Hubungan Faktor Lingkungan Fisik Rumah dan Respons Terhadap Praktik Pengobatan Strategi DOTS Dengan Penyakit Tb Paru di Kecamatan Tirto Kabupaten Pekalongan Tahun 2010
Abstract: Pulmonary
tuberculosis caused by Mycobacterium tuberculosis, the prevalence rate of
tuberculosis cases in the year 2009 in the district Pekalongan of sub district
Tirto 96/100.000%. In the last 3 years from 2007 until 2009 the average monthly
case found 9 cases of pulmonary tuberculosis. Condition of housing residents
who qualify as a healthy house has just reached 49%, has not met the target
Ministry of Health, by 80%. This research was to analyze the association
between, physical environmental and response to treatment practices with the
DOTS strategy of TB pulmonary disease in sub district Tirto Pekalongan District
year of 2010.
Method: The type of this study is observational analytic study using case
control study. Subjects of this study 106 people, consisting of 53 cases and 53
controls. The data were analyzed with chi-square test to determine the
description and the relationship of risk factors with disease incidence of
tuberculosis (univariate and bivariate analysis), then performed multivariate
analysis with logistic regression.
Result: The bivariate analysis result found that related to pulmonary
tuberculosis were: type of floor in the house (ρ-value = 0.001), type of wall
in the house (ρ-value = 0.001), index of ventilation in the house (ρ-value =
0.028), index of ventilation in bedroom (ρ-value = 0.039), ventilation in
(stack hole) the kitchen/separation of kitchen and the main house
(ρ-value=0.001), solar orientation (natural lighting) in house (p-value
=0.025), solar orientation (natural lighting) in bedroom (p-value = 0.020),
humidity room in the house (p-value =0.047), density of occupants in the house
(p-value = 0.028) and the density of occupants in bedroom (p-value =0,045),
knowledge level (p-value =0.014) nutritional status (p-value = 0.002), and
response to treatment practices strategy with DOTS (p-value = 0.031).While the
results of multivariate analysis are shown as risk factors for disease
incidence of tuberculosis were ventilation in (stack hole) the kitchen/ separation
of kitchen and the main house (OR= 6.824), type of floor in the house (OR=
3.860), type of house walls (OR =4.138), density of occupancy in bedroom (OR=
2.514), and response to TB treatment practices strategy with the DOTS
(OR=2.606).
Conclusion: there are five
variable significant related to tuberculosis were ventilation in (stack hole)
the kitchen/ separation of kitchen and the main house, the type of floor, wall
type, occupant density in bedroom and response to TB treatment practices
strategy with the DOTS of proven associated with disease incidence of
tuberculosis.
Keywords: Physical
environmental of housing factors), Pulmonary tuberculosis, Sstrategy Directly
Observed Treatment Short-course (DOTS)
Penulis: Setiawan Dwi Antoro,
Onny Setiani, Yusniar Hanani Darundiati
Kode Jurnal: jpkesmasdd120266
