Jurnal Berkala Epidemiologi
Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)

THE IMPACT OF KNOWLEDGE, ATTITUDE AND PRACTICE OF EATING BEHAVIOR ON STUNTING AND UNDERNUTRITION IN CHILDREN IN THE AGRICULTURAL AREA OF JEMBER DISTRICT, INDONESIA

Ancah Caesarina Novi Marchianti (Department of Public Health, Faculty of Medicine, University of Jember, Jember, Indonesia)
Dwita Aryadina Rachmawati (Department of Public Health, Faculty of Medicine, University of Jember, Jember, Indonesia)
Ida Srisurani Wiji Astuti (Department of Public Health, Faculty of Medicine, University of Jember, Jember, Indonesia)
Angga Mardro Raharjo (Department of Public Health, Faculty of Medicine, University of Jember, Jember, Indonesia)
Rony Prasetyo (Department of Public Health, Faculty of Medicine, University of Jember, Jember, Indonesia)



Article Info

Publish Date
30 May 2022

Abstract

Background: Indonesia as an agricultural country is still having nutritional problems (stunting and undernutrition) caused by mothers’ lack of knowledge, attitude and practice of eating behavior. Purpose: This research aims to investigate the impact of knowledge, attitude, and practice of eating behavior of mothers of children under five on stunting and undernutrition prevalence in the agricultural communities in Jember. Methods: This cross-sectional research used questionnaires as a method to collect data from respondents i.e. mothers who have toddlers about the knowledge, attitudes and practice of eating behavior. The research was conducted in 2018-2019 in Jember. A total of 414 respondents who met the inclusion criteria (those resided in the study area and were willing to participate in this study) were chosen through random sampling. The data were then analyzed by using Spearman rho’s test to search the effect of the knowledge and attitudes of the mothers of under fives toward stunting and undernutrition. While eating behavior was described based on the results of interviews with respondents on 2x24 hours of food recall and food frequency questionnaires.  Results: This study showed that knowledge and attitudes of mothers regarding eating behavior were related to the occurrence of stunting (p = 0.01; p = 0.04) and malnutrition (p = 0.04), except for the attitude variable towards malnutrition (p = 0.81). Data analysis results regarding eating behavior showed that there was still a lack of fulfillment of certain nutrients, both macronutrients (fiber) and micronutrients (Vitamin B1, Vitamin C, Vitamin E, Potassium, Sodium, Calcium and Folic Acid.) to the RDA reference which was recorded as severe deficiency in 60-97% of children under five. Conclusion: Adequate knowledge and attitudes of mothers of diet can be a factor that prevents nutritional problems (stunting and malnutrition). The consumption pattern assessed showed that there was still a lack of fulfillment of certain nutrients both macro (fiber) and micronutrients against RDA reference. Further research needs to be done to explore the right promotive and prevention approach based on the lack of nutrition found in each area.

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Journal Info

Abbrev

JBE

Publisher

Subject

Immunology & microbiology Public Health

Description

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of ...