Association of stature and mental problems among adolescents in Jatinangor District, West Java
Background: The prevalence of short stature during adolescence in Indonesia remains high. Adolescents are very concerned about their stature. Most adolescent health problems are related to psychosocial issues. The prevalence of mental disorders among adolescents in Indonesia is 6.0%, and West Java is 9.3%. The aim of this study was to analyze the association between stature and mental problems during middle adolescence.
Methods: This analytical cross-sectional study was performed at three high schools in Jatinangor, West Java, Indonesia. The subjects were students, age of 16-17 years old without physical abnormalities other than short stature and weight problems. Mental problems were screened using a self-report Strength and Difficulties Questionnaire (SDQ). Data were analyzed using the chi-square test with prevalence risk.
Results: Of the 150 respondents, 116 subjects met the inclusion and exclusion criteria. The prevalence of short stature was 55 cases (47.4%) and more predominant in females. Among the behavioral and emotional problems assessed, the emotional symptom was associated significantly with short stature; prevalence ratio 1.87 (95% CI=1.14; 3.08). There was no significant association of short stature with other attributes such as conduct, hyperactivity, peer problems, and total difficulties (p>0.05).
Conclusion: Stature in adolescence is associated with emotional problems.
Holland-Hall C, Burstein GR. Adolescent Development. In: Kliegman RM, Stanton BF, Schor NF, editors. Nelson Textbook of Pediatrics. 20th ed. Philadelphia: Elsevier; 2016. p. 926-36.
WHO. Maternal, newborn, child and adolescent health. [Internet]. [cited 2016 Nov 11]. Available from: http://www.who.int/maternal_child_adolescent/topics/adolescence/dev/en/
Balitbangkes Kemenkes RI. Riset Kesehatan Dasar: RISKESDAS 2013. [Internet]. Available from: http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf.
Deaton A. Height, health, and development. Proc Natl Acad Sci USA. 2007;104(33):13232-7. https://doi.org/10.1073/pnas.0611500104
uitmann J, Rohenkohl A, Specht A, Petersen-Ewert C, Schillmöller Z, Bullinger M. Coping strategies of children and adolescents with clinically diagnosed short stature. J Child Fam Stud. 2015;24(3):703-14. https://doi.org/10.1007/s10826-013-9880-5
Jafari-Adli S, Qorbani M, Heshmat R, Ranjbar SH, Taheri E, Motlagh ME, et al. Association of short stature with life satisfaction and self-rated health in children and adolescents: the CASPIAN-IV study. J Pediatr Endocrinol Metab. 2016;29(11):1299-306. https://doi.org/10.1515/jpem-2016-0215
Ghai OP, Paul VK, A. B. Essential pediatrics. 7th ed ed. India: CBS Publishers and distributors Pvt. Limited. 2010.
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243-60. https://doi.org/10.1016/S0140-6736(07)61690-0
e Onis M, Blössner M, Borghi E. Prevalence and trends of stunting among pre-school children, 1990-2020. Public Health Nutr. 2012;15(1):142–8.
Semba RD, de Pee S, Sun K, Sari M, Akhter N, Bloem MW. Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. Lancet. 2008;371(9609):322-8. https://doi.org/10.1016/S0140-6736(08)60169-5
Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry. 2000;177(6):534-9. https://doi.org/10.1192/bjp.177.6.534
Sommer R, Daubmann A, Quitmann J, Ravens-Sieberer U, Bullinger M. Understanding the impact of statural height on health-related quality of life in German adolescents: a population-based analysis. Eur J Pediatr. 2015;174(7):875-82. https://doi.org/10.1007/s00431-014-2480-6
Kim B, Park MJ. The influence of weight and height status on psychological problems of elementary school children through child behavior checklist analysis. Yonsei Med J. 2009;50(3):340-4. https://doi.org/10.3349/ymj.2009.50.3.340
Lee JM, Appugliese D, Coleman SM, Kaciroti N, Corwyn RF, Bradley RH, et al. Short stature in a population-based cohort: social, emotional, and behavioral functioning. Pediatrics. 2009;124(3):903-10. https://doi.org/10.1542/peds.2008-0085
Chang SM, Walker SP, Grantham–McGregor S, Powell CA. Early childhood stunting and later behaviour and school achievement. J Child Psychol Psychiatry. 2002;43(6):775–83.http://mji.ui.ac.id
Copyright (c) 2018 Meita Dhamayanti, Pia H. Deliana, Faisal Bukkar
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.