Stunting merupakan kondisi gagal tumbuh yang ditandai dengan nilai tinggi badan menurut umur (TB/U) atau panjang badan menurut umur (PB/U) berada di bawah -2 standar deviasi standar pertumbuhan anak WHO. Kejadian stunting bersifat multifaktorial dan dipengaruhi oleh faktor anak, pola asuh dan pemberian makan, kondisi kesehatan, karakteristik ibu, serta faktor lingkungan dan sanitasi. Dampak stunting tidak hanya berupa hambatan pertumbuhan fisik, tetapi juga gangguan perkembangan kognitif, peningkatan risiko PTM pada usia dewasa, serta menurunnya produktivitas. Berdasarkan hasil Survei Status Gizi Indonesia (SSGI), prevalensi stunting di Provinsi Sulawesi Barat tahun 2024 mencapai 35,4%, jauh di atas prevalensi nasional (19,8%). Penelitian ini bertujuan untuk mengetahui faktor dominan yang berhubungan dengan kejadian stunting pada anak usia 6-23 bulan di Sulawesi Barat tahun 2024. Penelitian kuantitatif ini menggunakan desain cross sectional yang meneliti data sekunder SSGI 2024 dengan jumlah sampel 713 anak serta metode pemilihan sampel yaitu total sampling. Data dianalisis menggunakan uji chi square, fischer test, dan regresi logistik ganda dengan analisis bivariat menghasilkan adanya hubungan yang signifikan antara jenis kelamin, berat badan lahir, panjang badan lahir, pola konsumsi susu, sumber air minum rumah tangga, tingkat pendidikan ibu, dan pengetahuan/sikap ibu terkait stunting dengan kejadian stunting pada anak 6-23 bulan di Sulawesi Barat. Namun, tidak ditemukan hubungan yang signifikan antara riwayat IMD, ASI eksklusif, konsumsi protein hewani, Minimum Acceptable Diet (MAD), riwayat penyakit infeksi, kepemilikan jamban, dan status pekerjaan terhadap kejadian stunting pada anak usia 6-23 bulan di Sulawesi Barat tahun 2024. Hasil analisis multivariat menunjukkan bahwa faktor dominan kejadian stunting pada anak usia 6-23 bulan di Sulawesi Barat tahun 2024 adalah berat badan lahir (aOR = 3,05) yang berarti anak dengan berat badan lahir rendah memiliki peluang 3,05 kali lebih besar untuk mengalami stunting.

Stunting is a condition of growth failure characterized by a height-for-age (HAZ) or length-for-age (LAZ) below -2 standard deviations of the WHO Child Growth Standards. Stunting is a multifactorial condition influenced by child characteristics, feeding practices, health status, maternal factors, as well as environmental and sanitation conditions. The impact of stunting includes not only impaired physical growth but also cognitive developmental delays, an increased risk of non-communicable diseases (NCDs) in adulthood, and reduced productivity. Based on the Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting in West Sulawesi Province in 2024 was 35.4%, which is considerably higher than the national prevalence (19.8%). This study aimed to identify the dominant factors associated with stunting among children aged 6-23 months in West Sulawesi in 2024. This quantitative study employed a cross-sectional design using secondary data from the 2024 SSGI. A total of 713 children were included through total sampling. Data were analyzed using the Chi-square test, Fisher's exact test, and multiple logistic regression. Bivariate analysis showed significant associations between child sex, birth weight, birth length, milk consumption pattern, household drinking water source, maternal education level, and maternal knowledge and attitudes regarding stunting with the occurrence of stunting among children aged 6-23 months in West Sulawesi. However, no significant associations were found between early initiation of breastfeeding, exclusive breastfeeding, animal-source protein consumption, Minimum Acceptable Diet (MAD), history of infectious diseases, household latrine ownership, maternal employment status, and stunting. Multivariate analysis identified low birth weight as the dominant factor associated with stunting (aOR = 3.05), indicating that children with low birth weight were 3.05 times more likely to experience stunting than those with normal birth weight.