scholarly journals Faktor risiko kejadian kusta

2017 ◽  
Vol 33 (9) ◽  
pp. 427
Author(s):  
Aprizal Aprizal ◽  
Lutfan Lazuardi ◽  
Hardyanto Soebono

Risk factors of leprosy in district of LamonganPurposeThis study aimed to know the risk factors of leprosy incidence in Lamongan district including economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. MethodsThe research was a case-control study. The subjects were the people who had clinical or laboratory symptoms, leprosy diagnosed and recorded in the health center register. The samples were 170 people, consisting of 85 cases and 85 controls. The data were analysed using chi-square and logistic regression tests, and the amount of the risk was calculated using odds ratio. ResultsThe risk-factors associated with the incidence of leprosy in Lamongan were the economic status or family income (OR=4.3 and p=0.001), BCG vaccination (OR=4.3 and p=0.050), residential density (OR=3.2 and p=0.001), floor conditions (OR=2.8 and p=0.051), source of water (OR=2.1 and p=0.033), contact history (OR=7.8 and p=0.001), bathing habit using soap (OR=3.1 and p=0.022) and using footwear (OR=3.1 and p=0.004). The dominant risk factor was BCG vaccination (OR = 8.1 and p=0.025). ConclusionThere were correlations between leprosy incidence and the economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. The dominant risk factor was BCG vaccination.

2020 ◽  
Vol 6 (1) ◽  
pp. 43
Author(s):  
Anita Margaret Wibisono ◽  
Ancah Caesarina Novi Marchianti ◽  
Dion Krismashogi Dharmawan

Recurrent diarrhea is diarrhea that occurs repeatedly within one to three months. Toddler is the highest group suffering of diarrhea. Diarrhea is the second leading cause of death on toddler. This research aims to analyze the effect of risk factors of recurrent diarrhea on toddler in Sumberjambe Health Center Jember Regency. This type of research is observational analytic with case control design. The sample is 50 cases and 50 controls. The sampling technique used consecutive sampling method. The research was conducted in December 2018 to January 2019 using a questionnaire. Data analysis using Chi Square test and Logistic Regression test. Chi Square analysis results are child’s age (p= 0.003), gender (p= 1,000), exclusive breastfeeding (p= 0.044), measles immunization (p= 0.387), nutritional status (p= 0.840), hand nail hygiene (p= 0.395), mother’s age (p= 0.435), mother’s education level (p= 0.263), mother’s knowledge (p= 0.494), hand washing habit (p= 0.684), and family income (p= 0.773). Logistic Regression analysis results are child’s age (p= 0.002) and exclusive breastfeeding (p= 0.499). The conclusions of this study are child’s age and exclusive breastfeeding have influence of recurrent diarrhea on toddler and child's age is the most influential risk factor of recurrent diarrhea on toddler. The suggestion of this research is that it needs to research other risk factors and mothers are required to give exclusive breastfeeding.  Keywords: risk factors, recurrent diarrhea, toddler


2021 ◽  
Vol 7 (1) ◽  
pp. 25-31
Author(s):  
Lisa Tanzil ◽  
Hafriani Hafriani

ABSTRACT FACTORS AFFECTING STUNTING IN CHILDREN AGE 24-59 MONTHS  Background: Stunting is a description of chronic malnutrition in the period of growth and development since early life. Many factors can cause stunting in children under five, such as the characteristics of toddlers and socioeconomic characteristics. The prevalence of stunting in Indonesia is the fifth largest in the world. Basic health research data (Riskesdas) in 2013 showed the prevalence of stunting in the national scope of 37.2 percent, consisting of a stunting prevalence of 18.0 percent and very short prevalence of 19.2 percent. Stunting is considered a serious public health problem when the prevalence of stunting is in the 30-39 percent range. Purpose: This study aims to determine the factors that cause stunting in toddlers aged 24-59 monthsMethods: This study was an analytic observational study with a case control conducted in the working area of the Simpang Ulim Public Health Center, East Aceh. Samples were taken as many as 20 toddlers as a case group and 20 toddlers as a control group with a purposive sampling technique. Data analysis used the chi square test and used cross tabulation to analyze the closeness of the relationship between two variables by looking at the Odds Ratio (OR) value.Results: The study showed that energy adequacy (OR = 9,333; CI = 2,180-39,962), protein adequacy (OR = 7000; CI = 1,739-28,174), maternal knowledge (OR = 7000; CI = 1.739-28174), maternal education (OR = 22,667; CI = 4,374-117,468), family income (OR = 13,222; CI = 2,790-62,670) was a risk factor for stunting, while other factors in this study were low birth weight (LBW) (OR = 1,588; CI (0.236-10.704), history of breastfeeding (OR = 0.474; CI (0.39-5.688) and maternal occupation (OR = 1.238; CI = 0.343-4.64) were not risk factors for stunting.Conclusion: Lack of energy and protein intake, less knowledge of mothers, low education of mothers and low family income are risk factors for stunting in children aged 24-59 months.Suggestion It is hoped that the Puskesmas and other related sectors can increase maternal knowledge about the nutritional needs of toddlers through nutritional counseling activities which include education on nutritional adequacy rates for children under five according to age, how to properly process food, and provide financial assistance for underprivileged families. It is hoped that mothers of toddlers can actively participate in posyandu activities so that they are more often exposed to nutritional fulfillment information for toddlers. Keywords: Stunting, Risk Factor, Toddler, Simpang Ulim ABSTRAK Latar Belakang: Stunting merupakan penggambaran dari status gizi kurang yang bersifat kronik pada masa pertumbuhan dan perkembangan sejak awal kehidupan. Banyak factor yang dapat menyebabkan terjadinya stunting pada balita seperti karakteristik balita maupun social ekonomi. Prevalensi stunting di Indonesia menempati peringkat kelima terbesar di dunia. Data Riset kesehatan  dasar  (Riskesdas)  tahun  2013 menunjukkan prevalensi stunting dalam lingkup nasional sebesar 37,2 persen, terdiri dari prevalensi pendek sebesar 18,0 persen dan sangat pendek sebesar 19,2 persen. Stunting dianggap sebagai masalah kesehatan masyarakat yang berat bila prevalensi stunting berada pada rentang 30-39 persen.Tujuan: Penelitian ini bertujuan untuk mengetahui factor-faktor yang menyebabkan terjadinya stunting pada balita usia 24-59 bulan.Metode: Penelitian ini merupakan penelitian observasional analitik dengan kasus kontrol yang dilakukan di wilayah kerja UPTD Puskesmas Simpang Ulim, Aceh Timur. Sampel yang diambil sebanyak 20 balita sebagai kelompok kasus dan 20 balita sebagai kelompok kontrol dengan teknik purposive sampling. Analisis data menggunakan uji chi square serta menggunakan tabulasi silang untuk menganalisis keeratan hubungan antara dua variabel dengan melihat nilai Odds Ratio (OR).Hasil: Pada penelitian menunjukkan bahwa kecukupan energy (OR=9.333; CI=2.180-39.962), kecukupan protein (OR=7000; CI=1.739-28.174), pengetahuan ibu (OR=7000; CI=1.739-28174), pendidikan ibu (OR=22.667; CI=4.374-117.468), pendapatan keluarga (OR=13.222; CI=2.790-62.670) merupakan factor resiko terjadinya stunting, sedangkan factor lainnya dalam penelitian ini yaitu berat badan lahir rendah (BBLR) (OR=1.588; CI (0.236-10.704), Riwayat ASI (OR=0.474; CI (0.39-5.688) dan pekerjaan ibu (OR=1.238; CI=0.343-4.64) bukan merupakan factor resiko terjadinya stunting.Kesimpulan: Asupan energi dan protein yang kurang, pengetahuan ibu yang kurang, pendidikan ibu yang rendah serta pendapatan keluarga yang rendah merupakan fakor resiko terjadinya stunting pada balita usia 24-59 bulan.Saran Bagi pihak Puskesmas dan lintas sektoral yang terkait diharapkan dapat meningkatkan pengetahuan ibu tentang kebutuhan nutrisi pada balita melalui kegiatan penyuluhan gizi yang meliputi edukasi mengenai angka kecukupan gizi pada balita sesuai umur, cara mengolah makanan yang benar, serta memberikan bantuan finansial bagi keluarga yang tidak mampu. Bagi ibu balita diharapkan dapat aktif mengikuti kegiatan posyandu supaya lebih  sering terpapar dengan informasi pemenuhan nutrisi pada balita. Kata kunci : Stunting, Factor Resiko, Balita, Simpang Ulim  


2020 ◽  
Vol 9 (2) ◽  
pp. 34
Author(s):  
Muhammad Helmi Imaduddin ◽  
Nining Febriyana ◽  
Yunias Setiawati ◽  
Irwanto Irwanto

Background:  Children with mild mental retardation tend to have late language skills so that it affects aspects of speech and independence and can persist into adulthood. Knowing the risk factor of mental retardation is important because disability in children can be prevented by knowing the cause. Objective: This study aims to analyze risk factors for students with mild mental retardation in special schools in Surabaya in the academic year 2019-2020. Methods: This study was an observational analytic study with a case-control approach that took primary data in the form of a questionnaire on parents. Then the data is analyzed through univariate to display the characteristics of respondents and descriptive research variables and bivariate analysis with a chi-square test to determine the effect of risk factors on mental retardation. Results: In this study, there was a total of 100 samples after being excluded from 192 samples. Factors obtained by the length of neonatal stay in the hospital (p=0.010, OR=0.318, 95%CI=0.131-0.775), baby cries immediately at birth (p=0,000, OR=0.052, 95%CI=0,007-0,417), antenatal care (p=0.014, OR=0.107, 95%,CI=0.013-0.889), LBW (p=0.002, OR=0.820, 95%CI=0,72000,934), prematurity (p=0,007, OR=0,148, 95%CI=0,031-0,706), family income (p=0,000, OR=0.077, 95%CI=0.028-0.207), father's education (p=0.001, OR=5.310, 95%CI =1,913 14,745) affect mild mental retardation. Conclusion: Factors that influence mild mental retardation consist of perinatal factors (baby crying at birth) and environmental factors (family income and father's education).


2018 ◽  
Vol 58 (4) ◽  
pp. 151-8 ◽  
Author(s):  
Monalisa Elizabeth ◽  
Eddy Fadlyana ◽  
Lelani Reniarti ◽  
Faisal Faisal ◽  
Hadyana Sukandar ◽  
...  

Background The  prevalence  of  short  stature  in  thalassemia  patients ranges from 39.3 to 65%.  The  cause  of short stature is complex  and  still up for debate.  In  Indonesia, data on the  prevalence  and risk  factors  of  short  stature  in  adolescents  with  thalassemia  have been limited. Objective To assess for the prevalence and risk factors of short stature in adolescents with beta-thalassemia major. Methods This cross-sectional study was done from February to March 2017 at the Thalassemia Clinic at Dr. Hasan Sadikin General Hospital, Bandung. The baseline characteristics data of 80 adolescents with thalassemia aged 10-14 years were recorded. Short stature was assessed by height-for-age, (Z-score <-2SD) based on the 2007 WHO Reference Growth Chart. Mid-upper arm circumference was scored according to age and sex and serum IGF-1 was measured by ELISA method. Data analyses used were Chi-square, Fisher’s, and Mann-Whitney tests. Logistic regression model was used to further analyze for risk factors of short stature. Results Subjects were 40 males and 40 females, 81.2% of whom had short stature. The mean serum IGF-1 level was 32.2 (SD 26.38) ng/mL. The IGF-1 cut-off point by ROC curve was £38.51 ng/mL, with sensitivity of 64.4% and specificity of 86.7%. The risk factors of short stature were IGF-1 level £38.51 ng/mL (PR 40.66; 95%CI 4.37 to 377.58; P<0.001) and low family income (PR 19.76; 95%CI: 1.152 to 256.08; P=0.022). Conclusion IGF-1 level may be useful as a predictor of short stature in adolescent beta-thalassemia major patients.


2016 ◽  
Vol 56 (4) ◽  
pp. 226
Author(s):  
Yuni Purwanti ◽  
Sutaryo Sutaryo ◽  
Sri Mulatsih ◽  
Pungky Ardani Kusuma

Background Wilms tumor is the most common renal malignancy in children (95%) and one of the leading causes of death in children, with high mortality rates in developing countries. Identifying risk factors for mortality is important in order to provide early intervention to improve cure rates.Objective To identify risk factors for mortality in children with Wilms tumor.Methods We performed a case-control study of children (0-18 years of age) with Wilms tumor admitted to Dr. Sardjito Hospital between 2005 and 2012. The case group consisted of children who died of Wilms tumor, whereas the control group were children who survived. Data were collected from medical records. Statistical analyses using Chi-square and logistic regression tests were done to determine odds ratios and 95% CI of the potential risk factors for mortality from Wilms tumor.Results Thirty-five children with Wilms tumor were admitted to Dr. Sardjito Hospital during the study period. Nine (26%) children died and 26 survived. Stage ≥III was a significant risk factor for mortality in chidren with Wilms tumor (OR 62.8; 95%CI 5.6 to 70.5). Age ≥2 years (OR 1.4; 95%CI 0.1 to 14.3) and male sex (OR 1.2; 95%CI 0.1 to 10.8) were not significant risk factors for mortality.Conclusion Stage ≥III is a risk factor for mortality in children with Wilms tumor. 


2013 ◽  
Vol 131 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Orlando Milhomem Mota ◽  
Maria Paula Curado ◽  
José Carlos Oliveira ◽  
Edesio Martins ◽  
Daniela Medeiros Milhomem Cardoso

CONTEXT AND OBJECTIVESEsophageal cancer is the eighth commonest type of cancer worldwide, occupying sixth place in terms of mortality. Smoking and alcohol use are known risk factors for this type of cancer. The aim here was to evaluate the risk factors for esophageal cancer in a low-incidence area.DESIGN AND SETTINGCase-control study in Goiânia, with 99 cases of esophageal cancer and 223 controls.METHODSThe variables were sociodemographic, dietary, occupational and lifestyle data. The sample was analyzed using the chi-square test, Mann-Whitney test and Mantel-Haenszel approach for multivariate analysis. Odds ratios (OR) were calculated with 5% significance and 95% confidence intervals.RESULTSThe risk of esophageal cancer was higher in patients ≥ 55 years (OR = 1.95; P < 0.001). Patients from rural areas were at greater risk of esophageal cancer (OR = 4.9; P < 0.001). Smoking was a risk factor among the cases (OR = 3.8; P < 0.001), as was exposure to woodstoves (OR = 4.42; P < 0.001). The practice of oral sex was not a risk factor (OR = 0.45; P = 0.04). Consumption of apples, pears, vegetables, cruciferous vegetables and fruit juices were protective against esophageal cancer.CONCLUSIONIn a region in which the incidence of esophageal cancer is low, the most significant risk factors were exposure to woodstoves, smoking and living in rural areas.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Harriet U. Ugboko ◽  
Obinna C. Nwinyi ◽  
Solomon U. Oranusi ◽  
Fasina F. Fagbeminiyi

Diarrhoea is the passage of three or more loose or liquid stools per day or more frequent passage than is normal for an individual. Diarrhoea alters the microbiome, thus the immune system, and is a significant cause of morbidity and mortality in young children. This study evaluated the association between the risk factors and diarrhoea prevalence among children under five years in Lagos and Ogun States, located in Southwest Nigeria. Participants included 280 women aged 15–49 years and children aged 0–59 months. The study used quantitative data, which were assessed by a structured questionnaire. Data obtained were analyzed using the Statistical Package for the Social Sciences Software Version 25.0 and Microsoft Excel 2013. The relationships and/or association between variables were evaluated using Pearson's Chi Square and logistic regression tests. One hundred and eighteen (42%) of the children were male, and 162 (58%) were female. The majority of the children belonged to the age group 0–11 months (166). Age ( p = 0.113 ) and gender ( p = 0.366 ) showed no significant association with diarrhoea among the children. The majority of the mothers belonged to the age group 30–34. Multivariate analysis showed that the mother's level of education (95% CI for OR = 11.45; P = 0.0001 ) and family income (95% CI for OR = 7.61, P = 0.0001 ) were the most significant risk factors for diarrhoea among children. Mother’s educational status, mother's employment, and family income were the factors significantly associated with diarrhoea in Southwest Nigeria. The study recommends that female education should be encouraged by the right government policy to enhance the achievement of the sustainable development goal three (SDG 3) for the possible reduction of neonates and infants' deaths in Nigeria.


2017 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Sofia Sofia

Acute Respiratory Infection (ARI) is still one public health problem that is important to note, because it is an acute illness and can even cause death in infants in developing countries, including Indonesia. In general, there are three the risk factors of ARI namely environmental factors, individual factors of children, and behavioral factors. The aim of research to find out the environmental risk factors with the incidence of  ARI  in Toddlers in Public Health Center of Ingin Jaya, Aceh Besar district. This type of research is an analytic survey with cross-sectional study approach. The sample size is calculated using the formula Lemeshow of 100 respondents, samples were taken randomly. Data analysis using Chi-Square test. The results showed that the level of humidity in the home (p= 0,039), smoking habits of family members in the home (p= 0,001), and the habit of using mosquito coils in the home (p= 0,003) as a risk factor for ISPA to children in Region Public Health Center of Ingin Jaya, Aceh Besar district. Conclusion, risk factor of ARI in the toddler that is a smoking habit, usage habit of mosquito coil and air humidity. Suggestions, the public in order to maintain air quality in the home environment to avoid various transmission of infectious diseases.Keywords: Air humidity, habits, environment, ARIPenyakit Infeksi Saluran Pernafasan Akut (ISPA) masih menjadi salah satu masalah kesehatan masyarakat yang penting untuk diperhatikan, karena merupakan penyakit akut dan bahkan dapat menyebabkan kematian pada balita di berbagai negara berkembang termasuk  Indonesia. Secara umum ada 3 (tiga) faktor risiko terjadinya ISPA yaitu faktor lingkungan, faktor individu anak, serta faktor perilaku. Tujuan penelitian untuk mengetahui faktor risiko lingkungan dengan kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Jenis penelitian adalah survey analitik dengan pendekatan Crossectional study. Besarnya sampel dihitung dengan menggunakan rumus lameshow yaitu 100 responden, sampel diambil secara acak sederhana. Analisa data dengan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa tingkat kelembaban udara dalam rumah (p=0,039), kebiasaan merokok anggota keluarga dalam rumah (p=0,001), dan kebiasaan menggunakan obat nyamuk bakar di dalam rumah (p=0,003) sebagai faktor risiko kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Kesimpulan, faktor risiko ISPA pada balita yaitu kebiasaan merokok, kebiasaan penggunaan obat nyamuk bakar dan kelembaban udara. Saran, masyarakat agar dapat menjaga kualitas udara dilingkungan rumah agar terhindar dari berbagai penularan penyakit infeksi. Kata kunci: Kelembaban udara, kebiasaan, lingkungan, ISPA


Author(s):  
Sadhana A. Raina ◽  
Poorvi S. Jain ◽  
Manjusha M. Warhadpande

Background: India, a developing country, faces many challenges in rendering health needs to its countrymen. The influence of culture is seen in every discipline of health and medical practices, and dentistry is no exception. This study was performed to investigate the existence of myths and taboos in dentistry, to assess the variation of these myths across various demographic aspects and socio-economic status, to co-relate the existence of myths with the oral health of the subject and to impart education to the people regarding abolishing the myth as that will be a hindrance towards a healthy life in patients.  Methods: The study had a cross-sectional design, used a structured questionnaire and was conducted to assess the existence of dental myths and taboos and to determine its correlation with the OHIS index of the patients. Statistical analysis software SPSS V 16.0 was used. Descriptive & inferential statistical analysis was performed on categorical and continuous data. Chi-square, independent sample T tests and ANOVA test were used to compare the distribution of caries and OHI-S between different groups. P value less than 0.05 (p<0.05) was considered to be significant. Socioeconomic status was also calculated.Results: In the present study it was found that the there was almost an equal distribution of prevalence of myths in the educated as well as uneducated patients .Also the ratio of existence of myths was found higher in females as compared to males.Conclusions: Existence of myths and taboos regarding dental health has started decreasing among the urban population due to the widespread of awareness regarding dentistry.But still there is prevalence of some myths in the patients having primary education as compared to patients having secondary and tertiary education. If community is educated about proper prevention and cure, the myths relating dental concepts will vanish from the society and over all dental health status of the community will improve.


2018 ◽  
Vol 18 (1) ◽  
pp. 208
Author(s):  
Listautin Listautin

Diarrhea is one of health problem in the world including Indonesia. The Morbidity survey undertaken by Sub-Directorate of diarrhea, Health Department from 2007 to 2010is improved. According to the data gained from Puskesmas in Tanjung Pinang Jambi in 2017, it is found out that 5 different districs in Tanjung Pinang are the district which has the highest rate of diarrhea sufferers. The aim of this study is to find out the risk factors of the flies density and the dwelling sanitation to the occurance of diarrhea in Tanjung Pinang Jambi in 2017. This study is quantitative study by using case control design. The sample of this study is 68 people who consists of 34 samples of case group and 34 samples of control group. This study is analyzed through univariate and bivariate analysis by using chi-square test. The instruments of this study are the reviewed document, ceklist, and the measurement through fly grill. The result of analysis are found out that toilet is the main risk factor for the occurance of diarrhea with odds ratio (OR) value is 3,519. Sewerage (SPAL) is one the risk factor of the diarrhea occurance with odds ratio (OR) value is 3,361. The waste is the other risk factors for the occurance of diarrhea with odds ratio (OR) value is 4,418. The flies density is the protective factor for the diarrhea occurance with odds ratio (OR) value is 0,773.Based on the result of this study, it can be concluded that it is necesarry to do the coorporation across program to optimize the noticing of information to public concerning on the importance of good dwelling sanitation and the low flies density in order to avoid from the occurance of diarrhea.Keyword : Diarrhea, Dwelling Sanitation, Flies Density


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