THE RELATIONSHIP BETWEEN SOCIO-ECONOMIC AND MEDIA LITERACY LEVELS WITH THE LEVEL OF PARENT PARTICIPATION IN PREVENTING STUNTING IN RURAL AREAS

Anif Fatma Chawa; Titi Fitriana; Zulia Antan Ambarsari

doi:10.24198/sosiohumaniora.v26i2.54212

THE RELATIONSHIP BETWEEN SOCIO-ECONOMIC AND MEDIA LITERACY LEVELS WITH THE LEVEL OF PARENT PARTICIPATION IN PREVENTING STUNTING IN RURAL AREAS

Anif Fatma Chawa, Titi Fitriana, Zulia Antan Ambarsari

Abstract

This article examines the relationship between two variables: socioeconomic level and media literacy (variable X) and parental participation in stunting prevention (variable Y) in Indonesia. Socioeconomic level has long been considered the most dominant factor influencing the risk of stunting in children. This study introduces an additional variable, media literacy, hypothesizing that it may also impact parental participation in preventing stunting in children. The study employs a quantitative explanatory method using Kendall's rank correlation test. The population consists of parents with children under five years old. Sampling was conducted in two stages. First, the sample size was calculated based on the total population across eight Pre- and Postnatal Healthcare Information Centres (Posyandu) with a 5% margin of error. Second, the sample size obtained was distributed proportionally among each Posyandu using simple random sampling. The results show no significant relationship between socioeconomic level and parental participation in stunting prevention, with a significance level of 0.25. However, a relationship was found between media literacy and parental participation in stunting prevention, with a significance level of 0.023 and a very weak correlation coefficient of 0.109 (or 11%). This suggests that higher media literacy among parents has the potential to increase their participation in stunting prevention, albeit the relationship is very weak. This may be because parents do not directly use social media to obtain stunting information but rather for other purposes, such as entertainment or accessing nutritious recipes for children. Additionally, parents may receive stunting information from other sources, including stunting education provided by Posyandu cadres, village midwives, doctors, and nutrition consultants from local health centres.

Keywords

stunting; socioeconomic level; media literacy; participation level

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References

Aini, N., Mulia Hera, A. G., Anindita, A. I., Stelin Maliangkay, K., & Amalia, R. (2022). Hubungan Rendahnya Tingkat Ekonomi Terhadap Risiko Terjadinya Stunting : a Systematic Review. Jurnal Kesehatan Tambusai, 3(2), 127–135. https://doi.org/10.31004/jkt.v3i2.4457

Aisysah, H. F. (2021). Gambaran Pola Asuh Ibu dengan Balita Stunting dan Tidak Stunting di Kelurahan Tengah, Kecamatan Kramat Jati, DKI Jakarta. Perilaku Dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 3(2), 71. https://doi.org/10.47034/ppk.v3i2.4158

Anugrahaeni, H. A., Nugraheni, W. T., & Ningsih, W. T. (2022). Hubungan Tingkat Pendidikan dengan Pengetahuan Orang Tua tentang Stunting pada Balita di Wilayah Kerja Puskesmas Semanding. Jurnal Keperawatan Widya Gantari Indonesia, 6(1), 64–72.

Aris Tyarini, I., Setiawati, A., Septiyana Achmad, V., & Astuti, A. (2023). Improving Healthy Behavior in Preventing Stunting through Digital Media. Abdimas Polsaka, 2(2), 97–103. https://doi.org/10.35816/abdimaspolsaka.v2i2.47

Aufderheide, Patricia., & Firestone, C. M. (1992). Media literacy : a report of the National Leadership Conference on Media Literacy, the Aspen Institute Wye Center, Queenstown Maryland, December 7-9, 1992. Communications and Society Program, the Aspen Institute.

Ayine, P., Selvaraju, V., Venkatapoorna, C. M. K., & Geetha, T. (2020). Parental feeding practices in relation to maternal education and childhood obesity. Nutrients, 12(4). https://doi.org/10.3390/nu12041033

Balogun, S., Yusuff, H. A., Yusuf, K. Q., Al-Shenqiti, A. M., Balogun, M., & Tettey, P. (2017). Maternal Education and Child Immunization: The Mediating Roles of Maternal Literacy and Socioeconomic Level. Pan African Medical Journal. https://doi.org/10.11604/pamj.2017.26.217.11856

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617

Binagwaho, A., Rukundo, A., Powers, S., Donahoe, K. B., Agbonyitor, M., Ngabo, F., Karema, C., Scott, K. W., & Fawzi, M. C. S. (2020). Trends in Burden and Risk Factors Associated With Childhood Stunting in Rwanda From 2000 to 2015: Policy and Program Implications. BMC Public Health. https://doi.org/10.1186/s12889-020-8164-4

Bukit, D. S., Keloko, A. B., & Ashar, T. (2021). Father's Support and Mother's Behavior in Stunting Prevention Efforts. Journal of Health Science and Prevention, 5(2). https://doi.org/10.29080/jhsp.v5i2.521

Chai, X. (2022). How Has the Nationwide Public Health Emergency of the COVID-19 Pandemic Affected Older Chinese Adults' Health Literacy, Health Behaviors and Practices, and Social Connectedness? Qualitative Evidence From Urban China. Frontiers in Public Health, 9(March), 1–12. https://doi.org/10.3389/fpubh.2021.774675

Chang, S. H., Wang, L. T., Chueh, T. Y., Hsueh, M. C., Hung, T. M., & Wang, Y. W. (2021). Effectiveness of Facebook Remote Live-Streaming-Guided Exercise for Improving the Functional Fitness of Community-Dwelling Older Adults. Frontiers in Medicine, 8(September), 1–7. https://doi.org/10.3389/fmed.2021.734812

Chaleshgar-Kordasiabi, M., Naghibi, S. A., Eshkevar-Kiyai, Z., & Kor, V. (2023). Evaluation of Media Literacy in Students of Mazandaran University of Medical Sciences. Iranian Journal of Health Sciences, 11(1), 37–46. https://doi.org/10.32598/ijhs.11.1.834.1

Creswell, J. W. (2014). Research Design: Qualitative, Quantitative, and Mixed Method Approach. In Rouledge. Routledge.

Dwi Bella, F., & Alam Fajar, N. (2019). Hubungan Pola Asuh dengan Kejadian Stunting Balita dari Keluarga Miskin Hubungan pola asuh dengan kejadian stunting balita dari keluarga miskin di Kota Palembang. In The Indonesian Journal of Nutrition) (Vol. 8, Issue 1).

European Commission. (2009). Study on Assessment Criteria for Media Literacy Levels. Brussels.

Fadare O, Amare M, Mavrotas G, Akerele D, & Ogunniyi A. (2019). Mother's nutrition-related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLoS ONE, 14, 1–17.

Fajaria, C., Yunola, S., & Rahmawati, E. (2022). The Relationship Of Knowledge, Dietary Intake And Nutrition-Conscious Family With The Incidence Of Stunting / Severe Stunting. Jurnal Kebidanan Malahayati, 8(3). https://doi.org/10.33024/jkm.v8i3.5551

Fedriansyah, D., Paramashanti, B. A., & Paratmanitya, Y. (2020). Faktor Sosial Ekonomi dan Stunting Pada Anak Usia 6-23 Bulan. Media Gizi Pangan, 27(1), 22–29.

Fitria, P. A. M., Handayani, A. tri W., & Yani, R. W. E. (2023). Gambaran Pola Asuh Orang Tua terhadap Tingkat Kejadian Stunting di Desa Ajung dan Glagahwero Kecamatan Kalisat. Stomatognatic, 20(01).

Fujica Wati, I., Sanjaya, R., Prodi Sarjana Terapan Fakultas Kesehatan, M., Aisyah Pringsewu, U., Kesehatan, F., Kunci, K., & Fujica Wati Mahasiswa Prodi Sarjana Terapan Fakultas Kesehatan, I. (2021). Pola Asuh Orang Tua Terhadap Kejadian Stunting Pada Balita Usia 24-59 Bulan. WELLNESS AND HEALTHY MAGAZINE, 3(1), 103–107. https://doi.org/10.30604/well.144312021

Fadare O, Amare M, Mavrotas G, Akerele D, & Ogunniyi A. (2019). Mother's nutrition-related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLoS ONE, 14, 1–17.

Fedriansyah, D., Paramashanti, B. A., & Paratmanitya, Y. (2020). Faktor Sosial Ekonomi dan Stunting Pada Anak Usia 6-23 Bulan. Media Gizi Pangan, 27(1), 22–29.

Ibrahim, I. A., & Faramita, R. (2015). Hubungan Faktor Sosial Ekonomi Keluarga Dengan Kejadian Stunting Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Barombong Kota Makassar tahun 2014. Al-Sihah : Public Health Science Journal, 7(1), 63–75.

Kassamali, B., Villa-Ruiz, C., Mazori, D. R., Min, M., Cobos, G. A., & LaChance, A. H. (2021). Characterizing top educational TikTok videos by dermatologists in response to "TikTok and dermatology: An opportunity for public health engagement." Journal of the American Academy of Dermatology, 85(1), e27–e28. https://doi.org/10.1016/j.jaad.2021.02.051

Kim, R., Mejía-Guevara, I., Corsi, D. J., Aguayo, V. M., & Subramanian, S. V. (2017). Relative importance of 13 correlates of child stunting in South Asia: Insights from nationally representative data from Afghanistan, Bangladesh, India, Nepal, and Pakistan. Social Science and Medicine, 187, 144–154. https://doi.org/10.1016/j.socscimed.2017.06.017

Krisnana, I., Pratiwi, I. N., & Cahyadi, A. (2020). The relationship between socioeconomic factors and parenting styles with the incidence of stunting in children. Systematic Reviews in Pharmacy, 11(5), 738–743. https://doi.org/10.31838/srp.2020.5.106

Labadarios, D., Steyn, N. P., Maunder, E. M. W., MacIntryre, U., Gericke, G. J., Swart, R., Huskisson, J., Dannhauser, A., Vorster, H. H., Nesmvuni, A. E., & Nel, J. M. (2005). The National Food Consumption Survey (NFCS): South Africa, 1999. Public Health Nutrition. https://doi.org/10.1079/phn2005816

Livingstone, S., & van der Graaf, S. (2010). Media Literacy. In The International Encyclopedia of Communication. Wiley. https://doi.org/10.1002/9781405186407.wbiecm039

Mahdar. (2023). Peran Media Massa Lokal dalam Penanganan Stunting di Sulawesi Tenggara. Jurnal Ilmu Komunikasi Dan Media Sosial (JKOMDIS), 3(1), 273.

Mananohas, A., Rachmawati, T. S., & Anwar, R. K. (2023). Penggunaan media sosial dalam meningkatkan literasi kesehatan di “Ayah ASI Indonesia.” Informatio: Journal of Library and Information Science, 3(1), 1. https://doi.org/10.24198/inf.v3i1.44526

Mayes, L. C., & Bornstein, M. H. (1995). Infant information-processing performance and maternal education. Early Development and Parenting,4(2). https://doi.org/10.1002/edp.2430040206

Mbabazi, J., Pesu, H., Mutumba, R., Bromley, K., Ritz, C., Filteau, S., Briend, A., Mupere, E., Grenov, B., Friis, H., & Olsen, M. F. (2024). Correlates of early child development among children with stunting: A cross-sectional study in Uganda. Maternal and Child Nutrition, 20(2). https://doi.org/10.1111/mcn.13619

McDonald, C., Kupka, R., Manji, K., Okuma, J., Bosch, R. J., Aboud, S., Kisenge, R., Spiegelman, D., Fawzi, W. W., & Duggan, C. (2012). Predictors of Stunting, Wasting and Underweight Among Tanzanian Children Born to HIV-infected Women. European Journal of Clinical Nutrition. https://doi.org/10.1038/ejcn.2012.136

Mediani, H. S. (2020). Predictors of Stunting Among Children Under Five Year of Age in Indonesia: A Scoping Review. Global Journal of Health Science, 12(8). https://doi.org/10.5539/gjhs.v12n8p83

Mrisho, D. H., & Dominic, N. A. (2023). Media Literacy: Concept, Theoretical Explanation, and its Importance in the Digital Age. East African Journal of Arts and Social Sciences, 6(1). https://doi.org/10.37284/eajass.6.1.1087

Mustajab, A. azam. (2023). Hubungan Tingkat Pendidikan Orangtua Terhadap Kejadian Stunting Pada Balita. Maternity and Neonatal : Jurnal Kebidanan, 10(2), 94–100. https://doi.org/10.30606/jmn.v10i2.1683

Nita, F. A., Ernawati, E., Sari, F., Kristiarini, J. J., & Purnamasari, I. (2023). The influence of parenting on the incidence of stunting in toddlers aged 1-3 year. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 399–405. https://doi.org/10.35816/jiskh.v12i2.1107

Nuraeni, S. P., Herliana, L., & Patimah, S. (2022). Hubungan Pola Asuh Ibu Terhadap Derajat Stunting Pada Balita Usia 24-59 Bulan Di Desa Tanjungsari. Journal of Midwifery Information (JoMI), 03(01).

Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan. Penurunan Stunting.

Permatasari, M.Kes., Dr. E., Leersia Yusi Ratnawati, Ni’mal Baroya, Globila Nurika, Farida Wahyu Ningtyias, & Andrei Ramani. (2022). Analisis Faktor Risiko Maternal terhadap Keluarga Berisiko Stunting. Media Gizi Indonesia, 17(1SP), 161–167. https://doi.org/10.20473/mgi.v17i1SP.161-167

Phengxay, M., Ali, M., Yagyu, F., Soulivanh, P., Kuroiwa, C., & Ushijima, H. (2007). Risk Factors for Protein?energy Malnutrition in Children Under 5 Years: Study From Luangprabang Province, Laos. Pediatrics International. https://doi.org/10.1111/j.1442-200x.2007.02354.x

Ponum, M., Khan, S., Hasan, O., Mahmood, M. T., Abbas, A., Iftikhar, M., & Arshad, R. (2020). Stunting Diagnostic and Awareness: Impact Assessment Study of Sociodemographic Factors of Stunting Among School-Going Children of Pakistan. BMC Pediatrics. https://doi.org/10.1186/s12887-020-02139-0

Putri, R. A., Ardian, J., & Darma, W. (2023). Hubungan Pola Asuh Orang Tua dengan Kejadian Stunted pada Anak Balita. Nutriology: Jurnal Pangan, Gizi, Kesehatan, 04(02).

Quamme, S. H., & Iversen, P. O. (2022). Prevalence of child stunting in Sub-Saharan Africa and its risk factors. Clinical Nutrition Open Science, 42(2022),49–61. https://doi.org/10.1016/j.nutos.2022.01.009

Rachman, R. Y., Nanda, S. A., Larassasti, N. P. A., Rachsanzani, M., & Amalia, R. (2021). Hubungan Pendidikan Orang Tua Terhadap Risiko Stunting Pada Balita: a Systematic Review. Jurnal Kesehatan Tambusai, 2(2), 61–70. https://doi.org/10.31004/jkt.v2i2.1790

Rahmawati, D., & Agustin, L. (2020). Hubungan Tingkat Pendidikan Ibu dan Pemberian Informasi Tentang Stunting dengan Kejadian Stunting. Jurnal Ilmu Kesehatan, 9(1), 80–85.

Ramayana, Ibrahim, I. A., & Damayati, D. S. (2014). Hubungan Pola Asuh Ibu Dengan Kejadian Stunting Anak Usia 24-59 Bulan Di Posyandu Asoka II Wilayah Pesisir Kelurahan Barombong Kecamatan Tamalate Kota Makassar Tahun 2014. Al-Sihah : Public Health Science Journal, 06(02).

Saleh, G. (2022). The Constitutionality of the Electronic Information and Transaction Law: Towards Overcoming SARA Conflict on Social Media. Jurnal Konstitusi, 18(4). https://doi.org/10.31078/jk1846

Salsabila, S., Dewi Noviyanti, R., & Pertiwi Dyah Kusudaryati, D. (2023). Hubungan Tingkat Pendidikan Ibu Dan Pola Asuh Orang Tua Dengan Kejadian Stunting Pada Balita Usia 12-36 Bulan Di Wilayah Puskesmas Sangkrah. Profesi (Profesional Islam) : Media Publikasi Penelitian, 19(No.2), 143–152. https://doi.org/10.26576/profesi.v19ino.2.103

Scheffler, C., Hermanussen, M., Soegianto, S. D. P., Homalessy, A. V., Touw, S. Y., Angi, S. I., Ariyani, Q. S., Suryanto, T., Matulessy, G. K. I., Fransiskus, T., Safira, A. V. C., Puteri, M. N., Rahmani, R., Ndaparoka, D. N., Payong, M. K. E., Indrajati, Y. D., Purba, R. K. H., Manubulu, R. M., Julia, M., & Pulungan, A. B. (2021). Stunting as a synonym of social disadvantage and poor parental education. International Journal of Environmental Research and Public Health, 18(3), 1–13. https://doi.org/10.3390/ijerph18031350

Setiawan, E., Machmud, R., & Masrul, M. (2018). Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018. Jurnal Kesehatan Andalas, 7(2), 275. https://doi.org/10.25077/jka.v7i2.813

Setyowati, K., Prakoso, S. G., Utomo, I. H., Parwiyanto, H., Suryawati, R., Nugroho, R. A., Susiloadi, P., & Santoso, S. A. (2022). Digital Literacy and The Prevention of Stunting from Suburban Perspective: Case in Sepat Village, Sragen. Proceedings of the 7th International Conference on Social and Political Sciences (ICoSaPS 2022), 45–50. https://doi.org/10.2991/978-2-494069-77-0_8

Shi, Y., Stanmore, E., McGarrigle, L., Wang, X., Wang, X., Li, Y., & Todd, C. (2024). Development of a community intervention combining social media-based health education plus exercise programme (SHEEP) to improve muscle function among young-old adults with possible sarcopenia: Co-design approach. Maturitas, 186(May), 108027. https://doi.org/10.1016/j.maturitas.2024.108027

Siburian, U. D., & Ritonga, P. T. (2024). The Effectiveness of Health Promotion Using Leaflet Media and Poster Media on The Knowledge of Mother Todders About Stunting. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(1),752. https://doi.org/10.30829/contagion.v6i1.20595

Singh, G. C. P., Nair, M., Grubesic, R. B., & Connell, F. A. (2009). Factors Associated With Underweight and Stunting Among Children in Rural Terai of Eastern Nepal. Asia Pacific Journal of Public Health. https://doi.org/10.1177/1010539509332063

Smith-Greenaway, E. (2013). Maternal Reading Skills and Child Mortality in Nigeria: A Reassessment of Why Education Matters. In Demography (Vol. 50, Issue 5).

Soekatri, M. Y. E., Sandjaja, S., & Syauqy, A. (2020). Stunting was associated with reported morbidity, parental education and socioeconomic level in 0.5–12-year-old Indonesian children. International Journal of Environmental Research and Public Health, 17(17),1–9. https://doi.org/10.3390/ijerph17176204

Spronck, B., Avolio, A. P., Tan, I., Butlin, M., Reesink, K. D., & Delhaas, T. (2018). Reply: Medical science is based on facts and evidence. Journal of Hypertension, 36(4), 960–962. https://doi.org/10.1097/HJH.0000000000001660

Suratri, M. A. L., Putro, G., Rachmat, B., Nurhayati, Ristrini, Pracoyo, N. E., Yulianto, A., Suryatma, A., Samsudin, M., & Raharni. (2023). Risk Factors for Stunting among Children under Five Years in the Province of East Nusa Tenggara (NTT), Indonesia. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20021640

Susilowati, D., & Karyadi, D. (2002). Malnutrition and poverty alleviation*. Asia Pacific Journal of Clinical Nutrition, 11. https://doi.org/10.1046/j.1440-6047.11.s13.1.x

Torvik, F. A., Eilertsen, E. M., McAdams, T. A., Gustavson, K., Zachrisson, H. D., Brandlistuen, R., Gjerde, L. C., Havdahl, A., Stoltenberg, C., Ask, H., & Ystrom, E. (2020). Mechanisms linking parental educational attainment with child ADHD, depression, and academic problems: a study of extended families in The Norwegian Mother, Father and Child Cohort Study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 61(9). https://doi.org/10.1111/jcpp.13197

Utumatwishima, J. N., Mogren, I., Umubyeyi, A., Mansourian, A., & Krantz, G. (2024). How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study. PLoS ONE, 19(3 March), 1–18. https://doi.org/10.1371/journal.pone.0290919

Vollmer, S., Bommer, C., Krishna, A., Harttgen, K., & Subramanian, S. V. (2017). The association of parental education with childhood undernutrition in low- and middle-income countries: Comparing the role of paternal and maternal education. International Journal of Epidemiology, 46(1). https://doi.org/10.1093/ije/dyw133

Ye, Q., Yang, Y., Yao, M., Yang, Y., & Lin, T. (2022). Effects of teach-back health education (TBHE) based on WeChat mini-programs in preventing falls at home for urban older adults in China: a randomized controlled trial. BMC Geriatrics,22(1),1–15. https://doi.org/10.1186/s12877-022-03297-9

Yudianti, Y., & Saeni, R. H. (2017). Pola Asuh Dengan Kejadian Stunting Pada Balita Di Kabupaten Polewali Mandar. Jurnal Kesehatan Manarang, 2(1), 21. https://doi.org/10.33490/jkm.v2i1.9

DOI: https://doi.org/10.24198/sosiohumaniora.v26i2.54212