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Penyalkit demam berdarah merupakan salah satu masalah kesehatan masyarakat di Indonesia, yang cenderung semakin Iuas distribusinya sejalan dengan meningkatnya mobilitas dan kepadatan penduduk. Seluruh wilayah Indonwia mempunyai resiko untuk kejangkitan penyakit DBD, dikarenakan memiliki koudisi lingkungan yang sama sebagai kesatuan wilayah ekologis. Penelitian ini bertujuan untuk mengetahui adanya hubungan kejadian demam berdarah dengan lingkungan fisik mmah meliputi lingkungan dalam rumah, linglcungan luar mmah. Suhu, pencahayaan, kelembaban dan keberadaan jentik sedangkan karakteristik individu meliputi umur, pendidikan, perilaku , pengctahuan. Rancangan penelitian ini adalalah kasus kontrol dengan menggunakan analitik. Sebagai rcspondennya adalah orang yang terkena penyakit DBD yang telah di diagnosis doktcr dan uji laboratolium IgG dan IgM , sorta kontrol adalah tetanga penderita di wilayah Kota metro, dcngan jumlah 100 kasus dan 100 kontrol. Data di ambil dengau wawancara, obscrvasi dan melakukan pengukuran. Data-data yang terkumpul di olah dengan tahapan editing data, coding data, entry data, cleaning data. Selanjutnya dilakukan analisis univariat, bivariat dengan uji kai kudrat, dan multivamiat dengan regresi logistik. Di dapatkan hasil akhir ada hubungan yang bcrmakna antara kejadian DBD dengan keheradaan jentik, kejadian DBD dcngan umur, kejadian DBD dengan kelembaban dan kejadian DBD dengan pendidikan. Faktor yang dominan terhadap kejadian DBD adalah faktor jentik. Dari hasil yang di dapat disarankan pada pemerintah daerah untuk dapat melihat kcberadaan jentik melalui Angka bebas jentik, indeks house dan kontainer serta melaksanakan trias UKS pada anak sckolah yaim pendidikan kesehatan, pelayanan keschatan dan pembinaan lingkungan sekolah sehat scrta mcmbuat prioritas program pada daerah endemik, pendidikan rcndah Serta daerah yang banyak anak-anak. Sedangkan pada Dinas Kesehatan dan Puskesmas diharapkan ada kerjasama dengan BMG, melaksanakan pendidikan kesehatan melalui kader dan melaksanakan 3 M secara intensif, dan untuk peneliti diharaikan ada penelitian lebih lanjut.
Dengue Fever is one of public health problems in Indonesia, its distribution tends to wider due to the increaseing of mobility and population density. All of Indonesian’s area is having risk of dengue fever infection, because it has similar environmental condition as united of ecological zone. The research aimed to know the relation between dengue fever case with housing environment covers internal house environment (indoor), extemal house environment (outdoor), temperature, lighting, humidity and mosquito larva existence while respondent characteristic covers age, education, behavior, and knowledge. The research methodology is analytical case control. People who have been diagnose having dengue fever by the doctor and IgG and IgM laboratory test as respondents I case, while control is the neighbor of the patient at Metro City, there is 100 case and 100 control. Data collected by interview, observation and measurement. The collected data processed with several steps: data editing, data coding, data entry, and data cleaning. Furthermore it analyzed with univariate analysis and bivariate with chi square and multivariate with logistic regression. The research final result show that there is a significant relation between; dengue fever case with mosquito larva existence, dengue fever case with age, dengue fever case with humidity, and dengue fever case with education. The most dominant factor toward dengue fever case is the mosquito larva. From the obtained result its suggest to the government to observe the mosquito larva trough the mosquito larva level, housing index and container and held the Trias UKS at school; health services, health education, and the founding of school environmental and make priority programs at endemic area, low education, and children areas. While the Health Department and Public Health Center expected to cooperate with BMG, to held health education trough forming of cadre and conduct 3M intensively and to conduct further research.
Dengue Hemorrhagic Fever (DHF) is a public health problem globally, especially in tropical countries like Indonesia. The disease is caused by a virus and is transmitted by the bite of Aedes aegypti mosquito. DHF weakens human immune system in a relatively short time. This study aims to investigate the relationship between physical environmental factors (density of larvae, breeding places, the resting place of mosquitoes, ventilation, home lighting, and humidity) and individual characteristics (knowledge, periodic larvae survey, depleting water reservoirs habits, preventing mosquito bites habits and eradication of mosquito larvae) with the incidence of dengue in the community in Puskesmas Kranggan and South Tangerang Serpong 1 in the year 2016. This study used a case-control study design using primary data and a sample of 100 people consisting of 50 sample cases and 50 control samples. Results of bivariate analysis showed that the variables that have a significant association with the incidence of dengue are mosquito breeding sites (5.25; 2.05- 13,4), home lighting intensity (3.40;1,40-8,28), and humidity home (3,14;1,10-8,94). The factor that has the most dominant association with incidence of DHF is the presence of mosquito breeding places. Keywords: Physical environment, individual characteristic, DHF, dengue, Aedes aegypti
Tujuan : Mengetahui hubungan faktor lingkungan dan karakteristik individu terhadap kejadian leptospirosis di Jakarta tahun 2003-2005.
Disain : Studi ini menggunakan rancangan Kasus Kontrol. Data pada penelitian ini berasal dari data sekunder yang diperoleh dari Bagian Program-Diklat RSUD Tarakan ? Jakarta dan melalui wawancara terstruktur dengan menggunakan kuesioner yang telah dikembangkan. Wawancara dilakukan oleh enumerator yang sudah dilatih mewawancarai terhadap responden kasus maupun responden kontrol. Subyek berjumlah 190 orang, dimana responden yang positif leptospira sebagai kelompok kasus dan reponden yang negatif leptospira sebagai kontrol, dengan perbandingan 1:1. Varibel independen adalah Faktor lingkungan (Keadaan dan penataan rumah, loteng/plafon rumah, binatang penular (vektor), sarana air bersih, sarana penyimpanan makanan, SPAL) serta karakteristik individu ( Umur, pekerjaan, jenis kelamin, pengetahuan, perilaku, dan pendidikan). Ananlisis dilakukan deng chi-square dan regresi logistik ganda.
Hasil : Ada hubungan bermakna antara keadaan dan penataan rumah (OR= 3,956; 95%CI: 1,511-10,358), SPAL ( OR= 1,982; 95% CI: 1,111-3,536), Tingkat Sosial Ekonomi (OR= 1,928; 95% CI: 1,073-3,462), pengetahuan (OR= 17,625; 95% CI: 6,573-47,257) dan Pendidikan (OR= 2,407; 95% CI: 1,333-4,348).
Kesimpulan: Dari hasil penelitian diketahui bahwa faktor lingkungan dan karakteristik individu berhubungan dengan kejadian leptospirosis di Jakarta pada tahun 2003-2005. Terdapat 4 (empat) faktor dominan yang mempengaruhi kejadian leptospirosis adalah pendidikan,pengetahuan, sarana air bersih dan komponen dan penataan rumah.
Kata Kunci: Faktor Lingkungan, Karakteristik Individu, Kejadian Leptospirosis, Kasus-Kontrol.
Background: Jakarta is one of the largest cities in Indonesia where almost every year got flood. Of course, flood brings very bad impact for all human life aspect, which one is the incidence of various post-flood diseases. Environment changes caused by flood resulting leptospirosis spread (rat urine disease), this thing resulted because animal urine infected by leptospira germ will carried by water pond and contaminate house environment. Case occurred in DKI Jakarta are 65 people (2003), 78 people (2004), and 51 people (2005). Leptospirosis problem occurred in DKI Jakarta always occurred in the same area caused by bad environment factor, bad behavior, or individual characteristic influence.
Objective: To find relation between environment factor and individual characteristic toward leptospirosis in Jakarta year 2003-2005.
Design: This study use Case Control design. Data in this research based on secondary data obtained from Part of Diklat RSUD Tarakan Program ? Jakarta and through structured interview using developed questioner. Interview done by enumerator, which has trained to interview case respondent and control respondent. Subject are 190 people, whereas positive leptospirosa respondent as case group and negative leptospirosa respondent as control group, with 1:1 comparison. Independent variable is environment factor (house condition and settlement, house plafond, infector animal (vector), sanitation, food supply, SPAL) and also individual characteristic (age, job, sex, knowledge, behavior, and education). Analysis done by chi-square and double logistic regression.
Result: There is relation between both house condition and settlement (OR=3,956; 95%CI: 1,511-10,358), waste (OR=1,982; 95%CI: 1,111-3,536), social economy (OR=1,928; 95% CI: 1,073-3,462), knowledge (OR=17,625; 95% CI: 6,573-47,257) and education (OR= 2,407; 95% CI: 1,333-4,348).
Conclusion: From research result found that environment factor and individual characteristic related with leptospirosis in Jakarta year 2003-2005. There are four dominant factors that affect leptospirosis, such as education, knowledge, sanitation, and house component and settlement.
Key Word: Environment Factor, Individual Characteristic, Leptospirosis, Case-Control.
Kata Kunci: Demam Berdarah Dengue, Umur, Pengetahuan, Keberadaan Jentik, Breeding Place
Dengue Hemorrhagic Fever (DHF) is an environtment-centered plagueand also a society health problem. From many cases, one happened in PuskesmasTegal Gundil Working Unit Area with the IR 13,5 per 10.000 people in 2013.This reseach is aimed to discover the relationship between sociodemography andthe environment condition of DHF case in that area in 2014. The research designused case control with 64 sample of participants. The population of the research isthe community member who live and stay in Kelurahan Tegal Gundil andBantarjati. The primary data is gained by conducting direct interview about DHFand observation to the respondence's environment condition. The result frombivariat analysis shows correlation between age, as a factor of sociodemography,with DHF case, by OR 3,40. Environment condition which links to the DHF caseis the existence of mosquito larva, with OR 4,59 and OR 16,24 of breeding place.The result from multivarite analysis shows the relationship between, knowledge,the existence of mosquito larva, and breeding place with OR 2,80. Breeding placevariable is the most dominantly influential to the DHF case.
Keywords: Dengue Hemorrhagic Fever, Age, Knowledge, Mosquito larva,Breeding place
Waste management facility based on reuse, reduce, and recycle principles or tempat pengolahan sampah reuse, reduce, and recylce (TPS 3R) workers are a high-risk occupational group for work-related diseases such as diarrhea due to frequent direct contact with waste. This study aims to examine the relationship between individual characteristics, personal hygiene, and environmental conditions with the incidence of diarrhea among TPS 3R workers in DKI Jakarta Province. A cross-sectional quantitative design was employed involving 62 respondents from 12 TPS 3R sites. Data were collected through questionnaires and observations and analyzed using chi-square tests. The results showed significant associations between diarrhea incidence and work duration (p=0.033; OR=5.077; 95% CI: 1.138–22.650), use of personal protective equipment (PPE) (p=0.004; OR=0.150; 95% CI: 0.042–0.541), and the presence of disease vectors (p=0.038; OR=3.600; 95% CI: 1.075–12.059). Meanwhile, variables such as age, gender, education level, and several indicators of personal hygiene and environmental conditions showed no significant associations. These findings highlight the importance of promoting protective equipment usage and vector control as key measures to prevent diarrhea among TPS 3R workers.
