THE EFFECT OF FAMILY TYPE, PARENTAL STRESS LEVEL, AND DRINKING WATER TYPE ON THE NUTRITIONAL STATUS OF CHILDREN AGED 1-5 YEARS

Abstract

Background: The nutritional status of toddlers reflects the quality of their health and development. In Indonesia, nutritional problems such as stunting, wasting, underweight, and overweight remain prevalent. Family factors, parental stress, and drinking water quality play important roles, but are rarely studied simultaneously. Object: This study aims to identify the influence of family type, parental stress levels, and drinking water type on the nutritional status of children aged 1-5 years in the Spenajang Community Health Center area. Method: A quantitative, correlational analytic study with a cross-sectional design was conducted on 90 respondents using a consecutive sampling technique. Data were collected through questionnaires and anthropometric measurements. Data were analyzed using the Chi-square test and ordinal logistic regression. Results: The nutritional status of children showed wasting in 5.6%, underweight in 22.2%, overweight in 27.8%, and normal in 44.4%. There was a significant influence between family type (p=0.028), parental stress (p=0.046), and drinking water type (p=0.027) on nutritional status. Multivariate analysis showed family type as the dominant factor (p=0.001; Wald=10.261; OR=1.03), followed by parental stress (OR=0.78; p=0.002) and drinking water type (OR=0.80; p=0.004). Conclusion: Family factors, parental psychological well-being, and water quality significantly contribute to nutritional status, with family type being the most influential factor. Promotive interventions for child nutrition require family involvement and improvements in household water quality