Prevalence and Determinants of Stunting among Female Adolescents in Priority Areas of Bali: A Cross-Sectional Study in the Year 2022
Keywords:
Adolescents, Height for Age, Nutrition, StuntingAbstract
Objective: This study aims to determine the prevalence and factors associated with the occurrence of stunting in female adolescents in the Bangli Regency, Bali Province, Indonesia.
Methods:This cross-sectional study was conducted from May to July 2022 in senior and vocational high schools in Bangli Regency, Bali Province, Indonesia. Adolescent girls aged 15-18 years not experiencing any illness at the time of enrolment were included. Stunting was defined using the WHO's 2007 standards (Height-for-Age z-score <-2SD). Dietary habits were evaluated using the Dietary Diversity Score (DDS), with a score of less than 5 indicating low dietary diversity. Chronic Energy Deficiency (CED) was determined by mid upper arm circumference, with a threshold of <23 cm indicating CED. Sociodemographic factors, dietary habits, and knowledge and attitudes regarding stunting were also assessed.
Results:Of total 560 females, the mean age was16.32 ±0.854 years. Stunting was observed in 66 (11.8%) adolescents. The risk of stunting was approximately 2.55 times significantly higher among adolescents with negative attitude towards stunting prevention (cOR 2.55, 95% CI 1.48 to 4.38, p-value <0.001), 2 times significantly higher among adolescents with low DDS (cOR 1.87, 95% CI 1.10 to 3.22, p-value 0.021) and experienced CED (cOR 1.76, 95% CI 1.01 to 3.04, p-value 0.042).
Conclusion: This study identified a stunting prevalence of 11.8% among female adolescents in the Bangli Regency, Bali Province, Indonesia. The findings indicate that a negative attitude towards stunting prevention, poor diet, and continuous energy imbalance are significant risk factors associated with stunting.
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Setyawati AV, Setyowati M. Nutritional characteristics of urban and rural adolescents girls in Centrak Java Province. J Kesmas 2015; 11:43-52. doi:10.15294/kemas.v11i1.3463
Roba K, Abdo M, Wakayo T. Nutritional status and its associated factors among school adolescent girls in Adama City, Central Ethiopia. J Nutr Food Sci 2016; 6:1-8. doi:10.4172/2155-9600.1000493
Gebregyorgis T, Tadesse T, Atenafu A. Prevalence of thinness and stunting and associated factors among adolescent school girls in Adwa Town, North Ethiopia. Int J Food Sci 2016; 2016: 8323982. doi:10.1155/2016/8323982
United Nation Children's Fund. Social and behavioral change communication strategy: Improving adolescent nutrition in Indonesia, UNICEF, Jakarta 2021; 1-66. Available from https://www.unicef.org/indonesia/media/9201/file/Social%20behavioural%20change%20communication%20strategy
Kumala AM, Margawati A, Rahadiyanti . The relationship between duration of use of electronic devices (gadgets), physical activity and diet and nutritional status in adolescents aged 13-15 years old. J Nutr Coll 2019; 8:73-80. doi:10.14710/jnc.v8i2.23816
Publishing institution health research and development. Indonesia Ministry of Health, NIHRD report on basic health research 2018. Available from https://kesmas. kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274
Widayati K, Kuswati E, Asri NL. Adolescent health education about stunting prevention in Tibubeneng village, Badung regency, Bali Province. J Literasisains 2023; 2:1-17. doi:10.55123/abdikan.v2i1.1547
Afandi A. Description of the incidence of stunting in school-age children agricultural areas. Pro Health J Ilmiah Kesehatan 2023; 5:280-3. doi:10.35473/proheallth.v5i1.2142
Armynia SH, Peratiwi M. Determinants of Gianyar gency Bali. J Ilmu Kesehatan MAKIA 2020; 10:2-99. doi:10.37413/jmakia.v10i2.104
Shapiro MJ, Downs SM, Swartz HJ, Parker M, Quelhas D, Kreis K, et al. A systematic review investigating the relation between animal-source food consumption and stunting in children aged 6-60 months in low and middle-income countries. Adv Nutr 2019; 10:827-47. doi:0.1093/advances/nmz018
Indonesian Central Statistics Agency. Average weekly per capita consumption according to fish group per district/city in Bali Province in 2021-2023. Available from https://www.bps.go.id/id/statistics-table/2/MjA5NiMy/ rata-rata-konsumsi-perkapita-secepat-menrut-komunikasi-ikan-per-kabupaten-kota.html
Saroinsong FB, Ismail Y, Gravitiani E, Sumantra K. Utilization of home gardens as a community empowerment-based edible landscape to combat stunting. in IOP Conference Series: Earth and Environmental Science (Vol. 940, No. 1, p. 012093). IOP Publishing. Available from https://iopscience. iop.org/article/10.1088/1755-1315/940/1/012093/
Darapheak C, Takano T, Kizuki M, Nakamura K, Seino K. Consumption of animal source foods and dietary diversity reduce stunting in children in Cambodia. Int Arch Med 2013; 6:29. doi:10.1186/1755-7682-6-29
Indonesian Minister of Health Regulation. Indonesian Minister of Health Regulation Number 2 of 2020 concerning Child Anthropometric Standards. Jakarta: Indonesian Minister of Health 2020. https://www.iccc.or.id/wp-content/uploads/ 2020/08/Minister-of-Health-Regulation-No.-9-of-2020-SSEK-Translation.pdf
Birru SM, Tariku A, Belew AK. Improved dietary diversity of school adolescent girls in the context of urban Northwest Ethiopia: 2017. Ital J Pediatr 2018; 44:48. doi:10.1186/s13052-018-0490-0
Food and Agriculture Organization of the United Nat-ions. Minimum dietary diversity for women. An updated guide for measurement: from collection to action. Rome 2021;1-176. Available from https://openknowledge.fao.org/server/api/core/bitstreams/ 3d973c7c-ed82-4ace-a15e-6d0c7004ed75/content
Pasalina PE, Devita H, Sari N, Amran VY, Suryanis I. The relationship between family characteristic and the incidence of stunting in adolecents at SMA 11 West Sumatra. J Ilm PANNMED 2022; 17:460-4. doi:10.36911/pannmed.v17i3.1433
Khairunnas, Husna A, Marniati M. The relationship of socio-economic with nutritional status in toddler in meureubo sub-district west aceh regency. J Nutr Sci 2020; 1:6-10. doi:10.35308/jns.v1i1.2249
Suryati and Nurlailla U. Father Participation with Moth-er's Practices in Toddler Feeding. Community Publ Nurs 2021; 9:647-56. doi:10.24843/coping.2021.v09.i06.p03
Adhi KT, Widarini NP, Suariyani NLP, Suandana IA, Januraga PP. Nutrtional status, nutrient density, and dietary diversity of children while covid-19 pandemic. J Gizi Klin Indo 2022; 18:3-115. doi:10.22146/ijcn.71861
Akpene - Amenya PC, Annan RA, Apprey C, Agbley EN. The relationship between nutrition and physical activity knowledge and body mass index-for-age of school-aged children in selected schools in Ghana. Heliyon 2021; 7:e08298. doi:10.1016/j.heliyon.2021.e08298
Ny N, Achintya W. Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey. Nutr Food Sci 2021; 5:801-13. doi:10.1108/NFS-07-2021-0235
Sukma DC, Margawati A. The relationship between knowledge and attitude in choosing snacks and obesity in adolencents at smp negeri 2 brebes. J Nutr Coll 2014; 3:4-11. doi:10.14710/jnc.v3i4.6892
Rusmimpong, Rosita U. The relationship between perceptions, attitudes and eating habits with the nutritional status of students at mts muhamad amin rajo tiangso. J Heal Sci 2021; 5:330-40. doi:10.35971/gojhes.v5i2.11276
Listiana A. Analysis of factors related to the incidence of iron deficiency anemia in young women at smk n 1 terbanggi besar, central lampung. J Kesehat 2016; 3:455-69. doi:10.26630/jk.v7i3.230
Yusridawati. The relationship of knowledge and mother's attitude to stunting incidence in kutelintang village, gayo lues district year 2022. J Sci Midwifery 2022; 10:5-17. doi:10.35335/midwifery.v10i5.914
Natanael S, Putri NKA, Adhi KT. Perception of stunting in adolescents girl in gianyar regency Bali. J Nutr Food Res 2022; 45:1-10. doi:10.22435/pgm.v45i1.5900
Guidelines for measuring household and individual dietary diversity [Internet]. Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations 2010; 1-60. Available from https://www.fao.org/fileadmin/user_upload/wa_workshop/docs/FAO-guidelines-dietary-diversity2011
Ratnasari F, Sari RS, Usrotussachiyah U. Consumption of animal protein as a form of prevention and managem-ent of stunting in children. J Nusantara Hasana 2022; 2:3-107. doi:10.57084/andasih.v3i2.1035
Headey D, Hirvonen K, Hoddinott J. Animal sourced fo-ods and child stunting. Am J Agric Econ 2018; 100:1302-19. doi:10.1093/ajae/aay053
Rusyantia A. The relationship between fish consumption habits and animal protein intake with the incidence of toddler stunting on apasaran islan, bandar lampung. J Surya Medika 2018; 4:1-67. doi:10.33084/jsm.v4i1.352
Isnaningsih T. Health education through booklet and audiovisual media to increase knowledge about fruit and vegetable consumption. Ind J Edu Rsc 2019; 2:1-48. doi:10.31605/ijes.v2i1.528
Rahmi FJ, Thinni NR, Najla H. Stunting prevention program in Indonesia. J Natl Nutr 2022; 17:3-1. doi:10.20473/mgi.v17i3.281-292
Harahap NL, Lestari W, Manggabarani S. Relationship of Food variations, snack food, and physical activity with the nutrition status of student in labuhan batu district. Nutr Diaita 2020;12:2-45. doi:0.47007/nut.v12i02.3551
Ronitawati P, Ghifari N, Nuzrina R, Yahya PN. Analysis of factors related to the quality of food consumption and nutritional status in urban adolescents. J Sains Kesehat 2021; 28:1-11. doi:10.37638/jsk.28.1.1-11
Adila WP, Yanti RS. The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman. Sci Midwifery 2023; 10:4471-80. doi:10.35335/midwifery.v10i6.1165
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