Socio-Economics of Childhood Pulmonary Tuberculosis with Adult Tuberculosis Household Contacts in Daerah Istimewa Yogyakarta Province
Abstract: Since the
tuberculosis (TB) disease in children constitutes a global health problem that
has long been neglected, this study sought to predict socioeconomic factors as
public-health determinants that could protect children who were exposed to TB
in their household. Method: A case-control study of 132 children (under 14
years old) who shared their household with adults suffering from pulmonary TB
was conducted in the Province of Daerah Istimewa Yogyakarta. This study
consisted of an interview and anthropometry measurement for the controls
screening test, while the cases were monitored by pediatricians with a scoring
system childhood TB diagnosis from the secondary hospital database. A multiple
logistic regression was used to analyze the results. Results: A healthy housing
condition, predicted by a naturally illuminated luminary bedroom prevented the
incidence of the childhood TB disease (p = 0.043) even if exposed to adult TB
in their environment (p = 0.775). Conclusions: Healthy housing factors with
good sunlight protected children especially at the early stage, when there were
active pulmonary TB adult household contacts. Ventilation and morning sunlight
facilitated air circulation, vitality and the body’s immune system towards TB
protection.
Keywords: socio-economic,
children, tuberculosis, household contact
Author: Al Asyary, Purnawan
Junadi, Purwantyastuti, Tris Eryando
Journal Code: jpkedokterangg170254
