BREASTFEEDING PRACTICES AND HISTORY OF INFECTIOUS DISEASES AS DETERMINANTS OF STUNTING AMONG CHILDREN AGED 12–59 MONTHS IN PESAWARAN REGENCY
Abstract
Stunting remains a public health problem in Indonesia, especially in rural areas. Breastfeeding practices and infectious diseases play an important role in child growth. This study aims to analyse the relationship between breastfeeding practices and infectious disease history with stunting in children aged 12–59 months in Pesawaran District. This study used a case-control design with 210 respondents (105 stunted, 105 not stunted) selected through purposive sampling. Data were collected through interviews and anthropometric measurements according to WHO standards. Analysis was performed using chi-square tests and multiple logistic regression. There was a significant relationship between breastfeeding practices and history of infectious diseases with the incidence of stunting (p<0.05). Children who did not receive exclusive breastfeeding had a two times higher risk of stunting (AOR=2.10; 95% CI: 1.13–3.88). Children without a history of acute respiratory infections had a lower risk of stunting (AOR=0.48; 95% CI: 0.26–0.88). Exclusive breastfeeding and prevention of infectious diseases are important factors in preventing stunting. Efforts to educate on breastfeeding, improve clean and healthy living behaviours, and prevent infections need to be strengthened at the family and community levels.
Full Text:
References
UNICEF. Annual Report 2023. 2024;
Laksono AD, Izza N, Trisnani T, Paramita A, Sholikhah HH, Andarwati P, et al. Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey. BMJ Open [Internet]. 2024 Sep 20 [cited 2025 Oct 21];14(9):e089531. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11418495/
BPS. Survei Kesehatan Indonesia Tahun 2023. Kota Kediri Dalam Angka. 2023;1–68.
Siramaneerat I, Astutik E, Agushybana F, Bhumkittipich P, Lamprom W. Examining determinants of stunting in Urban and Rural Indonesian: a multilevel analysis using the population-based Indonesian family life survey (IFLS). BMC Public Health [Internet]. 2024 Dec 1 [cited 2025 Aug 15];24(1):1371. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11110397/
Kementerian Kesehatan RI. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes. 2022;1–150.
UNICEF & WHO. Global breastfeeding scorecard 2023 [Internet]. 2023 [cited 2025 Oct 21]. Available from: https://www.unicef.org/documents/global-breastfeeding-scorecard-2023
Permatasari RP, Simbolon D, Yunita Y. Stunting Prevention through Exclusive Breastfeeding in Indonesia: A Meta-Analysis Approach. Amerta Nutr. 2024;8(1SP):105–12.
Sagita. Pengaruh Pendidikan Kesehatan Dengan Media Poster terhadap Ibu Hamil Dengan Pemberian Kolostrum Pada Bayi Usia 0-3 Hari. J Matern Aisyah (JAMAN AISYAH). 2023;4(2):203–9.
Kartika; Paramitasari, Novi; Pitayanti A. Hubungan Infeksi Kronis Dengan Stunting Pada Anak Usia Bawah Lima Tahun: Sebuah Systematic Review. 2025;9(2):165–78.
Rochmawati. Systematic Literature Review: Riwayat Penyakit Infeksi Dan Stunting Pada Balita. Al-Insyirah Midwifery J Ilmu Kebidanan (Journal Midwifery Sci. 2025 Apr 29;14(1):1–10.
WHO. World Health Organization Growth Standards. Acta Paediatr [Internet]. 2006 [cited 2025 Oct 22];5–6. Available from: http://www.who.int/childgrowth/standards/Technical_report.pdf?ua=1
Garofoli F, Civardi E, Pisoni C, Angelini M, Ghirardello S. Anti-Inflammatory and Anti-Allergic Properties of Colostrum from Mothers of Full-Term and Preterm Babies: The Importance of Maternal Lactation in the First Days. Nutr 2023, Vol 15, Page 4249 [Internet]. 2023 Oct 2 [cited 2025 Oct 22];15(19):4249. Available from: https://www.mdpi.com/2072-6643/15/19/4249/htm
Gomes RDS, Anaya K, Galdino ABS, Oliveira JPF, Gama MAS, Medeiros CACX, et al. Bovine colostrum: A source of bioactive compounds for prevention and treatment of gastrointestinal disorders. NFS J. 2021 Nov 1;25:1–11.
Arslan A, Kaplan M, Duman H, Bayraktar A, Ertürk M, Henrick BM, et al. Bovine Colostrum and Its Potential for Human Health and Nutrition. Front Nutr [Internet]. 2021 Jun 21 [cited 2025 Oct 22];8:651721. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8255475/
Abie BM, Goshu YA. Early initiation of breastfeeding and colostrum feeding among mothers of children aged less than 24 months in Debre Tabor, northwest Ethiopia: a cross-sectional study. BMC Res Notes [Internet]. 2019 Jan 29 [cited 2024 Nov 28];12(1):65. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6352422/
Susianto SC, Suprobo NR, Maharani M. Early Breastfeeding Initiation Effect in Stunting: A Systematic Review. Asian J Heal Res [Internet]. 2022 Mar 4 [cited 2024 Nov 28];1(1):1–6. Available from: https://a-jhr.com/a-jhr/article/view/11
World Health Organization. Household air pollution [Internet]. 2024 [cited 2024 Nov 29]. Available from: https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health
Picauly I. Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five. J Matern Child Heal [Internet]. 2023 Jan 16 [cited 2025 Oct 22];8(1):116–24. Available from: https://thejmch.com/index.php/thejmch/article/view/879
Hafid F, Nasrul N, Adhyanti A, Bohari B. Social and Health Determinants of the Families of Children Under Two Years of Age with Stunting in Sigi District. Poltekita J Ilmu Kesehat [Internet]. 2023 May 31 [cited 2024 Nov 26];17(1):137–46. Available from: https://jurnal.poltekkespalu.ac.id/index.php/JIK/article/view/2252
Faridan K, Noor MS, Yasmina A, Arifin S, Ringoringo HP. Meta-Analysis: Relationship of History of Acute Respiratory Infections and Low Birth Weight with Stunting in Toddlers. J Berk Kesehat [Internet]. 2021 Dec 2 [cited 2025 Oct 22];7(2):141. Available from: https://www.researchgate.net/publication/356895308_Meta-Analysis_Relationship_of_History_of_Acute_Respiratory_Infections_and_Low_Birth_Weight_with_Stunting_in_Toddlers
Zuvarox T, Goosenberg E, Belletieri C. Malabsorption Syndromes. StatPearls [Internet]. 2025 Jul 7 [cited 2025 Oct 22]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK553106/
Budge S, Parker AH, Hutchings PT, Garbutt C. Environmental enteric dysfunction and child stunting. Nutr Rev [Internet]. 2019 Apr 1 [cited 2025 Oct 22];77(4):240. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6394759/
Rahma Hilmawati Z, Retnaningsih Y, Kemenkes Yogyakarta P. The history of diarrhea and stunting in children aged 24-59 months. J Kesehat Ibu dan Anak [Internet]. 2024 Aug 31 [cited 2025 Oct 22];17(2):79–88. Available from: https://e-journal.poltekkesjogja.ac.id/index.php/kia/article/view/2068
Hadi H, Fatimatasari F, Irwanti W, Kusuma C, Alfiana RD, Ischaq Nabil Asshiddiqi M, et al. Exclusive Breastfeeding Protects Young Children from Stunting in a Low-Income Population: A Study from Eastern Indonesia. Nutr 2021, Vol 13, Page 4264 [Internet]. 2021 Nov 26 [cited 2025 Jan 23];13(12):4264. Available from: https://www.mdpi.com/2072-6643/13/12/4264/htm
DOI: https://doi.org/10.30591/siklus.v15i1.9853
Refbacks
- There are currently no refbacks.
View My Stats
This work is licensed under a Creative Commons Attribution 4.0 International License.
Counter:
====================================================================
| Indexed By: | |||
 |  |  |  |
 |  |  |  |
 |  |  | |
StatCounterView
