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Analisis Faktor Risiko Kejadian penyakit Tuberculosis Bagi Masyarakat Daerah Kumuh Kota Palembang

1Universitas Sriwijaya, Palembang, Indonesia

2UNIVERSITAS SRIWIJAYA, Palembang

Open Access Copyright 2018 JURNAL KESEHATAN LINGKUNGAN INDONESIA under http://creativecommons.org/licenses/by-nc-sa/4.0.

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Abstract

Latar belakang:Tuberculosis atau dikenal dengan TB Paru merupakan penyakit yang mematikan setelah HIV-AIDS. Penyakit ini menjadi epidemik di dunia. Indonesia merupakan Negara dengan urutan kedua di dunia penderita TB Paru setelah India. Tahun 2016 penderita Tuberculosis mengalami peningkatan dari 9,6 juta menjadi 10,5 juta jiwa. Sementara Palembang merupakan Kota dengan prevalensi Tuberculosis tertinggi di provinsi Sumatera Selatan

Metode:Penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional, sampel penelitian ini adalah masyarakat yang berobat ke Puskesmas di Kota Palembang. Teknik sampling menggunakan proporsional random sampling. Analisis data menggunakan chi-square dan regresi logistic berganda.

Hasil:Analisis statistik secara bivariabel menyimpulkan bahwa terdapat hubungan antara jenis kelamin PR 0.65 (0.45 - 0.80), riwayat TB anggota keluarga PR 2.49(1.92 – 3.23),akses informasi PR 2.49(1.92 – 3.23), pencahayaan, kelembapan PR 1.57 (1.10 – 2.23), kondisi atap PR 3.57 (2.38 – 5.34), dinding PR 4.96(2.98 – 8.27), lantai rumah PR 2.46 (1.86 – 3.22), dengan kejadian penyakit Tuberculosis Paru (p<0.05) dan variabel kepadatan hunian secara bivariat PR 0.76(0.58 – 1.01) Sedangkan secara multivariabel menemukan bahwa kepadatan hunian merupa kan variabel yang paling dominan dengan nilai OR 6.42(1.55-26.63).

Simpulan:Karakteristik rumah merupakan variabel yang berperan dalam penyebaran penyakit Tuberculosis dan kepadatan hunian merupakan faktor dominan kejadian penyakit tersebut. Surveilens terhadap faktor – faktor risiko lingkungan pada daerah – daerah yang rentan dengan Tuberculosis perlu dilakukan disertai penyuluhan dengan pendekatan keluarga untuk mencegah penyakit Tuberculosis.

 

ABSTRACT

Title: Analysis of Tuberculosis Risk Factors in Slum Area Palembang

Background:Tuberculosis is a fatal disease after HIV-AIDS. This disease becomes epidemic in the world. Indonesia is the second  most populous country in the world of pulmonary tuberculosis patients after India. In 2016, Tuberculosis patients increased from 9,6 million to 10,5 million people. While Palembang Patients TB were the highest one in South Sumatra.

Methods:This research was analytical descriptive with cross sectional approach.Sample was patients who visited Puskesmas in Palembang. The sampling technique used proportional  random sampling. Data was analysed through bivariate analysis by  chi-square and multivariate analysis by logistic regression.

Results:Bivariable statistical analysis concluded that there were relationship among sex with PR 0.65 (0.45 - 0.80), family history in family with PR 2.49 (1.92 - 3.23), access to information with PR 2.49 (1.92 - 3.23), lighting, humidity with PR 1.57 (1.10 - 2.23 ), roof condition with PR 3.57 (2.38 - 5.34), house wall with PR 4.96 (2.98 - 8.27), home floor PR 2.46 (1.86 - 3.22) with incidence of Tuberculosis Lung disease (p <0.05). occupancy density PR 0.76(0.58 – 1.01)  While multivariable found that occupancy density is the most dominant variable with the value of OR 6.42 (1.55-26.63).

Conclusion: house Characteristics were variables that took a role in the spread of Tuberculosis disease and living house density was the dominant factor of the incidence of the disease. Surveillance of environmental risk factors in vulnerable areas with Tuberculosis should be accompanied by familial counseling to prevent Tuberculsois disease

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Keywords: Tuberculosis; faktor risiko; daerah kumuh (Tuberculosis; Risk factors; slum area)

Article Metrics:

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