Pasiyan Rahmatullah
Magister Kesehatan Lingkungan Program Pascasarjana Universitas Diponegoro

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Analisis Faktor Risiko Kejadian Pneumonia Pada Balita Di Wilayah Kerja Puskesmas Sidorejo Kota Pagar Alam

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 1 (2012)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background : Pneumonia is an infectious disease that remains a public health problem in Indonesia, the third cause of death in Indonesia after cardiovascular and tuberculosis. The high incidence of pneumonia mainly attacks in the age group of infants and children under five years old. In Pagar Alam city in 2009, there were 671 cases (IR = 4.9%). The purpose of this research was to determine the relationship between the house physical environment factor and individual faktor of children with pneumonia incidence in working area of Public Health Center, Sidorejo, Pagar Alam city. Method: This research was an observational study using case control design. While variables studied among other things are nutritional status, immunization status, history of breastfeeding, type of house flooring, proportion of bedroom ventilation, occupancy density, the presence of smoking family members, type of fuel used for cooking, the presence of family members suffering from respiratory tract infections. Subject of the research consists of two groups, namely case group and control group, each of which is consisting of 54 subjects. Data was collected by interview, observation, and measurement. Data analysis used analysis of univariate, bivariate with chi square, and multivariate with logistic regression, using a significant level of 0.05 (5%) to determine the risk of the independent variables on the dependent variables and the estimation of the risk (odds ratio) of the cause of pneumonia incidence on children under five years old. Result : The results of this research show that of the 9 risk factors studied, there are 3 variables with the risk of the incidence of pneumonia on children under five years old, namely a history of breastfeeding (OR = 8.958, 95% CI : 2.843 - 28.232), type of house floor (OR = 10.528, 95% CI : 2.612 - 42.441) and the presence of smoking family members (OR 8.888, 95% CI : 1.738 - 45.437). The variable at greatest risk of pneumonia incidence on children under five years old is type of house flooring. In conclusion, this research indicates that nutrition status, immunization status, breastfeeding history, type of house flooring, size of room ventilation, occupancy density, type of fuel used for cooking, and the presence of smoking family members are closely related to the incidence of pneumonia.   Key words: pneumonia, children under five years old, physical environment of housing, Pagar Alam city

Analisis Hubungan Kondisi Lingkungan Rumah Dan Perilaku Keluarga Dengan Kejadian Serangan Asma Anak Di Kota Semarang 2005

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 5, No 1 (2006): Vol 5, No 1 (2006)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background : Total asthma patient in Telogorejo Hospital in the year 2004 had increased 63.20% from year ago. While the number of child asthma in patient by the year of 2004 also had increased by 15.83%. United State Environmental Protection Agency (US EPA) stated that environmental can caused asthma attack. Indoor house environment can give contribution to factors that cause asthma more than outdoor environment. This research was conducted to know the relation of environmental condition in housing and family behavior with the incidence of child asthma attack. Methods : This study was an observational research with a  cross sectional approaches. Total sample in this research were 50 respondents child who had asthma. The variable divided into dependent variable of environmental condition in housing and family behaviors. Independent variable were air humidity, lights intensity, household furniture facility which was potential as allergen sources,  dust,  ventilation window¸ family behavior of AC usage, volatile organic compound,, animal keeping, insecticide and family members who smoke cigarettes. The dependent variable was child asthma attack. Results : The Result of this study showed that air humidity (RP=2,588; 95% CI 1,069-6,267; p=0,02), dust (RP=1,889; 95% CI 1,049-3,400; p=0,048) and the use of air conditioner (RP=1,889; 95% CI 1,099-3,226; p=0,040) related to the child asthma attack. Multiple logistics regression analysis showed that AC (OR=5,100; 95% CI 1,107 – 23,489; p=0,037) and dust (OR = 6,360;  95% CI 1,435 – 28,192; p=0,015) were potential risk factors of child asthma attack. Conclusions:It was concluded that environmental house condition and family behavior related to child asthma attack.   Keywords : Child asthma attack, environmental condition of housing,  family behavior.