Identifikasi Kasus Kekurangan Gizi pada Anak di Bawah Usia Lima Tahun di Kota Makassar

Kurnia Pujianti, Dian Sidik Arsyad, Indra Dwinata

Abstract


Background: South Sulawesi Province is one of provinces in Indonesia with the highest prevalence of severe malnutrition (6.6%) and the highest prevalence was found in Makassar City (3.66%), especially in Kaluku Bodoa Village (3.23%). The aim of this study is to identify risk factor of severe malnutrition on children under five years old in Kaluku Bodoa Village Makassar. Method: This research used case control study design. Case was a child with weight for age Z-scores <-3SD (severe malnutrition) and control was a child with weight for age Z-scores ≥-3 SD these are from the median of WHO reference. Total sample 135 children with 45 cases and 90 controls were recruited. Data were gathered from face to face interviews with mothers of children. Analyses 2x2 table were conducted in this research that produced odd ratio (OR) with 95% confidence interval. Results: Among the cases, a larger proportion of them was female (57.8%) and their age between 25-36 month (42.2%). After adjusting all confounders, childhood severe malnutrition was significantly associated with low economic status (OR=9.514; CI95%=1.219-74.230), infection diseases (OR=5.744; CI95%=2.615-12.613), preterm delivery (OR=3.613; CI95%=1.452-8.987), low birth weight (OR=2.957; CI95%=1.387-6.302) and exclusive breastfeeding (OR=3.537; CI95%=1.481-8.446). Usage health care facilities (posyandu) were not associated with severe malnutrition. Conclusion: Low economic status, preterm delivery, infection diseases, low birth weight, and exclusive breastfeeding are risk factor toward severe malnutriton of children under five years old in Makassar City. Usage health care facilities was not associated with severe malnutrition of children in Makassar City

Keywords


children under five years old; severe malnutrition

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References


Putri RF, Sulastri D, Lestari Y. Faktor-faktor yang Berhubungan dengan Status Gizi Anak Balita di Wilayah Kerja Puskesmas Nanggalo Padang. J Kesehat Andalas. 2015 Jan 1;4(1).

Departemen Gizi Kesehatan Masyarakat Universitas Indonesia. Gizi dan Kesehatan Masyarakat. Jakarta: FKM UI; 2012.

World Health Organization. Malnutrition Statistics. 2015.

Departemen Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2014. Kementerian Kesehatan Republik Indonesia; 2014.

Dinas Kesehatan Provinsi Sulawesi Selatan. Profil Kesehatan Provinsi Sulawesi Selatan Tahun 2014. 2014.

Siagian A. Epidemiologi Gizi. Jakarta: Erlangga; 2010.

Yisak H, Gobena T, Mesfin F. Prevalence and Risk Factors for under Nutrition among Children under five at Haramaya District, Eastern Ethiopia. BMC Pediatr. 2015 Dec 16;15:212.

Wolde T. Prevalence of Undernutrition and Determinant Factors among Preschool Children in Hawassa, Southern Ethiopia. Food Sci Qual Manag. 2014;29(0):65–72.

Ortiz J, Van Camp J, Wijaya S, Donoso S, Huybregts L. Determinants of Child Malnutrition in Rural and Urban Ecuadorian Highlands. Public Health Nutr. 2014 Sep;17(9):2122–30.

Anwar K, Jufrrie M, Julia M. Faktor Risiko Kejadian Gizi Buruk di Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat. J Gizi Klin Indones. 2006 Mar 1;2(3):108–16.

Rarastiti CN, Syauqy A. Hubungan Karakteristik Ibu, Frekuensi Kehadiran Anak ke Posyandu, Asupan Energi dan Protein dengan Status Gizi Anak Usia 1-2 Tahun [Tesis]. [Semarang]: Universitas Diponegoro; 2014.

Rahardjo S, Kusumawati E. Pengaruh Pelayanan Kesehatan terhadap Gizi Buruk Anak Usia 6 _ 24 Bulan. Kesmas Natl Public Health J. 2012 Feb 1;6(4).

Putri A, Salamah M. Pemodelan Kasus Balita Gizi Buruk di Kabupaten Bojonegoro dengan Geographically Weighted Regression. J Sains Dan Seni ITS. 2013 Mar 1;2(1):D106–11.

Aquino R de C de, Philippi ST. Identification of Malnutrition Risk Factors in Hospitalized Patients. Rev Assoc Medica Bras 1992. 2011 Dec;57(6):637–43.

Wong HJ, Moy FM, Nair S. Risk Factors of Malnutrition among Preschool Children in Terengganu, Malaysia: A Case Control Study. BMC Public Health. 2014 Aug 3;14:785.

Jesmin A, Yamamoto SS, Malik AA, Haque MA. Prevalence and Determinants of Chronic Malnutrition among Preschool Children: A Cross-sectional Study in Dhaka City, Bangladesh. J Health Popul Nutr. 2011 Oct;29(5):494–9.

Kuntari T, Jamil NA, Kurniati O. Faktor Risiko Malnutrisi pada Balita. Kesmas Natl Public Health J. 2013 Jul 1;7(12):572–6.

Giri MKW, Suryani M, Kurnia PM. Hubungan Pengetahuan dan Sikap Ibu Tentang Pemberian ASI serta Pemberian ASI Eksklusif dengan Status Gizi Balita Usia 6–24 Bulan (di Kelurahan Kampung Kajanan Kecamatan Buleleng). J Magister Kedokt Kel. 2013;1(1):24–37.

Ihsan M, Hiswani, Jemadi. Faktor-faktor yang Berhubungan dengan Status Gizi Anak Balita di Desa Teluk Rumbia Kecamatan Singkil Kabupaten Aceh Singkil Tahun 2012. Gizi Kesehat Reproduksi Dan Epidemiol. 2013 Feb 21;2(1).

Ramadani IR, Rahmawati R, Hoyyi A. Analisis Faktor-Faktor yang Memengaruhi Gizi Buruk Balita Di Jawa Tengah Dengan Metode Spatial Durbin Model. J Gaussian. 2013;2(4):333–42.

Kristiyanasari W. ASI, Menyusui dan Sadari. Yogyakarta: Nuha Medika; 2012.




DOI: http://dx.doi.org/10.12928/kesmas.v11i2.5787

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Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
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