FARADILA, Rosa and Sutiningsih, Dwi and Suhartono, Suhartono (2023) HUBUNGAN BUDAYA KONSUMSI PANGAN MASYARAKAT PESISIR DAN KADAR TIMBAL URINE BALITA DENGAN KEJADIAN STUNTING DI DESA SURODADI KABUPATEN JEPARA. Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Latar Belakang: Rata-rata prevalensi stunting di Kabupaten Jepara yaitu sekitar 17% sejak tahun 2018 hingga Agustus 2022. Puskesmas Kedung II menempati urutan ketiga prevalensi kasus stunting tertinggi pada periode tersebut. Desa Surodadi menjadi wilayah di Puskesmas Kedung II dengan prevalensi balita stunting terbanyak yaitu hampir 26%.
Tujuan: Penelitian ini bertujuan mengetahui hubungan antara budaya konsumsi pangan masyarakat pesisir dan kadar timbal pada urine balita dengan kejadian stunting di Desa Surodadi Kabupaten Jepara.
Metode: Desain penelitian ini yaitu cross-sectional. Sampel penelitian adalah anak berusia > 2-5 tahun berdasarkan data Puskesmas Kedung II tahun 2023 yang berdomisili di Desa Surodadi. Penentuan jumlah sampel menggunakan prinsip proporsional sampling dengan teknik pengambilan sampel secara purposive sampling.
Hasil: Proporsi balita stunting pada sampel penelitian yaitu 26,67%. Hasil uji laboratoium dengan AAS Graphite menunjukkan bahwa rata-rata kadar timbal pada urine balita yaitu 10,59 µg/l. Persepsi terhadap bahaya stunting (p= 0,001; r=0,481), pola pemberian makan pada balita (p= 0,012; r= 0,371) dan preferensi pemberian hasil laut/tambak kepada balita (p= 0,011; r= -0,375) berhubungan signifikan dengan HAZ-Score balita. Persepsi terhadap bahaya stunting (p= 0,020) dan pola pemberian makan pada balita (p= 0,018) juga menunjukkan perbedaan rata-rata yang signifikan dengan kejadian stunting. Kadar timbal pada urine balita berhubungan dengan kejadian stunting (p=0,039).
Kesimpulan: Persepsi terhadap bahaya stunting, pola pemberian makan pada balita dan kadar timbal urine balita mempengaruhi status gizi balita berdasarkan indeks Tinggi Badan/Usia.
Kata Kunci : stunting, pesisir, budaya, kadar timbal

Background: The average prevalence of stunting in Jepara District is approximately 17% from 2018 to August 2022. Puskesmas Kedung II ranks third in the highest prevalence of stunting cases during that period. Surodadi is the area with the highest prevalence of stunted toddlers, reaching almost 26%.
Objective: Determine the relationship between the cultural consumption of coastal communities and lead levels in toddlers' urine with the occurrence of stunting in Surodadi, Jepara District.
Methods: The research design is cross-sectional. The research sample consists of children aged > 2-5 years based on Puskesmas Kedung II data for the year 2023 residing in Surodadi. The determination of the sample size uses proportional sampling principles with purposive sampling techniques.
Results: The proportion of stunted toddlers is 26.67%. Laboratory test results using AAS Graphite show that the average lead level in toddlers' urine is 10.59 µg/l. Perception the danger of stunting (p= 0.001; r=0.481), feeding patterns in toddlers (p= 0.012; r= 0.371), and preference for providing seafood/pond products to toddlers (p= 0.011; r= -0.375) are significantly related to the HAZ-Score of toddlers. Perception the danger of stunting (p= 0.020) and feeding patterns in toddlers (p= 0.018) also show significant differences in average scores with the occurrence of stunting. Lead levels in toddlers' urine are associated with the occurrence of stunting (p=0.039).
Conclusion: Perception the danger of stunting, feeding patterns in toddlers, and lead levels in toddlers' urine affect the nutritional status of toddlers based on the Height-for-Age index.
Keywords: Stunting, Coast, Culture, Lead Levels

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