Prenatal Factors Associated With The Risk of Stunting

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Prenatal Factors Associated with the Risk of Stunting: A Multilevel Analysis Evidence from

Nganjuk, East Java

Dewi Indriani, Lanti Retno Dewi, Bhisma Murti, Isna Qadrijati

Abstract

Background: Globally, one in four children under the age of five suffers from stunting.
Stunting is associated with an underdeveloped brain, with long-lasting harmful
consequences, including diminished mental ability and learning capacity, poor school
performance in childhood, reduced earnings and increased risks of nutrition-related chronic
diseases, such as diabetes, hypertension, and obesity in future. This study aimed to analyze
prenatal factors associated with the risk of stunting in Nganjuk, East Java, using a multilevel
analysis.

Subjects and Method: This was an analytic observational study with a case control design.
The study was conducted at 25 posyandus (integrated health posts) in Nganjuk, East Java,
from June 03 to July 07, 2018. Posyandu was selected by stratified random sampling. A
sample of 225 children under five was selected by fixed disease sampling, consisting of 75
stunted children and 150 normal children. The dependent variable was stunting. The
independent variables were birth length, maternal height, and family size. The data were
collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.

Results: The risk of stunting increased with maternal height <150 cm (b= 2.59; 95% CI= -0.75
to 4.42; p= 0.006), birth length <48 cm (b=4.17; 95% CI= 2.19 to 6.15; p<0.001), and large
family size (b= 2.31; 95% CI= 0.34 to 4.29; p= 0.022). Posyandu had a contextual effect on
stunting with ICC= 63.39%.

Conclusion: The risk of stunting increases with maternal height <150 cm, birth length <48
cm, and large family size. Posyandu has a sizeable contextual effect on stunting.

Keywords: stunting, birth length, maternal height, family size, posyandu, multilevel

Correspondence:Dewi Indriani. Masters Program in Public Health, Universitas Sebelas


Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. Mobile:
+6285735830730.

Journal of Maternal and Child Health (2018), 3(4): 294-300


https://doi.org/10.26911/thejmch.2018.03.04.07

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