Main Article Content

Abstract

Background: Stunting prevalence in Agam Regency continues to rise, making it the highest in West Sumatra. This condition is influenced by various family factors—such as number of children, birth spacing, and age at marriage—as well as environmental factors like access to clean water and adequate sanitation. Therefore, this study aims to analyze the relationship between family and environmental factors and the risk of mothers giving birth to stunted children, as a basis for more targeted preventive interventions.


Methods: This quantitative study used a cross-sectional design and was conducted in Agam Regency from September 2024 to May 2025. A total of 398 families were selected from 67,429 families based on BKKBN data. Data were collected through questionnaires and analyzed using the Chi-Square test to assess variable relationships, and logistic regression to identify dominant factors influencing the risk of stunting in mothers.


Results: The study in Agam Regency found a significant relationship between various family and environmental factors and the risk of mothers giving birth to stunted children. Chi-Square tests showed that the number of children, birth spacing, extreme marriage age, source of drinking water, and sanitation were all significant (p < 0.05). Logistic regression identified the drinking water source as the most dominant factor (p = 0.019). These findings highlight the importance of access to clean water and proper sanitation in preventing stunting at the family level.


Conclusion: This study concludes that family and environmental factors significantly influence the risk of mothers giving birth to stunted children, with the source of drinking water identified as the most dominant factor. Therefore, improving access to clean water and providing nutrition education-particularly for pregnant women and mothers of children under five-is crucial in preventing stunting.

Keywords

Stunting Family Factor Environment Drinking Water Centre

Article Details

How to Cite
Sari, W. W., Symond, D., & Syahrial, S. (2025). ANALYSIS OF THE RELATIONSHIP BETWEEN FAMILY AND ENVIRONMENTAL FACTORS WITH FAMILIES AT RISK OF MOTHERHOOD STUNTED CHILDREN IN AGAM REGENCY AREA: FAMILY AND ENVIRONMENTAL FACTORS. INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 7(2), 140–150. https://doi.org/10.36566/ijhsrd/Vol7.Iss2/332

References

  1. 1. Zogara, A. U., & Pantaleon, M. G. (2020). Factors Related to the Incidence of Stunting in Toddlers. Journal of Public Health Sciences, 9(02), 85–92
  2. 2. Ariati, L. I. P. (2019). Risk factors for stunting in toddlers aged 23-59 months.
  3. Oxytocin : Scientific Journal of Obstetrics, 6(1), 28–37.
  4. 3. UNICEF (2018). Undernutrition contributes to nearly half of all deaths in children under 5 and is widespread in. Asia and Africa. 12-37
  5. 4. Ministry of Health of the Republic of Indonesia. (2017).Decree of the Minister of Health number 1995/menkes/SK/XII/2010 concerning atrophometry standards for assessing children's nutritional status. Jakarta: Directorate General of Nutrition Development and Maternal and Child Health.
  6. 5. West Sumatra Health Office. (2021). Health Profile of West Sumatra Province; Stunting Incidents. Health Office; West Sumatra. 23-38.
  7. 6. Agam Regency Health Office. (2022). Health Profile of Agam Regency; Stunting Incidents. Agam Regency Health Office. 41-49.
  8. 7. Umiyah. T. (2021). Factors related to the incidence of stunting in children under five. Bandung. 29-31.
  9. 8. Oktavia, S., Widajanti, L., & Aruben, R. (2017). Factors related to stunting in toddlers in Semarang City in 2017 (Study at the Banyumanik Nutrition Recovery House, Semarang City). Journal of Public Health (e-Journal), 5(3), 186–192.
  10. 9. Sholikah, A., Rustiana, E. R., & Yuniastuti, A. (2017). Factors Related to the Nutritional Status of Toddlers in Rural and Urban Areas. Public Health Perspective Journal, 2(1), 9–18.
  11. 10. Turyati, T., & Siti Nurbaeti, T. (2018). Factors Affecting Stunting of Children Under Five in Loyang Village, Cikedung Health Center Working Area, Indramayu Regency in 2018. Afiasi: Journal of Public Health, 3(3), 111–119.
  12. 11. Helmi, R. (2013). Factors related to nutritional status in toddlers in the work area of the Margototo Health Center, Metro Kibang District, East Lampung Regency. Journal of Health, IV(1), 233–242.
  13. 12. Irianti, B. (2018). Factors that cause poor nutritional status in toddlers in the working area of the Sail Pekanbaru Health Center in 2016. Midwifery Journal: UM Journal of Midwifery. Mataram, 3(2), 95.
  14. 13. Dainita, I., Purnomo, I., Nugraheni, R. D., & KM, S. (2013). Factors related to the incidence of stunting in toddlers in the Batang II Health Center area, Batang Regency.
  15. 14. Handayani, R. (2017). Factors related to nutritional status in children under five. Journal of Endurance, 2(2), 217.
  16. 15. Djamil, A. (2017). Factors Related to the Behavior of Mothers Under Five Weighing Their Children to Posyandu. Journal of Health, 8(1), 127.
  17. 16. Sarlis, N., & Ivanna, C. N. (2018). Factors related to stunting of toddlers at the Sidomulyo Health Center Pekanbaru in 2016. Journal of Endurance, 3(1), 146. https://doi.org/10.22216/jen.v3i1.2074
  18. 17. Han, E. S., & Goleman, Daniel; Boyatzis, Richard; Mckee, A. (2019). Nutritional Status of Toddlers Weight by Age (BB/U) Indicator. Journal of Chemical Information and Modeling, 53(9), 1689–1699.
  19. 18. Ambarwati, R., & Hastono, S. P. (2020). Modeling of Factors Affecting Stunting in West Java Province in 2017 with a Spatial Autoregressive Model (SAR) Approach. Journal of Public Health Sciences, 9(02), 121–128.
  20. 19. Kesehatan, J., & Khatulistiwa, M. (2019). Risk Factors Related To Bad Nutrition And Less Events In Children (Case Study in the Work Area of Balai Berkuak Health Center, Simpang Hulu District, Ketapang Regency). 61–69.
  21. 20. Alpin, A., Salma, W. O., & Tosepu, R. (2021). Factors that affect the incidence of stunting in toddlers during the Covid-19 pandemic in the working area of the Tawanga Health Center, Konawe Regency, Southeast Sulawesi Province. OBSGIN SCIENTIFIC JOURNAL : Scientific Journal of Obstetrics & Gynecology. P-ISSN: 1979-3340 e-ISSN: 2685-7987, 13(3), 1–10.
  22. 21. Nursalam. (2018). Nursing Science Research Methodology. Jakarta: Selemba Medika
  23. 22. Sugiyono. (2018). Quantitative, Qualitative, and R&D Research Methods. Bandung: Alfabeta
  24. 23. Notoatmodjo, S. (2018). Health Research Methodology. Jakarta : Rineka Cipta
  25. 24. Aziz, M. M., Shams El-Deen, R. M., & Allithy, M. A. (2020). Birth preparedness and complication readiness among antenatal care clients in Upper Egypt. Sexual and Reproductive Healthcare,
  26. 25. Jungari, S. (2020). Informed motherhood: Women’s knowledge of danger signs of obstetric complications and birth preparedness in low income communities in India.
  27. 26. Karaçam, Z., Kizilca Çakaloz, D., & Demir, R. (2021). The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. Journal of Gynecology Obstetrics and Human Reproduction, 50(4).
  28. 27. Fufa, D. A. (2022). Determinants of stunting in children under fi ve years in dibate district of Ethiopia: A case-control study. Human Nutrition and Metabolism,
  29. 28. Adrianto, H. (n.d.). Risk Factors from Mothers in the Incidence of Stunting Toddlers. 143–149. https://doi.org/10.32539/SJM.v4i3.118
  30. 29. Susanti, R. (2023). Analysis of Maternal Factors on Families at Risk of Stunting as an Effort to Improve Data Analysis in BKKBN East Kalimantan. 4(1), 7–17.
  31. 30. Ratnawati, L. Y., Permatasari, E., Nurika, G., & Ningtyias, F. W. (2024). Analysis Of Maternal Risk Factors For Families At Risk Of Stunting; Study In Jember Regency, JAVA. 1, 161–167.
  32. 31. Putri, I. R., Anas, M., Rochman, S., Hartati, E., & Surabaya, U. M. (2023). Volume 2 Number 7 July 2023. 2, 1450–1469.
  33. 32. Yuwanti, Mulyaningrum, F. M., Susanti, M. M., & Nuur, U. A. (2021). FACTORS THAT AFFECT STUNTING IN. 74–84.
  34. 33. Sholihah, S. C. (2025). STUNTING INCIDENCE IN THE PUSKESMAS WORK AREA. 7(April 2023), 135–140.
  35. 34. Fitri, L. 2018. The Relationship between BBLR and Exclusive Breastfeeding with the Incidence of Stunting at the Fifty Pekanbaru Health Center. Journal of Endurance 3(1), February 2018 (131-137).
  36. 35. Supariasa1 , Heni Purwaningsih. (2019). Factors Affecting the Incidence of Stunting in Toddlers in Malang Regency. Letter of Rahardja. 1(2), 55–64.
  37. 36. Zalukhu, A., Mariyona, K., & Andriani, L. (2022). The Relationship Between Environmental Sanitation And Stunting Incidence In Sub-District Iv Koto, Agam Regency In 2021. 6, 52–60.