=1,46;IK95%=1,00 - 2,14, p=0,046), dan sehat secara klinis (POR=1,47;IK95% = 1 00-2 16;p = 0044)。主要因子:杨伯虎,邓,邓,发育迟缓adalah jenis kelamin (OR=0,56;IK95% = 0339 - 0937;p= 0.027) dan sehat secara klinis (OR=1,68;IK95% = 1022 - 2771;p = 0041)。詹尼斯·克拉明(Jenis kelamin)是决定性发育迟缓的一个因素。Kesehatan anak perlu ditingkatkan untuk menciptakan pertumbuhan anak yang maksimal。
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Stunting Determinant on Toddler Age of 12–24 Months in Singaparna Public Health Center Tasikmalaya Regency
Stunting is a physical growth failure condition signed by height based on age under −2SD. The research goal is knowing the dominant factor associated with stunting on toddler age of 12–24 months in the working area of Singaparna Public Health Center Tasikmalaya regency. The research applies to the cross-sectional design of gender, weight, exclusive breastfeeding history, completeness immunization, and clinically healthy variables, while case-control is for nutrition intake variable. The sample was a total sampling of 376 toddlers, then 30 for case and control group with the simple random method from December 2017 to February 2018. The instrument is a questionnaire, food frequency questionnaire (FFQ), and infantometer. Data analyzed in several ways; univariable, bivariable with chi-square, and multivariable with logistic regression. Research result shows stunting prevalence was 22.5%, next pertain factor of stunting are gender (POR=0.564, 95% CI=0.339–0.937, p value=0.011), exclusive breastfeeding giving history (POR=1.46, 95% CI=1.00–2.14, p value=0.046), and clinically health (POR=1.47, 95% CI=1.00–2.16, p value=0.044). Moreover, dominant factor were gender (OR=0.56, 95% CI=0.339–0.937, p value=0.027) and clinically health (OR=1.68, 95% CI=1.022–2.771, p value=0.041). Thus, gender and clinical health are stunting determinant factors. Children’s health should increase to create maximum growth. DETERMINAN STUNTING PADA ANAK USIA 12–24 BULAN DI PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA Stunting merupakan kondisi kegagalan pertumbuhan fisik yang ditandai dengan tinggi badan menurut usia berada di bawah −2SD. Penelitian ini bertujuan mengetahui faktor determinan stunting pada anak usia 12–24 bulan di wilayah kerja Puskesmas Singaparna Kabupaten Tasikmalaya. Penelitian menggunakan desain cross-sectional untuk variabel jenis kelamin, berat badan lahir, riwayat ASI eksklusif, kelengkapan imunisasi, dan  sehat secara klinis, sedangkan desain case-control untuk variabel asupan nutrisi. Pengambilan sampel secara total sampling sejumlah 376 anak, selanjutnya diambil 30 anak untuk kelompok kasus dan kontrol dengan metode random sederhana periode Desember 2017 hingga Februari 2018. Instrumen menggunakan kuesioner, food frequency questionaire (FFQ), dan infantometer. Analisis data dilakukan secara univariabel, bivariabel dengan chi-square , dan multivariabel dengan regresi logistik. Hasil penelitian menunjukkan prevalensi stunting sebesar 22,6%, faktor yang berhubungan dengan stunting di antaranya jenis kelamin (POR=0,564; IK95%=0,339–0,937; p=0,011), riwayat pemberian ASI eksklusif (POR=1,46; IK95%=1,00–2,14, p=0,046), dan sehat secara klinis (POR=1,47; IK95%=1,00–2,16; p=0,044). Faktor dominan yang berhubungan dengan stunting adalah jenis kelamin (OR=0,56; IK95%=0,339–0,937; p=0,027) dan sehat secara klinis (OR=1,68; IK95%=1,022–2,771; p=0,041). Jenis kelamin dan sehat secara klinis merupakan faktor determinan stunting . Kesehatan anak perlu ditingkatkan untuk menciptakan pertumbuhan anak yang maksimal.
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