HUBUNGAN KETAHANAN PANGAN RUMAH TANGGA DENGAN KEJADIAN STUNTING PADA BADUTA USIA 6-23 BULAN DI KABUPATEN BANTUL D.I YOGYAKARTA

MASRIN, S.GZ, Prof. dr. Hamam Hadi, MS, Sc.D.

2015 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang: Pangan merupakan salah satu kebutuhan dasar manusia, jika tidak terpenuhi baik jumlah maupun mutunya pada tingkat individu dan rumah tangga akan mengganggu tercapainya kualitas hidup sehat, aktif dan berkesinambungan serta dapat menimbulkan berbagai permasalahan kesehatan dan gizi. Baduta stunting merupakan salah satu masalah gizi kronis yang disebabkan oleh akses dan keterjangkauan terhadap pangan masih rendah. Tujuan: Menganalisis hubungan ketahanan pangan rumah tangga dengan kejadian stunting pada balita usia 6-23 bulan di Kabupaten Bantul D.I Yogyakarta. Metode: Jenis penelitian observasional dengan rancangan case control. Sampel penelitian adalah baduta usia 6-23 bulan yang berjumlah 126 untuk masingmasing kelompok kasus dan kontrol dengan rasio 1:1, di Kecamatan Sedayu Kabupaten Bantul. Tehnik pengambilan sampel menggunakan metode total sampling. Analisis data secara bertahap, yaitu analisis univariat, bivariat dan multivariat. Uji statistik bivariat menggunakan chi-square dan multivariat menggunakan regresi logistik. Hasil: Hasil analisis bivariat menunjukkan ketahanan pangan rumah tangga berhubungan dengan kejadian stunting pada baduta usia 6-23 bulan (p=0,04; OR=2,70;95% CI=0,94-8,77). Variabel luar yang berhubungan signifikan dengan kejadian stunting pada baduta usia 6-23 bulan yaitu tinggi badan ibu (p=0,00;OR=2,03;95% CI=1,14-3,65) dan riwayat BBLR (p=0,03;OR=3,02; 95% CI=0,98-11,04). Hasil analisis multivariat dengan mengendalikan variabel tinggi badan ibu dan riwayat BBLR baduta menunjukkan ketahanan pangan rumah tangga berhubungan dengan kejadian stunting pada baduta usia 6-23 bulan (p=0,05;OR=2,62;CI=0,97-7,12). Kesimpulan: Ada hubungan yang signifikan antara ketahanan pangan rumah tangga dengan kejadian stunting pada baduta usia 6-23 bulan di Kecamatan Sedayu Kabupaten Bantul D.I Yogyakarta. Kata Kunci: Ketahanan pangan rumah tangga, stunting, baduta usia 6-23 bulan

Background: Food is one of human basic needs, if is not fullfilled both in their number and its quality in the individual and household level will disturb the achievement of the life quality that are health, active and sustainable and able to rise various health and nutrition problems. Stunting in children aged at their 6-23 months was one of chronical nutrition problem that was caused by access and afford to the food still low. Objectives: To analyze the correlation between food security of the household to the stunting incidence in children aged in their 6-23 months in Bantul Regency, Yogyakarta Special Region. Methods: This was observational study by case control design . The sample of the study was a children aged in their 6-23 months , both for case and control group was 126 children with ratio 1:1, in Sedayu Sub District, Bantul Regency. The sampling was performed by total sampling method. Data was analyzed step by step, that was univariate, bivariate and multivariate. Statistic test in bivariate analysis used chi-square test and in multivariate analysis used logistic regression test. Results: Bivariate analysis showed that the food security of the household had correlation with stunting incidence in children aged at their 6-23 months (p=0,04; OR=2,70;95% CI=0,94-8,77). The confounding variable which had significant correlation to stunting incidence in children aged in their 6-23 months was mother height (p=0,00;OR=2,03;95% CI=1,14-3,65) and low birth weigth history (p=0,03;OR=3,02; 95%CI=0,98-11,04). Multivariate analysis by controlling variable mother height and low birth weigth history in children aged at their 6-23 months, showed that household food security had correlation to stunting incidence in children aged their 6-23 months (p=0,05;OR=2,62;CI=0,97-7,12). Conclusion: There was significant correlation between household food security and stunting incidence in children aged at their 6-23 months in Sedayu Sub District, Bantul Regency, Yogyakarta Special Region. Keywords: Household food security, stunting, children aged in 6-23 months

Kata Kunci : Ketahanan pangan rumah tangga, stunting, baduta usia 6-23 bulan; Household food security, stunting, children aged in 6-23 months