印度尼西亚东努沙登加拉哥打万加普地区12至60个月儿童发育迟缓的决定因素

Samuel Bungaran Partahi Saud Manalu, P. Eyanoer
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摘要

背景:发育迟缓是一个在社会上经常没有被认识到的问题,因为身材矮小是如此普遍,而且通常被认为是正常的。在印度尼西亚,五岁以下发育迟缓的发生率是一个主要的营养问题,2015-2017年的平均患病率约为36.4%。本研究旨在调查万加普地区12个月至60个月儿童发育迟缓的决定因素。对象和方法:这是一项横断面研究,于2020年12月在旺阿普区Posyandu进行。采用非概率连续抽样,根据纳入和排除标准共选取105份样本。因变量是发育迟缓。自变量为纯母乳喂养、出生体重、家庭收入、母亲受教育程度、母亲营养状况和母亲年龄。资料采用问卷调查法收集,卡方分析。结果:万加普地区12 ~ 60月龄儿童发育迟缓患病率为24.8%。双变量分析表明,母亲受教育程度低显著增加发育迟缓发生率(OR= 3.40;95% CI= 1.29 ~ 8.97;p= 0.011),产妇营养状况差(OR= 3.06;95% CI= 1.05 ~ 8.89;P = 0.034),家庭收入低(P = 0.002)。结论:孕产妇受教育程度低、营养状况差、家庭收入低显著增加发育迟缓发生率。关键词:发育迟缓,决定因素,营养状况,儿童北苏门答腊大学医学院。电子邮件:samuel.manalu.4th@gmail.com印度尼西亚医学杂志(2021),06(02):220-229 https://doi.org/10.26911/theijmed.2021.06.02.11
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Determinants of Stunting in Children Aged 12 to 60 Months in Kota Waingapu District, East Nusa Tenggara, Indonesia
Background: Stunting is a problem that is often not recognized in the community because short stature is so common and often considered normal. In Indonesia, the incidence of stunting under five is a major nutritional problem, with an average prevalence from 2015-2017 of around 36.4%. This study aimed to investigate the determinants of stunting in children aged 12 months - 60 months in the Waingapu District. Subjects and Method: This was a cross-sectional study conducted at Posyandu, Waing­apu District, in December 2020. A total of 105 samples were selected based on inclusion and exclusion criteria using non-probability conse­cutive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, birth weight, house­hold income, maternal education, mater­nal nutritional status, and maternal age. The data were collected by questionnaire and analyzed by Chi-square. Results: The prevalence of stunting in children aged 12 to 60 months in the Waingapu District was 24.8%. The bivariate analysis elucidated that the incidence of stunting was significantly increased by poor maternal education (OR= 3.40; 95% CI= 1.29 to 8.97; p= 0.011), poor maternal nutritional status (OR= 3.06; 95% CI= 1.05 to 8.89; p= 0.034), and low household income (p = 0.002). Conclusion: Poor maternal education, poor maternal nutritional status, and low household income significantly increase the incidence of stunting. Keyword s : stunting, determinant, nutritional status, children Correspondence:  Samuel Bungaran Partahi Saud Manalu. Faculty of Medicine, Universitas Sumatera Utara. Email: samuel.manalu.4th@gmail.com Indonesian Journal of Medicine (2021), 06(02): 220-229 https://doi.org/10.26911/theijmed.2021.06.02.11
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