Analisis Faktor–Faktor Risiko Kejadian Filariasis
Abstrak: According to WHO
report 2001 filariasis, commonly known
as elephantiasis is one of communicable disease which still becomes a public
health problem in Indonesia, particularly in rural areas. Filariasis disease
can cause permanent deformity, i.e.
swollen legs, arms and genital regardless of sexes. Further impact of such a condition is
that the sufferers cannot work
normally and depend their
lives to others. Filariasis
disease brings great social, cultural,
economic and psychological
impact. Out of five
districts in the
province of Gorontalo, District
of Bonebolango shows the highest endemic. The report shows that out of 326
people whose blood has been examined, 105 turn out to be positive (mf
rate=34.4%). They are concentrated at one sub district, i.e. sub district of
Boneraya (survey 2002), exceeding endemic borderline of an area with mf rate
<1% which becomes a threat to economic stability of the area. WHO declares
the Global Goal of Elimination of Lympathic Filariasis as a Public Health
Problem by 2020, and Indonesia makes a follow up by determining filariasis
elimination as a priority program
of communicable disease
eradication. Environmental,
behavioral and social
cultural factors are
risk factors which minimize
prevalence of filariasis.
Objective: To identify risk factors related to cases of filarisis at
District of Bonebolango, Province of Gorontalo.
Method: The study was
observational with case control
design. Odds Ratio (OR) was used
to find out
risk factor estimation of filariasis prevalence. Interview was conducted to respondents with positive microfilaria and
equal control. Total samples were as many as 140 respondents. Data analysis
used Chi Square and logistic regression.
Result: The result of univariable and bivariable analysis showed that
risk factors related to filariasis prevalence were behavioral factors, i.e. use
of mosquito net (OR=11, 5), use of ventilation wire screen (OR=2.078), use of
long sleeves (OR=0,
014), knowledge (OR=2,
004) and environmental
(OR=2, 215) However, the
result of multivariable analysis showed
that the risk
factors were behavioral with such
as use of mosquito net (OR=9, 568), use
of long sleeves (OR=2, 870), knowledge (OR=2, 485) and environmental (OR=3.563)
Conclusion: Behavioral (do not
used of mosquito net
and do not
used long sleeves), Social cultural
(low knowledge) and environmental
factors were risk factors
of filariasis.
Penulis: Reyke Uloli, Soeyoko,
Sumarni
Kode Jurnal: jpkedokterandd080111