ANJANI, Dewi and Sutiningsih, Dwi and Adi, M. Sakundarno (2023) FAKTOR RISIKO KEJADIAN STUNTING PADA BALITA DI WILAYAH KERJA PUSKESMAS BERAS BASAH KECAMATAN PANGKALAN SUSU SUMATERA UTARA. Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Latar Belakang: Stunting ialah kondisi terhambatnya pertumbuhan anak akibat kurang gizi. Penurunan prevalensi stunting menjadi fokus utama pemerintah di Kabupaten Langkat yang merupakan kota prioritas intervensi stunting dengan penyumbang angka stunting tertinggi ialah Kecamatan Pangkalan Susu.
Tujuan: menganalisis faktor risiko kejadian stunting di wilayah kerja Puskesmas Beras Basah.
Metode: Menggunakan desain observasional analitik, pendekatan case control di wilayah kerja Puskesmas Beras Basah Bulan April-Mei 2023. Jumlah sampel 60 kasus dan 60 kontrol. Pengambilan data dengan wawancara menggunakan kuesioner terstruktur, pengukuran langsung TB, kualitas udara dan pH air, dilakukan pemeriksaan laboratorium untuk mengetahui kualitas air dan kadar Hg pada ikan dari tambak warga dan laut.
Hasil: Faktor risiko kejadian stunting adalah kualitas udara tidak sehat (OR=7,8 ;95%CI= 2,61-23,51;p= 0,0001), pengetahuan stunting ibu kurang (OR=5,5; 95%CI= 1,88-16,28;p=0,002), riwayat sering mengkonsumsi ikan saat hamil subjek (OR=4,9; 95%CI=1,55-15,59; p= 0,007), riwayat kejadian ISPA sebulan terakhir (OR=3,4; 95%CI=1,32-8,70; p=0,011), umur 24-60 bulan (OR=3,3; 95%CI=1,07-9,96; p= 0,038). Hasil regresi logistik menunjukkan bila balita berusia 24-60 bulan, tinggal di lingkungan dengan kualitas udara tidak sehat, memiliki ibu dengan pengetahuan stunting kurang, sering mengkonsumsi ikan saat hamil subjek, dan terinfeksi ISPA sebulan terakhir kemungkinan mengalami stunting 96,7%.
Kesimpulan: Faktor risiko stunting pada balita di wilayah kerja Puskesmas Beras Basah ialah kualitas udara yang tidak sehat, pengetahuan stunting ibu kurang, riwayat sering mengkonsumsi ikan saat hamil subjek, riwayat kejadian ISPA, dan umur 24-60 bulan.
Kata Kunci : Stunting, Balita, PLTU Batu Bara

Background: Stunting is a condition of stunted growth of children due to malnutrition. Reducing stunting prevalence is the main focus of the government in Langkat Regency, which is a priority city for stunting intervention with the highest contributor to the stunting rate in Pangkalan Susu District.
Objective: analyze the risk factors for stunting in the working area of the Wet Rice Health Center.
Method: Using the analytical observational design, case-control approach in the working area of the Wet Rice Health Center in April-May 2023. The sample size was 60 cases and 60 controls. Data collection by interviews using structured questionnaires, direct measurement of TB, air quality and water pH, and laboratory tests were carried out to determine water quality and Hg levels in fish from community ponds and the sea.
Results: Risk factors for stunting events were unhealthy air quality (OR=7.8 ;95%CI= 2.61-23.51;p= 0.0001), maternal stunting knowledge was lacking (OR=5.5; 95%CI= 1.88-16.28;p=0.002), history of frequent fish consumption during pregnancy subjects (OR=4.9; 95%CI=1.55-15.59; p= 0.007), history of ARI events in the past month (OR=3.4; 95%CI=1.32-8.70; p=0.011), age 24-60 months (OR=3.3; 95%CI=1.07-9.96; p= 0.038). The results of logistic regression showed that if toddlers aged 24-60 months, living in an environment with unhealthy air quality, have mothers with less stunting knowledge, often consuming fish while pregnant with subjects, and infected with ARI in the past month, the likelihood of stunting was 96.7%.
Conclusion: Risk factors for stunting in toddlers in the working area of the Beras Basah Health Center are unhealthy air quality, lack of maternal stunting knowledge, history of frequent consumption of fish during the subject's pregnancy, history of ARI, and age 24-60 months.
Keywords: Stunting, Toddler, Coal-fired Power Plant

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