Keywords
Pulmonary tuberculosis
Population density
How to Cite
Abstract
Globally, 89% of the population is infected with Mycobacterium tuberculosis. In East Java Province, there were 42,922 reported cases, with a treatment success rate of 44.7%, far below the minimum target of 80%. In Madiun District, the treatment success rate in 2022 was 73.31%, with a target of 85.66%. The number of tuberculosis cases in Madiun increased from 547 cases in 2021 to 995 in 2022, then slightly decreased to 968 in 2023. This study aims to analyze the spatial autocorrelation between environmental risk factors and the incidence of pulmonary tuberculosis in Madiun District. This is a quantitative study using an ecological spatial design and secondary data processed through the GeoDa Geographic Information System software. The study sample included pulmonary tuberculosis cases recorded in 15 sub-districts in Madiun District in 2022. The variables analyzed were population density, altitude, humidity, and wind speed. Based on the global univariate analysis using Moran's Index, the total number of tuberculosis cases in 2022 showed no spatial autocorrelation, as indicated by a p-value of 0.475 (>0.05) and a negative Moran’s Index of -0.1024, reflecting a dispersed or negative spatial pattern. The Local Indicators of Spatial Autocorrelation (LISA) analysis identified Kebonsari Sub-district as a hot spot area (quadrant I, high-high cluster). Bivariate LISA results showed significant local spatial autocorrelation (p-value < 0.05) between the incidence of pulmonary tuberculosis and the variables of population density, altitude, humidity, and wind speed. Among these, wind speed was the most strongly associated factor, with five sub-districts showing spatial autocorrelation. Kebonsari Sub-district, identified in the high-high cluster, is particularly vulnerable to tuberculosis transmission. It is recommended that pulmonary tuberculosis eradication and control programs be intensified, with priority focus on identified hot spot areas.
References
Adnyana, I. M. D. M. (2023). Studi Ekologi Metode Penelitian Epidemiologi, Desember, 31–51.
Aja, N., Ramli, R., & Rahman, H. (2022). Penularan Tuberkulosis Paru dalam Anggota Keluarga di Wilayah Kerja Puskesmas Siko Kota Ternate. Jurnal Kedokteran Dan Kesehatan, 18(1), 78. https://doi.org/10.24853/jkk.18.1.78-87
Azhari, A. R., Kusumayati, A., & Hermawati, E. (2022). Studi Faktor Iklim dan Kasus TB di Kabupaten Serang, Provinsi Banten. Higeia journal of Public Health Research and Development, 6(1), 93–105. http://journal.unnes.ac.id/sju/index.php/higeia
BPS kabupaten madiun, 2023. (2023). bps kab madiun 2022.
Dinas Kesehatan Kabupaten Madiun. (2022). Profil Kesehatan Kabupaten Madiun. Angewandte Chemie International Edition, 6(11), 951–952., 22–31.
Dinas Kesehatan Provinsi Jawa Timur (2020) ‘Profil Kesehatan Provinsi Jawa Timur 2019’, Dinas Kesehatan Provinsi Jawa Timur, P. Tabel 53
Gelaw, Y., Yu, W., Magalha, R., Assefa, Y., & Williams, G. (2019). Effect of temperature and altitude difference on tuberculosis notification: A systematic review. Journal of Global Infectious Diseases, 11(2), 63–68. https://doi.org/10.4103/jgid.jgid_95_18
Hartanto, T. D., Saraswati, L. D., Adi, M. S., & Udiyono, A. (2019). Analisis Spasial Persebaran Kasus Tuberkulosis Paru di Kota Semarang Tahun 2018. Jurnal Kesehatan Masyarakat, 7(4), 719–727. http://ejournal3.undip.ac.id/index.php/jkm
Kementrian Kesehatan. (2022). Profil Kesehatan Jawa Timur Tahun 2022.
Kementrian Kesehatan RI (2020) ‘Pedoman Nasional Pelayanan Tuberkulosis’, Revista Brasileira De Linguística Aplicada, 5(1), Pp. 1689–1699.
Kemenkes RI (2023) ‘Laporan Program Penanggulangan Tuberkulosis Tahun 2022’, Kemenkes RI, Pp. 1–156
Lestar, A. A., Makful, M. R., & Okfriani, C. (2021). Analisis Spasial Kepadatan Penduduk Terhadap Kasus Tuberkulosis di Provinsi Jawa Barat 2019-2021. Jurnal Cahaya Mandalika, 577–584. https://ojs.cahayamandalika.com/index.php/JCM/article/view/1663
Lailatul Mufidah, K.T. (2021b) ‘Analisis Spasial Sebaran Dan Faktor Risiko Tuberkulosis Paru Di Wilayah Kerja Puskesmas Kalangan, Kabupaten Tapanuli Tengah’, 7(3), P. 6.
Mastuti, S., Ulfa, L., & Nugraha, S. (2019). Jurnal Ilmu Kesehatan Masyarakat, 14(01), 93–112.
Mutassirah, Sulislawati, A., & Ibrahim, A. I. (2020). Analisis spasial kejadian tuberkulosis di Dataran Rendah Kabupaten Gowa. Higiene Jurnal Kesehatan Lingkungan, 3(3), 145–151. https://journal.uin-alauddin.ac.id/index.php/higiene/article/view/4383
Nafsi, A. Y., & Rahayu, S. R. (2020). Analisis Spasial Tuberkulosis Paru Ditinjau dari Faktor Demografi dan Tingkat Kesejahteraan Keluarga di Wilayah Pesisir. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 1(1), 72–82. https://doi.org/10.15294/jppkmi.v1i1.41419
Pamadi, N. N., Siregar, K. N., Makful, M. R., & .Atmiroseva, A. (2023). Analisis Spasial Autokorelasi Tuberkulosis di Pulau Jawa Tahun 2021. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan, 4(1). https://doi.org/10.51181/bikfokes.v4i1.7139
Profil Kesehatan Jawa Timur. (2022). Profil Kesehatan Jawa Timur.
Srisantyorini, T., Nabilla, P., Herdiansyah, D., Dihartawan, Fajrini, F., & Suherman. (2022). Analisis Spasial Kejadian Tuberkulosis di Wilayah DKI Jakarta Tahun 2017-2019. Jurnal Kedokteran Dan Kesehatan, 18(2), 131–138. https://doi.org/10.24853/jkk.18.2.131-138
Suryani, F. T., & Ibad, M. (2022). Analisis Faktor Kepadatan Penduduk, Cakupan Rumah Sehat Dan Sanitasi Rumah Tangga Terhadap Kejadian Tuberkulosis Tahun 2018. Jurnal Sosial Dan Sains, 2(10), 1086–1095. https://doi.org/10.59188/jurnalsosains.v2i10.468
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