Faktor risiko dan pola distribusi kusta di Yogyakarta

https://doi.org/10.22146/bkm.12345

Efrizal Efrizal(1*), Lutfan Lazuardi(2), Hardyanto Soebono(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Departemen Kebijakan dan Manajemen Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Penyakit Kulit dan Kelamin Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Risk factors and distribution of leprosy in Yogyakarta

Purpose

The purpose of this paper was to identify risk factors and distribution pattern of leprosy in Yogyakarta.

Methods

A case-control study was conducted involving 112 samples which consisted of 56 cases and 56 controls.

Results

The study found three risk factors of leprosy: BCG vaccination, humidity and lighting. BCG vaccination was the most dominant risk factor of leprosy. The study also showed that the distribution pattern of leprosy in Yogyakarta was clustered. BCG vaccination was the most dominant risk factor for leprosy occurrence. Distribution of leprosy events were wide-spread and dispersed in the city of Yogyakarta, Sleman, Bantul and Kulon Progo, and only in Gunung Kidul Regency were clustered, and overall in Yogyakarta Special Region was clustered. The existence of cases of leprosy was largely distant with primary health care, away from roads and rivers as well as more dominant in settlements in mountainous areas.

Conclusion

Active case finding of leprosy by health workers, especially in clustered areas to decide the transmission of leprosy either from humans or the environment, with training of leprosy and counseling officers to remove leprosy-related stigma needs to be done. These efforts need to be coordinated between the Health Office and community health centers so that the number of cases in each region can be known.


Keywords


leprosy; risk factors; case control



References

  1. Kementerian Kesehatan. Profil Kesehatan Republik Indonesia Tahun 2011. Kemenkes RI, Jakarta. 2012.
  2. Goulart IM, Souza DO, Marques CR, Pimenta VL, Gonçalves MA, Goulart LR. Risk and protective factors for leprosy development determined by epidemiological surveillance of household contacts. Clinical and vaccine Immunology. 2008 Jan 1;15(1):101-5.
  3. Graham R. Dermatologi, Edisi 8 Erlangga. 2005
  4. Heymann DL. Control of communicable diseases manual. American Public Health Association. 2008.
  5. Dinas Kesehatan DIY. Laporan Program Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta 2012. Yogyakarta. 2012.
  6. Dinas Kesehatan DIY. Profil Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta 2012.Yogyakarta. 2012
  7. World Health Organization. Weekly epidemiological record: relevé épidémiologique hebdomadaire. 2005
  8. Dahlan MS. Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Jakarta: Salemba Medika. 2009;34.
  9. Nurhidayah I, Mamad L, Windy R. “Hubungan Antara Karakteristik Lingkungan Rumah Dengan Kejadian Tuberkulosis (TB) Pada Anak Di Kecamatan Paseh Kabupaten Subang” (tesis). UNPAD Bandung. 2007
  10. Samad, AS. Gambaran Faktor Yang Berhubungan Dengan Penyakit Kusta di Pulau Barrang Lompo dan Pulau Lumu-Lumu Kota Makassar. FKM Universitas Hasanuddin. 2012
  11. Utama DA. Gambaran Faktor yang Berhubungan dengan Penderita Kusta di Kecamatan Tamalate Kota Makassar. FKM Unhas: Makassar.2012
  12. Notoatmojo, S. Pengantar Pendidikan Ilmu Kese- hatan dan Ilmu Perilaku Kesehatan, Penerbit Andi Offset. Yogyakarta. 2003
  13. Desikan KV. Extended studies on the viability of Mycobacterium leprae outside the human body. Leprosy review. 1995 Dec;66(4):287-95.
  14. Montenegro AC, Werneck GL, Kerr-Pontes LR, Barreto ML, Feldmeier H. Spatial analysis of the distribution of leprosy in the State of Ceará, Northeast Brazil. Memorias Do Instituto Oswaldo Cruz. 2004 Nov;99(7):683-6.
  15. Cury MR, Paschoal VD, Nardi SM, Chierotti AP, Rodrigues Júnior AL, Chiaravalloti-Neto F. Spatial analysis of leprosy incidence and associated socioeconomic factors. Revista de Saúde Pública. 2012 Feb;46(1):110-8.



DOI: https://doi.org/10.22146/bkm.12345

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