Keywords
Sanitation
Behaviour
How to Cite
Abstract
Environmental and behavioral factors can increase the transmission of Tuberculosis (TB) and worsen outcomes. The purpose of the study was to determine the relationship between environmental sanitation and patient behavior with the incidence of TB. This type of analytical survey research uses a cross-sectional approach. The research is located in the Working Area of the Talise Health Center, Palu City. The research sample was all TB cases recorded at the Talise Health Center as many as 40 cases. The ratio of cases to control was 1:1, so that the total sample was 80 respondents. The control came from the closest neighbors who had the same age and gender as the case group. Data analysis using univariate and bivariate with Chi-Square test. The results showed that environmental sanitation had an influence on the incidence of TB, non-qualified environmental sanitation had a 5.476 times greater risk of developing TB than qualified people (p = 0.001, OR = 5.476 [2,099-14,284]). Environmental sanitation that has a significant relationship is ventilation (0.002), occupancy density (0.004), temperature (0.004) and lighting (0.004). For patient behaviors that include attitudes and actions that influence the incidence of TB, negative attitudes have a 4.394 times greater risk of developing TB than those who have positive attitudes (p = 0.003, OR = 4.394 [1,709-11,295]). Meanwhile, bad actions had a 3.857 times greater risk of developing TB than those with good actions (p = 0.003, OR = 3.857 [1.526-9.750]). The significance of this study is that environmental sanitation and patient behavior have an influence on the incidence of TB.
References
Ajrina, A., Sofia, Nurjannah, Usman, S., & Maulana, T. (2024). The Relationship Of The Physical Quality Of Houses With The Incidence Of Pulmonary Tuberculosis In The Working Area Of The Aceh Besar Health Center. International Journal of Medical Science and Dental Health, 10(11), 21–42. https://doi.org/https://doi.org/10.55640/ijmsdh-10-11-03
Ali Widyantara, L., & Wardani, R. (2024). Hygiene and Environmental Sanitation Practices Againts The Incident of Tuberculosis In The Working Area of Kesamben Health Center Blitar District. Indonesian Journal of Nutritional Epidemiology and Reproductive, 7(2 SE-Articles), 64–72. https://doi.org/10.30994/ijner.v7i2.314
Andriani, S., Andriani, R., & Hudayah, N. (2020). Hubungan Faktor Host dan Lingkungan dengan Kejadian TB Paru di Wilayah Kerja Puskesmas Betoambari. Kampurui Jurnal Kesehatan Masyarakat (The Journal of Public Health), 2(1), 7–14. https://doi.org/10.55340/kjkm.v2i1.136
Aryani, A. A., Lintang Kusuma Wardani, F., & Rahardjo, S. (2022). Lingkungan Fisik Rumah Sebagai Faktor Risiko Kejadian Tuberkulosis Paru di Kecamatan Kebasen, Kabupaten Banyumas. Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat, 14(2), 56–62. https://doi.org/10.52022/JIKM.V14I2.333
Australian Commission for Safety and Quality in Healthcare. (2019). Australian Guidelines for the Prevention and Control of Infection in Healthcare. In National Health Medical Research Council. National Health and Medical Research Council.
Bloom, B. R., Atun, R., Cohen, T., Dye, C., Fraser, H., Gomez, G. B., Knight, G., Murray, M., Nardell, E., Rubin, E., Salomon, J., Vassall, A., Volchenkov, G., White, R., Wilson, D., & Yadav, P. (2017). Tuberculosis. (K. K. Holmes, S. Bertozzi, B. R. Bloom, & P. Jha (eds.)). https://doi.org/10.1596/978-1-4648-0524-0_ch11
Cardoso, B. A., Fonseca, F. de O., Moraes, A. H. A. de N., Martins, A. C. G. S., Oliveira, N. V. da S., Lima, L. N. G. C., Dias, G. A. da S., & Saad, M. H. F. (2017). Environmental aspects related to tuberculosis and intestinal parasites in a low-income community of the Brazilian Amazon. Revista Do Instituto de Medicina Tropical de Sao Paulo, 59, e57. https://doi.org/10.1590/S1678-9946201759057
Celesta, A. G., & Fitriyah, N. (2019). Overview Basic Sanitation In Payaman Village, Bojonegoro District 2016. Jurnal Kesehatan Lingkungan, 11(2 SE-Articles), 83–90. https://doi.org/10.20473/jkl.v11i2.2019.83-90
Christof, C., Nußbaumer-Streit, B., & Gartlehner, G. (2020). [WHO Guidelines on Tuberculosis Infection Prevention and Control]. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 82(11), 885–889. https://doi.org/10.1055/a-1241-4321
Dewi, D. P. R., Putra, I. W. G. A. E., Sawitri, A. A. S., & Duarsa, D. P. (2017). Risk factors of pulmonary tuberculosis among diabetes mellitus patients in Denpasar City. Public Health and Preventive Medicine Archive, 5(1), 19–23. https://doi.org/10.53638/phpma.2017.v5.i1.p05
Dinas Kesehatan Provinsi Sulawesi Tengah. (2022). Profil Kesehatan Provinsi Sulawesi Tengah.
Dwi Lestari Muslimah, D. (2019). Physical Environmental Factors and Its Association with the Existence of Mycobacterium Tuberculosis: A Study in The Working Region of Perak Timur Public Health Center. Jurnal Kesehatan Lingkungan, 11(1), 26. https://doi.org/10.20473/jkl.v11i1.2019.26-34
Eliso, E., Medhin, G., & Belay, M. (2015). Prevalence of smear positive pulmonary tuberculosis among outpatients presenting with cough of any duration in Shashogo Woreda, Southern Ethiopia. BMC Public Health, 15(1), 112. https://doi.org/10.1186/s12889-015-1411-4
Farsida, F. (2023). Relationship Between Nutritional Status and Living Conditions With the Risk of Tuberculosis in Children. Jurnal Kesehatan Masyarakat, 18(3), 341–348. https://doi.org/10.15294/kemas.v18i3.35343
Feng, M., Xu, Y. G., Zhang, X. Y., Qiu, Q., Lei, S. G., Li, J. L., Yuan, W., Song, Q. F., & Xu, J. H. (2019). Risk factors of multidrug-resistant tuberculosis in China: A meta-analysis. Public Health Nursing (Boston, Mass.), 36(3), 257–269. https://doi.org/10.1111/PHN.12582
Fitri, N., Mufida, D. C., Hermasyah, B., Armiyanti, Y., Agustina, D., & Suswati, E. (2021). Environmental Sanitation, Personal Hygiene, STH Co-infection in TB Patients. Jurnal Kesehatan Masyarakat, 16, 402–410. https://doi.org/10.15294/kemas.v16i3.23639
Goletti, D., & Martineau, A. R. (2021). Pathogenesis and Immunology of Tuberculosis. Essential Tuberculosis, 19–27. https://doi.org/10.1007/978-3-030-66703-0_3
Hansson, J., Nordenmark, M., Tjulin, Å., Landstad, B. J., & Vinberg, S. (2022). Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19(13). https://doi.org/10.3390/IJERPH19137840
Hidayat, J., Lee, M.-C., Lee, M.-D., & Chen, C.-H. (2020). The Relationship between Knowledge and Medication Compliance Behavior among Patients with Tuberculosis. South East Asia Nursing Research, 2(2), 46–54. https://doi.org/10.26714/SEANR.2.2.2020.1-9
Hsu, K. J., Carl, E., DiVita, A., Feldman, T., Foulser, A. A., Freihart, B., Madole, J., McNamara, M. E., Rubin, M., Stein, A. T., Tretyak, V., & Smits, J. A. J. (2021). Rising to the Occasion of This COVID-19-Impacted Nation: Development, Implementation, and Feasibility of the Brief Assessment-Informed Skills Intervention for COVID-19 (BASIC). Cognitive and Behavioral Practice, 28(4), 468. https://doi.org/10.1016/J.CBPRA.2021.02.003
Huddart, S., Bossuroy, T., Pons, V., Baral, S., Pai, M., & Delavallade, C. (2018). Knowledge about tuberculosis and infection prevention behavior: A nine city longitudinal study from India. PloS One, 13(10), e0206245. https://doi.org/10.1371/journal.pone.0206245
hutajulu, johansen. (2019). Hubungan Perilaku Dengan Kepatuhan Minum Obat Pada Penderita Tuberkulosis Paru Di Puskesmas Helvetia Tahun 2018. JURNAL HEALTH REPRODUCTIVE, 4(2), 1–8.
Izzati, S., Basyar, M., & Nazar, J. (2015). Faktor Risiko yang Berhubungan dengan Kejadian Tuberkulosis Paru di Wilayah Kerja Puskesmas Andalas Tahun 2013. Jurnal Kesehatan Andalas, 4(1). https://doi.org/10.25077/JKA.V4I1.232
Kemenkes. (2023). Peraturan Menteri Kesehatan Nomor 2 Tahun 2023 tentang Peraturan Pelaksanaan Peraturan Pemerintah Nomor 66 Tahun 2014 tentang Kesehatan Lingkungan. Jakarta.
Kementerian Kesehatan RI. (2023). Deteksi TBC Capai Rekor Tertinggi di Tahun 2022.
Kenedyanti, E., & Sulistyorini, L. (2017). Analisis Mycobacterium Tuberculosis Dan Kondisi Fisik Rumah Dengan Kejadian Tuberkulosis Paru. Jurnal Berkala Epidemiologi, 5(2), 152–162. https://doi.org/10.20473/jbe.v5i2.2017.152-162
Khamai, N., Seangpraw, K., & Ong-Artborirak, P. (2024). Using the health belief model to predict tuberculosis preventive behaviors among tuberculosis patients household contacts during the covid-19 pandemic in the border areas of northern Thailand. Journal of Preventive Medicine and Public Health, 57(3), 223–233. https://doi.org/10.3961/JPMPH.23.453
Lolan, Y., Permana, I. S., & Akmal, D. (2022). Relationship of Environmental Factors with the Incidence of Tuberculosis. Himalayan Journal of Community Medicine and Public Health, 3(3), 1–5. https://doi.org/10.47310/Hjcmph.2022.v03i03.001
Ma’rufi, I., Khorir, A., Ali, K., & Nugroho, H. (2018). The level of environmental Sanitation and the Incidence of Tuberculosis in Jember and Situbondo, Indonesia. Indian Journal of Public Health Research & Development, 9, 330. https://doi.org/10.5958/0976-5506.2018.00308.X
Madhona, R., Ikhwan, Z., & Aminin, F. (2017). Physical Environment Home and Incidence of TB Disease in Tanjungpinang District. Advances in Health Sciences Research, 1(PHICo 2016), 126–130. https://doi.org/10.2991/phico-16.2017.77
Makalew, L., Kuntoro, Otok, B., Soenarnatalina, M., & Dra, E. (2019). Spatio of Lungs Tuberculosis ( Tb Lungs ) in East Java Using Geographically Weighted Poisson Regression (GWPR). Indian Journal of Public Health Research & Development, 10, 1830. https://doi.org/10.5958/0976-5506.2019.02115.6
Mayasari, E., Risnasari, D., & Chei, N. E. (2022). Analysis of Pulmonary Tuberculosis based on Home Sanitation in Sembung Hamlet, Margopatut East Java. STRADA Jurnal Ilmiah Kesehatan, 11(1), 78–83. https://doi.org/10.30994/sjik.v11i1.894
Migliori, G. B., Nardell, E., Yedilbayev, A., D’Ambrosio, L., Centis, R., Tadolini, M., Van Den Boom, M., Ehsani, S., Sotgiu, G., & Dara, M. (2019). Reducing tuberculosis transmission: a consensus document from the World Health Organization Regional Office for Europe. European Respiratory Journal, 53(6), 1900391. https://doi.org/10.1183/13993003.00391-2019
Mirahmadizadeh, A., Rezaei, F., Jokari, K., Moftakhar, L., Hemmati, A., Dehghani, S. S., Hassani, A. H., Lotfi, M., Jafari, A., & Ghelichi-Ghojogh, M. (2022). Correlation between environmental factors and COVID-19 indices: a global level ecological study. Environmental Science and Pollution Research International, 29(11), 16667–16677. https://doi.org/10.1007/S11356-021-16876-X
Monintja, N., Warouw, F., Roni, O., Program, P., Ilmu, S., Masyarakat, K., Kesehatan, F., Universitas, M., Ratulangi, S., & Belakang, A. L. (2020). Keadaan Fisik Rumah dengan Kejadian Tuberkulosis Paru. Indonesian Journal of Public Health and Community Medicine, 1(3), 93–99. https://doi.org/10.35801/IJPHCM.1.3.2020.28991
Muchammad Rosyid, dan A. S. M. (2023). Hubungan Kondisi Fisik Rumah dan Kebiasaan Merokok Dengan Kejadian Tuberculosis di Wilayah Kerja Puskesmas Banjarejo Kota Madiun. Jurnal Ilmu Kesehatan, 11(2), 76. https://doi.org/https://doi.org/10.32831/jik.v11i2.457
Muhammad, A., Lestari, P., & Widodo, A. (2020). The Ventilation-to-area Ratio and House Lighting Relate to the Incidence of Pulmonary Tuberculosis. Althea Medical Journal, 7, 1–5. https://doi.org/10.15850/amj.v7n1.1821
Mulu, W., Mekonnen, D., Yimer, M., Admassu, A., & Abera, B. (2015). Risk factors for multidrug resistant tuberculosis patients in Amhara National Regional State. African Health Sciences, 15(2), 368–377. https://doi.org/10.4314/AHS.V15I2.9
Nita, Y., Budiman, H., & Sari, E. (2023). Hubungan Pengetahuan, Kebiasaan Merokok Dan Riwayat Kontak Serumah Dengan Kejadian Tb Paru. Human Care Journal, 7(3), 724. https://doi.org/10.32883/hcj.v7i3.2060
Nortajulu, B., Hermawan, D., Jl Ir Sumantri Brojonegoro No, L., Meneng, G., Rajabasa, K., Bandar Lampung, K., Ilmu Sosial dan Politik, F., & Lampung Jl Ir Sumantri Brojonegoro No, U. (2022). Faktor-faktor yang Berhubungan dengan Kesembuhan TB Paru. Jurnal Penelitian Perawat Profesional, 4(4), 1207–1216. https://doi.org/10.37287/JPPP.V4I4.1215
Nur Hasina, S., Keperawatan dan Kebidanan, F., & Nahdlatul Ulama Surabaya, U. (2020). Pencegahan Penyebaran Tuberkulosis Paru Dengan (BEEB) Batuk Efektif Dan Etika Batuk Di Rw. VI Sambikerep Surabaya. Community Development Journal : Jurnal Pengabdian Masyarakat, 1(3), 322–328. https://doi.org/10.31004/CDJ.V1I3.1019
Nurany, H., Raharjo, M., & Sakundarno, M. (2023). The Relationship between the Quality of the Physical Environment of the House and the Incidence of Pulmonary Tuberculosis in Tangerang City in 2022. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(2), 514. https://doi.org/10.30829/contagion.v5i2.15157
Onyango, P. A., Ter Goon, D., & Rala, N. M. D. (2021). Knowledge, Attitudes and Health-seeking behaviour among Patients with Tuberculosis: A Cross-sectional Study. The Open Public Health Journal, 13(1), 739–747. https://doi.org/10.2174/1874944502013010739
Pang, Y., An, J., Shu, W., Huo, F., Chu, N., Gao, M., Qin, S., Huang, H., Chen, X., & Xu, S. (2019). Epidemiology of Extrapulmonary Tuberculosis among Inpatients, China, 2008-2017. Emerging Infectious Diseases, 25(3), 457–464. https://doi.org/10.3201/EID2503.180572
Parwati, N. M., Bakta, I. M., Januraga, P. P., & Wirawan, I. M. A. (2021). A Health Belief Model-Based Motivational Interviewing for Medication Adherence and Treatment Success in Pulmonary Tuberculosis Patients. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/IJERPH182413238
Puskesmas Talise. (2023). Laporan Puskesmas Talise.
Quaife, M., Houben, R. M. G. J., Allwood, B., Cohen, T., Coussens, A. K., Harries, A. D., van Kampen, S., Marx, F. M., Sweeney, S., Wallis, R. S., & Menzies, N. A. (2020). Post-tuberculosis mortality and morbidity: valuing the hidden epidemic. The Lancet Respiratory Medicine, 8(4), 332–333. https://doi.org/10.1016/S2213-2600(20)30039-4
Rangki, L., & Sukmadi, A. (2021). Hubungan Perilaku dengan Kejadian Tuberkulosis Paru di Kabupaten Muna. Health Care : Jurnal Kesehatan, 10(2), 346–352. https://doi.org/10.36763/healthcare.v10i2.153
Rizkaningsih, R., & Mustafa, M. (2023). Hubungan Kondisi Fisik Lingkungan Rumah dengan Kejadian TBC (Tuberculosis). Jurnal Promotif Preventif, 6(2 SE-Articles). https://doi.org/10.47650/jpp.v6i2.784
Samuel Marganda Halomoan Manalu, Deli Syaputri, Tisnawati Tanjung, & Theodorus Teddy Bambang Soedjadi. (2022). Faktor Risiko Kondisi Lingkungan Fisik Rumah Dengan Penderita Tb Paru. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 17(1), 63–70. https://doi.org/10.36911/pannmed.v17i1.1264
Sartiwi, W., & Sandra, R. (2021). Relationship Environmental Sanitation With The Incident Of Pulmonary Tuberculosisin Public Health Center Sikakap Mentawai Islands. International Journal of Advanced Research, 9(5), 1213–1218. https://doi.org/10.21474/IJAR01/12958
Sejati, A., & Sofiana, L. (2015). Faktor-Faktor Terjadinya Tuberkulosis. Jurnal Kesehatan Masyarakat, 10(2), 122. https://doi.org/10.15294/kemas.v10i2.3372
Shabrina, I., Basyar, M., & Nazar, J. (2015). Faktor Risiko Yang Berhubungan Dengan Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Andalas Tahun 2013. Jurnal Kesehatan Andalas, 4(1). https://doi.org/10.25077/jka.v4i1.232
Singh, A. (2023). Design &Amp; Development of a Air Pollution Monitoring Using Smartphone. International Journal of Engineering Technology and Management Sciences, 7(3), 489–493. https://doi.org/10.46647/ijetms.2023.v07i03.68
Sukmawati, Amiruddin, E., & Meilani, N. (2023). Analysis of the Relationship between the Physical Conditions of the House, Smoking and the Incidence of Pulmonary Tuberculosis in Central Buton. International Journal of Scientific Multidisciplinary Research, 1(5), 361–374. https://doi.org/10.55927/ijsmr.v1i5.4373
Sulung, N., & Amalia, N. G. (2018). Status Gizi, Ventilasi, Kebiasaan Merokok Dan Peran Tenaga Kesehatan Dengan Kejadian TB Paru. Jurnal Pembangunan Nagari, 3(2), 65. https://doi.org/10.30559/jpn.v3i2.107
Suswita, E., Hasyim, H., & Windusari, Y. (2022). Analisis Hubungan Kondisi Lingkungan Dan Perilaku Pasien Dengan Kejadian TB Paru. Jurnal Kesehatan, 13(2), 104–114. https://doi.org/10.35730/jk.v13i0.864
Tria Meriyanti, N. K. A., & Sudiadnyana, I. W. (2018). Hubungan Sanitasi Rumah Dengan Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Ii Denpasar Barat. Jurnal Kesehatan Lingkungan (JKL), 8(1), 9–12. https://doi.org/10.33992/jkl.v8i1.342
Wanti, W., Agustina, A., Singga, S., & Respati, T. (2022). Physical Environmental Conditions and Germ Number in Bedroom of Tuberculosis Patients in Kupang City, East Nusa Tenggara Province. Global Medical and Health Communication, 10(2), 122–127. https://doi.org/10.29313/GMHC.V10I2.10144
WHO. (2022a). Global Tuberculosis Report 2022.
WHO. (2022b). Laporan Kasus Tuberkulosis (TBC) Global dan Indonesia 2022 .
Windarti. (2024). The Relationship Between the Physical Condition of the Home Environment and History of Disease With the Incidence of Tuberculosis in the Working Area of the Rangkasbitung Health Center in 2023. Ijamesc, 2(2), 606–618. https://doi.org/10.61990/ijamesc.v2i2.218
Windarti, Ismarina, & Ikhlasiah, M. (2024). The Relationship Between The Physical Condition Of The Home Environment And History Of Disease With The Incidence Of Tuberculosis In The Working Area Of The Rangkasbitung Health Center In 2023. International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC), 2(2), 606–618. https://doi.org/10.61990/IJAMESC.V2I2.218
Wulandari, R., Budiyono, B., Sulistiyani, S., & Wahyuningsih, E. (2023). The Relationship between Ventilation and Physical Quality of Houses with Pulmonary Tuberculosis Cases in the Working Area of Sragen Primary Healthcare Center, Sragen Regency. JURNAL KESEHATAN LINGKUNGAN , 15(1), 76–83. https://doi.org/10.20473/JKL.V15I1.2023.76-83
Yuniar, I., Rusmindarti, S., & Sarwono, S. (2021). The Level of Lighting and Ventilation on the Incidence Rate of Pulmonary TB. Proceedings of the 2nd Borobudur International Symposium on Humanities and Social Sciences-EAI. https://doi.org/10.4108/EAI.18-11-2020.2311724
Zahratul Jannah, R., Azizah, R., Binti Jalaludin, J., Sulistyorini, L., & Scorpia Lestari, K. (2023). Meta-Analysis Study: Environmental Risk Factors of Tuberculosis (TB). Jurnal Kesehatan Lingkungan, 15(2), 84–91. https://doi.org/https://doi.org/10.20473/jkl.v15i1.2023.84-91
Zulaikhah, S. T., Ratnawati, R., Sulastri, N., Nurkhikmah, E., & Lestari, N. D. (2019). Hubungan Pengetahuan, Perilaku dan Lingkungan Rumah dengan Kejadian Transmisi Tuberkulosis Paru di Wilayah Kerja Puskesmas Bandarharjo Semarang. Jurnal Kesehatan Lingkungan Indonesia, 18(2), 81. https://doi.org/10.14710/jkli.18.2.81-88
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