Factors Associated with Stunting Among Children Under Five: A Cross-Sectional Study in Southwest Papua, Indonesia
https://doi.org/10.33860/jik.v20i1.4334
Keywords:
Child Marriage, Incidence of Stunting, Mother's Age, Mother's OccupationAbstract
Background: one of the most worrying long term impacts of child marriage is the high rate of stunting among under-fives which is still prevalent in many areas, including in Southwest Papua. This study aims to analyze the associative relationship between stunting and child marriage in Klalin District, Sorong Regency, Southwest Papua.
Methods: a cross-sectional approach was adopted for this research, and the research was performed from June to September 2025. The research involved 113 families selected with cluster sampling techniques at 4 areas in Klalin District using the Lameshow formula. Chi-square and multiple binary regression analyses were applied in this study.
Results: most mothers who married under 18 years old had a junior high school education (41.6%) and were not employed (52.2%). In multivariate analysis, maternal age under 18 years was significantly associated with stunting (AOR = 2.72; 95% CI: 1.17–6.32; p = 0.020). Low maternal education was also significantly associated with stunting (AOR = 1.69; 95% CI: 1.16–2.47; p = 0.007), while maternal occupation was not significantly associated with stunting (AOR = 1.15; 95% CI: 0.93–1.41; p = 0.198).
Conclusion: child marriage among girls under 18 is prevalent in Southwest Papua and is significantly associated with low maternal education, which is also associated with an increased risk of stunting in children. These findings suggest that stunting prevention strategies should prioritize efforts to delay the age of marriage and improve women’s educational attainment, alongside initiatives to enhance women’s economic opportunities.
References
Ahmed, A. F., Yosef, T., Asfaw, C. K., Weldeyes, E. G., Cherinet, E. M., Oumer, M. A., … Sharew, K. E. (2025). Development and Validation of a Predictive Model for Individual Risk Prediction of Stunting in Ethiopia: A Predictive Modeling Study. Health Science Reports. DOI:10.1002/hsr2.71335
Badan Pusat Statistik (2023). Proporsi Perempuan Umur 20–24 Tahun yang Berstatus Kawin atau Berstatus Hidup Bersama Sebelum Umur 18 Tahun Menurut Provinsi. Available from : https://www.bps.go.id/id/statistics-table/2/MTM2MSMy/proporsi-perempuan-umur-20-24-tahun-yang-berstatus-kawin-atau-berstatus-hidup-bersama-sebelum-umur-18-tahun-menurut-daerah-tempat-tinggal.html. Accessed February 8, 2026.
Bari, K., Sadik, F., Faraz, N. (2025). Child Marriage and Its Effect on Maternal and Child Health in Pakistan. In: Hyder, A. (eds) Research and Reflections on Child Wellbeing in Pakistan. Children’s Well-Being: Indicators and Research, vol 30. Springer, DOI:10.1007/978-3-031-82648-1_7
Čvorović, J. (2022). Maternal Age at Marriage and Child Nutritional Status and Development: Evidence From Serbian Roma Communities. Public Health Nutrition, 25(5), 1183–1193. DOI:10.1017/S1368980022000544
Data EPPFGBM Papua Barat Daya. (2024). Data EPPGM Periode Januari-April 2024. Dinas Kesehatan Propinsi Papua Barat Daya.
Dewi, L. S., Rahmiati, B. F., & Solehah, N. Z. (2023). Analisis Dampak Pernikahan Anak Perempuan Usia Dini Dengan Status Kesehatan, Gizi, Dan Psikologis. Nutriology : Jurnal Pangan,Gizi,Kesehatan, 3(2), 63–68. DOI:10.30812/nutriology.v3i2.3042
Fonseka, R. W., McDougal, L., Raj, A., Reed, E., Lundgren, R., Urada, L., & Silverman, J. G. (2022). Measuring the impacts of Maternal Child Marriage and Maternal Intimate Partner Violence and the Moderating Effects of Proximity to Conflict on stunting Among Children Under 5 in Post-Conflict Sri Lanka. SSM - Population Health. DOI:10.1016/j.ssmph.2022.101074
Hasniati, H., Syahriani, S., Nurbaya, S., Fitriani, F., & Asnuddin, A. (2023). Pernikahan Dini Menghambat Pertumbuhan Pada Anak Usia 2 Tahun. Jurnal Kebidanan Malakbi, 4(2), 85. DOI:10.33490/b.v4i2.777
Hossain, J., Ripon, A. S. M., Tareq, M., Rokunuzzaman, M., & Sharma, S. K. D. (2025). Assessing the Impact of Early Marriage and Socioeconomic Determinants on Under-Five Morbidity: A Cross-Country Analysis in South Asia. August. DOI:10.21203/rs.3.rs-7306650/v1
Kemenkes. (2023). Survei Status Gizi Indonesia (SSGI). Jakarta. accessed February 8, 2026. Available from: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/ Accessed February 8, 2026.
Kemenkes. (2025). SSSGI 2024 Dalam Angka. 17, 302. accessed February 8, 2026. Available from: https://www.badankebijakan.kemkes.go.id/survei-status-gizi-indonesia-ssgi-2024/ Accessed February 8, 2026.
Khan, M. A., Haque, M. A., Tariqujjaman, M., Sarmin, M., Ahmed, T., & Mahfuz, M. (2024). Influence of Child Marriage on Nutritional Status Among Their Under‐Five Children in Bangladesh: Evidence from Bangladesh Demographic and Health Survey Data 2011, 2014 and 2017–18. DOI:10.1002/rfc2.102
Laksono, A. D., Sukoco, N. E. W., Rachmawati, T., & Wulandari, R. D. (2022). Factors Related to Stunting Incidence in Toddlers with Working Mothers in Indonesia. International Journal of Environmental Research and Public Health, 19(17). DOI:10.3390/ijerph191710654
Loihala, M., . I., Syam, A., Syafar, M., Abdullah, M. T., Muis, M., Unde, A. A., & Howay, N. N. (2024). The Effect of Economic Status and Mother’s Knowledge in Stunting Cases: A Systematic Review. International Journal of Religion, 5(11), 4936–4946. DOI:10.61707/qebrng58
Loihala, M., Indar, I., Syam, A., Syafar, M., Tahir, M., & Loihala, M. (2023). Food consumption , culture , and living environment ’ s impact on stunting cases : A systematic review. 1–11. DOI:10.69598/sehs.17.23050021
Rahayuwati, L., Komariah, M., Sari, C. W. M., Yani, D. I., Hermayanti, Y., Setiawan, A., Hastuti, H., Maulana, S., & Kohar, K. (2023). The Influence of Mother’s Employment, Family Income, and Expenditure on Stunting Among Children Under Five: A Cross-Sectional Study in Indonesia. Journal of Multidisciplinary Healthcare, 16, 2271–2278. DOI:10.2147/JMDH.S417749
Saputra, N., Citami, N., Pamungkas Susani, Y., Ayu Eka Widiastuti, I., Suwita Sari, P. S. S., Sulistya Affarah, W., Tirta Dirja, B., & Hagni Wardoyo, E. (2024). Prevention Of Early Marriage as an Effort to Overcome Stunting. International Journal Of Community Service, 4(3), 213–217. DOI:10.51601/ijcs.v4i3.292
Sartika, A. N., Khoirunnisa, M., Meiyetriani, E., Ermayani, E., Pramesthi, I. L., & Nur Ananda, A. J. (2021). Prenatal and Postnatal Determinants of Stunting at age 0–11 months: A cross-sectional study in Indonesia. PLoS ONE, 16(7 July), 1–14. DOI:10.1371/journal.pone.0254662
Sulistyawati, F., Melinda, A., & Ratnasari, R. (2024). The Effect of Maternal Age on Stunting Incidence (Analysis of 2018 Riskesdas Secondary Data). JNKI (Jurnal Ners Dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery), 12(1), 1. https://doi.org/10.21927/jnki.2024.12(1).1-10
Supadmi, S., Laksono, A. D., Kusumawardani, H. D., Ashar, H., Nursafingi, A., Kusrini, I., & Musoddaq, M. A. (2024). Factor Related to Stunting of Children Under Two Years With Working Mothers In Indonesia. Clinical Epidemiology and Global Health. DOI:10.1016/j.cegh.2024.101538
Sutinbuk, D., Murniani., Dwibarto, R., (2013). Pernikahan Dini dan Hubungannya dengan Stunting pada Balita. Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang, 11(2), 240–247. DOI:10.32922/jkp.v11i2.706
Tengjaya, A. A. A., Nai, H. M. E., & Purnawijayanti, H. A. (2025). Early Marriage is a Risk Factor For Stunting in Children in Gunungkidul Regency. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). DOI:10.21927/ijnd.2025.13(1).42-54
Ulfah, I. F., & Nugroho, A. B. (2020). Menilik Tantangan Pembangunan Kesehatan di Indonesia: Faktor Penyebab Stunting di Kabupaten Jember (Observing the Challenges of Health Development in Indonesia: Factors that Cause Stunting in Kabupaten Jember). Jurnal Sosial Politik, 6(2), 201–213. DOI:10.22219/sospol.v6i2.12899
UNICEF. (2020). Eliminating child marriage in Indonesia: Progress and challenges. Jakarta: UNICEF. https://www. unicef.org/ indonesia/ reports/ eliminating-child-marriage. accessed February 8, 2026. Accessed February 8, 2026.
Wahyuni, S. D., Murti, B., & Adriani, R. B. (2023). Meta Analysis: Effects of Household Size, Maternal Education, and Family Income on Stunting. Journal of Epidemiology and Public Health, 8(3), 323–334. DOI:10.26911/jepublichealth.2023.08.03.04
Wulandari, R. D., Laksono, A. D., Astuti, Y., Matahari, R., Rohmah, N., Prihatin, R. B., & Elda, F. (2025). Stunting Among Low-Income Families in Indonesia: Is Mother’s Employment a Risk Factor? Journal of Research in Health Sciences, 25(3), e00654–e00654. DOI:10.34172/jrhs.7450
Published
How to Cite
Issue
Section
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.



