{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T06:54:01Z","timestamp":1765608841043,"version":"3.48.0"},"reference-count":37,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,4,11]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to analyse the influence of the continuum of care during pregnancy and neonatal periods on the risk of intergenerational cycle of stunting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study was a cross-sectional study, with data analysed from the 2018 Basic Health Research in Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Basic Health Research 2018 was conducted throughout 513 cities\/regencies in 34 provinces in Indonesia. The households were selected through two-stage sampling methods. First, census blocks (CB) were selected using probability proportional to size methods in each urban\/rural stratum from each city\/regency. Ten households were then selected from each CB using systematic sampling methods. All family members of the selected households were measured and interviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>This study analyses 31\u2009603 children aged 0\u201324 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes measures<\/jats:title>\n                    <jats:p>The dependent variable was the risk of the intergenerational cycle of stunting. Mothers who had a height less than 150.1\u2009cm (short stature mothers) and had children (\u2264 24 months of age) with length-for-age Z-score less than \u22122 Standard Deviation (SD) of the WHO Child Growth Standard (stunted children) were defined as at risk of the intergenerational cycle of stunting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mothers with incomplete maternal and neonatal care visits were 30% more likely to be at risk on the intergenerational cycle of stunting (OR (95% CI): 1.3 (1.00 to 1.63)) after adjusting for economic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The continuum of maternal and neonatal healthcare visits could potentially break the intergenerational cycle of stunting, especially in populations where stunted mothers are prevalent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-081774","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T03:56:14Z","timestamp":1713585374000},"page":"e081774","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of maternal and neonatal continuum of care on the risk of intergenerational cycle of stunting: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1926-9328","authenticated-orcid":false,"given":"Dwi Sisca","family":"Kumala Putri","sequence":"first","affiliation":[{"name":"Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kencana","family":"Sari","sequence":"additional","affiliation":[{"name":"Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4113-9394","authenticated-orcid":false,"given":"Nur Handayani","family":"Utami","sequence":"additional","affiliation":[{"name":"Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sri Poedji Hastoety","family":"Djaiman","sequence":"additional","affiliation":[{"name":"Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"2025121222423638000_14.4.e081774.1","unstructured":"World Health Organization . Stunting in a nutshell. Available: https:\/\/www.who.int\/news\/item\/19-11-2015-stunting-in-a-nutshell [Accessed 01 Feb 2024]."},{"key":"2025121222423638000_14.4.e081774.2","unstructured":"United Nations Children\u2019s Fund (UNICEF), World Health Organization, International Bank for Reconstruction and Development\/The World Bank . Levels and trends in child malnutrition: key findings of the 2021 edition of the joint child malnutrition estimates, vol 24. Geneva World Health Organization; 2021. 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