Journal Article

Determinants of concurrent wasting and stunting among children 6 to 23 mo in Indonesia

Jokhu, Lidya Alwina, Syauqy, Ahmad

2024

Overview

•Slightly more than 2% of children ages 0 to 23 mo experience concurrent wasting and stunting.•The period between 12 and 23 mo is crucial, and the highest risk for concurrent wasting and stunting was demonstrated.•Neonatal characteristics are associated with an increased risk for concurrent wasting and stunting.•Using Indonesian integrated basic health post or Posyandu reduces the risk for concurrent wasting and stunting. Concurrent wasting and stunting (WaSt) in a child is a health problem that leads to detrimental effects. However, to our knowledge, there is limited research regarding the prevalence and determinants of WaSt, including in Indonesia. The aim of this study was to analyze the prevalence and determinants of WaSt in children 6 to 23 mo of age. This cross-sectional study was conducted with data sets from the Indonesia Nutritional Status Survey (INSS). Data was collected between January and December 2021. About 15 641 children, ages 23 mo, were included. A χ2 analysis examined the association between the dependent and independent variables. A multivariate test analyzed the risk for the independent variable to the dependent, seen through the adjusted odds ratio (aOR). The prevalence of WaSt was 2.4%. Higher odds for WaSt were seen in the following: • Boys: 2.15 times (95% confidence interval [CI], 1.72–2.68); • Children ages 12 to 23 mo 3.15 times (95% CI, 2.33–4.25); • Those with low birth weight 3.11 times (95% CI, 2.33–4.15) • Those with small birth size: 2 times (95% CI, 1.59–2.54) • Babies born from mothers >35 y of age: 1.5 times (95% CI, 1.19–1.89); • Children who experienced infection: 1.43 times (95% CI, 1.16–1.76); • Children not using the Integrated Health and Nutrition Services (Posyandu): 1.17 times (95% CI; 1.29–2.27); • Children from middle- income families:2.54 times higher odds (95% CI, 1.75–3.7); and • Children from rural areas: 1.37 times (95% CI, 1.1–1.71). WaSt is associated with multiple factors in Indonesia. Hence, policymakers need to address this problem comprehensively.

• Publisher: Elsevier Inc,Elsevier Limited
• Subject: Age / Birth weight / Brain research / Breastfeeding & lactation / Carbohydrates / Chi-square test / Child / Children / Children & youth / Cross-Sectional Studies / Data collection / Determinants / Drinking water / Families & family life / Family income / Female / Food / Growth Disorders - epidemiology / Growth Disorders - etiology / Households / Humans / Inclusion / Independent variables / Indonesia - epidemiology / Infant / Infections / Low birth weight / Male / Malnutrition / Milk / Mothers / Nutritional status / Parent educational background / Prevalence / Questionnaires / R&D / Research & development / Risk analysis / Rural areas / Sanitation / Standard scores / Stunting / Under-two children / WaSt / Wasting