DOI: https://doi.org/10.14710/dmj.v12i4.38561

Association Between Stunting and Anemia Among Toddlers: Stratified by Characteristic of Family and Immunization Status in Mlonggo District, Jepara Regency

*Arwinda Nugraheni orcid  -  , Indonesia
Muflihatul Muniroh orcid  -  , Indonesia
Firdaus Wahyudi orcid  -  , Indonesia
Bambang Hariyana  -  , Indonesia

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Abstract

Background: The risk of anemia in stunted toddlers is higher than in normal toddlers. There is limited research on anemia in children under 3 years old in the community and there is a need for supporting research to prove the possibility of controlling stunting and anemia together. Previous studies have shown that family characteristics and immunization status are associated with the stunting and anemia.

Objective: This study aims to analyze the association between anemia and stunting in toddlers that are stratified by characteristics of family and Immunization status.

Methods: This study used a cross-sectional design study and was conducted on September-October 2020 in the Mlonggo District, Jepara Regency. One hundred two respondents were selected by cluster random sampling technique. The questionnaire was applied to collect the data on stunting, anemia, immunization status, age, mother's occupation and education status, SCREEM score, and APGAR score. This study used the Chi-Square statistic test.

Results: The anemia status was measured by the Hb meter. The characteristics of stunting status (stunting = 17.7%, no stunting= 82.3%), anemia status (Yes = 63.7%, No = 36.3%). The association between stunting and anemia was stratified by the child age (6-23 months) (PR=1.667; 95%; CI=1.103-2.519; P=0.123), employed mother (PR=1.593; 95%CI=1.265-2.005; P=0.154), incomplete and inappropriate immunization status (PR=1.636; 95%CI= 1.132-2.366; P=0.133) and highly internal family function; (PR=1.512; 95% CI=1.270-1.799; P=0.029).

Conclusion: There was an association between stunting and anemia in toddlers from child age of 6-23 months, employed mother, incomplete and inappropriate immunization, and highly family function groups.

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Keywords: Anemia, Characteristics of family, Immunization Status, Stunting, Toddlers

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  1. Turner J, Parsi M, Badireddy M. Anemia [Internet]. StatPearls [Internet]Available from: https://www.ncbi.nlm.nih.gov/books/NBK499994/?report=classic
  2. Tesema GA, Worku MG, Tessema ZT, Teshale AB, Alem AZ, Yeshaw Y, et al. Prevalence and determinants of severity levels of anemia among children aged 6-59 months in sub-Saharan Africa: A multilevel ordinal logistic regression analysis. PLoS One [Internet] 2021;16(4 April):1–21. Available from: http://dx.doi.org/10.1371/journal.pone.0249978
  3. Jonker FAM, te Poel E, Bates I, Boele van Hensbroek M. Anaemia, iron deficiency and susceptibility to infection in children in sub-Saharan Africa, guideline dilemmas. Br J Haematol 2017;177(6):878–83
  4. Kim JY, Shin S, Han K, Lee KC, Kim JH, Choi YS, et al. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea National Health and Nutrition Examination Surveys. Eur J Clin Nutr 2014;68(2):253–8
  5. Ministry of Health of Republic Indonesia. Basic Health Research Results. Jakarta: 2018
  6. Tampy ST. The Associations between Anemia, Stunting, Low Birthweight, and Cognitive Ability in Indonesian Children: An Analysis from Indonesian Family Life Survey. J Matern Child Heal 2020;5(4):402–12
  7. National Team for the Acceleration of Poverty Reduction (TNP2K). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting). Cetakan Pe. Jakarta: Sekretariat Wakil Presiden Republik Indonesia; 2017
  8. WHO. Nutrition landscape information system (NLIS) country profile indicators: interpretation guide. Geneva: 2010
  9. Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan. Strategi nasional percepatan pencegahan anak kerdil (stunting) periode 2018-2024. Jakarta: 2018
  10. Margawati A, Nugraheni A, Himawan AB. A qualitative study on knowledge and dietary intake among mothers with stunted children under five in Jepara, Central Java. 2018;
  11. Ernawati F, Syauqy A, Arifin AY, Soekatri MYE, Sandjaja S. Micronutrient deficiencies and stunting were associated with socioeconomic status in indonesian children aged 6–59 months. Nutrients 2021;13(6)
  12. Ghassemi, A., & Keikhaei B. Effects of nutritional variables in children with iron deficiency anemia. Int J Pediatr 2014;2(7):183–7
  13. Bailey RL, West KP, Black RE. The epidemiology of global micronutrient deficiencies. Ann Nutr Metab 2015;66(suppl 2):22–33
  14. Oh TK, Song KH, Song IA. History of anemia and long-term mortality due to infection: a cohort study with 12 years follow-up in South Korea. BMC Infect. Dis.2021;21(1)
  15. Adhikari RP, Shrestha ML, Acharya A, Upadhaya N. Determinants of stunting among children aged 0-59 months in Nepal: Findings from Nepal Demographic and health Survey, 2006, 2011, and 2016. BMC Nutr.2019;5(1)
  16. Bayoumi I, Parkin PC, Birken CS, Maguire JL, Borkhoff CM. Association of Family Income and Risk of Food Insecurity with Iron Status in Young Children. JAMA Netw Open 2020;3(7):1–16
  17. Figueiredo ACMG, Gomes-Filho IS, Batista JET, Orrico GS, Porto ECL, Cruz Pimenta RM, et al. Maternal anemia and birth weight: A prospective cohort study. PLoS One 2019;14(3):e0212817
  18. Faatih M, Dany F, Rinendyaputri R, Sariadji K, Susanti I, Nikmah UA. Metode Estimasi Hemoglobin pada Situasi Sumberdaya Terbatas : Kajian Pustaka Methods for Estimating Hemoglobin in Limited Resource Situations : A Literature review. J Penelit dan Pengemb Pelayanan Kesehat 2020;4(2):23–31
  19. Nugraheni A, Utami A, Margawati A, Wahyudi F, Julianti HP, Pramono D. Modeling Impact of stunting on Morbidity, Development, Hemoglobin Levels as Evidence Based Intervention of Community in Toddlers stunting in Pemalang District. In: International Conference on Translational Medicine and Health Sciences 2019. Semarang: Faculty of Medicine, Diponegoro University; 2019. page 56
  20. Rahman MS, Mushfiquee M, Masud MS, Howlader T. Association between malnutrition and anemia in under-five children and women of reproductive age: Evidence from Bangladesh demographic and Health Survey 2011. PLoS One 2019;14(7):1–18
  21. World Health Organization. Stunting prevalence among children under 5 years of age (%) (JME). World Heal. Organ.2020;
  22. Gosdin L, Martorell R, Bartolini RM, Mehta R, Srikantiah S, Young MF. The co-occurrence of anaemia and stunting in young children. Matern. Child Nutr.2018;14(3)
  23. Woldie H, Kebede Y, Tariku A. Factors Associated with Anemia among Children Aged 6-23 Months Attending Growth Monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia. J Nutr Metab 2015;2015
  24. Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health 2019;19(1):1–10
  25. Utami RA, Setiawan A, Fitriyani P. Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enferm Clin 2019;29:606–11
  26. Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients 2019;11(5)
  27. Kuziga F, Adoke Y, Wanyenze RK. Prevalence and factors associated with anaemia among children aged 6 to 59 months in Namutumba district, Uganda: A cross- sectional study. BMC Pediatr [Internet] 2017;17(1):1–9. Available from: http://dx.doi.org/10.1186/s12887-017-0782-3
  28. Laksono AD, Ibad M, Mursita A, Kusrini I, Wulandari RD. Characteristics of Mother as Predictors of Stunting in Toddler. Pakistan J Nutr 2019;18(12):1101–6
  29. Laksono AD, Sukoco NEW, Rachmawati T, Wulandari RD. Factors Related to Stunting Incidence in Toddlers with Working Mothers in Indonesia. Int J Environ Res Public Health 2022;19(17)
  30. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr 2018;14(4):1–10
  31. Muche A, Gezie LD, Baraki AG egzabher, Amsalu ET. Predictors of stunting among children age 6–59 months in Ethiopia using Bayesian multi-level analysis. Sci Rep 2021;11(1):1–12
  32. Endris BS, Dinant GJ, Gebreyesus SH, Spigt M. Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model. BMC Nutr 2022;8(1):1–11
  33. Figueiredo ACMG, Gomes-Filho IS, Silva RB, Pereira PPS, Da Mata FAF, Lyrio AO, et al. Maternal anemia and low birth weight: A systematic review and meta-analysis. Nutrients 2018;10(5):1–17
  34. Direktorat Promosi Kesehatan dan Pemberdayaan. Pentingnya Imunisasi. Kementeri. Kesehat. Republik Indones.2016;
  35. Nirmalasari NO. Stunting Pada Anak : Penyebab dan Faktor Risiko Stunting di Indonesia. Qawwam J Gend Mainstreming 2020;14(1):19–28
  36. Prendergast AJ. Malnutrition and vaccination in developing countries. Philos Trans R Soc B Biol Sci 2015;370(1671)
  37. Fajariyah RN, Hidajah AC. Correlation Between Immunization Status and Mother’S Height, and Stunting in Children 2–5 Years in Indonesia. J Berk Epidemiol 2020;8(1):89
  38. Halimatunnisa M, Ubudiyah M, Indarwati R, Ketut Putri Martha Sari N, Suhardin S. Family Determinants of Stunting in Indonesia: A Systematic Review. Int J Psychosoc Rehabil [Internet] 2020;24(January):815–22. Available from: https://www.researchgate.net/publication/348805833
  39. Hanifah UA, Arisanti N, Agustian D, Hilmanto D. Hubungan Fungsi Keluarga dengan Status Gizi Anak di Kecamatan Soreang Kabupaten Bandung pada Tahun 2016. J Sist Kesehat 2017;2(4)
  40. Saeni RH, Arief E. Family Biopsychosocial Characteristics on Stunting Events in Children in Stunting Locus Areas Tapalang Barat District. Int J Heal Sci Res 2022;12(1):124–9

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