The Relationship Between Exclusive Breastfeeding and Speech Delay in Toddlers in Coastal Areas
Abstract
Speech delay in early childhood is a serious problem that affects communication and cognitive development. Exclusive breastfeeding may be related to children’s speech development. The purpose of this study was to determine the relationship between exclusive breastfeeding and speech delay in toddlers in the coastal area of the Lansilowo Community Health Center. This was a quantitative, cross-sectional study. The sample consisted of 62 toddlers aged 24-59 months in the working area of the Lansilowo Health Center in Konawe Kepulauan Regency in June 23-September 9, 2025. The sampling technique used was proportionate stratified random sampling. Data on speech delay were assessed using the Denver II instrument, which is a validated and reliable questionnaire, and analyzed using Fisher’s exact test. The results showed that of the 2 toddlers who were exclusively breastfed, 100% did not have speech delays. Furthermore, of the 60 toddlers who were not exclusively breastfed, the majority had speech delays (93.3%). The Fisher’s exact test yielded a p-value of 0.008. The study concludes that an exclusive breastfeeding history was associated with speech delay among toddlers, and there is a relationship between exclusive breastfeeding and speech delay in toddlers
Keywords: Child Development, Coastal Areas, Exclusive Breastfeeding, Speech Delay, Toddlers
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Afifah, C. A. N., Amalia Ruhana, S. P., Dini, C. Y., Gz, S., Pratama, S. A., & Gz, S. (2022). Nutrition Textbook in the Life Cycle.. Deepublish.
Ali, S. A., El-Setouhy, M., Albasheer, O., Alqassim, A. Y., Muaddi, M. A., Jareebi, M. A., Mkeen, A. M., Alattas, K. K. M., Alshareef, G. M. A., & Koko, R. F. I. (2025). Sociodemographic, health, and environmental determinants of speech delay in children: A case–control study. Medicine, 104(34), e43817.
Amalia, A., Dewiani, K., Novianti, Yusanti, L., Purnama, Y., & Yulyani, L. (2024). Nutritional Status Overview of Toddler Development in the Coastal Region of Bengkulu City, Indonesia. Journal of Health Sciences and Medical Development, 3(3), 142–156.
Askar, H. (2025). Coastal Women’s Contribution to Child Stunting Prevention: A Social Dimension Approach in Coastal Communities. Jurnal Perikanan Dan Kelautan, 30(2), 203–211.
Ayu, R., Islamiah, A., & Setiyani, A. (2023). The Relationship between Exclusive Breastfeeding History and Child Development Aged 6-36 Months in the Buduran Community Health Center Work Area. Echo of Indonesian Midwives, 12(2), 78–86.
Faradilah, A., Rusyaidi, A. M., Jalaluddin, S., & Savitri, A. I. (2022). Breastfeeding Duration More than 18 Months Possibly Lowers the Risk of Language Development Delay in Children Aged 18–35 Months. Kesmas, 17(4), 243–250. https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1508&context=kesmas.
Goldshtein, I., Sadaka, Y., Amit, G., Kasir, N., Bourgeron, T., Warrier, V., Akiva, P., Avgil Tsadok, M., & Zimmerman, D. R. (2025). Breastfeeding duration and child development. JAMA Network Open, 8(3), e251540.
Handayani, L., Evayanti, A., & Saedah, A. R. I. (2025). Mothers’ Perceptions of Breastfeeding Success in Coastal Areas: A Review. Journal of Health Science and Pharmacy, 2(1), 61–71. https://stikbar.org/ycabpublisher/index.php/jhsp/article/view/1165
Hanifah, A. N., Septiana, M., Novita, N., Lestari, F., Rejeki, I. S., & Wijayanti, L. A. (2024). Combination of Breast Care and Oxytocin Massage on Breast Milk Production During the Postpartum Period at the Healthy Clinic. International Journal of Health Sciences, 2(3), 1170–1179. https://doi.org/10.59585/ijhs.v2i3.490
Hardinsyah & Supariasa, 2019. Nutrition Science: Application Theory. EGC.
Hariani, S. (2025). Health Behavior of Coastal and Rural Communities. 109.
Konawe Islands Regency Health Office. (2024). Profile of the Konawe Islands Regency Health Office.
Lansilowo Community Health Center (2024). Lansilowo Community Health Center Profile.
Liang, W. H. K., Gn, L. W. E., Tan, Y. C. D., & Tan, G. H. (2023). Speech and language delay in children: a practical framework for primary care physicians. Singapore Medical Journal, 64(12), 745–750. https://doi.org/10.4103/singaporemedj.SMJ-2022-051
Ministry of Health of the Republic of Indonesia. (2024). Results of the 2023 Indonesian Health Survey.
Muchtar, F., Srinugraha, E., & Hibali, C. M. L. O. (2025). Stunting in Coastal Communities in Indonesia: A Review. Journal of Epidemiology and Health Science, 2(1), 171–178.
Muyassaroh, M., Fahrizal, F., Naftali, Z., Yunika, K., Farokah, F., Widodo, P., & Ruspita, D. A. (2022). Identifying Risk Factors of Speech and Language Delay on Children. Jurnal Kesehatan Masyarakat, 17(3), 431–435.
Nashirah, F. M., & Frety, E. E. (2024). Determinants of Speech Delay in Children: A Literature Review. Malahayati Nursing Journal, 6(10), 4015–4026. doi: https://doi.org/10.33024/mnj.v6i10.13892
Perbawati, D. (2024). Textbook of Postpartum Midwifery Care and Breastfeeding. Dr. SOEBANDI University.
Ramdana, N., Sartika, R. A., Rusmayadi, R., Herman, H., Razak, A., & Rahayu, R. (2024). Fenomena Speech delay Gangguan Perkembangan Berbicara dan Bahasa Pada Anak Usia Dini. Edu Sociata (Jurnal Pendidikan Sosiologi), 7(1), 837–844. doi: https://doi.org/10.33627/es.v7i1.2230
Ratna Suminar, S. S. T., Riadini Wahyu Utami, S. S. T., Ayesha Hendriana Ngestiningrum, S. S. T., Silviatul Amalia, S. K., & Bd Desriati Sinaga, S. S. T. (2025). Reference Book for Early Detection and Growth and Development of Early Childhood (0-5 Years). Optimal for the Nation.
Septi, A. (2025). The Relationship Between Exclusive Breastfeeding and Development in Toddlers Aged 6–24 Months in the Working Area of the Karang Anyar Community Health Center. Tanjung Karang Health Polytechnic, Ministry of Health.
Setiawan, F. V., & Herwanto, H. (2024). The Relationship Between Exclusive Breastfeeding And Speech Development In Children 6-12 Months. Hearty. LPPM Universitas Ibn Khaldun Bogor, 12(3), 531–535.
Shilvia, S., Zulvayanti, Z., Herawati, D. M. D., Susiarno, H., Hilmanto, D., & Irianti, S. (2025). The Connection Between Health Education, Exclusive Breastfeeding, and Infant Weight Gain: A Scoping Review. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 7(1), 415–427.
Siahaan, I., & Sinaga, J. P. (2025). Maternal Iodine Levels and Their Impact on Breast Milk Iodine Concentration: Analysis. Cermin Dunia Kedokteran, 52(5), 347–351.
Soetjiningsih, R. (2021). Child Growth and Development, 2nd Edition. Jakarta Books.
Soofi, S. B., Khan, G. N., Sajid, M., Asif Hussainyar, M., Shams, S., Shaikh, M., Ouma, C., Azami, S., Naeemi, M., & Hussain, A. (2024). Effectiveness of Specialized Nutritious Foods and Behavior Change Communication Interventions During the First 1,000 Days of Life to Prevent Stunting Among Children Under Two Years: A Quasi-Experimental Study in Afghanistan. Nutri Journal, 1(1), 45–56.
Sugiyono. (2021). Quantitative, Qualitative, and Mixed Methods Research. Alfabet.
Supu. (2017). Differences in Speech Development in Breastfed and Non-Breastfed Infants Aged 2-4 Years at Nurhidayah PAUD Surakarta. Thesis. Physiotherapy Undergraduate Program. Faculty of Health Sciences. Muhammadiyah University of Surakarta.
Wahyuni, I., Abadi, E., & Dhesa, D. B. (2022). The Relationship between Exclusive Breastfeeding (ASI) and Speech Development in Toddlers Aged 2-4 Years in the Working Area of the Poasia Health Center, Kendari City. Jurnal Ilmiah Karya Kesehatan, 2(02), 58–62. https://jurnal.karyakesehatan.ac.id/JIKK/article/view/697
WHO. (2024). Malnutrion. https://www.who.int/news-room/fact-sheets/detail/malnutrition/.
Wu, S., Zhao, J., de Villiers, J., Liu, X. L., Rolfhus, E., Sun, X., Li, X., Pan, H., Wang, H., & Zhu, Q. (2023). Prevalence, co-occurring difficulties, and risk factors of developmental language disorder: first evidence for Mandarin-speaking children in a population-based study. The Lancet Regional Health–Western Pacific, 34. https://www.thelancet.com/journals/lanwpc/article/PIIS2666-6065(23)00031-7/fulltext
DOI: http://dx.doi.org/10.30829/contagion.v8i2.27834
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