Faktor risiko kejadian kusta di kabupaten Lamongan

https://doi.org/10.22146/bkm.25569

Aprizal Aprizal(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 Dermatologi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Risk factors of leprosy in district of Lamongan

Purpose

This study aimed to know the risk factors of leprosy incidence in Lamongan district including economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear.

Methods

The research was a case-control study. The subjects were the people who had clinical or laboratory symptoms, leprosy diagnosed and recorded in the health center register. The samples were 170 people, consisting of 85 cases and 85 controls. The data were analysed using chi-square and logistic regression tests, and the amount of the risk was calculated using odds ratio.

Results

The risk-factors associated with the incidence of leprosy in Lamongan were the economic status or family income (OR=4.3 and p=0.001), BCG vaccination (OR=4.3 and p=0.050), residential density (OR=3.2 and p=0.001), floor conditions (OR=2.8 and p=0.051), source of water (OR=2.1 and p=0.033), contact history (OR=7.8 and p=0.001), bathing habit using soap (OR=3.1 and p=0.022) and using footwear (OR=3.1 and p=0.004). The dominant risk factor was BCG vaccination (OR = 8.1 and p=0.025).

Conclusion

There were correlations between leprosy incidence and the economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. The dominant risk factor was BCG vaccination.


Keywords


leprosy; economic status; BCG vaccination; home condition; individual behavior



References

  1. Departemen Kesehatan. Buku Pedoman Nasional Pemberantasan Penyakit Kusta. Jakarta; 2007.
  2. Dinas Kesehatan Jawa Timur. Profil Dinas Kesehatan Jawa Timur. Surabaya;2011.
  3. Dinas Kesehatan Lamongan. Profil Dinas Kesehatan Lamongan. Lamongan;2011.
  4. Proverawati, A. Perilaku Hidup Bersih dan Sehat (PHBS). Yogyakarta;2012.
  5. Departemen Kesehatan. Pelatihan Kualitas Lingkungan di Perumahan Bagi Kader Dasa Wisma. Jakarta;1989.
  6. World Health Organization. Global Strategy for further reducing the leprosy burden and sustaining leprosy control activities: plan period: 2006-2010.
  7. Kerr-Pontes LR, Barreto ML, Evangelista CM, Rodrigues LC, Heukelbach J, Feldmeier H. Socioeconomic, environmental, and behavioural risk factors for leprosy in North-east Brazil: results of a case–control study. International journal of epidemiology. 2006 Apr 27;35(4):994-1000.
  8. Job CK, Jayakumar J, Kearney M, Gillis TP. Transmission of leprosy: a study of skin and nasal secretions of household contacts of leprosy patients using PCR. The American journal of tropical medicine and hygiene. 2008 Mar 1;78(3):518-21.
  9. Ofosu AA, Bonsu GY. Case control study to determine the factors associated with leprosy in the Sene District, Brong Ahafo Region of Ghana. Ghana medical journal. 2010;44(3).
  10. Sales AM, De Leon AP, Düppre NC, Hacker MA, Nery JA, Sarno EN, Penna ML. Leprosy among patient contacts: a multilevel study of risk factors. PLoS neglected tropical diseases. 2011 Mar 15;5(3):e1013.
  11. Wahyuni R. Eksistensi DNA Mycobacterium leprae pada Air dan Tanah di Daerah Endemis Kusta Jawa Timur (Studi Kasus Kontrol di Kecamatan Brondong Kabupaten Lamongan). Surabaya: Universitas Airlangga. 2009.
  12. Matsuoka M, Izumi S, Budiawan T, Nakata N, Saeki K. Mycobacterium leprae DNA in daily using water as a possible source of leprosy infection. Indian journal of leprosy. 1999;71(1):61-7.
  13. Agusni Indropo, Cita Rosita S, Dinar Adriaty, & Sukmawati Basuki.. Studi transmisi di daerah endemis kusta Lamongan Jawa Timur Deteksi Mycobacterium leprae dan identifikasi protozoa sebagai sumber penularan non-manusia pada lingkungan. Majalah Kedokteran Indonesia 2004;8, 54, 319–324.



DOI: https://doi.org/10.22146/bkm.25569

Article Metrics

Abstract views : 3748 | views : 4575

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter