Indeks kepadatan kecoa yang tinggi pada Tempat Pengelolaan Pangan (TPP) di Terminal Y Bandara X, khususnya pada September 2025, menunjukkan kondisi yang melebihi standar baku mutu kesehatan lingkungan (SBMKL) yaitu <2, sehingga dapat mengindikasikan adanya permasalahan sanitasi dan peningkatan risiko kesehatan masyarakat. Kecoa merupakan vektor mekanik berbagai patogen yang berpotensi mencemari pangan dan menularkan penyakit. Penelitian ini bertujuan untuk menganalisis hubungan antara kondisi lingkungan, meliputi faktor fisik lingkungan berupa suhu, kelembapan, dan pencahayaan, serta faktor sanitasi berupa saluran air limbah, dinding, lantai, tempat sampah, penyimpanan bahan pangan, non pangan, dan peralatan, serta langit-langit dengan indeks kepadatan kecoa di TPP Terminal Y Bandara X. Penelitian ini menggunakan desain kuantitatif observasional dengan pendekatan cross-sectional. Pengumpulan data dilakukan melalui observasi langsung kondisi sanitasi lingkungan, pengukuran faktor fisik lingkungan, serta pengukuran indeks kepadatan kecoa menggunakan sticky trap. Hasil penelitian menunjukkan bahwa suhu (p=0,002; OR=8,1), pencahayaan (p=0,000; OR=12,4), saluran air limbah (p=0,000; OR=12,0), tempat sampah (p=0,003; OR=5,712), serta penyimpanan bahan pangan, non pangan, dan peralatan (p=0,000; OR=25,2). Sementara itu, kelembapan, dinding, lantai, dan langit-langit tidak menunjukkan hubungan yang signifikan secara statistik dengan indeks kepadatan kecoa. Hasil penelitian ini menunjukkan bahwa suhu, pencahayaan, saluran air limbah, tempat sampah, serta penyimpanan bahan pangan, non pangan, dan peralatan merupakan faktor penting yang perlu diperhatikan dalam pengendalian kecoa di TPP Terminal Y Bandara X melalui perbaikan sanitasi dan pengendalian kondisi lingkungan secara berkelanjutan.

High cockroach density in food handling facilities (TPPs) at Terminal Y, Airport X, particularly in September 2025, significantly exceeded the environmental health quality standard (SBMKL) of <2, indicating potential sanitation problems and increased public health risks. Cockroaches are mechanical vectors of various pathogens that may threaten food safety and contribute to disease transmission. This study aimed to analyze the relationship between environmental conditions, including physical environmental factors such as temperature, humidity, and lighting, as well as sanitation factors such as wastewater drainage, walls, floors, trash cans, food/non-food storage and equipment, and ceilings, with cockroach density in food handling facilities at Terminal Y, Airport X. This study used a quantitative observational design with a cross-sectional approach. Data were collected through direct observation of environmental sanitation, measurement of physical environmental factors, and assessment of cockroach density using sticky traps. The results showed a significant relationship between temperature (p=0.002; OR=8.1), lighting (p=0.000; OR=12.4), inadequate wastewater drainage (p=0.000; OR=12.0), improper food/non-food storage and equipment arrangement (p=0.000; OR=25.2), and poor trash management (p=0.003; OR=5.712). However, humidity, walls, floors, and ceilings did not show a statistically significant relationship with cockroach density. These findings indicate that temperature, lighting, wastewater drainage, trash management, and food/non-food storage and equipment arrangement are important factors in cockroach control in food handling facilities, and improvements in sanitation and environmental control are necessary to reduce environmental health risks at Airport X.