Usia ibu dan jumlah anak berhubungan dengan kejadian beban gizi ganda pada tingkat rumah tangga di desa dan kota di Indonesia

https://doi.org/10.22146/ijcn.69959

Nur Fitri Widya Astuti(1*), Emy Huriyati(2), Susetyowati Susetyowati(3)

(1) Program Studi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Jember, Jember, Indonesia
(2) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Maternal age and number of children are associated with the incidence of a double burden of malnutrition at the household level in rural and urban areas in Indonesia

Background:  Double burden of malnutrition is a nutritional problem where two nutritional problems occur at the same time and this can happen at the household level. The diversity of community characteristics causes differences in the incidence of the double burden of malnutrition at the household level in people living in rural and urban areas in Indonesia.

Objective: To determine the associated factors with the incidence of double burden malnutrition at the household level in rural and urban areas in Indonesia.

Methods: This study with a cross-sectional design used secondary data from the fifth wave of the Indonesia Family Life Survey (IFLS). The sample in this study was 6,468 households. The double burden of malnutrition at the household level is defined as a household in which there is at least one pair of mother and child aged 2-18 years that has underweight and or overweight/obese. Maternal factors, household economic status, number of children, and regional area are independent variables in this study. A logistic regression test was used to perform statistical analysis.

Results: The prevalence of double burden malnutrition at the household level in urban areas was higher than in rural areas (8.70%) and 7.77%). Factors that were significantly (p<0.05) associated with the incidence of double burden malnutrition at the household level in rural areas were maternal age, mother's education, economic level, number of children, and regional living of the household, while in urban areas were maternal age and number of children.

Conclusions: Maternal age and the number of children are two significant factors associated with the incidence of double burden malnutrition at the household level in rural and urban areas in Indonesia.


Keywords


dual burden malnutrition; household; IFLS; mother and child; urban and rural

Full Text:

PDF


References

  1. Reardon T, Tschirley D, Liverpool-Tasie LSO, Awokuse T, Fanzo J, Popkin BM, et al. The processed food revolution in African food systems and the double burden of malnutrition. Global Food Security. 2021;28:100466. doi: 10.1016/j.gfs.2020.100466
  2. Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet. 2020;395(10217): 65-74. doi: 10.1016/S0140-6736(19)32497-3
  3. Sekiyama M, Jiang HW, Gunawan B, Dewanti L, Honda R, Watanabe C, et al. Double burden of malnutrition in rural West Java: household-level analysis for father-child and mother-child pairs and the association with dietary intake. Nutrients. 2015;7(10):8376-91. doi: 10.3390/nu7105399
  4. Astuti NFW, Huriyati E, Susetyowati. Prevalensi dan faktor yang berhubungan dengan terjadinya beban gizi ganda pada keluarga di Indonesia. Media Kesehatan Masyarakat Indonesia. 2020;16(1);100-15. doi: 10.30597/mkmi.v16i1.9064
  5. Jehn M, Brewis A. Paradoxical malnutrition in mother–child pairs: untangling the phenomenon of over-and under-nutrition in underdeveloped economies. Econ Hum Biol. 2009; 7(1): 28-35. doi: 10.1016/j.ehb.2009.01.007
  6. Madzorera I, Fawzi W. Women empowerment is central to addressing the double burden of malnutrition. EclinicalMedicine. 2020;20:100286. doi: 10.1016/j.eclinm.2020.100286
  7. Hombaiah C, Bilimale AS, Madhu B, Murthy MN. Ambivalence in distinguishing double burden of malnutrition among school children in three districts of south India. Clin Epidemiol Glob Health. 2021;12:100805. doi: 10.1016/j.cegh.2021.100805
  8. Miller V, Webb P, Micha R, Mozaffarian D, Database GD. Defining diet quality: a synthesis of dietary quality metrics and their validity for the double burden of malnutrition. Lancet Planet Health. 2020;4(8):e352-e370. doi: 10.1016/S2542-5196(20)30162-5
  9. Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Demaio A, et al. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet. 2020;395(10217):75-88. doi: 10.1016/S0140-6736(19)32472-9
  10. Prentice AM. The double burden of malnutrition in countries passing through the economic transition. Ann Nutr Metab. 2018;72(3):47-54. doi: 10.1159/000487383
  11. Roemling C, Qaim, M. Dual burden households and intra-household nutritional inequality in Indonesia. Econ Hum Biol. 2013;11(4): 563-73. doi: 10.1016/j.ehb.2013.07.001
  12. NCD Risk Factor Collaboration (NCD-RisC). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature. 2019;569(7755):260-64. doi: 10.1038/s41586-019-1171-x
  13. Kosaka S, Umezaki M. A systematic review of the prevalence and predictors of the double burden of malnutrition within households. Br J Nutr. 2017;117(8):1118-127. doi: 10.1017/S0007114517000812
  14. Firdatin A, Gifary NA. Equitable regional infrastructure development as the government's effort to reduce inter-regional social inequality in Indonesia. Proceeding of the 1st International Conference on Social Sciences and Education (ICSSE 2021). [series online] 2021 [cited 2021 Sep 28]. Available from: URL: https://icsse.ppkn.org/wp-content/uploads/2021/07/Aulia-Firdatin_Equitable-Regional-Infrastructure-Development-as-the-Governments-Effort-to-Reduce-Inter-Regional-Social-Inequality-in-Indonesia-Aulia-Firdatin.pdf
  15. Irianti S, Prasetyoputra P. Rural–urban disparities in access to improved sanitation in Indonesia: a decomposition approach. SAGE Open. 2021;11(3):1-9. doi: 10.1177/21582440211029920
  16. Wulandari RD, Laksono AD, Rohmah N. Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia. BMC Public Health. 2021;21(1):1221. doi: 10.1186/s12889-021-11318-2
  17. Rusmawati E, Hartono, D. Food security: the role of social capital in Indonesia rural area. Economics Development Analysis Journal. 2021;10(3):324-37. doi : 10.15294/edaj.v10i3.48442
  18. Laksono AD, Wulandari RD, Soedirham O. Regional disparities of health center utilization in rural Indonesia. Malaysian Journal of Public Health Medicine. 2019; 19(1):158-66. doi: 10.37268/mjphm/vol.19/no.1/art.48
  19. Strauss J, Witoelar F, and Sikoki B, The Fifh Wave of the Indonesia Family Life Survey (IFLS5): overview and field report, vol. 1, RAND Corporation. [series online] 2016 [cited 2021 Aug 21]. Available from: URL: https://www.rand.org/content/dam/rand/pubs/working_papers/WR1100/WR1143z1/RAND_WR1143z1.pdf
  20. Vaezghasemi M, Ohman A, Eriksson M, Hakimi M, Weinehall L, Ng N, et al. The effect of gender and social capital on the dual burden of malnutrition: a multilevel study in Indonesia. PLoS One. 2014;9(8):1-10. doi: 10.1371/journal.pone.0103849
  21. World Health Organization. The WHO child growth standards. [series online] 2006 [cited 2021 Sep 21]. Available from: URL: http://www.who.int/childgrowth/standards/en/
  22. World Health Organization. WHO Reference. Growth reference data for 5–19 years. [series online] 2007 [cited 2021 Sep 21]. Available from: URL: http://www.who.int/ growthref/en/
  23. World Health Organization. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63. doi: 10.1016/S0140-6736(03)15268-3
  24. Strauss J, Witoelar F, Sikoki B. The Fifh Wave of the Indonesia Family Life Survey (IFLS5): overview and field report, vol. 2, RAND Corporation. [series online] 2016 [cited 2021 Dec 21]. Available from: URL: https://www.rand.org/content/dam/rand/pubs/working_papers/WR1100/WR1143z2/RAND_WR1143z2.pdf
  25. Lestari P, Susetyowati S, Sitaresmi MN. Perbedaan asupan makan balita di perkotaan dan perdesaan pada provinsi dengan beban gizi ganda. Jurnal Gizi Klinik Indonesia. 2020;17(2):79-86. doi: 10.22146/ijcn.46304
  26. Lowe C, Kelly M, Sarma H, Richardson A, Kurscheid JM, Gray DJ, et al. The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia. Lancet Reg Health West Pac. 2021;14:100205. doi: 10.1016/j.lanwpc.2021.100205
  27. Larson-Nath C, Goday P. Malnutrition in children with chronic disease. Nutr Clin Pract. 2019;34(3):349-58. doi: 10.1002/ncp.10274
  28. Chawla S, Goel AK, Thiyagarajan V, Nair NP. Nutritional assessment and its association with rotavirus positivity among under five children admitted with diarrhea in a tertiary care hospital of southern Haryana, India. Indian J Pediatr. 2021;88(1):138-43. doi: 10.1007/s12098-020-03611-6
  29. Hauqe SE, Sakisaka, K, Rahman, M. Examining the relationship between socioeconomic status and the double burden of maternal over and child under-nutrition in Bangladesh. Eur J Clin Nutr. 2019;73(4):531-40. doi: 10.1038/s41430-018-0162-6
  30. Oddo VM, Rah JH, Semba RD, Sun K, Akhter N, Kraemer K, et al. Predictors of maternal and child double burden of malnutrition in rural Indonesia and Bangladesh. Am J Clin Nutr. 2012;95(4):951-8. doi: 10.3945/ajcn.111.026070
  31. Das S, Fahim SM, Islam MS, Biswas T, Mahfuz M, Ahmed T. Prevalence and sociodemographic determinants of household-level double burden of malnutrition in Bangladesh. Public Health Nutr. 2019;22(8):1425-32. doi: 10.1017/S1368980018003580
  32. Barclay K, Myrskylä M. Maternal age and offspring health and health behaviours in late adolescence in Sweden. SSM Popul Health. 2016;2:68-76. doi: 10.1016/j.ssmph.2016.02.2012
  33. Yunitasari AR, Sartika RAD, Setiarini A. Household factors associated with underweight in children 24-59 month in urban and rural in Indonesia. Media Kesehatan Masyarakat Indonesia. 2020;16(1):140-51. doi: 10.30597/mkmi.v16i1.9105
  34. López-Olmedo N, Hernández-Cordero S, Neufeld LM, García-Guerra A, Mejía-Rodríguez F, Gómez-Humarán IM. The associations of maternal weight change with breastfeeding, diet and physical activity during the postpartum period. Matern Child Health J. 2016;20(2):270-80. doi: 10.1007/s10995-015-1826-7
  35. Mahmudiono T. Child stunting in households with double burden of malnutrition: applications of behavioral epidemiology. [Dissertation]. Amerika Serikat: Kansas State University; 2016.
  36. Shinsugi C, Gunasekara D, Gunawardena NK, Subasinghe W, Miyoshi M, Takimoto H, et al. Double burden of maternal and child malnutrition and socioeconomic status in urban Sri Lanka. PloS One. 2019;14(10):e0224222. doi: 10.1371/journal.pone.0224222
  37. Putri RM, Rahayu W, Maemunah N. Kaitan pendidikan, pekerjaan orang tua dengan status gizi anak pra sekolah. Care: Jurnal Ilmiah Ilmu Kesehatan. 2017;5(2):231-45.
  38. Mahgoub AT, Elkhalifa MY, Medani KA, Abdalla WM. Mother’s health awareness and nutritional status of children in Khartoum State-Sudan. Medical Journal of Islamic World Academy of Sciences. 2014;22(2):61-8.
  39. Dietz WH. Double-duty solutions for the double burden of malnutrition. Lancet. 2017;390(10113);2607-8. doi: 10.1016/S0140-6736(17)32479-0
  40. Anik AI, Rahman MM, Rahman MM, Tareque MI, Khan MN, Alam MM. Double burden of malnutrition at household level: a comparative study among Bangladesh, Nepal, Pakistan, and Myanmar. PloS One. 2019;14(8):e0221274. doi: 10.1371/journal.pone.0221274
  41. Popkin BM. An overview on the nutrition transition and its health implications. Public Health Nutr. 2022;5(1A):93-103. doi: 10.1979/phn2001280



DOI: https://doi.org/10.22146/ijcn.69959

Article Metrics

Abstract views : 1364 | views : 2577

Refbacks

  • There are currently no refbacks.




Copyright (c) 2022 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free
web stats View My Stats