Evidence map›Paper›PMID 41084840›Full record

ArticleJMIR pediatrics and parenting2025

Social and Environmental Determinants of Childhood Stunting in Indonesia: National Cross-Sectional Study.

Yuni Sufyanti Arief, Fildzah Cindra Yunita, Ferry Efendi, Fadhaa Aditya Kautsar Murti, Rifky Octavia Pradipta, Lisa McKenna

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yuni Sufyanti Arief *Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Jl Mulyorejo, Campus C Universitas Airlangga, Surabaya, 60115, Indonesia, 62 8123106365.ORCID http://orcid.org/0000-0003-3664-8426
Fildzah Cindra Yunita *Research Group for Health and Wellbeing of Women and Children, Faculty of Public Health, Universitas Airlangga, Banyuwangi, Indonesia.ORCID http://orcid.org/0000-0002-1567-1427
Ferry Efendi *Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0000-0001-7988-9196
Fadhaa Aditya Kautsar Murti *Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.ORCID http://orcid.org/0009-0009-8553-4864
Rifky Octavia Pradipta *Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Jl Mulyorejo, Campus C Universitas Airlangga, Surabaya, 60115, Indonesia, 62 8123106365.ORCID http://orcid.org/0000-0002-8729-7665
Lisa McKenna *School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.ORCID http://orcid.org/0000-0002-0437-6449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The cause-effect of stunting is known as a complex factor, including family, environmental, social, and cultural factors, in stunting among children. Yet, the latest updated associated factors emphasizing on social and environmental factors are still limited. Objective: This study aimed to analyze the latest evidence on the factors associated with stunting, with a particular focus on various factors. Methods: A secondary data analysis using the 2023 Indonesia Health Survey (Survei Kesehatan Indonesia [SKI] 2023) was conducted. This study analyzed a total of 78,049 (or 81,068 if weighted) children aged 5 years and younger who had a complete response to all interest variables. Bivariate analysis using the Pearson χ2 test with a P value of <.05 for determining a significant association and a multivariate analysis for further analysis of the association between the outcome and each predictor were implemented. Results: The prevalence of stunting in this study was 15,958/78,049 children (19.69%). In the adjusted analysis, immunization status (adjusted odds ratio [aOR] 1.34, 95% CI 1.22-1.48; P<.001) and KPS (Kartu Perlindungan Sosial; Social Protection Card) ownership (aOR 1.13, 95% CI 1.05-1.21; P<.001) were significantly associated with higher odds of stunting. Conversely, children in the wealthiest quintile were significantly less likely to experience stunting compared to those from the poorest families (aOR 0.47, 95% CI 0.42-0.52; P<.001). Other variables, such as household water sources (aOR 1.18, 95% CI 1.00-1.37; P=.04), and geographical location, particularly in Sulawesi (aOR 1.23, 95% CI 1.14-1.33; P<.001) and Papua and Maluku (aOR 1.20, 95% CI 1.08-1.33; P<.001), were also significantly associated with increased odds of stunting. Conclusions: Not receiving immunization, consuming water from unimproved sources, ownership of a Social Protection Card, and living in regions such as eastern Indonesia were significantly associated with childhood stunting. These findings emphasize that social and environmental factors remain critical determinants of stunting. Improving multifaceted and holistic interventions, with a focus on immunization coverage, good water access, social protection, and reducing regional disparities, is essential to accelerate progress toward stunting reduction targets.

Indexed as

associated factorschildrenchildren under five yearssocial determinants of healthstunting

Identifiers

PMID41084840
PMCPMC12527368

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.