Konsumsi rokok dan asupan zat gizi balita pada rumah tangga miskin

https://doi.org/10.22146/ijcn.15445

Winda Irwanti(1*), Madarina Julia(2), Yayi Suryo Prabandari(3)

(1) Sekolah Tinggi Ilmu Kesehatan Alma Ata Yogyakarta
(2) Bagian Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Eradication of poverty and starvation is still an agenda of Millennium Development Goals (MDGs) 2015 due to the serious impact of poverty and starvation to human beings. Poverty and starvation are worsened by smoking habit of the Indonesian population. Expenditures used for cigarettes may bring bad impact to the health of toddlers, including lack of nutrient intake. However, until today it is not yet precisely known how much lack of nutrient intake in toddlers caused by cigarette consumption.

Objective: To identify difference in nutrient intake of energy and protein of toddlers based on the amount of cigarettes consumed in poor household at Yogyakarta Municipality.

Method: The study used cross sectional design. Subject consisted of 86 toddlers of two-five years living in poor household at Yogyakarta Municipality. Cigarette consumption, mother of toddlers and all members of the family were obtained from interview. Method to assess intake was multiple 24 hours food recall within four days, whereas interview was used to assess cigarette consumption. Statistical analysis was performed by using Two Sample Independent t-test, Mann-Whitney U-test, regression, and Chi-Square.

Results: As much as 77.9% of poor household had at least one smoker. There was no significant difference in intake of energy and protein of toddlers living with smokers and non smokers, though percentage of expenditure for food was significantly lower in the household with smokers. This might be due to high consumption of food with high energy density at affordable price and protein at low price. Snacks were the third most consumed by toddlers and 40% of animal protein consumed were eggs.

Conclusion: There was no significant difference in intake of energy and protein of toddlers living in the poor household with smokers and those living with non smokers, but percentage of expenditure for food significantly lower in household with smokers. 


Keywords


poor household; cigarette; nutrient intake; toddlers; smokers; non smokers

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References

UN. Let speak out for MDG's: achieving the millenium development goals in Indonesia. Jakarta: United Nations; 2007.

Depkes. Riset Kesehatan Dasar 2010. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Departemen Kesehatan Indonesia; 2010.

Pradono, Kristanti. Passive smokers, the forgotten disaster. Jakarta: National Institute of Health Research and Development, Ministry of Health; 2002.

Semba RD, Kalm LM, de Pee S, Ricks MO, Sari M, Bloem MW. Paternal smoking is associated with increased risk of child malnutrition among poor urban families in Indonesia. Public Health Nutr 2007;10(1):7-15.

Dinkes Provinsi DIY. Mapping perilaku merokok rumah tangga di Provinsi DIY tahun 2009. Yogyakarta: Dinas Kesehatan Provinsi DIY; 2009.

BPS. Pengeluaran rata-rata per kapita sebulan menurut kelompok barang, 1999, 2002-2009. [series online] 2009 [cited 2010 Jun 6]. Available from: URL: http.//www.bps.go.id

Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta: Binarupa Aksara; 1995.

Lemeshow S, Hosmer DW, Klar J, Lwangan SK. Adequacy of sample size in health studies. New York: The World Health Organization and John Wiley and Sons; 1990.

Dostál M, Milcová A, Binková B, Kotesovec F, Nozicka J, Topinka J, Srám RJ. Environmental tobacco smoke exposure in children in two district of the Czech Republic. Int J Hyg Environ Health 2008;211(3-4):318-25.

Bobak M, Jha P, Nguyen S, Jarvis M. Tobacco control in developing countries. London: Oxford University Press; 2000.

Djibuti M, Gotsadze G, Mataradze G, Zoidze A. Influence of household demographic and socio-economic factors on household expenditure on tobacco in six New Independent States. BMC Public Health 2007;7:222-9.

Best CM, Sun K, de Pee S, Bloem MW, Stallkamp G, Semba RD. Parental tobacco use is associated with increased risk of child malnutrition in Bangladesh. Nutrition 2007;23(10):731-8.

Monteiro CA, Conde WL, Lu B, Popkin BM. Obesity and inequities in health in the developing world. Int J Obes Relat Metab Disord 2004;28(9):1181-6.

Drewnowski A, Darmon N. Food choices and diet costs: an economic analysis. J Nutr 2005;135(4):900-4.

Cooke LJ, Wardle J, Gibson EL, Sapochnik M, Sheiham A, Lawson M. Demographic, familial and trait predictors of fruit and vegetable consumption by pre-school children. Public Health Nutr 2004;7(2):295-302.

Kaufman PR, MacDonald JM, Lutz SM, Smallwood DM. Do the poor pay more for food? Item selection and price difference affect low income household food costs. Washington, DC: United States Department of Agriculture (report no. 759); 1997.

Rauber F, Vitolo MR. Nutritional quality and food expenditure in preschool children. J Pediatr (Rio J) 2009;85(6):536-40.

Vieira AC, Diniz AS, Cabral PC, Oliveira RS, Lóla MM, Silva SM, Kolsteren P. Nutritional assessment of iron status and anemia in children under 5 years old at public daycare centers. J Pediatr (Rio J) 2007;83(4):370-6.

Crawley HF, While D. Parental smoking and the nutrient intake and food choice of British teenagers aged 16-17 years. J Epidemiol Community Health 1996;50(3):306-12.

Preston AM, Rodriguez C, Rivera CE, Sahai H. Influence of environmental tobacco smoke on vitamin C status in children. Am J Clin Nutr 2003;77(1):167-72.



DOI: https://doi.org/10.22146/ijcn.15445

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