Santosa Agus, Novanda Arif Essa, Abdul Ghoni Dinal
Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia.
Clin Exp Pediatr. 2022 Feb;65(2):90-97. doi: 10.3345/cep.2021.00094. Epub 2021 May 4.
Stunting is affected by various factors from mother and child. Previous studies assessed only one or more influencing variables. Unfortunately, nor the significant influence of maternal and child factors nor the indicators contributing to maternal and child factors that affect the stunting incidence have ever been analyzed.
This study analyzed the effect of maternal and child factors on stunting and the significant indicators that shape the maternal and child factors that impact stunting.
This was a case-control study. Overall, 132 stunted children and 132 nonstunted children in Purbalingga Regency, Central Java Province, participated in the research. Direct interviews and medical record reviews were conducted to assess the studied variables. The research data were tested using the partial least squares structural equation with a formative model.
Maternal factors directly affected the occurrence of stunting (t=3.527, P<0.001) with an effect of 30.3%. Maternal factors also contributed a significant indirect effect on stunting through child factors (t=4.762, P<0.001) with an effect of 28.2%. Child factors affected the occurrence of stunting (t= 5.749, P<0.001) with an effect of 49.8%. The child factor was influenced by maternal factor with an effect of 56.7% (t=10.014, P<0.001). The moderation analysis results demonstrated that maternal and child factors were moderate predictive variables of stunting occurrence.
Child factors have more significant and direct effects on stunting than maternal factors but are greatly affected by them.
发育迟缓受到母婴各种因素的影响。以往的研究仅评估了一个或多个影响变量。遗憾的是，从未分析过母婴因素的显著影响以及导致影响发育迟缓发生率的母婴因素的指标。
本研究分析了母婴因素对发育迟缓的影响以及塑造影响发育迟缓的母婴因素的显著指标。
这是一项病例对照研究。爪哇省中爪哇县普尔巴林加地区共有132名发育迟缓儿童和132名非发育迟缓儿童参与了研究。通过直接访谈和病历审查来评估研究变量。研究数据采用具有形成性模型的偏最小二乘结构方程进行检验。
母亲因素直接影响发育迟缓的发生（t=3.527，P<0.001），效应为30.3%。母亲因素还通过儿童因素对发育迟缓产生显著的间接影响（t=4.762，P<0.001），效应为28.2%。儿童因素影响发育迟缓的发生（t=5.749，P<0.001），效应为49.8%。儿童因素受母亲因素的影响，效应为56.7%（t=10.014，P<0.001）。调节分析结果表明，母婴因素是发育迟缓发生的中度预测变量。
儿童因素对发育迟缓的影响比母亲因素更显著、更直接，但受母亲因素的影响很大。
