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Background: Pneumonia is an infectious respiratory disease and ranks among the top three causes of under-five mortality in Indonesia from 2019—2022. Tangerang City (part of Banten Province that ranked third nationally in under-five pneumonia cases in 2022) reported 5247 pneumonia cases on Profil Dinas Kesehatan Kota Tangerang’s publication. Objective: To examine the relationship between healthy house coverage, wasting, low birth weight (LBW), exclusive breastfeeding, and population density with under-five pneumonia in Tangerang City in 2022. Methods: An ecological study was conducted, with the unit of analysis consisting of 13 sub-districts. Monthly data were analyzed through univariate, bivariate (Pearson and Spearman Correlation), and multivariate analyses (Multiple Linear Regression). Results: Healthy house coverage was significantly associated with under-five pneumonia in 2 sub-districts, namely Karang Tengah (p-value = 0,036) with strong and negative correlation (r = -0,607) and Batuceper (p-value = 0,013) with strong and positive correlation (ρ = 0,689). Exclusive breastfeeding was significantly associated with under-five pneumonia in Tangerang sub-district (p-value = 0,028) with strong and negative correlation (r = -0,629). Population density was significantly associated with under-five pneumonia in 2 sub-districts, namely Karawaci (p-value = 0,045) with strong and positive correlation (r = 0,586) and Periuk (p-value = 0,015) with strong and positive correlation (ρ = 0,681). Meanwhile, variables that were not significantly associated were wasting and LBW. The most significant influences on under-five pneumonia were healthy house coverage in 2 sub-districts (Cipondoh and Tangerang), wasting in 7 sub-districts (Ciledug, Karang Tengah, Pinang, Jatiuwung, Cibodas, Periuk, and Batuceper), LBW in 3 sub-districts (Larangan, Karawaci, and Benda), and population density in Neglasari sub-district. Conclusion: Several variables were significantly related and strongly correlated with under-five pneumonia, namely healthy house coverage in Karang Tengah (r = -0,607) and Batuceper (ρ = 0,689), exclusive breastfeeding in Tangerang sub-district (r = -0,629), and population density in Karawaci (r = 0,586) and Periuk (ρ = 0,681).
Pneumonia is one of the acute respiratory infections (ARI) that affect the alveoli and is caused by bacteria, viruses, or fungi. Pneumonia remains a leading cause of death among children under five years old. Kelurahan Ancol shows a fluctuating trend of pneumonia cases and is dominated by densely populated settlements, making it a vulnerable area for disease transmission. This study aims to analyze the relationship between child, family behavioral, housing conditions factors with the incidence of pneumonia among children under five in the working area of Puskesmas Kelurahan Ancol. A case-control study design was employed, involving a total of 36 respondents in both case and control groups. Data were collected through interviews and environmental observations. The analysis included univariate, bivariate, and multivariate approaches. The results revealed that age had a significant association with pneumonia incidence and was identified as the dominant predictive factor influencing its occurrence. Puskesmas Kelurahan Ancol can enhance routine health education for families with children under five regarding the importance of home ventilation and natural lighting, as well as the dangers of cigarette smoke and mosquito coil smoke.
ABSTRAK Nama : Ananda Program Studi : Epidemiologi Komunitas Judul : Hubungan Insiasi Menyusu Dini (IMD) terhadap Kejadian Pneumonia Balita Usia 2-23 Bulan di Poli MTBS Puskesmas Kecamatan Kalideres Tahun 2018 Pembimbing : drg. Nurhayati A. Prihartono, MPH, M.Sc., ScD Kolostrum merupakan cairan ASI pertama yang kaya akan protein dan mengandung zat antibodi atau kekebalan tubuh yang berfungsi melindungi tubuh terhadap infeksi. Pneumonia merupakan salah satu penyebab utama kemantian balita. Masih sedikitnya penelitian mengenai hubungan Inisiasi Menyusu Dini (IMD) terhadap kejadian pneumonia balita menjadi alasan dilakukannya penelitian ini. Penelitian yang melihat hubungan IMD terhadap kejadian pneumonia balita usia 2-23 bulan di Poli MTBS Puskesmas Kecamatan Kalideres tahun 2018 ini menggunakan desain kasus kontrol. Sampel penelitian adalah 62 kasus dan 62 kontrol. Dari hasil penelitian didapatkan hubungan Inisiasi Menyusu Dini (IMD) terhadap kejadian pneumonia balita usia 2-23 bulan di Poli MTBS Puskesmas Kecamatan Kalideres Tahun 2018 dengan OR 2,527 (95% CI 1,173 – 5,364). Artinya, balita usia 2-23 bulan yang tidak melakukan IMD memiliki risiko 2,527 kali lebih besar menjadi sakit pneumonia dibandingkan dengan balita usia 2-23 bulan yang melakukan IMD Kata kunci: IMD, MTBS, Pneumonia Balita
ABSTRACT Name : Ananda Study Program : Epidemiology Community Title : Relation of Early Breastfeeding’s Initiation to Pneumonia among 2-23 Months Infants on MTBS at Kalideres Public Health Center 2018 Counsellor : drg. Nurhayati A. Prihartono, MPH, M.Sc., ScD Colostrum is the first breast milk that rich in protein and contains antibodies or immune serving as bodies protection against infection. Pneumonia is one of main causes of death among infants. Fewer researchers on relation of early breastfeeding’s initiation to pneumonia among infants was the reason for this study. This research sees relation of early breastfeeding’s initiation to pneumonia among 2-23 months infants on MTBS at Kalideres public health center 2018 by using case control method. Samples of this research are 62 cases and 62 controls. Result of this research shows relation of early breastfeeding’s initiation to pneumonia among 2-23 infants on MTBS at Kalideres public health centers 2018 (OR 2,527 ; 95% CI 1,173 – 5,364). It means infants among 2-23 months without early initiation of brestfeeding have 2,527 times greater risks of pneumonia than infants among 2-23 months with early initiation of brestfeeding. Key words: Early Initiation, Breastfeeding, Pneumonia, Infants
This research used cross-sectional design study, with 2.058 total sample of children aged 0-59 months. Data was analyzed using univariate and bivariate analysis using Chi Square method. This research could not prove an association between physical environmental factors of house and other factors with the prevalence of pneumonia in children under five years. Keywords : pneumonia, children under five years, physical environmental factors
Pneumonia merupakan penyebab kematian terbesar pada anak di seluruh dunia. Setiap tahunnya diestimasikan sekitar 18% kematian anak di bawah usia 5 tahun di seluruh dunia disebabkan oleh pneumonia. Faktor risiko pasti yang berkontribusi diantaranya yaitu balita yang tidak mendapatkan ASI eksklusif.
Tujuan studi ini untuk mengetahui hubungan pemberian ASI eksklusif terhadap kejadian pneumonia balita usia 12 -23 bulan setelah dikontrol terhadap confounder. Studi kasus kontrol ini dilakukan di tiga wilayah puskesmas Kota Cimahi berdasarkan angka insidens kasus pneumonia balita yang tertinggi di tahun 2012. Kasus adalah balita usia 12 - 23 bulan yang berkunjung ke sarana puskesmas penelitian periode Januari - Desember 2012 dan didiagnosa sebagai kasus pneumonia. Kontrol merupakan tetangga dari kasus, dengan perbandingan jumlah kasus dan kontrol yaitu 1:1. Besar sampel minimal sebanyak 133 untuk masing - masing kelompok. Analisis multivariat dengan menggunakan regresi logistik. Besar asosiasi balita yang tidak mendapat ASI eksklusif memiliki OR untuk terjadinya pneumonia sebesar 3,58 kali (95% CI: 2,08 - 6,19) dibandingkan yang mendapat ASI eksklusif setelah dikontrol terhadap confounder.
Penelitian ini memperkuat penelitian terdahulu yang membuktikan kekuatan hubungan pemberian ASI eksklusif terhadap kejadian pneumonia pada balita. Berfokus pada daerah dengan angka insiden kasus penumonia yang tinggi, pihak dinas kesehatan dan puskesmas dapat lebih meningkatkan upaya promosi dan fasilitasi ASI eksklusif, menciptakan kawasan tanpa asap rokok di tingkat rumah tangga, pengurangan adanya paparan asap pembakaran di dalam rumah, peningkatan pengetahuan ibu berkaitan faktor risiko pneumonia.
Pneumonia is the biggest cause of death in children worldwide. Each year approximately 18% of estimated deaths of children under five worldwide are caused by pneumonia. Definite risk factors that contribute to them are children under five who are not exclusively breastfed.
The purpose of this study to determine the relationship of exclusive breastfeeding on the incidence of pneumonia children under five age 12 -23 months after controlling for confounders.Case-control study was conducted in three areas of public health centers Cimahi City based incidence rates were highest children under five cases of pneumonia in 2012. Cases were children aged 12-23 months who visited the research public health centers means the period of January to December 2012 and was diagnosed as a case of pneumonia. Control is a neighbor of the case, the ratio of the number of cases and controls is 1:1. Minimum sample size for each of as many as 133 - each group. Multivariate analysis using logistic regression. Major association children under five who are not exclusively breastfed for the occurrence of pneumonia had an OR of 3.58 (95% CI: 2.08 to 6.19) than those who are breastfed exclusively after controlling for confounders.
This study reinforces previous research that proves the strength of association of exclusive breastfeeding on the incidence of pneumonia in infants. Focusing on areas with a number of high incidence of cases of pneumonia, the health department and public health center could further enhance the promotion and facilitation of exclusive breastfeeding, creating a smoke-free area at the household level, reduction in exposure to combustion fumes in the house, increasing maternal knowledge of risk factors associated pneumonia.
Toddlers are a population susceptible to PM 2.5 in the air due to the immune system thatis not perfect and the airway is still narrow. PM 2.5 can enter up to the pulmonary alveoliand weaken the respiratory system of the respiratory tract causing pneumonia. Thenumber of pneumonia in Kabupaten Kubu Ra ya, West Kalimantan is still quite high withthe highest number of cases in Sungai Raya District. The purpose of this study was todetermine the relationship between PM 2.5 in air space with the incidence of pneumoniain infants. The research method used is case control. A total sample of 120 samplesconsisting of 60 cases and 60 controls. The results showed that there were four variablesrelated to pneumonia in toddlers namely PM 2.5 in space air, occupancy density, kitchenventilation, and lighting. PM 2.5 in space air is associated with pneumonia in toddlersafter controlled with variables of kitchen ventilation, temperature, lighting, use ofmosquito coils, density, and the habit of opening windows with ORs of 13,596.Key words:pneumonia, toddler, PM 2.5, indoor air pollution.