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Factors Affecting Stunting in Children under 5 Years of Age in Indonesia using Spatial Model
Zurnila Marli Kesuma1, Latifah Rahayu Siregar2, Edy Fradinata3
1Associate Professor, Department of Statistics, Faculty of Mathematics and Natural Sciences, Indonesia.
Insights
Childhood stunting in Indonesia is linked to malnutrition and Vitamin A intake. Spatial panel data analysis identified key factors influencing stunting rates among children under five.
Area of Science:
- Public Health
- Epidemiology
- Spatial Statistics
Background:
- Childhood stunting is defined as length/height below -2 standard deviations of Indonesian growth standards for children under five.
- Chronic malnutrition during the first 1000 days of life is a primary cause of stunting.
- Spatial panel data methods address issues with spatially and temporally measured data.
Purpose of the Study:
- To identify the optimal spatial panel data model for analyzing stunting in Indonesian children under five.
- To determine the significant factors influencing stunting prevalence in this demographic.
Main Methods:
- Utilized Indonesian national data from 2015-2019.
- Compared spatial autoregressive and spatial error models (SEM) with random effects.
- Selected the best model based on the highest value and lowest Akaike Information Criterion (AIC).
Main Results:
- The SEM random effect model was determined to be the most suitable.
- This model effectively identified significant factors contributing to stunting.
Conclusions:
- Malnutrition, Vitamin A supplementation, and per capita food expenditure significantly impact stunting rates.
- The SEM random effect model provides valuable insights into the spatial and temporal dynamics of childhood stunting in Indonesia.
Background:
Stunting in children under 5 years of age is a condition where they have a length or height that is less than -2 standard deviations of the growth standard of Indonesian children. Stunting is caused by chronic malnutrition in the first 1000 days of life. The spatial panel data method was developed to solve problems related to spatial objects that are measured periodically by involving elements of area and time.
Objectives:
The purpose of this study was to determine the best model and factors that influence stunting in children under 5 years of age in Indonesia using spatial panel data.
Methods:
The data used were from the website of the Central Statistics Agency and the publications of the Ministry of Health of the Republic of Indonesia in 2015-2019. Determination of the selected model is done by comparing the random effect spatial autoregressive model and spatial error model (SEM) random effect based on the value and Akaike information criterion (AIC). SEM random effect produces the largest value and the smallest AIC.
Results:
The selected spatial panel data model in determining the factors that influence stunting in children under 5 years of age in Indonesia is the SEM random effect based on the largest and AIC compared to other models.
Conclusion:
Based on the selected model, children under five with malnutrition and poor nutrition, receiving Vitamin A, and the average monthly per capita expenditure on food have a significant effect on the percentage of stunting in children under five in Indonesia.
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