Pemodelan Kejadian Stunting pada Balita di Provinsi Jawa Timur dengan Pendekatan Partial Least Square Structural Equation Modeling (PLS-SEM) dan Finite Mixture Partial Least Square (FIMIX-PLS)

Alfasanah, Zulfani (2023) Pemodelan Kejadian Stunting pada Balita di Provinsi Jawa Timur dengan Pendekatan Partial Least Square Structural Equation Modeling (PLS-SEM) dan Finite Mixture Partial Least Square (FIMIX-PLS). Other thesis, Insititut Teknologi Sepuluh Nopember.

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Abstract

Stunting adalah gangguan pertumbuhan karena malnutrisi yang terjadi pada anak-anak berusia dibawah lima tahun. Malnutrisi pada balita meningkatkan kematian bayi, kerentanan terhadap penyakit, postur tubuh yang buruk di masa dewasa, dan memengaruhi kecerdasan anak. Stunting disebabkan oleh faktor multidimensi. Riset Kesehatan Dasar (Riskesdas) tahun 2018 mencatat prevalensi stunting nasional mencapai 30,8%. Provinsi Jawa Timur memiliki angka prevalensi stunting paling tinggi di Pulau Jawa yaitu sebesar 32,81%. Melihat tingginya angka prevalensi stunting di Provinsi Jawa Timur, diperlukan adanya penelitian untuk mengetahui faktor-faktor yang memengaruhi prevalensi stunting di Jawa Timur. Tujuan penelitian ini adalah untuk: 1) Mengidentifikasi indikator yang valid dan reliabel terhadap variabel laten pada model prevalensi stunting di Provinsi Jawa Timur dengan metode PLS-SEM, 2) Mengidentifikasi variabel laten yang signifikan memengaruhi prevalensi stunting di Provinsi Jawa Timur dengan metode PLS-SEM, 3) Menyusun pengelompokan wilayah berdasarkan hubungan antar variabel laten yang signifikan berpengaruh terhadap prevalensi stunting di Provinsi Jawa Timur dengan pendekatan FIMIX-PLS. Adapun pisau analisisnya yaitu: SEM, PLS-SEM, FIMIX-PLS, stunting, dan penelitian terdahulu. Data yang digunakan dalam penelitian ini merupakan data sekunder yang diperoleh dari laporan resmi Kementerian Kesehatan Republik Indonesia dalam Riset Kesehatan Dasar Provinsi Jawa Timur tahun 2018 dan Profil Kesehatan Jawa Timur tahun 2018. Pada penelitian ini akan dilakukan analisis faktor-faktor yang memengaruhi prevalensi stunting pada balita di Provinsi Jawa Timur dengan menggunakan pendekatan PLS-SEM. Selanjutnya, FIMIX-PLS digunakan untuk mengelompokkan wilayah di Provinsi Jawa Timur berdasarkan prevalensi stunting. Hasil analisis PLS-SEM menunjukkan bahwa indikator penduduk miskin, pelayanan kesehatan, K4, KEK, TTD, ASI, Imunisasi, MPASI, Vitamin A, dan prevalensi stunting berpengaruh secara signifikan dan mampu menggambarkan variabel latennya. Hasil analisis PLS-SEM juga menunjukkan bahwa adanya peningkatan kesehatan ibu dan asupan gizi balita akan menurunkan angka prevalensi stunting di Provinsi Jawa Timur. Kelompok yang terbentuk dari 38 kabupaten/kota di Provinsi Jawa Timur berdasarkan metode FIMIX-PLS adalah 2 kelompok. Pada kelompok 1, pengaruh variabel kesehatan ibu terhadap prevalensi stunting lebih besar dibandingkan dengan kelompok 2. Sedangkan, pengaruh variabel asupan gizi balita terhadap prevalensi stunting di kabupaten/kota yang berada pada kelompok 2 lebih besar dibandingkan dengan kelompok 1.
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Stunting is a growth disorder due to malnutrition that occurs in children under five years of age. Malnutrition in toddlers increases infant mortality, susceptibility to disease, poor posture in adulthood, and affects children's intelligence. Stunting is caused by multidimensional factors. The 2018 Basic Health Research (Riskesdas) recorded a national stunting prevalence of 30.8%. East Java province has the highest stunting prevalence rate in Java, which is 32.81%. Seeing the high prevalence of stunting in East Java Province, research is needed to determine the factors that influence the prevalence of stunting in East Java. The aims of this study were to: 1) Identify valid and reliable indicators of latent variables in the stunting prevalence model in East Java Province using the PLS-SEM method, 2) Identify latent variables that significantly influence stunting prevalence in East Java Province using the PLS-SEM method, 3) Arrange regional groupings based on the relationship between latent variables that significantly influence the prevalence of stunting in East Java Province using the FIMIX-PLS approach. The analysis tools are: SEM, PLS-SEM, FIMIX-PLS, stunting, and previous research. The data used in this study is secondary data obtained from the official report of the Ministry of Health of the Republic of Indonesia in the 2018 East Java Province Basic Health Research and the 2018 East Java Health Profile. In this study an analysis of the factors that influence the prevalence of stunting in toddlers will be carried out. in East Java Province using the PLS-SEM approach. Furthermore, the FIMIX-PLS is used to classify areas in East Java Province based on the prevalence of stunting. The results of the PLS-SEM analysis show that the indicators of poor population, health services, K4, KEK, iron and gas, ASI, immunization, MPASI, Vitamin A, and the prevalence of stunting have a significant effect and are able to describe the latent variables. The results of the PLS-SEM analysis also show that an increase in maternal health and toddler nutritional intake will reduce the prevalence of stunting in East Java Province. The groups formed from 38 districts/cities in East Java Province based on the FIMIX-PLS method are 2 groups. In group 1, the effect of the mother's health variable on the prevalence of stunting was greater than that of group 2. Meanwhile, the effect of the variable nutritional intake of children under five on the prevalence of stunting in regencies/cities in group 2 was greater than that of group 1.

Item Type: Thesis (Other)
Uncontrolled Keywords: Balita, FIMIX-PLS, Jawa Timur, PLS-SEM, Stunting, East Java, FIMIX-PLS, PLS-SEM, Stunting, Toddler
Subjects: H Social Sciences > HA Statistics
Q Science > QA Mathematics > QA278 Cluster Analysis. Multivariate analysis. Correspondence analysis (Statistics)
Divisions: Faculty of Science and Data Analytics (SCIENTICS) > Statistics > 49201-(S1) Undergraduate Thesis
Depositing User: Zulfani Alfasanah
Date Deposited: 11 Feb 2023 08:25
Last Modified: 11 Feb 2023 08:25
URI: http://repository.its.ac.id/id/eprint/96718

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