Factors associated with stunting among hilltribe pre-school children in Thailand.


  • Dararat Sroywong Faculty of Public Health, Chiang Mai University
  • Jukkrit Wungrath Faculty of Public Health, Chiang Mai University
  • Aksara Thongprachum Faculty of Public Health, Chiang Mai University


hilltribe, pre-school children, stunting, consumption behavior, maternal factor


Pre-school children (0-5 years) are undergoing rapid changes in physical, mental, social,
emotional, and intellectual age. Such changes are the result of hereditary and environmental factors during the period of pregnancy and post-birth. If stunting occurs in pre-school children, it can have negative influences on both short-and-long-term health. The research objective was to study factors associated with stunting among hilltribe pre-school children in Mae Chaem District in the Chiang Mai Province. The study was a cross-sectional analytical study conducted between July to October 2020. The sample consisted of 170 hilltribe children aged between 3-5 conducted from July to October 2020, using primary data from the secondary data on children aged 3-5, who were measured in terms of height and recorded from seven healthcare facilities from October to December 2019. The research tool were structured interviews with closed-ended questions, which was used to interview the parents of these children and to test the quality of the tool. The content validity index (CVI) was 1, and the Cronbach’s alpha coefficient was 0.85. The statistical tools for analysis included descriptive statistics and logistic regression analysis. The results of the research were as follows: the maternal factors consisted of height, ethnicity, and exposure to secondhand smoke from family members while pregnant and exposure to secondhand smoke from family members after childbirth and during breastfeeding. The factors related to the children consisted of the consumption behavior of children from six months to two years and drinking cow’s milk. The results of the study can be applied to plan solutions of stunting issues in children by organizing health promotion activities or formulating policies to drive the cooperation of public health agencies, provincial administrative organizations, educational institutes, and the public sector for an appropriate implementation of the health enhancement among pre-school children.



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Original Article (บทความวิจัย)