The Analysis of Factors Influencing Stunting Prevention Behavior in Pregnant Women
DOI:
https://doi.org/10.26911/thejhpb.2025.10.03.03Abstract
Background: Stunting is a serious health issue in Indonesia, impacting children's growth and development due to chronic malnutrition, recurrent infections, and harmful environmental factors. This study aimed to examine factors influencing stunting prevention behavior in pregnant women
Subjects and Method: A quantitative study with a path analysis approach. It was conducted in Probolinggo Regency using cluster random samping, based on inclusion criteria. The sample size consisted of 220 respondents spread across four community health centers (Puskesmas). The research variables include independent varaibles: exposure to cigarette smoke, socio-economic status, and social support; intervening variables: acces to healthcare services and health status; and dependent variable: stunting prevention behavior. The research instrument useda questionnaire based on the theoryof factors influencing stunting prevention in pregnant women, Data analysis was performed using path analysis with Amos software.
Results: Social support on stunting prevention behavior through health status of pregnant women (Z-value = 1.23; p-value = 0.022). Social support on stunting prevention behavior in pregnant women through access to healthcare services (Z-value = -3.92; p-value = 0.00). Cigarette smoke exposure on stunting prevention behavior through health status of pregnant women (Z-value = 10.53; p-value = 0.00). Socio-economic status on stunting prevention behavior through health status of pregnant women (Z-value = 2.19; p-value = 0.03).
Conclusion: Health promotion targeting the improvement of socio-economic status and social support, as well as preventing tobacco smoke exposure, plays a significant role in influencing stunting prevention behavior among pregnant women. Health status and access to healthcare services act as mediators that link social support, tobacco smoke exposure, and socio-economic status to stunting prevention behavior. By implementing community-based health promotion strategies, we can prevent stunting in a more holistic and sustainable manner.
Keywords:
influencing factors, stunting prevention, pregnant women, health promotionReferences
Adam N, Fitrianingsih J, Basir M (2024). The role of knowledge in improving attitudes and behaviors of stunting prevention in pregnant women. J Ilm Kesehat Sandi Husada. 13(2): 403–410. doi: 10.35816/jiskh.v13i2.1230.
Akbar RR, Kartika W, Khairunnisa M (2023). The effect of stunting on child growth and development. Scientia. doi: 10.56260/sciena.v2i4.118.
Tyarini IA, Menga MK, Setiawati A (2025). The effect of nutritional status of pregnant women on the incidence of stunting in early childhood: determi-nants of growth and development. J Eduk Ilm Kesehatan. 3(1): 24–31. doi: 10.61099/junedik.v3i1.71.
Araújo ANCR, Tilman EJS, Araújo EC, Ximenes RS, Alves MJC (2025). Differences in social support for pregnant women between family planning and non-family planning. J Int Multidiscip Res. 3(1): 285–301. doi: 10.62504/jimr1203.
Bahrun, Wildan W (2022). Stunting in Indonesian children and its contri-buting factors: study through biblio-metric analysis. JPUD J Pendidik Usia Dini. 16: 271–293. doi: 10.210-09/JPUD.162.07.
Bedaso A, Adams J, Peng W, Sibbritt D (2021). Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study. Reprod Health. 18(1): 1–11. doi: 10.1186/s12978-021-01210-y.
Choirunnisa A, Febriyana S, Sari E, Ambar-wati N, Nurdiantami Y (2022). Peng-aruh asap rokok para ibu hamil: studi literatur review. J Kesehat Tambusai. 3: 183–192. doi: 10.31004/jkt.v3i2.-4597.
Delpisheh A, Brabin L, Brabin BJ (2006). Pregnancy, smoking and birth out-comes. Womens Health (Lond). 2(3): 389–403. doi: 10.2217/17455057.2.-3.389.
Duhita F, Sari CA, Kartikasari D (2024). Penguatan peran social support ibu hamil sebagai upaya mewujudkan kehamilan dan persalinan yang sehat. J Masy Mandiri. 8(1): 1484–1493. doi: 10.31764/jmm.v8i1.21038.
Hafizah I, Tengku ATI, Suhaily MH, Zaharah S (2020). Factors associated with postpartum family planning in a cohort of Kelantanese women with previous caesarean delivery in Malay-sia. IIUM Med J Malays. 19(1): 85–97. doi: 10.31436/imjm.v19i1.1336.
Irfan I, Handayani F, Pujiyanti R (2024). Pendampingan pemberian makanan tambahan anak stunting dan opti-malisasi peran keluarga dalam pen-cegahan stunting melalui gerakan bebas asap rokok di Penfui Kota Kupang. J Kreativ Pengabdi Masya-rakat (PKM). 7(7): 2996–3009. doi: 10.33024/jkpm.v7i7.14888.
Jatmika SED, Maulana M, Kuntoro, Martini S (2019). Buku Ajar Pengembangan Media Promosi Kesehatan. Yogya-karta: K-Media.
Kemenkes RI (2020). Situasi Balita Pendek (Stunting) di Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia.
Ketut N, Armini A, Kristanti YI (2007). Manfaat dukungan sosial keluarga pada perilaku antisipasi tanda bahaya kehamilan pada ibu primigravida. J Ners. 3(1): 67–71. Available at: htt-ps://e-journal.unair.ac.id/JNERS/-article/view/4983/3225.
Mayangsari H, Mahmood MA (2021). Active smoking and exposure to passive smoking among pregnant women attending a primary health centre in Temanggung, Indonesia. Indones J Public Health. 16(1): 134–145. doi: 10.20473/ijph.v16i1.2021.134-145.
Mindarsih E, Akhyar M, Wiboworini B (2024). The influence of social support, perception, and maternal behavior in preventing stunting cases in Indonesia. Int J Public Health Sci. 13(4): 1872–1880. doi: 10.11591/ij-phs.v13i4.23980.
Muchlis N, Yusuf RA, Rusydi AR, Mahmud NU, Hikmah N, Qanitha A, Ahsan A (2023). Cigarette smoke exposure and stunting among under-five children in rural and poor families in Indonesia. Environ Health Insights. 17: 1–10. doi: 10.1177/11786302231185210.
Naryono E (2023). Stunting, the main threat to human quality. OSF Pre-prints. 1–15. doi: 10.31219/osf.i-o/2w9yn.
Nasir M, Amalia R, Zahra F (2021). Kelas ibu hamil dalam rangka pencegahan stunting. J Pengabdian Pember-dayaan Nusantara. 3(2): 40–45. doi: 10.28926/jppnu.v3i2.38.
Nisa D (2024). Angka stunting di Kabu-paten Probolinggo capai 35,4 persen. Harian Bangsa. Available at: https://-harianbangsa.net/angka-stunting-di-kabupaten-probolinggo-capai-354-persen.
Nobis T, El-Kayed N (2019). Social inequa-lity and sport in Germany–a multi-dimensional and intersectional pers-pective. Eur J Sport Soc. 16(1): 5–26. doi: 10.1080/16138171.2019.1577328.
Pacagnella RC, Cecatti JG, Parpinelli MA, Sousa MH, Haddad SM, Costa ML, et al. (2014). Delays in receiving obstetric care and poor maternal outcomes: results from a national multicentre cross-sectional study. BMC Pregnancy Childbirth. 14: 159. doi: 10.1186/1471-2393-14-159.
Picauly I, Toy SM (2013). Analisis determinan dan pengaruh stunting terhadap prestasi belajar anak sekolah di Kupang dan Sumba Timur, NTT. J Gizi Pangan. 8(1): 55–62. doi: 10.251-82/jgp.2013.8.1.55-62.
Rachmawati WC (2019). Promosi Kesehat-an dan Ilmu Perilaku. Malang: Wineka Media.
Ratnawati LY, Permatasari E, Nurika G, Ningtyias FW. (2024). Analysis of maternal risk factor in families at risk of stunting: study in Jember District, East Java, Indonesia. Natl Nutr J. 17(1): 161–167. doi: 10.20473/mgi.v1-7i1SP.161–167.
Simkhada B, van Teijlingen ER, Porter M, Simkhada P (2008). Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs. 61(3): 244–260. doi: 10.1111/j.1365-2648.2007.04532.x.
Suparji H, Nugroho W, Surtinah N (2024). Handling stunting in Indonesia: challenges, progress and recommen-dations. Natl J Community Med. 15(2): 161–164. doi: 10.55489/njcm.-150220243546.
Yee LM, Miller EC, Greenland P (2022). Mitigating the long-term health risks of adverse pregnancy outcomes. JAMA. 327(5): 421–422. doi: 10.1001-/jama.2021.23870.
