Sulistyaningsih Erma, Wulandari Endang S P, Marchianti Ancah C N
Department of Parasitology, Faculty of Medicine University of Jember, Kabupaten Jember, Jawa Timur, Indonesia.
Magister of Public Health, Post-Graduate Program, University of Jember, Kabupaten Jember, Jawa Timur, Indonesia.
J Educ Health Promot. 2024 Jul 11;13:242. doi: 10.4103/jehp.jehp_108_24. eCollection 2024.
Understanding the determinant factors contributing to severely wasted is crucial in decreasing the problem and meeting the World Health Global Nutrition Target by 2025. This study investigated the determinants of severely wasted among children under five years old in Indonesia's rural and sub-urban areas.
This was a cross-sectional study of severely wasted children in rural and sub-urban areas in East Java, Indonesia. Collected data on individual characteristics, socio-economic status, nutrient intake, environmental and food sanitation, and health service utilization were obtained by structured questionnaires. An ordinal regression and Chi-square test were applied to determine the factors with a significance level 0.05.
As many as 25 respondents in rural areas and 30 in sub-urban areas were included after receiving informed consent. Age and household environmental and food sanitation were associated with severely wasted in rural and sub-urban areas, with < 0.05. Meanwhile, family members, income, and calcium intake were only in rural areas. Birth spacing, nutrient intake, except calcium intake, and health care utilization were the only factors in sub-urban areas. The low-birth-weight history, sex, mother's education, and the parent's occupation did not correlate with the severely wasted in rural and sub-urban areas.
The determinant factors of under-five years of severely wasted children in rural and sub-urban areas of Indonesia are different, so it is vital to design regional-based approaches to tackle the problem.
了解导致严重消瘦的决定因素对于减少这一问题并实现2025年世界卫生组织全球营养目标至关重要。本研究调查了印度尼西亚农村和郊区五岁以下儿童严重消瘦的决定因素。
这是一项对印度尼西亚东爪哇农村和郊区严重消瘦儿童的横断面研究。通过结构化问卷收集有关个人特征、社会经济地位、营养摄入、环境和食品卫生以及卫生服务利用的数据。应用有序回归和卡方检验来确定显著性水平为0.05的因素。
在获得知情同意后，农村地区有25名受访者，郊区有30名受访者被纳入研究。年龄以及家庭环境和食品卫生与农村和郊区的严重消瘦有关，P<0.05。同时，家庭成员、收入和钙摄入量仅与农村地区有关。生育间隔、除钙摄入量外的营养摄入以及卫生保健利用是郊区的唯一相关因素。低出生体重史、性别、母亲教育程度和父母职业与农村和郊区的严重消瘦无关。
印度尼西亚农村和郊区五岁以下严重消瘦儿童的决定因素不同，因此设计基于地区的方法来解决这一问题至关重要。
