Determinan Lingkungan Fisik Rumah Terhadap Pneumonia pada Balita di Pinggiran Sungai Musi

Gananda Prajadiva(1*), Yustini Ardillah(2)

(1) Program Studi Kesehatan Masyarakat,FKM Universitas Sriwjaya
(2) 
(*) Corresponding Author

Abstract

Daerah pinggiran sungai Musi merupakan daerah yang masuk sebagai daerah kumuh di Kota Palembang. Kasus pneumonia di Kota Palembang banyak ditemukan di daerah ini. tujuan penelitian ini adalah untuk mengetahui determinan lingkungan fisik rumah dengan kejadian pneumonia. Penelitian ini merupakan penelitian observasi dengan metode kasus kontrol. Terdapat 78 sampel yang terdiri dari 26 kasus dan 52 kontrol dengan kriteria inklusi dan eksklusi. Data pada penelitian ini dikumpulkan dengan metode wawancara dan pengukuran. Analisis data menggunakan uji chi square dan analisis regresi logistic ganda. Hasil analisis data menunjukkan dari 10 variabel yang diteliti terdapat 7 variabel yang berhubungan yaitu riwayat pemberian ASI eksklusif [OR=3,022 (95%CI; 1,132-8,071)], luas ventilasi [OR=3,167 (95%CI; 1.138 – 8,815)], kepadatan hunian rumah [OR=3,422 (95%CI; 1,228-9,538)], pencahayaan [OR=5,588 (95%CI; 1,970-15,849)], suhu [OR=3,947 (95%CI; 1,463-10,643)], kelembaban [OR=3,422 (95%CI; 1,228–9,538)] dan keberadaan anggota keluarga yang merokok [OR=0,034 (95%CI; 1,216-13,378)]. Berdasarkan hasil analisis multivariat, variabel pencahayaan merupakan variabel yang paling berhubungan dengan Odds Ratio 10,165; 95% CI 1,887 - 54,743.Rumah tangga dengan kondisi lingkungan yang masih belum memenuhi syarat seperti tingkat pencahayaan yang minim dapat berisiko menyebabkan terjadinya pneumonia pada balita.

Keywords

Case Control; Pneumonia; Sungai Musi

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References

Chen, Y., Deng, W., Wang, S.-M., Mo, Q.-M., Jia, H., Wang, Q., . . . Wang, X.-Y. (2011). Burden of Pneumonia and Meningitis Caused by Streptococcus pneumoniae in China among Children under 5 Years of Age: A Systematic Literature Review. PLoS One, 6(11), e27333. doi: 10.1371/journal.pone.0027333

Dinkes Palembang. (2016). Profil Kesehatan Kota Palembang. Palembang: Dinas Kesehatan Kota Palembang.

Li, Z., Wen, Q., & Zhang, R. (2017). Sources, health effects and control strategies of indoor fine particulate matter (PM2.5): A review. Science of The Total Environment, 586, 610-622. doi: https://doi.org/10.1016/j.scitotenv.2017.02.029

Mentese, S., Mirici, N. A., Otkun, M. T., Bakar, C., Palaz, E., Tasdibi, D., . . . Cotuker, O. (2015). Association between respiratory health and indoor air pollution exposure in Canakkale, Turkey. Building and Environment, 93, 72-83. doi: https://doi.org/10.1016/j.buildenv.2015.01.023

Nguyen, T. K. P., Tran, T. H., Roberts, C. L., Fox, G. J., Graham, S. M., & Marais, B. J. (2017). Risk factors for child pneumonia - focus on the Western Pacific Region. Paediatric Respiratory Reviews, 21, 95-101. doi: https://doi.org/10.1016/j.prrv.2016.07.002

Nirmolia, N., Mahanta, T. G., Boruah, M., Rasaily, R., Kotoky, R. P., & Bora, R. (2018). Prevalence and risk factors of pneumonia in under five children living in slums of Dibrugarh town. Clinical Epidemiology and Global Health, 6(1), 1-4. doi: https://doi.org/10.1016/j.cegh.2017.07.004

Puskesmas 4 Ulu. (2018). Profil Puskesmas 4 Ulu Palembang. Palembang: Puskesmas 4 Ulu.

Rudan, I., O’brien, K. L., Nair, H., Liu, L., Theodoratou, E., Qazi, S., . . . Campbell, H. (2013). Epidemiology and etiology of childhood pneumonia in 2010: estimates of incidence, severe morbidity, mortality, underlying risk factors and causative pathogens for 192 countries. Journal of global health, 3(1).

Sun, C., Huang, C., Liu, W., Zou, Z., Hu, Y., & Shen, L. (2017). Home dampness-related exposures increase the risk of common colds among preschool children in Shanghai, China: Modified by household ventilation. Building and Environment, 124, 31-41. doi: https://doi.org/10.1016/j.buildenv.2017.07.033

Walker, C. L. F., Rudan, I., Liu, L., Nair, H., Theodoratou, E., Bhutta, Z. A., . . . Black, R. E. (2013). Global burden of childhood pneumonia and diarrhoea. The Lancet, 381(9875), 1405-1416.

Wang, S. F., Yang, Z., Yu, P., Hui Wen, Z., & Yan Lin, Z. (2016). Prevalence and Risk Factors of Primary Drug-Resistant Tuberculosis in China. Biomedical and Environmental Sciences, 29(2), 91-98. doi: https://doi.org/10.3967/bes2016.010

Wang, T., Zhao, Z., Yao, H., Wang, S., Norback, D., Chen, J., . . . Sundell, J. (2013). Housing characteristics and indoor environment in relation to children’s asthma, allergic diseases and pneumonia in Urumqi, China. Chinese Science Bulletin, 58(34), 4237-4244.

WHO. (2010). Housing-related health risks. Retrieved 6 Desember, 2018, from https://www.who.int/sustainable-development/cities/health-risks/slums/en/

WHO. (2016). Pneumonia Fact Sheets. Retrieved 20 Mei, 2018, from http://www.who.int/mediacentre/factsheets/fs331/en/

Zhuge, Y., Qian, H., Zheng, X., Huang, C., Zhang, Y., Zhang, M., . . . Sundell, J. (2018). Residential risk factors for childhood pneumonia: A cross-sectional study in eight cities of China. Environment International, 116, 83-91. doi: https://doi.org/10.1016/j.envint.2018.03.022

DOI: 10.23917/jk.v0i1.7582

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