HUBUNGAN ANTARA INISIASI MENYUSU DINI DAN POLA ASUH NUTRISI DENGAN PREVALENSI MALNUTRISI PADA BALITA DI INDONESIA MENGGUNAKAN DATA SSGI

Background: Malnutrition among under-five children remains a major public health
concern in Indonesia, marked by high rates of stunting, wasting, and underweight.
This study aimed to examine the association between early initiation of breastfeeding
(EIBF), nutritional caregiving practices, and malnutrition using data from the 2022
Indonesian Nutritional Status Survey (SSGI).
Methods: A quantitative cross-sectional design was applied. A total of 12,482
children who met the inclusion criteria were analyzed. Data were examined using
univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis
using multinomial logistic regression at a significance level of 0.05.
Results: EIBF was not significantly associated with stunting (p = 0.859), wasting (p
= 0.850), or underweight (p = 0.322). Nutritional caregiving practices were also not
significantly associated with stunting (p = 0.900), wasting (p = 0.279), or underweight
(p = 0.203). In contrast, maternal education was significantly associated with stunting
and underweight (p < 0.001), while maternal employment status was significantly
associated with all nutritional status indicators (p < 0.01). Multivariate analysis
indicated that socioeconomic factors were the dominant determinants of
malnutrition.
Conclusion: EIBF and nutritional caregiving practices were not directly associated
with child nutritional status after adjustment for confounders. Maternal education and
employment status play a critical role in determining malnutrition in Indonesia.