Family smoking behavior and stunting among children in rural areas of Sleman, Yogyakarta: A case-control study

Authors

  • Eva Rortiana Panggabean Universitas Respati Yogyakarta
  • Elisabeth Deta Universitas Respati Yogyakarta
  • Heni Trisnowati Universitas Ahmad Dahlan

DOI:

https://doi.org/10.53638/phpma.2023.v11.i2.p10

Keywords:

Smoking behavior, stunting, under-five children, family, Indonesia

Abstract

Background and purpose: Stunting is one of the public health concerns in Indonesia. The prevalence of stunting among children under five in Kalasan Sub-district, Sleman District, Yogyakarta was high at 17.01%. One of the significant predictors of stunting is parental/family smoking behavior. This study aims to portray the smoking behavior of family members and its association with stunting.

Methods: We used a quantitative method with a case-control design. The study was conducted in Tamanmartani Village, one area with a high incidence of stunting. The cases were 45 children under five years with stunting based on the public health center’s data and 45 children with normal nutritional status were selected as control. The data was collected by structured interviews using an online questionnaire which included children’s and mother’s characteristics, and smoking behavior among family members. Data was then analyzed descriptively and a Chi-square test was performed to assess the association between variables and stunting.

Results: Children who experience stunting are mostly at the age of 24-35 months (35.6%), female (53.3%) and with family income below minimum wages (62.2%). The smoking behavior among the family was slightly higher among cases (66.7%) than controls (64.4%). Most smoking family members in both groups were smoking outside the house. There was no statistically significant association between all variables with stunting, however, we found a potential association between the father’s smoking, type of cigarette, and higher spending on cigarettes with stunting.

Conclusion: Smoking among family members was high in both groups, and smoking among fathers is a potential predictor of stunting. Health promotion strategies to reduce smoking habits, smoke-free home innovations, and cessation services should be conducted to reduce and prevent stunting and to improve health.

References

Ministry of Health of Republic of Indonesia. Buletin stunting [Stunting bulletin]. Jakarta: Ministry of Health of Republic of Indonesia; 2018.

Ministry of Villages, Development of Disadvantaged Regions, and Transmigration. Buku saku desa dalam penanganan stunting [Village handbook for stunting management]. Jakarta: Ministry of Villages, Development of Disadvantaged Regions, and Transmigration; 2017.

Ministry of Health of Republic of Indonesia. Laporan riset kesehatan dasar (Riskesdas) tahun 2018 [Basic health research report 2018]. Jakarta: National Institute of Health Research and Development; 2018.

The National Team for the Acceleration of Poverty Reduction. 100 kabupaten/kota prioritas untuk intervensi anak kerdil (stunting) [100 priority districts/cities for stunting intervention]. Jakarta: The National Team for the Acceleration of Poverty Reduction; 2017.

Government of the Special Region of Yogyakarta. Peraturan Gubernur Daerah Istimewa Yogyakarta nomor 80 tahun 2016 tentang rencana aksi daerah pangan dan gizi tahun 2015 - 2019 [Government of the Special Region of Yogyakarta regulation number 80 of 2016 concerning the regional action plan for food and nutrition for 2015 - 2019]. Yogyakarta: Government of the Special Region of Yogyakarta; 2016.

Mukono HJ. Pencemaran udara dalam ruangan: Berorientasi kesehatan masyarakat [Indoor air pollution: Oriented to public health]. Surabaya: Airlangga University Press (AUP); 2014.

Candra A. Hubungan underlying factors dengan kejadian stunting pada anak 1-2 th [The relationship between underlying factors with stunting incidence in children 1-2 years]. Diponegoro Journal of Nutrition and Health. 2013; 1(1): 1-12.

Kyu HH, Georgiades K, Boyle MH. Maternal smoking, biofuel smoke exposure and child height-for-age in seven developing countries. International Journal of Epidemiology. 2009; 38(5): 1342–1350.

Septiawati D, Sunarsih E, Trisnaini I, Listianti AN. Status keterpajanan household air pollution (HAP) terhadap panjang badan balita Kota Palembang [Status of household air pollution (HAP) exposure on child's height in Palembang City]. Jurnal Kesehatan. 2019; 11(2): 40-51.

Goi M. Pengeluaran rokok dalam rumah tangga keluarga balita berstatus gizi pendek dan normal di Desa Tabumela Kecamatan Tilango Kabupaten Gorontalo [Household cigarette expenditure in families with stunted and normal nutrition status in Tabumela Village, Tilango District, Gorontalo Regency]. Health and Nutritions Journal. 2015; 1(1): 16–22.

Irwanti W, Julia M, Prabandari YS. Konsumsi rokok dan asupan zat gizi balita pada rumah tangga miskin [Cigarette consumption and nutrient intake of toddlers in poor household]. Jurnal Gizi Klinik Indonesia. 2013; 9(3): 124–131.

Asih S. Metodologi penelitian kesehatan masyarakat [Public health research methodology]. Yogyakarta: Deepublish; 2015.

Susilani AT, Wibowo TA. Dasar-dasar metodologi penelitian untuk mahasiswa kesehatan [Basic research methodology for health students]. Yogyakarta: Graha Cendekia; 2015.

Wahyuningsih CS, Trisnowati H, Fitriani A. Hubungan paparan asap rokok dalam rumah dan usia ibu bersalin dengan berat bayi lahir di RSUD Wonosari Kabupaten Gunungkidul [Exposure to cigarette smoke at home and maternal age at delivery related to low birth weight in Wonosari Hospital, Gunungkidul Regency]. Jurnal Formil (Forum Ilmiah) Kesmas Respati. 2016; 1(2): 121–129.

Ministry of Health of Republic of Indonesia. Konsumsi rokok akibatkan anak stunting [Cigarette consumption causes stunting] [Internet]. 2018. Available from: http://p2ptm.kemkes.go.id/kegiatan-p2ptm/pusat-/konsumsi-rokok-akibatkan-anak-stunting

Ariani M, Suryana A, Suhartini SH, Saliem HP. Keragaan konsumsi pangan hewani berdasarkan wilayah dan pendapatan di tingkat rumah tangga [Animal food consumption patterns based on region and income at the household level]. Analisis Kebijakan Pertanian. 2018; 16(2): 143–158.

Government of the Special Region of Yogyakarta. Keputusan Gubernur Daerah Istimewa Yogyakarta nomor 257/KEP/2019 tentang penetapan upah minimum kabupaten/kota tahun 2020 [Governor of the Special Region of Yogyakarta decree number 257/KEP/2019 concerning the determination of the minimum wage for regency/city for 2020]. Yogyakarta: Government of the Special Region of Yogyakarta; 2019.

Lestari W, Rezeki SH, Siregar DM, Manggabarani S. Faktor yang berhubungan dengan kejadian stunting pada anak Sekolah Dasar Negeri 014610 Sei Renggas Kecamatan Kisaran Barat Kabupaten Asahan [Factors associated with stunting in Elementary School Children at 014610 Sei Renggas, Kisaran Barat District, Asahan Regency]. Jurnal Dunia Gizi. 2018; 1(1): 59–64.

Illahi RK. Hubungan pendapatan keluarga, berat lahir, dan panjang lahir dengan kejadian stunting balita 24-59 bulan di Bangkalan [The relationship between family income, birth weight, and birth length with stunting incidence in toddlers 24-59 months in Bangkalan]. Jurnal Manajemen Kesehatan Yayasan RS. Dr. Soetomo. 2017; 3(1): 1–7.

Sari MJ, Yanto Y, Sari S. Sikap perokok aktif dalam menanggapi peringatan bahaya merokok pada iklan rokok di televisi (Studi masyarakat Desa Talang Jambu Kecamatan Kerkap Kabupaten Bengkulu Utara) [Attitudes of active smokers towards smoking hazard warnings on television advertisements (Study in Talang Jambu Village, Kerkap District, North Bengkulu Regency)]. Professional: Jurnal Komunikasi dan Administrasi Publik. 2019; 6(1): 81–89.

Sari SP. Konsumsi rokok dan tinggi badan orangtua sebagai faktor risiko stunting anak usia 6-24 bulan di perkotaan [Cigarette consumption and parental height as risk factors for stunting in children aged 6-24 months in urban areas]. Ilmu Gizi Indonesia. 2017; 1(1): 1–9.

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Maternal & Child Nutrition. 2018; 14(4): 1–10.

Hanum NH. Hubungan tinggi badan ibu dan riwayat pemberian MP-ASI dengan kejadian stunting pada balita usia 24-59 bulan [The relationship between maternal stature and complementary feeding history with the incidence of stunting on age 24-59 months’ children]. Amerta Nutrition. 2019; 3(2): 78–84.

Amin NA, Julia M. Faktor sosiodemografi dan tinggi badan orang tua serta hubungannya dengan kejadian stunting pada balita usia 6-23 bulan [Sociodemographic factors and parental height and their relationship with stunting incidence in children aged 6-23 months]. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2016; 2(3): 170–177.

Irwansyah I, Ismail D, Hakimi M. Kehamilan remaja dan kejadian stunting pada anak usia 6-23 bulan di Lombok Barat [Teenage pregnancy and stunting incidence in children aged 6-23 months in West Lombok]. Berita Kedokteran Masyarakat. 2016; 32(6): 209–216.

Mariyana R. Hubungan riwayat prematur dengan tumbuh kembang anak usia satu tahun [The relationship between premature birth history and child growth and development at one year old]. Journal Human Care. 2018; 3(3): 183–188.

Sumardilah DS, Rahmadi A. Risiko stunting anak baduta (7-24 bulan) [Risk of stunting in children under two years old (7-24 months)]. Jurnal Kesehatan. 2019; 10(1): 93–104.

Lusita AP, Suyatno S, Rahfiludin MZ. Perbedaan karakteristik balita stunting di pedesaan dan perkotaan tahun 2017 (Studi pada anak usia 24-59 bulan di wilayah kerja Puskesmas Gabus II dan wilayah kerja Puskesmas Pati II Kabupaten Pati) [Differences in characteristics of stunted toddlers in rural and urban areas in 2017 (Study on children aged 24-59 months in the Gabus II Health Center and Pati II Health Center work areas, Pati Regency)]. Jurnal Kesehatan Masyarakat. 2017; 5(4): 600–612.

Hidayat MS, Pinatih GNI. Prevalensi stunting pada balita di wilayah kerja Puskesmas Sidemen Karangasem [Stunting prevalence in toddlers in the Sidemen Karangasem Health Center work area]. E-Jurnal Medika. 2020; 6(7): 1–5.

Damayanti RA, Muniroh L, Farapti F. Perbedaan tingkat kecukupan zat gizi dan riwayat pemberian ASI eksklusif pada balita stunting dan non stunting [Differences in nutrient intake and exclusive breastfeeding history in stunted and non-stunted toddlers]. Media Gizi Indonesia. 2017; 11(1): 61–69.

Sari PN, Sumarmi S. Perbedaan pola pemberian makan batita diasuh ibu dan selain ibu [Differences in feeding patterns of toddlers cared for by mothers and others]. Amerta Nutrition. 2017; 1(2): 98–104.

Apriani L. Hubungan karakteristik ibu, pelaksanaan keluarga sadar gizi (Kadarzi) dan perilaku hidup bersih sehat (PHBS) dengan kejadian stunting (Studi kasus pada baduta 6-23 bulan di wilayah kerja Puskesmas Pucang Sawit Kota Surakarta) [Relationship between maternal characteristics, nutrition conscious families and implementation, and clean and healthy living behavior with stunting incidence (Case study on toddlers 6-23 months in Pucang Sawit Health Center work area, Surakarta City)]. Jurnal Kesehatan Masyarakat. 2018; 6(4): 198–205.

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Published

2023-12-31

How to Cite

Panggabean, E. R. ., Deta, E., & Trisnowati, H. (2023). Family smoking behavior and stunting among children in rural areas of Sleman, Yogyakarta: A case-control study. Public Health and Preventive Medicine Archive, 11(2), 222–232. https://doi.org/10.53638/phpma.2023.v11.i2.p10

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