PARENTAL SMOKING BEHAVIOR AND UNDERWEIGHT AMONG CHILDREN AGED 5-12 YEARS: EVIDENCE FROM RISKESDAS 2018

Bunga Ellen Engelina; Dian Luthfiana Sufyan; Sintha Fransiske Simanungkalit; Utami Wahyuningsih

doi:10.19184/ikesma.v20i2.46515

Bunga Ellen Engelina Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta, Jl. Raya Limo Kecamatan Limo, Depok, 16515, Jakarta, Indonesia
Dian Luthfiana Sufyan Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta, Jl. Raya Limo Kecamatan Limo, Depok, 16515, Jakarta, Indonesia
Sintha Fransiske Simanungkalit Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta, Jl. Raya Limo Kecamatan Limo, Depok, 16515, Jakarta, Indonesia
Utami Wahyuningsih Program Studi Gizi Program Sarjana, Fakultas Ilmu Kesehatan Universitas Pembangunan Nasional “Veteran” Jakarta, Jl. Raya Limo Kecamatan Limo, Depok, 16515, Jakarta, Indonesia

DOI: https://doi.org/10.19184/ikesma.v20i2.46515

Abstract

In recent years, underweight remains a medium public health problem in Indonesia, despite the substantial decrease in prevalence, still, this long-standing issue are potentially altering children physical growth and cognitive development. This current study aims to investigate the association between parental smoking behavior and underweight in children by analyzing secondary data of the 2018 Indonesia Basic Health Research (RISKESDAS). A total sample of 39,451 children aged 5-12 years were analyzed in this study. Anthropometric measurement of body weight was obtained to identify underweight. A structure questionnaire was employed to obtained information on child sex (male or female), age (5-8 or 9-12), type of residence (urban or rural), parental age (under or older than 35), education (high: higher education graduate or under), working status (working or not working) and smoking behavior both among mother and father in the last one month. Among those who smoked, the average number of cigarettes being smoked was also questioned, as well as the experience of indoor smoking. Data were analyzed using SPSS version 25. There were 8.4% of underweight children in this study, 89.8% of parents were smoker, who 74.8% of them were father, on average smoked 14 cigarettes per day and 98.8% of them smoked inside the house. Underweight was not significantly associated with parental smoking behavior, type of residence, parental age and parental working status. Higher odds of being underweight was found among children age 5-8 years (OR 1.08, p = 0.04, 95% CI). While boys were protective factor against underweight (OR 0.75, p < 0.01, 95% CI). Despite no association found between parental smoking behavior and children underweight in current study, however, it remains relevant to remind parents that their smoking behavior, especially inside living space may hinder children physical growth and cognitive development.

References

1] A, O., U, M., LF, B., & A, G. C. (2021). Energy metabolism in childhood neurodevelopmental disorders. EBioMedicine, 69. https://doi.org/10.1016/j.ebiom.2021.103474
2] Andriani, H. (2021). Exposure to parental smoking and children being overweight: residence as an effect modifier. Journal of Public Health (Germany), 29(3), 495–502. https://doi.org/10.1007/s10389-019-01153-6
3] Badan Pusat Statistik. (2010). Penduduk Menurut Wilayah, Daerah Perkotaan-Perdesaan, dan Jenis Kelamin - Provinsi DKI Jakarta. BPS Pusat.
4] Best, C. M., Sun, K., de Pee, S., Bloem, M. W., Stallkamp, G., & Semba, R. D. (2007). Parental tobacco use is associated with increased risk of child malnutrition in Bangladesh. Nutrition, 23(10), 731–738. https://doi.org/10.1016/j.nut.2007.06.014
5] Boro, R. M., Hasan, T., & Fanny, L. (2023). Perbedaan Status Gizi dan Prestasi Belajar Siswa Sd Yang Mendapat Progas dan yang tidak Mendapat Progas di Kabupaten Kupang – Provinsi NTT. Media Gizi Pangan, 30(1), 1. https://doi.org/10.32382/mgp.v30i1.3215
6] Csertő, M., Mihályi, K., Mendl, E., Lőcsei, D., Daum, V., Szili, N., Decsi, T., & Lohner, S. (2023). Dietary Energy and Nutrient Intake of Healthy Pre-School Children in Hungary. Nutrients, 15(13), 1–13. https://doi.org/10.3390/nu15132989
7] De Onis, M., Borghi, E., Arimond, M., Webb, P., Croft, T., Saha, K., De-Regil, L. M., Thuita, F., Heidkamp, R., Krasevec, J., Hayashi, C., & Flores-Ayala, R. (2019). Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutrition, 22(1), 175–179. https://doi.org/10.1017/S1368980018002434
8] Ghosh, S., & Varerkar, S. A. (2019). Undernutrition among tribal children in Palghar district, Maharashtra, India. PLoS ONE, 14(2), 1–14. https://doi.org/10.1371/journal.pone.0212560
9] Goney, G., & Halisdemir, N. (2021). Analysis of paternal smoke exposure and childhood obesity. Medicine Science | International Medical Journal, 10(2), 532. https://doi.org/10.5455/medscience.2020.12.265
10] Gwela, A., Mupere, E., Berkley, J. A., & Lancioni, C. (2019). Undernutrition, Host Immunity and Vulnerability to Infection among Young Children. Pediatric Infectious Disease Journal, 38(8), E175–E177. https://doi.org/10.1097/INF.0000000000002363
11] Hajovsky, D. B., Caemmerer, J. M., & Mason, B. A. (2022). Gender differences in children’s social skills growth trajectories. Applied Developmental Science, 26(3), 488–503. https://doi.org/10.1080/10888691.2021.1890592
12] Kementerian Kesehatan. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 tentang Pedoman Gizi Seimbang. In Permenkes (Issue September, pp. 1–96). Kementerian Kesehatan.
13] Kementerian Kesehatan RI. (2008). Riset Kesehatan Dasar (Riskesdas) 2007. In Riset Kesehatan Dasar. http://www.litbang.depkes.co.id/sites/download/rkd2013/Laporan_Riskesdas2013
14] Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar (Riskesdas) 2018.
15] Lemeshow, S., Hosmer, D. W., Klar, J., & Lwanga, S. K. (1991). Adequacy of Sample Size in Health Studies. In World Health Organization (Vol. 47, Issue 1). John Wiley & Sons Ltd. https://doi.org/10.2307/2532527
16] Li, Z., Kim, R., Vollmer, S., & Subramanian, S. V. (2020). Factors Associated with Child Stunting, Wasting, and Underweight in 35 Low- And Middle-Income Countries. JAMA Network Open, 3(4), 1–18. https://doi.org/10.1001/jamanetworkopen.2020.3386
17] Lian, T., & Dorotheo, U. (2018). The Tobacco Control Atlas: ASEAN Region. In Clove Cigarettes May Prompt U.S., Indonesia Dispute (Fourth Edi, Issue September). Southeast Asia Tobacco Control Alliance (SEATCA). https://seatca.org/clove-cigarettes-may-prompt-u-s-indonesia-dispute/
18] Mansur, D., Sharma, K., Kumar Mehta, D., Shakya, R., & Islam Mansur, D. (2015). A Study on Nutritional Status of Rural School going Children in Kavre District Prevalence of Underweight, Stunting and Thinness Among Adolescent Girls in Kavre District View project A Study on Nutritional Status of Rural School going Children in Kavre Dis. Children in Kavre District. Kathmandu Univ Med J, 50(2), 146–151. https://www.researchgate.net/publication/287222079
19] Mohamad, R. H., Hakim, B. N. A., Mitra, A. K., Shahril, M. R., Mohamed, W. M. I. W., Wafa, S. W. W. S. S. T., Burgermaster, M., & Mohamed, H. J. J. (2022). Higher Parental Age and Lower Educational Level are Associated with Underweight among Preschool Children in Terengganu, Malaysia. Jurnal Gizi Dan Pangan, 17(1), 11–18. https://doi.org/10.25182/jgp.2022.17.1.11-18
20] Muchlis, N., Yusuf, R. A., Rusydi, A. R., Mahmud, N. U., Hikmah, N., Qanitha, A., & Ahsan, A. (2023). Cigarette Smoke Exposure and Stunting Among Under-five Children in Rural and Poor Families in Indonesia. Environmental Health Insights, 17(December 2022). https://doi.org/10.1177/11786302231185210
21] Nadhiroh, S. R., Djokosujono, K., & Utari, D. M. (2020). The association between secondhand smoke exposure and growth outcomes of children: A systematic literature review. Tobacco Induced Diseases, 18, 1–12. https://doi.org/10.18332/tid/117958
22] National Institute of Health Research and Development MoH, R. of I. (2018). Guidebook for Filling in the 2018 Riskesdas Questionnaire. Ministry of Health, Republic of Indonesia, 1–583.
23] Oehme, N. H. B., Roelants, M., Bruserud, I. S., Madsen, A., Bjerknes, R., Rosendahl, K., & Juliusson, P. B. (2021). Low BMI, but not high BMI, influences the timing of puberty in boys. Andrology, 9(3), 837–845. https://doi.org/10.1111/andr.12985
24] Peraturan Pemerintah No 19. (2003). Peraturan Pemerintah RI Nomor 19 Tahun 2003 tentang Pengamanan Rokok bagi Kesehatan. In Demographic Research (Vol. 49, Issue 0, pp. 1-33 : 29 pag texts + end notes, appendix, referen).
25] Peraturan Presiden RI No 18. (2020). Peraturan Presiden Republik Indonesia Nomor 18 Tahun 2020 Tentang Rencana Pembangunan Jangka Menengah Nasional 2020-2024. In Sekretariat Presiden Republik Indonesia (pp. 1–7).
26] Salleh, R., Ahmad, M. H., Man, C. S., Wong, N. I., Sallehuddin, S. M., Palaniveloo, L., Che Abdul Rahim, N. S., Baharudin, A., Saad, H. A., Omar, M. A., & Ahmad, N. A. (2023). Risk Factors Associated with Underweight Children Under the Age of Five in Putrajaya, Malaysia: A Case-Control Study. Jurnal Gizi Dan Pangan, 18(2), 89–98. https://doi.org/10.25182/jgp.2023.18.2.89-98
27] Sari, N. A. M. E., & Resiyanthi, N. K. A. (2020). Kejadian Stunting Berkaitan Dengan Perilaku Merokok Orang Tua. Jurnal Ilmu Keperawatan Anak, 3(2), 24–30. http://dx.doi.org/10.26594/jika.1.2.2020.
28] Syahrul, S., Kimura, R., Tsuda, A., Susanto, T., Saito, R., & Ahmad, F. (2016). Prevalence of underweight and overweight among school-aged children and it’s association with children’s sociodemographic and lifestyle in Indonesia. International Journal of Nursing Sciences, 3(2), 169–177. https://doi.org/10.1016/j.ijnss.2016.04.004
29] TSCS-IAKMI. (2020). Atlas Tembakau Indonesia Tahun 2020. In Tobacco Control Support Center-Ikatan Ahli Kesehatan Masyarakat Indonesia (TCSC-IAKMI). http://www.tcsc-indonesia.org/wp-content/uploads/2020/06/Atlas-Tembakau-Indonesia-2020.pdf
30] Wijaya-Erhardt, M. (2019). Nutritional status of Indonesian children in low-income households with fathers that smoke. Osong Public Health and Research Perspectives, 10(2), 64–71. https://doi.org/10.24171/j.phrp.2019.10.2.04