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Tuberkulosis (TBC) masih menjadi ancaman kesehatan masyarakat di Indonesia
yang merupakan negara dengan kasus TBC tertinggi kedua di dunia. Tahun 2023 di DKI Jakarta terjadi peningkatan insiden TBC sebesar 31,75% dibandingkan tahun sebelumnya dan bahkan melebihi target insiden 2023 yang ditetapkan (>54.175 kasus). Penelitian ini merupakan studi cross-sectional yang memanfaatkan data Sistem Informasi Tuberkulosis Komunitas (SITK), dengan tujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian TBC paru di Provinsi DKI Jakarta tahun 2022-2023. Sampel penelitian adalah seluruh kontak terduga TBC di Provinsi DKI Jakarta tahun 2022-2023 yang memiliki hasil pemeriksaan TBC. Hasil penelitian menunjukkan lansia (PR = 1,56; 95% CI: 1,473–1,653), laki-laki (PR = 1,37; 95% CI: 1,314–1,441), perokok (PR = 1,28; 95% CI: 1,206–1,367), penderita DM (PR = 1,85; 95% CI: 1,585–2,171), dan pengobatan TBC tidak tuntas (PR = 2,24; 95% CI: 2,121–2,365) merupakan faktor risiko yang signifikan terhadap kejadian TBC paru. Sementara itu kontak serumah (PR = 0,6; 95% CI: 0,538–0,678) memiliki hubungan signifikan yang bersifat protektif terhadap kejadian TBC paru. Sosialisasi upaya berhenti/mengurangi rokok, penyuluhan pencegahan TBC kepada lansia dan penderita DM serta pendampingan pengobatan pasien TBC merupakan upaya yang dapat mencegah terjadinya insiden TBC paru di DKI Jakarta.
Tuberculosis is a major public health threat in Indonesia, which is the second-highest TB burdened country in the world. In 2023, the incidence of TB in Jakarta increased by 31.75% compared to the previous year and even exceeded the 2023 incidence target (>54,175 cases). This study is a cross-sectional study utilizing data from the Community Tuberculosis Information System (SITK), aimed at identifying risk factors associated with pulmonary TB cases in Jakarta Province from 2022 to 2023. The study sample consisted of all suspected TB contacts in Jakarta Province from 2022 to 2023 who had undergone TB testing. The study results showed that older adults (PR = 1.56; 95% CI: 1.473–1.653), males (PR = 1.37; 95% CI: 1.314–1.441), smokers (PR = 1,28; 95% CI: 1,206–1,367), DM patients (PR = 1.85; 95% CI: 1.585–2.171), and incomplete TB treatment (PR = 2.24; 95% CI: 2.121–2.365) were significant risk factors for pulmonary TB incidence. Meanwhile, household contacts (PR = 0.6; 95% CI: 0.538–0.678) have a significant protective association with the occurrence of pulmonary TB. Efforts to promote smoking cessation/reduction, TB prevention education for the elderly and DM patients, and patient accompaniment during TB treatment are measures that can prevent the occurrence of pulmonary TB in Jakarta.
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.
