scholarly journals Hubungan Lingkungan Fisik Rumah dan Kepadatan Hunian dengan Prevalensi Tuberkulosis di Kecamatan Sungai Kunjang Kota Samarinda

2021 ◽  
Vol 16 (1) ◽  
pp. 42
Author(s):  
Joko Sapto Pramono ◽  
Wiyadi Wiyadi

Background: The physical environment of the house becomes the main medium of transmission of Mycobacterium Tuberculosis through droplets of tuberculosis patients in the home. The physical environment of the house includes ventilation, lighting and overcrowding.  The highest prevalence of tuberculosis in East Kalimantan Province is Samarinda City. Objective: To determine the relationship between the physical environment of the house and the density of the occupancy with the prevalence of tuberculosis in Sungai Kunjang District, Samarinda City. Method: This type of research was quantitative with a case control design, carried out from August to October 2020 with a population of patients diagnosed with tuberculosis at Loa Bahu, Karang Asam and Loa Bakung Public Health Centers, a total of 57 respondents were taken and 57 respondents as controls. The research instruments were questionnaires and observation sheets. The analysis was carried out by univariate and bivariate using the chy square. Results: There was a significant relationship between the physical environment of the house and the occupancy density with the prevalence of tuberculosis, respectively: home lighting p-value = 0.001 (OR = 3.532), house ventilation p-value = 0.000 (OR = 55.467), occupancy density house p-value = 0.018 (OR = 3.317), and room area p-value= 0.004 (OR = 3.609). Conclusion: There was a relationship between the physical environment of the house and the density of occupancy with the prevalence of tuberculosis.   Education needs to be given to the community in order to physically modify the house to maintain health and avoid transmission of tuberculosis in the home environment.Keywords: Ventilation; lighting; occupancy density; house area; tuberculosis.

2016 ◽  
Vol 14 (2) ◽  
pp. 45
Author(s):  
Mudiyono Mudiyono ◽  
Nur Endah Wahyuningsih ◽  
M. Sakundarno Adi

Background: Children’s Tuberculosis (TB) in Indonesia at 2013 was fourth ranks in the world. The cases of children’s pulmonary tuberculosis in Pekalongan at 2013 be amounted 88 (32%) of the total cases of TB (271), greater than 8% of national cases. Children’s pulmonary tuberculosis is a disease that can be cured and are not duly claimed the lives of children. The purpose of this study is analyze the relationship between the mother's behavior and physical environment house of children with the incidence of children’s pulmonary tuberculosis in Pekalongan City.Methods: The study was observational with case control design. The cases are pulmonary tuberculosis patients and control are child is not a child’s pulmonary tuberculosis. The subjects were 50 cases and 50 controls. Results: The results of the bivariate analysis are associated with incidence population density with children’s pulmonary tuberculosis (p = <0.001), ventilation (p = 0.004), temperature of room (p = 0.036), density occupancy (p = <0.001) and natural lighting (p = 0.016). The results of multivariate analysis are risk factor for the incidence of children’s pulmonary tuberculosis with mother’s knowledge (p = 0.049; OR = 2.918; 95% CI = 1.005 to 8.472), density occupancy (p = 0.020; OR = 3.379; 95% CI = 1.212 to 9.417), humidity (p = 0.025; OR = 3.236; 95% CI = 1.156 to 9.058) and ventilation (p = 0.022; OR = 3.224; 95% CI = 1.182 to 8.797).Conclusion: The density occupancy, humidity, ventilation, mother’s knowledge are a risk factor pulmonary TB incidence of children in Pekalongan City.  Keywords: Behavior Mother, the physical environment house, children’s pulmonary tuberculosis, Pekalongan City.


2019 ◽  
Vol 10 (1) ◽  
pp. 21-31
Author(s):  
Hasmawati Hasmawati ◽  
Ike Anggraeni ◽  
Rahmi Susanti

Abstract Background: Confounding is a very important issue to consider because its presence can affect the p-value and the magnitude of the risk that can cause errors in decision making. The Mantel Haenszel is used when there are one or more confounding variables, which can be applied to public health problems such as the incidence of LBW which has many risk factors such as antenatal care (ANC), maternal age, parity, and anaemia. Objective: To identify confounding variables in the ANC relationship with LBW. Method: Nonreactive research with a case-control design. The sample was 305 (61 cases; 244 controls), in 3 Samarinda City Health Centers and sourced from the 2016-2017 maternal cohort registered, East Kalimantan. Results: Maternal age was confounding in the relationship of ANC to LBW (ΛOR 12.29%) whereas parity (ΛOR 1.65%) and anaemia (ΛOR 0,64%) didn’t become confounding. Conclusion: ANC has a significant relationship with the incidence of LBW without or accompanied by confounding variables. Parity and anemia are not as confounding whereas maternal age is influential confounding which is marked by changes in OR before and after considering external variables. Thus, more intensive pregnancy care is needed more mothers who are it too young and or too old. Key words: Confounding, Mantel Haenszel, Low Birth Weight, Maternal age   Abstrak Latar belakang: Confounding merupakan isu yang penting untuk diperhatikan, karena kehadirannya dapat mempengaruhi p value dan besaran risiko yang dapat menyebabkan kesalahan dalam pengambilan keputusan. Mantel Haenszel digunakan bila terdapat satu atau lebih variabel confounding, yang dapat diterapkan pada permasalahan kesehatan masyarakat secara global seperti kejadian Berat Badan lahir Rendah (BBLR) yang banyak memiliki faktor risiko seperti ANC dan faktor risiko BBLR lain seperti usia ibu, paritas dan anemia Tujuan: Mengidentifikasi variabel confounding pada hubungan Antenatal Care dengan BBLR. Metode: Non reactive research dengan desain case control. Sampel berjumlah 305 (kasus 61; kontrol 244) di 3 Puskesmas Kota Samarinda dan bersumber dari register kohort ibu tahun 2016-2017. Penelitian ini menggunakan dua cara analisis yaitu analisis univariat dan bivariat dengan uji statistik Chi Square dan dilanjut identifikasi variabel confounding dengan Chi Square Mantel Haenszel. Hasil: Usia ibu ( menjadi confounding dalam hubungan ANC terhadap BBLR, sedangkan paritas (  dan anemia (  bukan  menjadi confounding. Kesimpulan: ANC memiliki hubungan bermakna dengan kejadian BBLR tanpa atau disertai variabel confounding. Paritas dan anemia bukan sebagai confounding, sedangkan usia ibu memberikan pengaruh (confounding). Dengan demikian, perlu perawatan kehamilan yang lebih intensif kepada ibu dengan usia terlalu muda/usia terlalu tua.   Kata kunci: Confounding, Mantel Haenszel, BBLR, Usia Ibu


Author(s):  
Farhad Vahid ◽  
Zahra Nasiri ◽  
Amir Abbasnezhad ◽  
Ezatollah Fazeli Moghadam

BACKGROUND: Oxidative stress and chronic inflammation are among the leading causes of coronary heart disease (CHD). Studies investigated the relationship between dietary antioxidants and the risk/odds of CHD, and contradictory results have been reported. Dietary antioxidant index (DAI) is a novel and reliable nutritional tool that examines the diet’s overall antioxidant capacity. Its validity was examined using serum total antioxidant capacity and malondialdehyde. OBJECTIVE: This study aimed to investigate the relationship between DAI score and odds of CHD. METHODS: In this incidence case-control study, 320 individuals with a definitive diagnosis of CHD and 320 participants without CHD or related risk factors attending the same hospitals/polyclinics were selected as the case and control groups. We estimated the DAI by summing up six standardized intakes of major dietary antioxidants, including manganese, vitamin E, A, C, selenium, and zinc. RESULTS: Modeling DAI categorized according to the median (–0.38), in multi-adjusted model showed a significant protective association with the odd of CHD (OR = 0.72; 95%CI:0.51–0.99, p-value = 0.05). Also, modeling DAI as a continuous variable in multi-adjusted models (OR = 0.94;95%CI:0.90–0.95; p-value = 0.01) showed significant results. CONCLUSION: Using the DAI to investigate the relationship between dietary antioxidants and CHD can show more realistic results than a single study of antioxidants.


2020 ◽  
Vol 6 (1) ◽  
pp. 38-44
Author(s):  
Hana Haryani

Malnutrition affects nearly 15% of the population and mostly from developing countries. The children are the ones who often suffer malnutrition. The purpose of this study was to determine the relationship of knowledge mother of toddler nutrition with nutritional status of children under five in RW 07 Dayeuh Sublime Work Area Health Center Fort Sukabumi. This type of research is kolerasional. The study population was as much as 131 mothers and 99 samples taken maternal, Slovin calculated by the formula. Validity test showed there were 26 valid items, and reliability values obtained r =0,789. Hypothesis testing using Shomer's formula with p-value =0,026. The results showed the majority of knowledge mother included in both categories as much as 92,6%, and toddlers with good nutritional status as much as 90,9%. Based on the results of the study there is a relationship between maternal knowledge about toddler nutrition toddler with nutritional status of children. The conclusion of this study is known the better knowledge of the mother, the more toddlers with good nutritional status, and health centers are expected to improve educational programs and nutritional enhancement.


2021 ◽  
Vol 3 (2) ◽  
pp. 71
Author(s):  
Sri Heryani

MP-ASI (Makanan Pendamping-Air Susu Ibu) adalah makanan atau minuman selain ASI yang mengandung nutrisi yang diberikan kepada bayi setelah bayi siap atau berusia 6 bulan. Makanan pendamping ASI merupakan makanan tambahan bagi bayi.Makanan ini harus menjadi pelengkap dan dapat memenuhi kebutuhan bayi. Jadi selain makanan pendamping ASI, ASI harus tetap diberikan kepada bayi paling tidak sampai usia 24 bulan. Hasil Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2013 diketahui bahwa pemberian ASI Ekslusif hanya meningkat sekitar 10% dalam periode 2007-2013. Pada SDKI tahun 2007 angka pemberian ASI Ekslusif itu hanya sekitar 32%, dan di SDKI tahun 2013 meningkat menjadi 42%, meskipun ada peningkatan hal ini masih jauh dari angka sempurna. Keberhasilan ASI Ekslusif di Jawa Barat tercapai 42% dari target 80%. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pemberian MP ASI kurang dari 6 bulan dengan kerentanan penyakit di Desa Payung Agung Kecamatan Panumbangan Kabupaten Ciamis tahun 2014. Jenis penelitian yaitu menggunakan survey analitik dengan pendekatan case control (retrospective). Populasi pada penelitian ini adalah seluruh ibu yang memiliki balita di Desa Payung Agung Kecamatan Panumbangan Kabupaten Ciamis periode Februari Mei 2014 sebanyak 357 orang. Teknik pengambilan sampel pada penelitian ini adalah Proporsional Random Sampling sebanyak 78 orang. Hasil penelitian diketahui pemberian MP ASI adalah kategori memberikan MP ASI dibawah usia 6 bulan sebanyak 55 orang (10,5%), kerentanan penyakit adalah kategori mengalami sebanyak 58 orang (74,4%) dan terdapat hubungan antara pemberian MP ASI dibawah usia 6 bulan dengan kerentanan penyakit di Desa Payung Agung Kecamatan Panumbangan Kabupaten Ciamis 2014 ditunjukan dengan nilai p value 0,000 < α (0,05). Kesimpulan penelitian ini adalah sebagian besar memberikan MP ASI dibawah usia 6 bulan, sebagian besar mengalami kerentan penyakit dan terdapat hubungan antara pemberian MP ASI dibawah usia 6 bulan dengan kerentanan penyakit di Desa Payung Agung Kecamatan Panumbangan Kabupaten Ciamis 2014.MP-ASI (Companion Food-Breast Milk) is food or drink other than ASI that contains nutrients given to the baby after the baby is ready or 6 months old. Breast milk companion food is a supplement for babies. This food should be complementary and can meet the needs of the baby. So in addition to breast milk supplements, breast milk should still be given to babies at least until the age of 24 months. The results of the Indonesian Demographic and Health Survey (SDKI) in 2013 found that Exclusive Breastfeeding increased only about 10% in the period 2007-2013. In SDKI in 2007 the number of exclusive breastfeeding was only about 32%, and in SDKI in 2013 increased to 42%, although there is an increase this is still far from the perfect figure. The success of Exclusive Breastfeeding in West Java reached 42% of the target of 80%. The purpose of this study is to find out the relationship between the provision of MP ASI less than 6 months with the susceptibility to disease in Payung Agung Village, Panumbangan District, Ciamis Regency in 2014. This type of research is to use analytical surveys with case control (retrospective) approach. The population in this study is all mothers who have a toddler in Payung Agung Village, Panumbangan District, Ciamis Regency in the period of February May 2014 as many as 357 people. The sampling technique in this study is Proportional Random Sampling of 78 people. The results of the study are known that the provision of ASI MPs is a category of giving ASI MPs under the age of 6 months as many as 55 people (10.5%), the susceptibility of the disease is the category of experiencing as many as 58 people (74.4%) and there is a relationship between the provision of with disease susceptibility in Payung Agung Village, Panumbangan Subdistrict, Ciamis Regency 2014 is shown with a p value of 0,000 < α (0.05). The conclusion of this study is that most of them give ASI MPs under the age of 6 months, most of them have a susceptibility to disease and there is a relationship between giving ASI MPs under the age of 6 months with susceptibility to disease in Payung Agung Village, Panumbangan District, Ciamis Regency 2014.


2020 ◽  
Vol 2 (1) ◽  
pp. 34-43
Author(s):  
Zaquelino Da Costa Moreira ◽  
Agus Setyobudi ◽  
Helga Jillvera Nathalia Ndun

Indonesia is a dengue-endemic area. DHF in Kupang City in 2014 was 487 cases, in 2015 was 665 cases, in 2016 was 1.213 cases, it was 2019 387 cases. The 3M+ behavior includes the habit of draining water storage, closing the water storage, burying old stuff, sowing larvicide powder, using mosquito insecticide, using mosquito bed-net, and avoiding the habit of hanging clothes. This study aims to analyze the relationship between 3M+ behavior and the incidence of DHF. This study was conducted in September 2019. This is a descriptive-analytic study with a case-control design. The results show variables related to the incidence of DHF are the behavior of draining water storage (P-value = 0.006), the behavior of closing the water storage (P-value = 0.002), and the behavior of using anti-mosquito insecticide (P-value = 0,000). Whereas the variables not related to the incidence of DHF are the behavior of burying old stuff (P-value = 0.616), the behavior of sowing larvicide powder (P-value = 0.493), the behavior of using mosquito nets (P-value = 0.067), and the behavior of hanging clothes (p-value = 0.512). It is recommended that 3M+ behavior should be done to prevent dengue hemorrhagic fever.


2020 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Daniel Sihotang ◽  
Imanuel Sri Mei Wulandari

Mycobacterium tuberculosis is a cause of tuberculosis which is very easily transmitted from one individual to another. This bacterium is easily spread through droplets that come out with a patient cough, this makes Lung Tuberculosis included in the 10 causes of death in the world beyond HIV / AIDS. The purpose of this study was to determine the relationship between students' knowledge and stigma against Tuberculosis. The method used in this study is descriptive correlation with cross sectional suppressors, data collection techniques with a total sampling of 139 students. Analyze data using the Spearman Rho correlation test with a significance of 95% (<0.05). The results obtained by the level of student knowledge of Lung Tuberculosis in the moderate category (70.5%), the stigma of students towards tuberculosis patients 64% have a negative stigma against Tuberculosis. Correlation test between knowledge and student stigma has a p value of 0.009 <0.05, this means that there is a significant relationship between knowledge and student stigma against Tuberculosis. The recommendations given are increasing knowledge for the prevention of tuberculosis KeyWord: Knowledge, Stigma, Tuberculosis Mycobacterium tuberculosis merupakan penyebab terjadinya penyakit tuberkulosis yang sangat mudah menular dari individu satu ke individu lainya. Bakteri ini mudah sekali menyebar melalui droplet yang keluar bersama batuk penderita, hal ini membuat Tuberkulosis Paru termasuk dalam 10 penyebab kematian di dunia melebihi HIV/AIDS. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pengetahuan dan stigma mahasiswa terhadap Tuberkulosis. Metode yang digunakan dalam penelitian ini adalah deskriftif korelasi dengan pendekan cross sectional, teknik pengumpulan data dengan total sampling pada 139 mahasiswa. Analisa data dengan menggunakan uji korelasi spearman rho dengan signifikansi 95% (<0.05). Hasil penelitian yang didapatkan tingkat pengetahuan mahasiswa terhadap Tuberkulosis Paru pada kategori sedang (70,5%), stigma mahasiswa terhadap penderita TBC 64% mempunyai stigma negatif terhadap Tuberkulosis. Uji korelasi antara pengetahuan dengan stigma mahasiswa mempunyai nilai p 0,009 < 0,05, hal ini mempunyai arti terdapat hubungan yang signifikan antar pengetahuan dengan stigma mahasiswa terhadap Tuberkulosis. Rekomendasi yang diberikan adalah peningkatan pengetahuan untuk pencegahan Tuberkulosis Kata Kunci: Pengetahuan, Stigma , Tuberkulosis


2019 ◽  
Vol 8 (1) ◽  
pp. 29-37
Author(s):  
Samuel Kristian ◽  
Fitri Indrawati ◽  
Mahalul Azam

ABSTRACT            The target of timely reporting of SP3 online in Semarang City in the first quarter of 2017, amounted to 72% of Public Health Centers on time. Quarter II of 2017 was 62%. This is not in accordance with the target set by the Semarang City Health Office, which is 80%. The purpose of the study was to determine the factors that influence the timeliness of monthly SP3 reporting in Semarang City. This is an observational analytic research with case-control design. The sample set was 14 cases and 14 controls. The research instrument used was structured questionnaire. The results showed age factor (p value = 0.018; OR = 10.8), incentive (p value = 0.023; OR = 9.1), workload (p value = 0.008; OR = 13.4), leader support (p value = 0.008; OR = 15), supporting facilities (p value = 0.033; OR = 13) influenced the timeliness of SP3 reporting and years of service factor (p value = 0.7; OR = 1.8), computer skills (p value = 0.55; OR = 2.07), education (p value = 1; OR = 1.4), job training (p value = 0.5; OR = 2.07), and co-worker support (p value = 0.02; OR = 2.5) had no influence on the timeliness of SP3 reporting.  ABSTRAK Target ketepatan waktu pelaporan SP3 online Puskesmas Kota Semarang triwulan I tahun 2017, sebesar 72% puskesmas tepat waktu. Triwulan II tahun 2017 sebesar 62%. Hal ini tidak sesuai dengan target yang ditetapkan oleh Dinas Kesehatan Kota Semarang, yaitu 80%. Tujuan penelitian untuk mengetahui faktor yang mempengaruhi ketepatan waktu pelaporan Sistem Pencatatan Puskesmas (SP3) Bulanan Kota Semarang.  Jenis penelitian adalah observasional analitik dengan rancangan case control. Sampel yang ditetapkan sebesar 14 kasus dan 14 kontrol. Instrumen penelitian berupa kuesioner terstruktur. Hasil menunjukkan faktor umur  (p value=0,018; OR=10,8),  insentif (p value=0,023; OR=9,1), beban kerja (p value=0,008 ; OR=13,4), dukungan pimpinan (p value=0,008; OR=15),  fasilitas pendukung (p value=0,033; OR=13)  mempengaruhi ketepatan waktu pelaporan SP3 dan faktor masa kerja (p value=0,7; OR=1,8), kemampuan teknik komputer (p value=0,55; OR=2,07), pendidikan (p value=1; OR=1,4), pelatihan kerja (p value=0,5; OR=2,07), dan dukungan rekan kerja (p value=0,02; OR=2,5) tidak mempengaruhi ketepatan waktu pelaporan SP3.


Author(s):  
Safarianti Safarianti ◽  
Rolan Ronaldo ◽  
Rina Suryani Oktari

Pulmonary Tuberculosis (TB) is a lung infection caused by bacillus bacteria called Mycobacterium tuberculosis. MTB generally attacks the lungs and carries a very high risk of transmission. Patients with TB are potentially non-adherent totake anti-tuberculosis drugs (OAT) regularly as directed due to a long period of medication. Factors affecting ATD taking compliance include knowledge and attitudes of pulmonary TB patients. This study aimed to determine the relationship of knowledge and attitude of tuberculosis patients with compliance of ATD drinking in RSUD dr. Husni Thamrin Natal Regency Mandailing Natal. The research was conducted in dr. Husni Thamrin Natal. This research is an observational analytic by cross sectional design which involved 57 participants taken with consecutive sampling method. Data were processed into Spearman ' s correlation test. The result showed that knowledge (p value = 0,000) and attitude (p value = 0,000) related to OAT drinking compliance. This research had proven that the knowledge and attitudes affected OAT drinking compliance of the TB outpatient in RSUD dr. Husni Thamrin Natal, Mandailing Natal Regency.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Caroline . Dumais ◽  
Rudy A Lengkong ◽  
Maya E Mewengkang

Abstract: This study aimed to obtain the relationship between obesity in pregnancy and preeclampsia. This was a retrospective analytical study with a case-control design by using data of patients’ medical records. Samples were pregnant women with obesity (IMT ≥30 kg/m2) at the last pregnancy that suffered from preeclampsia and obese pregnant women without preeclampsia at RSUP Prof. Dr. R. D. Kandou Manado from January, 2013 until December 2014. Data were processed by using SPSS 2.0. The results showed that the number of obese pregnant women that suffered from preeclampsia and obese pregnant women without preeclampsia was 60 people. Most of them suffered from preeclampsia were categorized as obesity I. The chi-square test showed a p value = 0.013 (<α = 0.05). Conclusion: There was a relationship between obesity at pregnancy with preeclampsia at pregnant women at RSUP Prof. Dr. R. D. Kandou Manado. Keywords: BMI, obesity, preeclampsia Abstrak: Penelitian ini bertujuan untuk mengetahui hubungan obesitas pada kehamilan dengan pre-eklampsia. Jenis pnelitian ini analitik retrospektif dengan desain case-control. Data penelitian diperoleh dari catatan rekam medis pasien. Sampel penelitian ini ialah wanita hamil dengan obesitas (IMT ≥ 30 kg/m2) pada akhir kehamilan yang menderita pre-eklampsia dan wanita hamil obes tanpa pre-eklampsia di RSUP Prof. Dr. R.D. Kandou Manado dari bulan Januari 2013 sampai Desember 2014. Data yang diperoleh diolah dengan menggunakan SPSS 2.0. Hasil penelitian memperlihatkan bahwa jumlah wanita hamil dengan obesitas yang menderita pre-eklampsia dan wanita obes tanpa pre-eklampsia sebanyak 60 orang. Sebagian besar responden dengan pre-eklampsia termasuk obesitas I. Hasil uji chi square dengan tingkat signifikan α = 0,05 mendapatkan nilai p = 0,013 (<α = 0,05). Simpulan: Terdapat hubungan antara obesitas pada kehamilan dengan pre-eklampsi pada wanita hamil di RSUP Prof. Dr. R. D. Kandou ManadoKata kunci: IMT, obesitas, pre-eklampsia


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