Efek ASI Eksklusif terhadap Stunting pada Anak Usia 6-59 bulan di Kabupaten Bogor tahun 2019

Hardya Gustada Hikmahrachim, Rinawati Rohsiswatmo, Sudarto Ronoatmodjo

Abstract


Stunting, atau perawakan pendek, berhubungan erat dengan hambatan
kemampuan kognitif dan kualitas hidup. Prevalensi stunting di Indonesia
mencapai 30,8% tahun 2018. Stunting dipengaruhi pemenuhan nutrisi di
awal kehidupan, salah satunya melalui ASI eksklusif. Meskipun cakupan ASI
eksklusif di Indonesia sudah 74,5%, hubungan stunting dengan ASI eksklusif
seringkali tidak konsisten akibat keberagaman kuantitas dan kualitas ASI.
Penelitian ini ingin mengetahui efek ASI eksklusif terhadap stunting di
Kabupaten Bogor, sebagai salah satu daerah tinggi stunting di Indonesia.
Penelitian dengan desain potong lintang ini dilaksanakan di Puskesmas
Kecamatan Ciampea, Kabupaten Bogor, pada Februari sampai April 2019.
Kriteria inklusi adalah balita usia 6-59 bulan yang berkunjung ke poliklinik.
Informasi pemberian ASI eksklusif diperoleh dari wawancara terstruktur,
sementara stunting ditetapkan dengan antropometri terstandar. Dari 162
balita, 117 (72,22%) mendapat ASI eksklusif dan 64 subjek (39,51%)
mengalami stunting. Pada analisis multivariat, ditemukan interaksi pada
strata usia ibu saat hamil > 30 tahun dan < 30 tahun, sehingga rasio
prevalens (PR) ASI eksklusif terhadap kejadian stunting adalah 0,41 IK95%
0,23-0,74 dan 1,74 IK95% 0,93-3,24; p Mantel-Haenszel < 0,001 secara
berturut-turut. Penelitian ini menyimpulkan bahwa ASI eksklusif dapat
bersifat protektif terhadap stunting bila usia ibu saat hamil > 30 tahun.
Selain meningkatkan cakupan, diperlukan upaya meningkatkan kualitas
ASI eksklusif untuk mengoptimalkan upaya pencegahan stunting


Keywords


exclusive breastfeeding, kabupaten bogor, maternal age at pregnancy, stunting

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DOI: http://dx.doi.org/10.7454/epidkes.v3i2.3425

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