Analysis of Risk Factors for Stunting in Toddlers in South Tapanuli Regency in 2024
Abstract
Stunting is a major public health issue with long-term effects on the quality of human resources. The prevalence of stunting in South Tapanuli Regency increased from 30.8% in 2021 to 39.8% in 2022. This study aims to identify risk factors contributing to stunting in toddlers. The study employs a cross-sectional design with a correlational approach. The sample consists of 350 toddlers selected through purposive sampling, with data collected via structured interviews. The main contributing factors to stunting include a history of low birth weight (p=0.009), the introduction of complementary feeding before six months of age (p=0.000), and incomplete immunization status, which increases the risk of stunting with an odds ratio (OR) of 2.510. Virtual care is associated with a stable or improved HRQOL and patient and family satisfaction in pediatric T1DM. Decision makers need to consider expanding virtual access to pediatric diabetes care that can improve equitable access to quality care across healthcare systems globally.
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References
Abanga, E. A., Ziblim, A. M., & Boah, M. (2025). Antenatal care quality and pregnancy outcomes in the northern region of Ghana: A mixed-methods analysis. BMC Pregnancy and Childbirth, 25(1). Scopus. https://doi.org/10.1186/s12884-025-07915-3
Abdelmessih, E., Desai, P. V., Tracy, J., Papadopoulos, J., & Bashqoy, F. (2025). Don’t wait, vaccinate: Evaluation of routine vaccination administration and reactogenicity in preterm infants. Journal of Perinatology, 45(1), 134–138. Scopus. https://doi.org/10.1038/s41372-024-02111-1
Attaianese, F., Trapani, S., Agostiniani, R., Ambrosino, N., Bertolucci, G., Biasci, P., Castelli, B., Colarusso, G., Coretti, G., Dani, C., Grosso, S., Lucenteforte, E., Maj, D., Martini, M., Mirri, G., Moriondo, M., Perone, V., Peroni, D., Rossetti, A., … Indolfi, G. (2025). Effectiveness of a targeted infant RSV immunization strategy (2024–2025): A multicenter matched case-control study in a high-surveillance setting. Journal of Infection, 91(3). Scopus. https://doi.org/10.1016/j.jinf.2025.106600
Bardají, A., Dobaño, C., Alonso, S., Valá, A., Pantoja, P. E., Vidal, M., MacUluve, S., Nhacolo, A., Rupérez, M., Morató, A., Quintò, L., Sevene, E., MacEte, E., Mayor, A., Menéndez, C., Moncunill, G., & González, R. (2025). Effect of HIV and Malaria in Pregnancy on Pertussis-specific Antibodies and Transplacental Antibody Transfer: A Secondary Analysis of a Prospective Cohort Study in Mozambican Pregnant Women and Their Infants. Pediatric Infectious Disease Journal, 44(4), 363–370. Scopus. https://doi.org/10.1097/INF.0000000000004647
Farillas, E. L. F., & Dator, M. A. (2025). Acute kidney injury in children and adolescents admitted for pneumonia in the Philippines. Pediatric Nephrology, 40(12), 3803–3813. Scopus. https://doi.org/10.1007/s00467-025-06899-8
Gholami, Z., Mohseni, M., & Nasab, P. A. (2025). Comparing the maternal and neonatal outcomes in vaccinated and unvaccinated pregnant women against COVID-19: A retrospective cohort study. BMC Pregnancy and Childbirth, 25(1). Scopus. https://doi.org/10.1186/s12884-025-07462-x
Higgins, L., Vause, S., & Tower, C. (2025). Cytomegalovirus infection in association with early onset pre-eclampsia Unusual association of diseases/symptoms. BMJ Case Reports. Scopus. https://doi.org/10.1136/bcr.03.2010.2803
Immink, M. M., van der Maas, N. A. T., Bekker, M. N., De Melker, H. E., Den Hartog, G., Rots, N. Y., van Gageldonk, P. G. M., Groenendaal, F., & Sanders, E. A. M. (2025). Decay Rates of Maternal Tetanus, Diphtheria, and Pertussis Antibody Levels in Early and Moderate-to-Late Preterm and Term Infants at Birth and at Two Months. Open Forum Infectious Diseases, 12(1). Scopus. https://doi.org/10.1093/ofid/ofae717
Johannesen, C. K., Lund, S., Harboe, Z. B., & Fischer, T. K. (2025). Birth Month Matters in Timing of Seasonal Prevention of Severe Respiratory Syncytial Virus. Acta Paediatrica, International Journal of Paediatrics. Scopus. https://doi.org/10.1111/apa.70330
Kohsari, H., Berenjian, K., & Mohammadi, F. (2025). A review of retained placenta in bovines—Risks, diagnosis, treatment, and control. Veterinarska Stanica, 56(6), 835–846. Scopus. https://doi.org/10.46419/vs.56.6.9
Long, Q., Wang, H., He, Q., Liu, W., Zhang, C., Zhang, Z., & Luo, L. (2025). Effectiveness of rBS/WC cholera vaccine against bacterial infectious diarrhea: A test-negative study on children aged 2–6 years in Guangzhou China. Vaccine, 56. Scopus. https://doi.org/10.1016/j.vaccine.2025.127139
Mekonnen, B., Vasilevski, V., Bali, A., & Sweet, L. (2025). Effect of Maternal Pregnancy Intention on Neonatal and Infant Healthcare Across the Continuum of Care in Ethiopia: A National Longitudinal Study Using Propensity Score Methods. Child: Care, Health and Development, 51(5). Scopus. https://doi.org/10.1111/cch.70151
Nuñez, O., Olmedo, C., Moreno-Pérez, D., Lorusso, N., Martínez, S. F., Villalba, P. E. P., Gutiérrez, Á., García, M. A., Latasa, P., Sancho, R., Mendioroz, J., Martínez Marcos, M., Platón, E. M., Rivera, M. V. G., Pérez-Martinez, O., Álvarez-Gil, R., Wagner, E. R., López González-Coviella, N., Zornoza, M., … Viloria, L. (2025). Effectiveness of catch-up and at-birth nirsevimab immunisation against RSV hospital admission in the first year of life: A population-based case–control study, Spain, 2023/24 season. Eurosurveillance, 30(5). Scopus. https://doi.org/10.2807/1560-7917.ES.2025.30.5.2400596
Ocana de Sentuary, C., Testard, C., Lagrée, M., Leroy, M., Gasnier, L., Enes-Dias, A., Leruste, C., Diallo, D., Genin, M., Rakza, T., & Dubos, F. (2025). Acceptance and safety of the RSV-preventive treatment of newborns with nirsevimab in the maternity department: A prospective longitudinal cohort study in France. eClinicalMedicine, 79. Scopus. https://doi.org/10.1016/j.eclinm.2024.102986
Patel, P. B., Patel, N. B., Sorathiya, L. M., Singh, V. K., & Rao, T. K. S. (2025). Effect of Time and Amount of Colostrum Feeding on Physiological Parameters and Health Scores in Surti Buffalo Calves. Indian Journal of Animal Research, 59(1), 62–66. Scopus. https://doi.org/10.18805/IJAR.B-4720
Purwanti, E. D., Masitoh, S., & Ronoatmodjo, S. (2025). Association Between Basic Immunization Status and Stunting in Toddlers Aged 12-59 Months in Indonesia. Journal of Preventive Medicine and Public Health, 58(3), 298–306. Scopus. https://doi.org/10.3961/jpmph.24.230
Toizumi, M., Yamagata, Y., Nguyen, H. A. T., Otomaru, H., Le, H. H., Moriuchi, H., Éléouët, J.-F., Rameix-Welti, M.-A., Takeda, M., Hung, H. T., & Yoshida, L.-M. (2025). Cord Blood RSV-Neutralizing Antibodies and Risk of Hospitalization for RSV-Associated Acute Respiratory Infection in Vietnamese Children: A Case–Cohort Study. Vaccines, 13(9). Scopus. https://doi.org/10.3390/vaccines13090963
Tripathi, S., Awasthi, S., Tripathi, S., Jain, A., & Sharma, A. (2025). “Assessment of serum homocysteine levels in congenital heart disease and with congenital rubella infection: A hospital-based case-control study in north Indian population.” Tropical Doctor, 55(3), 223–227. Scopus. https://doi.org/10.1177/00494755251348524
Wagner, J., Handley, A., Donato, C. M., Lyons, E. A., Pavlic, D., Ong, D. S., Bonnici, R., Bogdanovic-Sakran, N., Parker, E. P. K., Bronowski, C., Thobari, J. A., Satria, C. D., Nirwati, H., Witte, D., Jere, K. C., Mpakiza, A., Watts, E., Turner, A., Boniface, K., … Bines, J. E. (2025). Early-life gut microbiome associates with positive vaccine take and shedding in neonatal schedule of the human neonatal rotavirus vaccine RV3-BB. Nature Communications, 16(1). Scopus. https://doi.org/10.1038/s41467-025-58632-6
Wickramasinghe, R., Tipre, M., Perera, R., Godamunne, P., Larson, R. R., Leader, M., Lungu, C. T., Wimalasiri, U., Perera, P., & Nandasena, S. (2025). Effect of Biomass Fuel Use on Neonatal Outcomes: A Cohort Study of Pregnant Females. International Journal of Environmental Research and Public Health, 22(9). Scopus. https://doi.org/10.3390/ijerph22091336
Williams, M., Oamen, B. R., Rademeyer, M., Ronaasen, J., & Wynne, T. (2025). Appraising the completeness of Road-to-Health booklets at ECD centres in Nelson Mandela Bay, South Africa. Development Southern Africa. Scopus. https://doi.org/10.1080/0376835X.2025.2581034
Xiao, T.-T., Hu, Y.-L., Liu, Z.-Z., Liu, S.-T., Hao, S.-C., & Yang, F. (2025). Analysis of hepatitis B vaccination status and influencing factors among children born to HBsAg positive mothers, Qingdao City, 2020-2022. Modern Preventive Medicine, 52(16), 2952–2957. Scopus. https://doi.org/10.20043/j.cnki.MPM.202504143
Zeng, F., Jiang, H., & Qian, X. (2025). Advances in research on the safety and efficacy of influenza and COVID-19 vaccination during pregnancy. Chinese Journal of Perinatal Medicine, 28(1), 77–81. Scopus. https://doi.org/10.3760/cma.j.cn113903-20240530-00381
Zhou, G., Yan, Q., Yu, W., Chen, C., Jiang, H., Cao, M., Chen, Y., & Han, G. (2025). Effectiveness of immunoprophylaxis for preterm infants of mothers having chronic hepatitis B virus infection: A retrospective study. Journal of Infection and Chemotherapy, 31(4). Scopus. https://doi.org/10.1016/j.jiac.2025.102680
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