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Kusta masih menjadi masalah kesehatan masyarakat di Indonesia, termasuk di Kabupaten Bekasi. Desa Mekarwangi merupakan salah satu wilayah dengan kasus kusta yang cukup tinggi dan telah ditetapkan sebagai Desa Siaga Bebas Kusta pertama di Kabupaten Bekasi. Penelitian ini bertujuan untuk menganalisis faktor risiko yang berhubungan dengan kejadian kusta di wilayah kerja Puskesmas Desa Mekarwangi, Kabupaten Bekasi, tahun 2026. Penelitian ini menggunakan desain observasional analitik dengan pendekatan case control. Sampel penelitian terdiri atas 75 responden, yaitu 25 kasus kusta dan 50 kontrol dengan perbandingan 1:2. Data diperoleh melalui wawancara menggunakan kuesioner serta observasi kondisi lingkungan rumah. Analisis data dilakukan secara univariat, bivariat dengan uji chi square, dan multivariat menggunakan regresi logistik biner. Analisis multivariat menunjukkan bahwa faktor dominan yang berhubungan dengan kejadian kusta adalah riwayat kontak erat (OR=66,77; 95% CI=10.46—426.14). Hasil ini menunjukkan bahwa responden yang memiliki riwayat kontak erat dengan penderita kusta memiliki peluang 66,77 kali lebih besar mengalami kusta dibandingkan responden yang tidak memiliki riwayat kontak erat dengan penderita kusta lainnya. Penelitian ini menyimpulkan bahwa riwayat kontak erat menjadi faktor utama yang berhubungan dengan kejadian kusta di wilayah kerja Puskesmas Desa Mekarwangi. Penguatan pelacakan kontak, active case finding, dan edukasi masyarakat perlu diprioritaskan dalam program pencegahan dan pengendalian kusta.
Leprosy remains a public health problem in Indonesia, including in Bekasi Regency. Mekarwangi Village is one of the areas with a relatively high number of leprosy cases and has been designated as the first Leprosy-Free Alert Village in Bekasi Regency. This study aimed to analyze the risk factors associated with leprosy incidence in the working area of Mekarwangi Public Health Center, Bekasi Regency, in 2026. This study used an analytical observational design with a case-control approach. The study sample consisted of 75 respondents, including 25 leprosy cases and 50 controls with a 1:2 ratio. Data were collected through interviews using questionnaires and observations of household environmental conditions. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis with binary logistic regression. The multivariate analysis showed that the dominant factor associated with leprosy incidence was close contact history (OR=66.77; 95% CI=10.46–426.14). This finding indicates that respondents with a history of close contact with leprosy patients had 66.77 times higher odds of developing leprosy than respondents without a history of close contact with leprosy patients. This study concludes that close contact history is the main factor associated with leprosy incidence in the working area of Mekarwangi Public Health Center. Strengthening contact tracing, active case finding, and community education should be prioritized in leprosy prevention and control programs.
Diarrhea is an communicable disease and ranks the second cause of death for children under-five in the world. In Indonesia, especially West Java, which is an endemic area for diarrhea, Bogor is one of the districts with a fairly high prevalence of diarrhea in children under-five. Purwasari Community Health Center is a health center with the highest cases of diarrhea in children under-five in Bogor Regency. This study aims to analyze the risk factors (characteristics of children under-five, characteristics of mothers, and sanitation facilities) for the incidence of diarrhea in children under-five in the Purwasari Public Health Center, Bogor Regency in 2022. This study used a case-control research design with a sample of 53 cases and 53 controls. Data analysis was performed using chi-square test and logistic regression predictive model. The results showed that there was a relationship between exclusive breastfeeding (0,28; 0,11-0,67), measles immunization (0,18; 0,08-0,42), knowledge (0,16; 0,07-0,38), toddler stool disposal behavior (0,18; 0,07-0,46), and latrine facilities (0,32; 0,14-0,72) with the incidence of diarrhea in children under-five. The variable that is predicted to have the most influence on the occurrence of diarrhea under five in the working area of the Purwasari Health Center is the knowledge variable (9,76; 2,78 - 34,21).
Kata kunci: Diare, balita
The highest incidence of diarrhea in Bogor occurred at Tanah Sarealdistrict where the condition of basic sanitation associated with high risk drinkingwater in Kelurahan Sukadamai and Kelurahan Mekarwangi which belong toPuskesmas Mekarwangi region. This study aims to analyze risks that affectedunderfive years children diarrhea in region of Puskesmas Mekarwangi, Bogor2014. This study used case control design with 120 controls and 120 cases. Theinformation collected by interviews, observation and laboratorium analyze ofdrinking water sample. Result that risk factors that affected diarrhea areEscherichia coli in drinking water (OR=2,61; 95% CI= 1,32-6,76), handwashingbehavior (OR=2,05; 95% CI= 1,18-3,57), hygiene sanitation of food and drink(OR=2,53; 95% CI= 1,46-4,39) and also knowledge of mother about diarrhea(OR=1,83; 95% CI= 1,01-3,31). It should be held an interventions direct orindirectly toward the residents, by printed media,e.g. poster, pamphlet, bulletin,xbanner etc.
Keyword: Diarrhea, underfive years children
Latar Belakang: Diabetes Mellitus (DM) merupakan penyakit metabolik kronis yang prevalensinya terus meningkat dan dipengaruhi oleh berbagai faktor risiko, termasuk faktor lingkungan. Pajanan kebisingan lingkungan dalam jangka panjang diduga dapat memengaruhi kesehatan metabolik melalui mekanisme stres fisiologis dan gangguan regulasi hormonal. Wilayah Kerja Puskesmas Temon Kabupaten Kulon Progo merupakan kawasan yang terdampak aktivitas bandara X dan aktivitas transportasi lalu lintas sehingga berpotensi mengalami pajanan kebisingan lingkungan yang tinggi. Tujuan: Mengetahui hubungan pajanan kebisingan dengan kejadian Diabetes Mellitus pada masyarakat di Wilayah Kerja Puskesmas Temon Kabupaten Kulon Progo tahun 2026. Metode: Penelitian menggunakan desain unmatched case-control dengan jumlah sampel 198 responden yang terdiri dari 112 kasus dan 86 kontrol. Data primer diperoleh melalui pengukuran kebisingan menggunakan Sound Level Meter pada tiga titik lokasi dengan tujuh sesi waktu pengukuran. Data sekunder diperoleh dari rekam medis Puskesmas Temon. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik. Hasil: Hasil pengukuran menunjukkan bahwa seluruh titik pengukuran memiliki tingkat kebisingan yang melebihi baku mutu kebisingan kawasan permukiman, dengan rata-rata sebesar 73.84 dB(A). Analisis bivariat menunjukkan bahwa pajanan kebisingan tidak berpengaruh terhadap kejadian DM (p-value = 0.624). Variabel usia, tingkat pendidikan, dan status pekerjaan berpengaruh terhadap kejadian DM pada analisis bivariat, sedangkan jenis kelamin, tekanan darah, dan indeks massa tubuh tidak menunjukkan pengaruh yang bermakna. Hasil analisis multivariat menunjukkan bahwa usia merupakan satu-satunya variabel yang tetap berpengaruh terhadap kejadian DM setelah dikontrol bersama variabel lain dalam model. Kesimpulan: Pajanan kebisingan tidak berpengaruh terhadap kejadian Diabetes Mellitus pada masyarakat di Wilayah Kerja Puskesmas Temon Kabupaten Kulon Progo. Namun, seluruh lokasi penelitian memiliki tingkat kebisingan yang melebihi baku mutu kebisingan permukiman. Usia merupakan faktor yang paling dominan berpengaruh terhadap kejadian Diabetes Mellitus pada masyarakat di wilayah penelitian. Kata kunci: diabetes mellitus, kebisingan lingkungan, pajanan kebisingan, case-control
Background: Diabetes Mellitus (DM) is a chronic metabolic disease with an increasing global prevalence and is influenced by various risk factors, including environmental factors. Long-term exposure to environmental noise is suspected to affect metabolic health through physiological stress responses and hormonal dysregulation. The working area of Temon Primary Health Center, Kulon Progo Regency, is located near an airport and is potentially exposed to high levels of environmental noise generated by “X” aircraft operations and road traffic activities. Objective: To determine the association between noise exposure and the incidence of Diabetes Mellitus among residents in the working area of Temon Primary Health Center, Kulon Progo Regency, in 2026. Methods: This study employed an unmatched case-control design involving 198 respondents, consisting of 112 cases and 86 controls. Primary data were collected through noise measurements using a Sound Level Meter at three measurement locations with seven observation sessions. Secondary data were obtained from the medical records of Temon Primary Health Center. Data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis using logistic regression. Results: The results showed that all measurement locations exceeded the residential noise standard, with an average noise level of 73.84 dB(A). Bivariate analysis indicated that noise exposure was not significantly associated with the incidence of Diabetes Mellitus (p-value = 0.624). Age, educational level, and employment status were significantly associated with Diabetes Mellitus in the bivariate analysis, whereas sex, blood pressure, and body mass index showed no significant association. Multivariate analysis revealed that age was the only variable that remained significantly associated with Diabetes Mellitus after adjustment for other variables in the model. Conclusion: Noise exposure was not associated with the incidence of Diabetes Mellitus among residents in the working area of Temon Primary Health Center, Kulon Progo Regency. Nevertheless, all study locations were exposed to noise levels exceeding the residential noise standard. Age was identified as the most dominant factor associated with the incidence of Diabetes Mellitus in the study population. Keywords: Diabetes Mellitus, environmental noise, noise exposure, case-control study.
Kata Kunci: Pneumonia, Balita, Fakto Risiko
Pneumonia in children under five is still major public health problem in the world or in Indonesia. In Indonesia, Pneumonia is the number two cause of death in infants and children under five. Cakung sub-district is one of the areas that have quite a lot cases of pneumonia in children under five. This study aimed to determine the risk factors associated with the incidence of pneumonia in children under five in the region of Cakung sub-district health center. This study uses a case control study design. The population in this study are all of children aged 12 month until 59 months who lived in the region of Cakung sub-district health center. The results of this study indicate that there was a significant correlation between exposure to secondhand smoke in the home (OR = 4.67; 1.19 to 18.33); the number of ciggarates smoked per day (OR=2,77; 1,12-6,86), lighting in the home (OR = 5.16; 1.94 to 13.70), knowledge of mothers (OR = 3.85; 1.12 to 13.25), nutritional status (OR = 9.14; 1.90 to 43.89), immunization history (OR = 3.85; 1.12 to 13 , 25) and a history of exclusive breastfeeding (OR = 3.11; 1.24 to 7.78) with the incidence of pneumonia among children under five in the region of Cakung sub-district health center. The variable that predicted the most dominant cause of pneumonia is the nutritional status (OR = 5.607; 1.082 to 29.058).
Keywords: Pneumonia, Children under five, Risk factors
Kata Kunci : Pneumonia, Balita, Faktor Risiko
Pneumonia has become one of the highest mortality contributors in the world and And West Java province ranks the first as the largest number of pneumonia that suffered children under five years. Puskesmas Bogor Utara(health center) is one of the areas that have quite a lot cases of pneumonia in children under five in 2016. This study aimed to determine the risk factors associated with the incidence of pneumonia in children under five in the In The Working Area Of Puskesmas Bogor Utara (Community Health Center). This study uses a case control study design with retrospect approach. The population in this study are all of children aged 12 month until 59 months who lived in the working area of Bogor Utara health center with using 94 respondents consisted of 47 cases and 47 people control.The results of this study indicate that there was a significant correlation between history of low birth weight (OR = 5,51; CI=1,96-15,48 ); nutritional status before illness (OR=5,06; CI=2,10-12,20), immunization history (OR= 4,24; 1,50-11,98), knowledge of mothers (OR=4,76; CI=1,58-14,32), a variable degree of Economics/family income (OR=9,44 ; CI= 3,57-24,93), housing crowdedness (OR=18,97; CI=5,80-62,03) and humidity levels (OR=5,02; CI=1,31-19,21) with the incidence of pneumonia among children under five in the region of Bogor Utara health center. The variable that predicted the most dominant cause of pneumonia is the housing crowdedness (OR=12,90; CI=3,26-50,98).Suggestion, minimum bedroom space is 8m2 and should not be used for more than two people, except children under 5 years old.
Key Words: Pneumonia, Children under five years old, Risk Factors