The role of parental knowledge and iodized salt utilization in the incidence of stunting
Abstract
Background: Stunting is a condition of growth failure in toddlers due to chronic malnutrition and repeated infections, characterized by a child's height being below -2 standard deviations. The impact of stunting is not only visible in the child's physical appearance, but also in brain development and cognitive abilities. One cause that is often not recognized but has a major influence on child growth is iodine deficiency. This problem can actually be prevented by using iodized salt in daily food.
Objective: This article aimed to explain the role of parental knowledge and the use of iodized salt on the incidence of stunting in children.
Methods: This study used a quantitative correlation research method with a cross-sectional approach, sampling 63 of 181 infants and toddlers. The study location was in Sidorejo Village, Bandongan, Magelang. This questionnaire contained the characteristics of respondents consisting of name, age, gender, and results of measurements of height, weight, and height of children, as well as questions about iodine use. Data analysis used Chi-Square (X2) and Lambda Test.
Results: The results showed a significant relationship between parental knowledge and stunting (ρ = 0.005; r = 0.549), and a significant relationship between the use of iodized salt and stunting, with a Prevalence Odds Ratio (POR) of 18.27.
Conclusion: This means that parents who do not use iodized salt have a greater chance of having stunted children than mothers who do.
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References
2. Fauziah J, Trisnawati KD, Rini KPS, Putri SU. Stunting: Penyebab, Gejala, dan Pencegahan. J Parent dan Anak. 2023;1(2):11. doi:10.47134/jpa.v1i2.220
3. Ramadyani LR, Muh F, Martini M. The Role of Infectious Diseases in Stunting Incidence: A Literature review. J Ris Kesehat Poltekkes Depkes Bandung. 2025;17(2):421-432. doi:https://doi.org/10.34011/juriskesbdg.v17i2.2896
4. Pratama B, Angraini D, Nisa K. Penyebab Langsung (Immediate Cause) yang Mempengaruhi Kejadian Stunting pada Anak. J Ilm Kesehat Sandi Husada. 2019;8(2):299-303. doi:10.35816/jiskh.v10i2.167
5. Wahyuningrum MR, Utari DM. Faktor Risiko Dominan Terjadinya Stunting Pada Anak Usia 6-23 Bulan Di Perdesaan Dan Perkotaan Di Provinsi Sumatera Barat (Analisis Data Ssgi 2022). Media Penelit dan Pengemb Kesehat. 2025;35(1):274-292. doi:10.34011/jmp2k.v35i1.2441
6. Soetono B, Barokah A. Trends In Stunting Prevalence Reduction: An Examination Of Data Toward Achieving The 2024 Target In Indonesia. Soc Perspect J. 2024;3:51-68. doi:10.53947/tspj.v3i1.795
7. Achjar KAH, Anwar T, Raji HF, et al. Stunting. PT. Green Pustaka Indonesia; 2024.
8. Komalasari K, Supriati E, Sanjaya R, Ifayanti H. Faktor-Faktor Penyebab Kejadian Stunting Pada Balita: Factors Causing Stunting Incidence in Toddlers. Maj Kesehat Indones. 2020;1(2):51–56. doi:10.47679/makein.202010
9. Nurlenika N, Muhartati M. Hubungan Asupan Garam Beryodium Pada Ibu Saat Hamil Dengan Kejadian Stunting Pada Balita Usia 24-59bulan Di Puskesmas Wonosari I Gunungkidul. Universitas ’Aisyiyah Yogyakarta; 2017.
10. Gunawan H, Fatimah S, Kartini A. Hubungan Pengetahuan Dan Praktik Pemberian Makan Bayi Dan Anak (PMBA) Serta Penggunaan Garam Beryodium Dengan Kejadian Stunting. J Kesehat Masy. 2022;10(3). doi:https://doi.org/10.14710/jkm.v10i3.32765
11. Wulandari KNP, Sutiari NK. Knowledge and Perceptions of Housewives on the Use of Iodized Salt: A Cross-Sectional Study in Tampaksiring: Pengetahuan dan Persepsi Ibu Rumah Tangga dengan Penggunaan Garam Beryodium: Studi Cross-sectional di Tampaksiring. Amerta Nutr. 2023;7(4):563–568. doi:10.20473/amnt.v7i4.2023.563-568
12. Rusdi PHN, Maryona K. Hubungan Konsumsi Garam Beryodium dengan Kejadian Stunting pada Balita di Kanagarian Balingka Kabupaten Agam. Hum Care J. 2022;7:577. doi:10.32883/hcj.v7i3.2013
13. Dharma KK. Metodologi Penelitian Keperawatan: Panduan Melaksanakan Dan Menerapkan Hasil Penelitian. Trans Info Media; 2017.
14. Djaali H. Metodologi Penelitian Kuantitatif (B. S. Fatmawati, Ed.). Bumi Aksara; 2020.
15. Nursalam. Buku Metodologi Penelitian Ilmu Keperawatan Pendekatan Praktis. Salemba Medika; 2020.
16. Kemenkes RI. Pedoman Pelaksanaan Intervensi Gizi Dalam Percepatan Penurunan Stunting.; 2021.
17. Notoatmodjo S. Metode Penelitian Kesehatan. PT Rineka Cipta; 2018.
18. Rahmawati D, Suryani N. Hubungan pengetahuan ibu tentang gizi dengan kejadian stunting pada balita. J Kesehat Masy Andalas. 2020;14(2):89–96.
19. World Health Organization. Reducing Stunting in Children: Equity Considerations for Achieving the Global Nutrition Targets 2025.; 2020.
20. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2020.; 2020.
21. Maydinar DD, Rahmadani E, Puri C. The Relationship of Nurses Communication With the Hospitality Anxiety of Preschool Children. J Nurs Public Heal. 2024;12(1):27-35.
22. Zimmermann MB, Boelaert K. Iodine deficiency and thyroid disorders. lancet Diabetes Endocrinol. 2015;3(4):286-295. doi:10.1016/S2213-8587(14)70225-6
23. World Health Organization. Guideline on Iodine Fortification of Food-Grade Salt.; 2019.
24. UNICEF. State of the World’s Children 2020: Children, Food and Nutrition.; 2020.
25. World Health Organization. Guideline: Fortification of Food-Grade Salt with Iodine for the Prevention and Control of Iodine Deficiency Disorders.; 2022.
26. Abri N, Sirajuddin S, Bahar B, et al. Determinants of Incident Stunting in Elementary School Children in Endemic Area Iodine Deficiency Disorders Enrekang Regency. Open Access Maced J Med Sci. 2022;10(E):161–167. doi:10.3889/oamjms.2022.8083
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