Jurnal Sains Medika
Vol 3, No 2 (2011)

Faktor Perilaku yang Berpengaruh terhadap Kejadian Malaria di Daerah Endemis Malaria The Behavioral Factor Associated with The Incidence of Malaria in Endemic Area


Zulaikhah, Siti Thomas, Etika, Dhanny Rona, Mashoedi, Imam Djamaludin



Article Info

Publish Date
17 Mar 2012

Abstract

ABSTRACTBackground: Magelang Regency is one of the endemic area of malaria in central Java. The working areaof Health centre of Kajoran I, Banjaretno, has the highest incidence of malaria annually (Dinkes Magelang,2010). Malaria is is transmitted through the bite of female Anopheles infected by Plasmodium sp. Its mosteffective prevention is vector eradication. This study was aimed at finding out the behavioral risk for theincidence of malaria.Design and Methods: In this observasional study using case control design include 40 cases and 40 controlsusing the simple random sampling. Chi square test followed by double-logistic regression was applied forthe data analysis with p=5%.Results: Bivariate analysis on the 6 factors resulted in p<0.05 and 2 factors resulted in p>0.05. multivariateanalysis showed that the habit factor of going out in the evening, installing wire gauze on the ventilation,hanging used clothes, mowing lawn, the existence of closed waste basket, washing the curtain resulted inthe p=0.010 (OR = 10; 95% CI = 3.4-39.2), p=0.001 (OR = 4.1; 95% CI = 3.5-15.8), p=0.018 (OR = 3.3; 95% CI =1.9 -16.2), p=0.044 (OR = 6.5; 95% CI = 2.1-30.9), p=0.380 (OR = 0.43; 95% CI = 0.1-1.2), p=0.002 (OR = 2.4; 95%CI =3.4 -5.6) respectively.Conclusion: The habit of going out in the evening has been shown to be most important behavioral factorassociated with the malaria incidence (Sains Medika, 3(2):168-184).Pendahuluan: Kabupaten Magelang merupakan salah satu daerah endemis malaria di Jawa Tengah.Desa Banjaretno di Wilayah kerja Puskesmas Kajoran I merupakan daerah dengan angka kasus malariatertinggi pada hampir setiap tahunnya (Dinkes Magelang, 2010). Penyakit malaria ditularkan melaluigigitan vector nyamuk Anopheles betina yang sudah terinfeksi oleh Plasmodium sp. Cara penanggulanganyang paling tepat hingga saat ini adalah dengan memberantas vektor. Penelitian ini dilakukan untukmengetahui faktor perilaku manakah yang paling berpengaruh terhadap kejadian malaria.Metode: Jenis penelitian ini merupakan observasional dengan pendekatan Case control. Sampel terdiridari 40 kasus dan 40 kontrol, teknik sampling menggunakan simple random sampling. Data yang diperolehdianalisis menggunakan uji Chi square dan selanjutnya dianalisis multivariat dengan uji regresi logistikganda dengan tingkat kemaknaan 5%.Hasil: Analisis bivariat menunjukkan 6 (enam) faktor perilaku yang mempunyai nilai p<0,05 dan 2 (dua)faktor perilaku mempunyai nilai p >0,05. Pada analisis multivariate faktor kebiasaan keluar rumah padamalam hari mempunyai nilai p=0,010 (OR = 10; 95% CI = 3,4-39,2), kebiasaan memasang kawat kasa padalubang ventilasi p=0,001 (OR = 4,1; 95% CI = 3,5-15,8), kebiasaan menggantung baju bekas pakai di dalamrumah p=0,018 (OR = 3,3; 95% CI = 1,9 -16,2), kebiasaan membersihkan semak-semak p=0,044 (OR = 6,5;95% CI = 2,1-30,9), keberadaan tempat sampah yang tertutup p=0,380 (OR = 0,43; 95% CI = 0,1-1,2),kebiasaan mencuci korden p=0,002 (OR = 2,4; 95% CI =3,4 -5,6).Kesimpulan: Faktor perilaku yang paling berpengaruh terhadap kejadian malaria adalah kebiasaan keluarrumah pada malam hari (Sains Medika, 3(2):168-184).


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Original Source : http://sainsmedika.fkunissula.ac.id/index.php/sainsmedika/article/view/104
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Journal Info

Abbrev

sainsmedika

Publisher

Subject

Medicine & Pharmacology Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Public Health

Description

Sains Medika : Jurnal Kedokteran dan Kesehatan is a peer-reviewed journal published by UNISSULA Press. Sains Medika: Jurnal Kedokteran dan Kesehatan consist manuscripts which correlate with medical and health and is not published in any other ...