Abstrak: Gangguan pertumbuhan pada awal kehidupan termasuk stunting berdampak negatif jangka panjang pada banyak aspek kehidupan. Kelahiran ”4 Terlalu” diduga berisiko gangguan pertumbuhan dini. Tujuan penelitian ini adalah untuk  menyediakan bukti baru keterkaitan antara kelahiran “4 Terlalu” dan risiko stunting menurut SKI 2023. Metode penelitian ini kuantitatif-analitik dengan desain cross sectional. Sumber data SKI 2023 dengan populasi keluarga balita, jumlah sampel sebesar 61870 responden. Analisis data menggunakan uji chi-square, regresi logistik sederhana dan berganda complex sample. Hasil penelitian menunjukan bahwa terdapat hubungan antara “4 Terlalu” meliputi kelahiran wanita terlalu muda (< 20 tahun), terlalu dekat (jarak kehamilan < 24 bulan), terlalu banyak (paritas >=4) terhadap stunting dan stunting berat. Lebih lanjut, kelahiran dari wanita terlalu muda (< 20 tahun) berisiko lebih tinggi stunting [(AOR=1,24(95%CI=1,07 – 1,44)] setelah dikontrol status ekonomi, kelahiran dari wanita terlalu muda (< 20 tahun) berisiko lebih tinggi stunting berat [(AOR=1,65(95%CI=1,27 – 2,15)] setelah dikontrol tinggi badan dan LILA wanita dan kelahiran terlalu banyak [AOR=0,88 (95%CI=0,78 – 0,99)] berisiko lebih rendah stunting berat setelah dikontrol wilayah. Diperlukan kampanye edukasi perencanaan kehamilan sehat sebelum pra-konsepsi bagi calon pengantin dan remaja putri memanfaatkan peer-educator khusus di daerah replecement rate tinggi dan prevalensi stunting tinggi, peningkatan akses dan kualitas layanan KB serta penguatan intervensi gizi dengan memperkuat implementasi program makan bergizi gratis bagi wanita hamil dan menyusui.

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Early life growth disorders, including stunting, have long-term negative impacts on many aspects of life. The birth of "4 Too" is thought to be at risk of disrupting early life growth. The purpose of this study was to provide new evidence of the association between the birth of "4 Too" and the risk of stunting according to SKI 2023. This research method is quantitative-analytical with a cross-sectional design. The data source is SKI 2023 with a population of toddler families; the number of samples is 61870 respondents. Data analysis using the chi-square test, simple logistic regression, and complex multiple samples. The results of the study showed that there was a relationship between "4 Too", including the birth of a mother who is too young (<20 years), too close (birth spacing <24 months), too many (parity >=4) to stunting and severe stunting. Furthermore, births from mothers who are too young (<20 years) have a higher risk of stunting [(AOR=1.24(95%CI=1.07 - 1.44)] after controlling for economic status, births from too young mothers (<20 years) have a higher risk of severe stunting [(AOR=1.65(95%CI=1.27 - 2.15)] after controlling for maternal height and MUAC and too many births [AOR=0.88 (95%CI=0.78 - 0.99)] lower risk of severe stunting after controlling for region. A pre-conception healthy pregnancy planning education campaign is needed for prospective brides and young women utilizing special peer educators in areas with high replacement rates and high stunting prevalence, increasing access to and quality of family planning services, and strengthening nutritional interventions by strengthening the implementation of makan bergizi gratis (MBG) program for pregnant and lactating women.

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