Analisis spasial dan faktor risiko tuberkulosis paru di Kecamatan Sidikalang, Kabupaten Dairi - Sumatera Utara tahun 2018

https://doi.org/10.22146/bkm.42643

David Royson Simbolon(1*), Erna Mutiara(2), Rahayu Lubis(3)

(1) Dinas Kesehatan Kabupaten Dairi
(2) Departemen Biostatistika dan Kependudukan, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
(3) Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
(*) Corresponding Author

Abstract


Spatial analysis and risk factors of pulmonary tuberculosis in Sidikalang Sub-district of Dairi District - North Sumatra in 2018 

Purpose: The purpose of this study was to map the distribution of pulmonary TB cases, to find out whether there was a cases clustering, buffer cases of pulmonary TB with health centers, distribution patterns, and the correlation between risk factors with the incidence of pulmonary TB.

Methods: This research was an quantitative study with a matched case control design. The population is all patients with pulmonary TB and non pulmonary TB patients in Sidikalang. The mapping sample was 78 peoples and research sample was 116 peoples (58 cases and 58 controls).The sampling technique is purposive sampling. Data were obtained through interviews and position coordinates with Garmin Montana 680 GPS. Spatial analysis using SatScan v9.6, and statistical analysis with Epi Info 3.5.4, and overlays with QuantumGIS 3.0.

Results: One cluster of pulmonary TB was found in the Sub-district of Sidikalang. A total of 72 (92.3%) cases were located at a distance of > 1 km from the puskesmas. The diffusion pattern of pulmonary TB was contagious. Working status, nutritional status, smoking status, and contact history were found to be associated with the incidence of pulmonary TB. District health office was expected to to improve healthy lifestyle promotion especially for improving family nutrition, controlling smoking behavior, and maintaining a healthy environment.

Conclusions: This spatial analysis found important evidence for the District Health Office in determining priority areas for pulmonary TB prevention in Sidikalang Sub-district. Optimizing screening for suspected TB, intensifying home visits and increasing clean and healthy lifestyle activities are key eradication of tuberculosis. 


Keywords


spatial analysis; tuberculosis; Sidikalang

Full Text:

PDF


References

  1. WHO. Global Tuberculosis Report. 2017.
  2. Kemenkes RI. Profil Kesehatan Indonesia 2016 [Internet]. Profil Kesehatan Provinsi Bali. 2016. 1-220 p. Available from: http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2016.pdf
  3. Dinkes Dairi. Profil Kesehatan Kabupaten Dairi Tahun 2016. Sidikalang; 2017.
  4. Achmadi UF. Manajemen Penyakit Berbasis Wilayah. Jakarta; 2012.
  5. Narasimhan P, Wood J, Macintyre CR, Mathai D. Risk Factors for Tuberculosis. 2013;2013.
  6. Sullivan KM. Pair-Matched Case-Control Studies. 2008;0:1–4.
  7. Kenzie J, Pinger R, Kotecki J. Kesehatan Masyarakat. Jakarta: Penerbit Buku Kedokteran EGC; 2007.
  8. Kuncoro A, Asrifuddin A, Akili RH. Analisis Spasial Kejadian Kusta Di Kota Manado Tahun 2014-2016. 2016;1–8.
  9. Mulyawan K, Suarjana K. Analisis Spasial Keberadaan Fasilitas Kesehatan Tingkat Pertama (FKTP) di Denpasar, Badung dan Tabanan. 2015;
  10. Rahmawati. Difusi Dan Pola Persebaran Kasus Chikungunya Di Rukun Warga 08, Kelurahan Grogol Kecamatan Limo, Kota Depok November 2011 – Januari 2012. Universitas Indonesia; 2012.
  11. Noor N. Epidemiologi. Jakarta: Rineka Cipta; 2008.
  12. Patiro LA, Kaunang WPJ, Malonda NSH, Kesehatan F, Universitas M, Ratulangi S. Faktor Risiko Kejadian Tuberkulosis Paru di Wilayah Kerja Puskesmas Tuminting. 2016;(December):1–8.
  13. Rukmini, U.W C. Faktor-faktor yang Berpengaruh Terhadap Kejadian TB Paru Dewasa di Indonesia (Analisis Data Riset Kesehatan Dasar Tahun 2010). Bul Penelit Sist Kesehat. 2011;14 no. 4:320–31.
  14. Scrimshaw ns, taylor ce, gordon je. The american journal of the medical sciences. 1968;237.
  15. Nurhanah, Ridwan A, Tahir A. Faktor-faktor Yang Berhubungan Dengan Kejadian Tuberkulosis Paru Pada Masyarakat Di Provinsi Sulawesi Selatan 2007. 2010;6(4).
  16. Prihanti GS, . S, Rahmawati I. Analisis Faktor Risiko Kejadian Tuberkulosis Paru. J Saintika Med [Internet]. 2017;11(2). Available from: http://ejournal.umm.ac.id/index.php/sainmed/article/view/4207



DOI: https://doi.org/10.22146/bkm.42643

Article Metrics

Abstract views : 5857 | views : 10351

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2019 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