ANALISIS FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN STUNTING PADA BALITA DI WILAYAH KERJA PUSKESMAS RAWAT INAP MERCU BUANA
DOI:
https://doi.org/10.62710/aszqkn37Keywords:
Air Bersih, Pengelolaan Limbah, Sanitasi Dasar, StuntingAbstract
Kurang gizi kronis dan paparan kondisi lingkungan yang tidak memadai berkaitan dengan stunting, sebuah masalah kesehatan masyarakat yang signifikan. Penelitian ini bertujuan untuk mengkaji faktor-faktor lingkungan yang berhubungan dengan kejadian stunting pada anak balita di wilayah kerja Puskesmas Rawat Inap Mercu Buana, Kabupaten Tulang Bawang Barat. Penelitian ini menggunakan desain cross-sectional dan metodologi kuantitatif. Populasi penelitian mencakup seluruh anak berusia 0 hingga 59 bulan (N=931), dengan sampel sebanyak 90 responden yang dipilih menggunakan teknik proportional random sampling. Pengumpulan data dilakukan melalui wawancara, observasi, penggunaan daftar periksa (checklist), dan pengukuran tinggi badan anak. Analisis univariat dan bivariat dilakukan menggunakan Prevalence Odds Ratio (POR) serta uji Chi-Square atau Fisher's Exact Test. Hasil penelitian menunjukkan bahwa 43 anak (47,8%) mengalami stunting. Stunting menunjukkan hubungan yang signifikan dengan sanitasi dasar (p=0,000; POR=22,817; 95% CI: 7,520–69,232) dan pengelolaan limbah rumah tangga (p=0,002; POR=7,556; 95% CI: 2,027–28,157). Namun, stunting tidak menunjukkan hubungan yang signifikan dengan ketersediaan air bersih (p=1,000). Upaya terpadu untuk menurunkan prevalensi stunting sebaiknya mencakup peningkatan pengelolaan limbah rumah tangga dan sanitasi dasar
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Arini, D., Nursalam, N., Mahmudah, M., & Faradilah, I. (2020). The incidence of stunting, the frequency/duration of diarrhea and acute respiratory infection in toddlers. Journal of Public Health Research, 9(2), 1816. https://doi.org/10.4081/jphr.2020.1816
Astikasari, N. D., & Sumardiyon. (2023). Posyandu cadres on capacity building: Prevent stunting by improving nutrition during the first 1000 days of life. Journal of Global Research in Public Health, 8(1), 145–150. https://doi.org/10.30994/jgrph.v8i1.446
Cameron, L., Chase, C., Haque, S., Joseph, G., Pinto, R., & Wang, Q. (2021). Childhood stunting and cognitive effects of water and sanitation in Indonesia. Economics & Human Biology, 40, 100944. https://doi.org/10.1016/j.ehb.2020.100944
Collard, J.-M., Andrianonimiadana, L., Habib, A., Rakotondrainipiana, M., Andriantsalama, P., Randriamparany, R., Rabenandrasana, M. A. N., Weill, F.-X., Sauvonnet, N., Randremanana, R. V., Guillemot, V., Vonaesch, P., & Sansonetti, P. J. (2022). High prevalence of small intestine bacteria overgrowth and asymptomatic carriage of enteric pathogens in stunted children in Antananarivo, Madagascar. PLOS Neglected Tropical Diseases, 16(5), e0009849. https://doi.org/10.1371/journal.pntd.0009849
Gizaw, Z., Yalew, A. W., Bitew, B. D., Lee, J., & Bisesi, M. (2022). Stunting among children aged 24–59 months and associations with sanitation, enteric infections, and environmental enteric dysfunction in rural northwest Ethiopia. Scientific Reports, 12, 19293. https://doi.org/10.1038/s41598-022-23981-5
Khasanah, E. N., Purbaningrum, D. G., Andita, C., & Setiani, D. A. (2023). Kebijakan penanggulangan stunting di Indonesia. Jurnal Akuntan Publik, 1(2), 217–231. https://doi.org/10.59581/jap-widyakarya.v1i2.482
Lestari, E., Siregar, A., Hidayat, A. K., & Yusuf, A. A. (2024). Stunting and its association with education and cognitive outcomes in adulthood: A longitudinal study in Indonesia. PLOS ONE, 19(5), e0295380. https://doi.org/10.1371/journal.pone.0295380
Meiyetriani, E., & Utomo, B. (2025). Improved sanitation and co-occurrence of anemia and stunting in Indonesian children: A retrospective cohort study. Narra J, 5(1), e2070. https://doi.org/10.52225/narra.v5i1.2070
Mulyani, A. T., Khairinisa, M. A., Khatib, A., & Chaerunisaa, A. Y. (2025). Understanding stunting: Impact, causes, and strategy to accelerate stunting reduction—A narrative review. Nutrients, 17(9), 1493. https://doi.org/10.3390/nu17091493
Munthe, S. N., Silalahi, R. M., Pertiwi, K. C., Permanasari, V. Y., & Andriani, H. (2024). Kajian literatur: Pengaruh konsumsi air bersih terhadap stunting pada anak yang berasal dari keluarga berpendapatan rendah. MAHESA: Malahayati Health Student Journal, 4(2), 566–580. https://doi.org/10.33024/mahesa.v4i2.13301
Natasia, K., Rahmawati, D. P., & Ardianti, R. D. (2025). Gambaran prevalensi stunting dan praktik pemberian ASI eksklusif di Indonesia berdasarkan data SSGI 2024. Ghidza: Jurnal Gizi dan Kesehatan, 9(2), 328–336. https://doi.org/10.22487/qzghht55
Nugraheni, A., Muniroh, M., Pramono, D., Nindita, Y., Nugroho, T. W., & Son, D. (2025). Investigating the impact of drinking water on urban stunting in Indonesia. Yonago Acta Medica, 68(4), 306–314. https://doi.org/10.33160/yam.2025.11.002
Picauly, I., Adi, A. A. A. M., Meiyetriani, E., Mading, M., Weraman, P., Nashriyah, S. F., Hidayat, A. T., Boeky, D. L. A., Lobo, V., Saleh, A., & Peni, J. A. (2023). Path analysis model for preventing stunting in dryland area island East Nusa Tenggara Province, Indonesia. PLOS ONE, 18(11), e0293797. https://doi.org/10.1371/journal.pone.0293797
Prasetyo, A. A., & Susanna, D. (2025). Hygiene and sanitation towards the incidence of stunting in children under five years old in Bidara Cina Village, East Jakarta in 2024. International Journal of Advancement in Life Sciences Research, 8(2), 129–142. https://doi.org/10.31632/ijalsr.2025.v08i02.010
Sarwoko, S. (2026). Environmental sanitation and risk of stunting among under-five children: A cross-sectional study. Lentera Perawat, 7(1), 139–147. https://doi.org/10.52235/lp.v7i1.698
Schiaffino, F., Colston, J. M., Paredes Olortegui, M., Peñataro Yori, P., Mourkas, E., Pascoe, B., Lima, A. A. M., Mason, C. J., Ahmed, T., Kang, G., Mduma, E., Samie, A., Zaidi, A., Liu, J., Cooper, K. K., Houpt, E. R., Parker, C. T., Lee, G. O., & Kosek, M. N. (2024). The epidemiology and impact of persistent Campylobacter infections on childhood growth among children 0–24 months of age in resource-limited settings. eClinicalMedicine, 76, 102841. https://doi.org/10.1016/j.eclinm.2024.102841
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 112(Suppl. 2), 777S–791S. https://doi.org/10.1093/ajcn/nqaa159
Wolf, J., Johnston, R. B., Ambelu, A., Arnold, B. F., Bain, R., Brauer, M., Brown, J., Caruso, B. A., Clasen, T., Colford, J. M., Mills, J. E., Evans, B., Freeman, M. C., Gordon, B., Kang, G., Lanata, C. F., Medlicott, K. O., Prüss-Ustün, A., Troeger, C., ... Cumming, O. (2023). Burden of disease attributable to unsafe drinking water, sanitation, and hygiene in domestic settings: A global analysis for selected adverse health outcomes. The Lancet, 401(10393), 2060–2071. https://doi.org/10.1016/S0140-6736(23)00458-0
Yudhistirana, Nulanda, M., & Susanti, M. (2025). Tinjauan literatur: Determinan stunting pada 1000 hari pertama kehidupan anak. Jurnal Riset Rumpun Ilmu Kedokteran, 4(1), 452–458. https://doi.org/10.55606/jurrike.v4i1.5723
Z., S. N., Agustini, R. D., & Nurhidayah. (2025). Stunting among children aged 6–59 months in Gorontalo, Indonesia. Jurnal Kesehatan Masyarakat, 20(3), 523–533. https://doi.org/10.15294/kemas.v20i3.13539
Zaerozi, A., Joko, T., & Nurjazuli. (2024). Study of bacteriological content and risk factors of drinking water consumption patterns in cases of stunting toddler. Journal of Community Medicine and Public Health Research, 5(2), 163–177. https://doi.org/10.20473/jcmphr.v5i2.55434
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