Daftar Isi: Gross domestic product and geographic area as social determinants of child stunting and severe stunting in Indonesia: A multilevel analysis

Main Authors:	Siswati, Tri; PUI-NOVAKESMAS, Poltekkes Kemenkes Yogyakarta, Jalan Tata Bumi No. 3, Gamping, Sleman, Daerah Istimewa Yogyakarta, 55293 Poltekkes Kemenkes Yogyakarta, Jalan Tata Bumi No. 3, Gamping, Sleman, Daerah Istimewa Yogyakarta, 55293, Waris, Lukman; Department of Public Health, Universitas Faletehan, Jalan Palamunan No. 72, Kramatwatu, Serang, Banten, 42161, Paramashanti, Bunga Astria; Department of Nutrition, Faculty of Health Sciences, Universitas Alma Ata, Jalan Brawijaya No. 99, Kasihan, Bantul, Daerah Istimewa Yogyakarta, 55183, Kusnanto, Hari; Faculty Medicine, Public Health and Nursing, Universitas Gadjah Mada, Jalan Farmako, Sekip Utara, Depok, Sleman, Daerah Istimewa Yogyakarta,55281, Susilo, Joko; Poltekkes Kemenkes Yogyakarta, Jalan Tata Bumi No. 3, Gamping, Sleman, Daerah Istimewa Yogyakarta, 55293
Other Authors:	none
Format:	Article info Cross sectional application/pdf eJournal
Bahasa:	eng
Terbitan:	Alma Ata University Press , 2022
Subjects:	Stunting Gross Domestic Product Geographic Area Social Determinants Multilevel Analysis
Online Access:	https://ejournal.almaata.ac.id/index.php/IJND/article/view/2101 https://ejournal.almaata.ac.id/index.php/IJND/article/view/2101/pdf_1 https://ejournal.almaata.ac.id/index.php/IJND/article/downloadSuppFile/2101/412

Daftar Isi:

Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: This study aimed to analyze the social determinants of stunting and severe stunting children in Indonesia.Methods: We analyzed data from cross-sectional surveys of Indonesia’s National Basic Health Research in 2013, the Central Bureau of Statistics, and the Ministry of Finance. Our samples were 3953 children aged 6-23 months and 10215 children aged 24-59 months. Dependent variables were the prevalence of child stunting and severe stunting. Independent variables covered factors at the social level while controlling structural and biological level-factors. Data were analyzed using multilevel analysis using generalized linear mixed models (GLMM).Results: Gross domestic product was associated with the reduced risk of stunting among children aged 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) as well as with the decreased risk of severe stunting among 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) old children. Tax ratio was a significant factor only for the severe stunting among 24-59 months old children (ARRR= 0.98; 95%CI: 0.96-0.99). There was also a geographical difference related to stunting and severe stunting.Conclusions: Equitable economic growth is an essential factor to improve the health and welfare of stunting and severe stunting children across the geographical setting in Indonesia.