Cendana Putri, Kim So-Young
Department of Food Science and Nutrition, Graduate School of Soonchunhyang University, Asan, South Korea.
Department of Food Science and Nutrition, Soonchunhyang University, Asan, South Korea.
Asia Pac J Public Health. 2025 May;37(4):402-410. doi: 10.1177/10105395251337970. Epub 2025 May 8.
Child stunting in Indonesia remains a major public health issue, affecting physical and cognitive development. This study examined the impact of maternal factors (sociodemographic characteristics and pregnancy history) and breastfeeding practices on stunting in children aged 6 to 23 months, using data from the 2022 Indonesian Nutritional Status Survey (SSGI) of 87 722 children. Chi-square tests were employed to examine relationships between the study variables and child stunting. Multinomial logistic regression was then used to assess the associations. Key findings highlighted the importance of maternal education, adequate antenatal care, and the prevention of low birth weight in addressing child stunting. Children of mothers with no education had a 50% and 26.4% higher risk of severe and moderate stunting, respectively, than those with tertiary education. Lack of antenatal care was associated with an 82.8% and 16.0% higher risk of severe and moderate stunting, respectively, compared to those with four or more visits. Low birth weight significantly increased the odds of severe and moderate stunting by 242.3% and 125.9%, respectively. Breastfeeding practices, such as early initiation, showed no significant link to stunting. These findings emphasize the need for targeted maternal health interventions to reduce stunting, particularly by improving education, antenatal care, and birth outcomes.
印度尼西亚儿童发育迟缓仍然是一个重大的公共卫生问题，影响着身体和认知发展。本研究利用2022年印度尼西亚87722名儿童营养状况调查（SSGI）的数据，考察了母亲因素（社会人口学特征和妊娠史）及母乳喂养方式对6至23个月儿童发育迟缓的影响。采用卡方检验来考察研究变量与儿童发育迟缓之间的关系。然后使用多项逻辑回归来评估关联性。主要研究结果凸显了母亲教育、充分的产前护理以及预防低出生体重在解决儿童发育迟缓问题方面的重要性。未受过教育的母亲所生子女出现重度和中度发育迟缓的风险分别比受过高等教育的母亲所生子女高50%和26.4%。与进行过四次或更多次产前检查的母亲相比，未接受产前护理的母亲所生子女出现重度和中度发育迟缓的风险分别高82.8%和16.0%。低出生体重使重度和中度发育迟缓的几率分别显著增加242.3%和125.9%。母乳喂养方式，如早开奶，与发育迟缓无显著关联。这些研究结果强调需要实施有针对性的孕产妇健康干预措施来减少发育迟缓，特别是通过改善教育、产前护理和出生结局来实现。
