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ABSTRAK Nama : Ellysa Program Studi : Epidemiologi Komunitas Judul : Faktor-Faktor Yang Berhubungan Dengan Kejadian Skabies di Pondok Pesantren Miftahul Aziz Cigombong Kabupaten Bogor Jawa Barat Tahun 2018 Pembimbing : Prof.dr. Nuning Maria Kiptiyah, MPH, Dr. PH Skabies adalah penyakit infeksi kulit menular yang disebabkan oleh Sarcoptes scabiei varian hominis yang dapat ditularkan melalui kontak langsung dan tidak langsung. Skabies merupakan masalah kesehatan di wilayah iklim tropis dan subtropis. Jumlah penderita skabies di dunia lebih dari 300 juta setiap tahunnya. Prevalensi skabies di Indonesia masih cukup tinggi karena Indonesia termasuk negara tropis, yaitu sekitar 627% dari populasi umum dan cenderung lebih tinggi pada anak dan remaja. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian skabies di Pondok Pesantren Miftahul Aziz Cigombong Kabupaten Bogor jawa Barat tahun 2018. Penelitian ini menggunakan desain cross sectional dengan wawancara, observasi dan pemeriksaan fisik sebanyak 236 santri. Pengambilan sampel dilakukan dengan cara total sampling dan analisis yang digunakan dengan metode Regresi Cox. Hasil analisis menunjukkan bahwa prevalensi skabies sebesar 48,7%, jenis kelamin (PR 2,079 95% CI 1,392-3,104), pengetahuan tentang skabies (PR 1,671 95% CI 1,0012,788), kebersihan tempat tidur (PR 1,506 95% CI 1,017-2,232), menggunakan tempat tidur bersama (PR 1,645 95% CI 1,033-2,621), dan kepadatan hunian (PR 1,865 95% CI 1,128-3,085) mempunyai hubungan bermakna dengan kejadian skabies. Jenis kelamin merupakan faktor yang paling ominan terhadap kejadian skabies, yaitu santri laki-laki berisiko 2,079 kali (95% CI 1,392-3,104) untuk terjadi skabies dibandingkan dengan santri perempuan. Menggunakan tempat tidur bersama merupakan faktor yang paling besar kontribusinya terhadap kejadian skabies yaitu 63,96%, artinya 63,96% kejadian skabies dapat dieliminasi atau dikurangi bila santri tidak menggunakan tempat tidur bersama/berpindah –pindah tempat tidur. Kata kunci: Skabies, pondok pesantren, jenis kelamin
ABSTRACT Name : Ellysa Study Program : Community Epidemiology Title : Factors Related to the Scabies in Miftahul Aziz Boarding School Cigombong district Bogor West Java in 2018 Consellor : Prof. dr. Nuning Maria Kiptiyah, MPH, Dr. PH Scabies is an infectious skin disease caused by Sarcoptes scabiei varian hominis that could be transmitted through direct and indirect contact. Scabies is the health problem in tropical and subtropical climates. The number of people with scabies in the world is more than 300 million every year. Prevalence of scabies in Indonesia is still quite high, which is about 6-27% of the general population and tends to be higher in children and adolescents. The purpose of this study is to determine the factors related with the incidence of scabies in Miftahul Aziz Boarding School Cigombong Bogor West Java in 2018. This research using cross sectional design by interview, observation and physical examination 236 students, total sampling and the analysis using Cox Regresssion method. The analysis showed that the prevalence of scabies was 48.7%, sex (PR 2.079 95% CI 1,392-3,104), knowledge of scabies (PR 1.671 95% CI 1,001-2,788), bed cleanliness (PR 1.506 95% CI 1.017- 2,232), shared bed (PR 1.645 95% CI 1.033-2,621), and occupancy density (PR 1.865 95% CI 1.128-3.085) had significant association with the incidence of scabies. Sex was the most dominant factor with the incidence of scabies, the male student had 2.079 times (95% CI 1.392-3.104) for being scabies than the female student. Sharing a bed is the most contributing factor with the incidence of scabies 63,96%, it means 63.96% the incidence of scabies could be eliminated or reduced when santri not sharing a bed or moved to another bed. Key words: scabies, boarding school, sex
Kata kunci: Skizofrenia, kasus kontrol, Kabupaten Bogor
Schizophrenia is a a chronic and severe mental disorder that affects thinking, feeling, and behavior of a person. In Indonesia, the prevalence of schizophrenia is 1.7 per 1,000 populations. The number of visits of mental disorders in puskesmas of Bogor Regency has increased significantly from 1,648 to 13,390 in 2013-14. This study aimed to determine the factors associated with schizophrenia in Bogor Regency 2017. An unmatched case-control was conducted in 63 health centers of Bogor regency from May-June 2017. Cases were schizophrenic patient aged 15-50 years diagnosed by physicians/specialists and recorded in the register of Bogor district health centers in 2017. Controls were the healthy people aged 15-50 and domiciled in Bogor Regency. A total of 229 cases and 229 controls were selected by multistage sampling technique. Probability proportional to size was usedto determine the number of samples from each puskesmas. A pre-tested semi structured questionnaires was used to collect relevant data from controls and one of the family members of cases. Chi square test and multivariate logistic regression were applied for data analysis. Folowing factors were associated with schizophrenia: male gender (AdjOR: 11.68; 95% CI: 4.96 -27.50), family history of schizophrenia (AdjOR: 4.02; 95 %CI: 1,90-8,48), basic education (AdjOR: 30.63; 95%CI: 4.21-222.81), secondary education (AdjOR: 25.35; 95% CI: 3.51-182.90), unemployed (AdjOR: 5.6; 95 %CI 2,52-12,45), unmarried (AdjOR: 10,20; 95%CI 2,52-12,45), problems in the family (AdjOR: 4.93; 95%CI 2.43-9.99) and problems at work / school (AdjOR: 32.60; 95%CI 7.29 - 145.76). In the study setting, biological (male and family history of schizophrenia),sociodemographic (low level of education, unemployment and unmarried) and environmental factors (problems in family, workplaceor school) were associated with schizophrenia. Prospective analytical studies are needed to further explore these associations.
Keywords: Schizophrenia, case control, Bogor district
Metode: Penelitian ini menggunakan desain kasus kontrol. Besar sampel dalam penelitian ini sebanyak 121 responden dengan jumlah kasus 31 responden dan kontrol 90 responden. Penelitian ini dilakukan oleh Tim dari mahasiswa FETP FKM UI dan Dinas Kesehatan Kabupaten Garut yang dilaksanakan tanggal 6 9 Februari 2018 di 13 Puskesmas yang dilaporkan adanya kasus. Analisis data dilakukan dengan uji resgresi logistic untuk melihat nilai odds ratio menggunakan stata versi 14,2 di Laboratorium Komputer FKM UI.
Hasil: Pola KLB merupakan propagated epidemic yang terjadi pada umur 1 Tahun 71 Tahun. Kasus Primer terjadi pada minggu 48 Tahun 2017. Analisis multivariat fit model menunjukan status imunisasi berhubungan dengan kejadian difteri (Pvalue = 0,036; OR=3,5; 95% CI = 1,08-11,10) dan riwayat perjalanan berhubungan dengan kejadian difteri (Pvalue = 0,000; OR = 5,4; 95% CI = 2,08-13,93). Efikasi vaksin DPT, DT, Td sebesar 71,4%.
Kesimpulan dan saran: Telah terjadi penularan penyakit dari orang ke orang. Indeks case dan sumber penularan tidak diketahui karena mobilitas penduduk yang tinggi. Ada hubungan bermakna antara status imunisasi dan riwayat perjalanan dengan kejadian difteri. Disarankan kepada Dinas Kesehatan Kabupaten Garut agar dapat Meningkatkan Kwalitas dan cakupan imunisasi DPT, DT, Td, Meningkatkan perbaikan pencatatan imunisasi dengan tertib, dan Meningkatkan koordinasi pelaporan dalam penemuan kasus baru dan karier
Kata kunci: Gangguan Mental Emosional, Faktor-faktor, Remaja, Jawa Barat
Adolescents are an important age group for the nation. However, adolescents are prone to experiencing mental problems, one of which is emotional mental disorders. From the 2018 Riskesdas data, the prevalence of mental emotional disorders in adolescents 15-24 years was 10%. This figure is above the national prevalence rate. Meanwhile, West Java Province, which has the highest number of productive ages in Indonesia, is among the top 10 provinces with the highest prevalence of emotional mental disorders in Indonesia. This study aims to determine the relationship between factors associated with the incidence of emotional mental disorders in adolescents aged 15-24 years in West Java in 2018. The study design used was a cross-sectional study with follow-up data from the results of the 2018 Riskesdas. Samples used in this study are all residents in West Java Province aged 15-24 years who have been interviewed in Riskesdas 2018 and have complete data. The total sample in this study, amounting to 10561 samples. The results of this study indicate the prevalence of emotional mental disorders in adolescents aged 15-24 years in West Java by 11.2%. The highest prevalence of mental emotional disorders was found in female adolescents (13.3%), low education level (11.7%), divorced (12.2%), unemployed (11.5%), underweight nutritional status (13.8%), had a history of non-communicable diseases (22.4%), were former smokers (16.4%), and consumed alcohol (27.0%). Based on the results of multivariate analysis, the most dominant risk factor has a significant relationship with the incidence of mental emotional disorders, is alcohol consumption (PR = 2,43, 95%CI: 1,92-3,06). Then, followed by gender, smoking behavior, history of non-communicable diseases, and employment status.
Key words: Emotional Mental Disorder, Determinants, Adolescents, West Java
Currently, Mycobacterium tuberculosis bacteria have infected about a quarter of the world's population that spreads through the air and Indonesia is one of the countries with a high burden of tuberculosis. 4 out of 6 provinces in Java are included in the 10 provinces with the highest prevalence of pulmonary TB, namely Banten, West Java, DKI Jakarta, and Central Java with the prevalence of pulmonary TB above 0.4 which is the Indonesian average. The purpose of this study was to determine the relationship between individual characteristics and environmental conditions with the incidence of pulmonary tuberculosis in the population aged 15 years in Java Island in 2018. The study design used was cross-sectional using Riskesdas 2018 data. used are 216,098 respondents. Data analysis used univariate and bivariate with chi-square test. The results of the bivariate analysis showed that the variables that had a statistically significant relationship with the incidence of pulmonary tuberculosis were gender, nutritional status, education level, smoking, number of family members, main room lighting, kitchen lighting, living room lighting, presence of main bedroom window, presence of kitchen windows, main bedroom ventilation, and kitchen. It is important to increase public knowledge related to the transmission and prevention of pulmonary tuberculosis, including providing education about the criteria for healthy homes, as well as increasing case finding surveillance by increasing the empowerment of health cadres.
