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Eduvest - Journal Of Universal Studies
Pulmonary tuberculosis (TB) is one of the most prevalent infectious diseases in the world. Based on a report by the World Health Organization (WHO, 2012) one third of the world's population, which is around two billion people infected with Mycobacterium Tuberculosis. More than 8 million populations get active TB every year and around 2 million die. More than 90% of TB cases and deaths come from developing countries, one of which is in Indonesia. This research is an observational analytic study with a case control study design that aims to determine the effect of risk factors for pulmonary TB events using a retrospective approach. The results of this study indicate that the most dominant variable TB incidence in high school education cases is down to 45 people (97.8%) and the smallest House Density is 25 people (54.3%) and the most dominant control variable is no comorbidities namely as many as 47 people (97.9%) and the smallest Respondents' House Density fulfilled the requir...
International Journal of Research and Review, 2022
Background/Aim: Currently, tuberculosis is still a health problem in Serang sub-district, Serang city. Pulmonary TB disease is influenced by several factors. Factors related to pulmonary TB include age, gender, income, nutritional status, education, and BCG immunization status. This study aims to find out the factors that affect the occurrence of pulmonary tuberculosis (TB) disease in the Health Center of Serang City on 2021 including age, gender, income, education, nutritional status, and BCG immunization status Method: This study used a case-control study design. The study sample was all lung TB sufferers who sought treatment at five health centers in Serang sub-district, Serang city that were registered on medical records until September 2021 and as a control were healthy people at the place where the study was conducted. Data collection using questionnaires. Data analysis is done with univariate analysis (frequency distribution), bivariate analysis with Chi Square test, and mult...
Caspian Journal of Environmental Sciences, 2023
Tuberculosis (TB) continues to be a severe public health problem at local, national, and global levels. At the local level, the trend of increasing the spread of TB cases in Rokan Hilir District, Indonesia requires the identification of the determinants, so that scenarios for prevention and control can be developed appropriately and effectively. Therefore, this study will identify factors contributing to increase TB incidence at the sub-district level in Rokan Hilir District. This study uses a mixed design (mixed method) consisting of observational studies, case control, and spatial approaches based on Geographic Information Systems (GIS). Observational studies were carried out on track record data of TB sufferers, demographics, and health infrastructure during the 2017-2020 period. The case-control approach was applied to socio-economic and physical environment variables in 53 case respondents and 61 control respondents. A GIS-based spatial method was used to acquire climate variability and perform interpolation, interpretation, and spatial presentation in thematic maps. The findings of TB incidents from 2017 through 2020 experienced an increasing trend of 19.58 % per year with an average number of cases (± SD) of 1,068 ± 60.97 cases/year. TB incidence increased with an expanding population (R 2 = 0.675), population density (R 2 = 0.691), number of health workers (R 2 = 0.597), and number of health facilities (R 2 = 0.509). The elevated risk of TB disease occurred in people of unproductive age [odds ratio (OR) 2.409, 95% confidence interval (CI) 1.130-5.134], low education (OR 4.027, 99% CI = 1.779-9.115), low income (OR 3.632), type of floor (OR 2.449, 95% CI = 1.144-5.239), wall type (OR 2.851, 99% CI =1.322-6.146), and occupancy density (OR 3.944, 99% CI = 1.799=8.647). Demographic, socio-economic conditions, physical environment, and the availability of health facilities and infrastructure were determinants influencing the incidence of TB. Scenario intervention on determinant factors is the key to successful TB disease control to meet the 2030 national TB disease incidence elimination target.
2017
Pulmonary tuberculosis is a chronic infectious disease that was closely related to the environment and human behavior. To overcome pulmonary tuberculosis, various factors associated with TB who received anti-TB treatment became very important. Therefore, we extented the Riskesdas data analysis To determine the various factors associated with Pulmonary TB patients received anti-TB treatment. Subject treated with anti-TB treatment became the dependent variable, while the independent variables consisted of subjects characteristics (age, gender, and education level), socioeconomic status and residential classification. Logistic regression was used to identify factors associated with the use of anti-tuberculosis. The result showed that male subjects with age of 35 untill 44 years, low education, consider poor in economic and inhabited in urban area more common in subjects with anti-TB treatment. Thus, characteristics of subjects (age, gender, and education level), socioeconomic status and residential classification are the factors of subjects treated with anti-tuberculosis in Indonesia.
Journal of Public Health for Tropical and Coastal Region
Introduction: Pulmonary tuberculosis (TB) is a chronic disease caused by Mycobacterium tuberculosis. The prevalence of pulmonary TB is increasing every year. The previous studies found that knowledge, physical condition of the house, gender and education level are the well-known of factors associated with the TB cases. This study aims to determine the factors associated with the incidence of Pulmonary TB at Puskesmas Maja, Lebak Regency, Banten Province, Indonesia.Methods: Case control study design was used in this study. Total 20 cases and controls were recruited. Cases are individuals aged over 15 years with pulmonary tuberculosis who were confirmed by sputum examination with acid-fast staining (BTA+) showing the presence of Mycobacterium tuberculosis. Controls were individuals with negative sputum examination results. A purposive sampling technique was used to find the defined-case and control groups. A study questionnaire was used to collect the determinant factors and house con...
Pulmonary tuberculosis is a chronic infectious disease that is closely related to the environment and human behavior. To stop pulmonary tuberculosis, factors of tuberculosis subjects treated with anti- tuberculosis are important. Therefore, we extent analysis the 2014 Riskesdas data to determine factors of pulmonary tuberculosis subjects treated with anti-tuberculosis. In this analysis, subject treated with anti-tuberculosis was the dependent variable, while the independent variables with characteristics of subjects (age, gender, and education level), socio-economic status and residential classification. Logistic regression was used to identify factors associated with the use of anti-tuberculosis. This extended analysis showed that male subjects with age of 35 untill 44 years, low education, consider poor in economy and live in urban area more common in subjects treated with anti-tuberculosis. Thus, characteristics of subjects (age, gender, and education level), socio-economic status and residential classification are the factors of subjects treated with anti-tuberculosis in Indonesia.
International Journal of Public Health Science (IJPHS), 2013
Pulmonary tuberculosis remains a major cause of morbidity and mortality in the world, including Indonesia. In South Kalimantan, an increasing incidence of tuberculosis up to the year 2010 which were taken using a smear-positive reached 3,237 cases, the largest was in Banjarmasin city which reached 642 cases and the detection rate still low, which is 52, 1%. To investigate the relationship among environmental risk factors of the house (residential density, the air temperature, humidity, ventilation, and natural lighting), smoking behavior and alcohol consumption among tuberculosis patients with the incidence of pulmonary tuberculosis in Banjarmasin city. This study was an analytic observational with case control study. The subjects were tuberculosis patients with smear-positive as a case group and smear-negative as a control group. Residential density, the air temperature, ventilation, natural lighting, smoking behavior and alcohol consumption significantly associated with the incidence of pulmonary tuberculosis in Banjarmasin city. While the humidity was not significantly associated. The most dominant risk factors in the incidence of pulmonary tuberculosis in Banjarmasin city were inappropriate of the air temperature in subjects with a history of household contact with tuberculosis patient, natural lighting, and house ventilation.
International Journal of Public Health Science (IJPHS)
The decline in the incidence of tuberculosis to date still looks very slow, although some efforts have been made to improve case identification and treatment adherence. This study aimed to assess the factors associated with the incidence of pulmonary tuberculosis. The research design for this study was observational analytical with a cross-sectional design. A total of 830 people suspected of tuberculosis, aged over 15 years, and not drug-resistant were selected by simple random sampling. Overall, 59.9% of people are infected with pulmonary tuberculosis. There was a significant association between age (p=0.002) (OR=1.69; 95% CI: 1.22, 2.35), smoking behavior (p=0.000) (OR=2.3; 95% CI: 1.67, 3.30), temperature (p=0.000) (OR=4.2; 95% CI: 2.84, 6.47), humidity (p=0.000) (OR=6.7; 95% CI: 4.69, 9.77), lighting (p=0.000) (OR=4.174; 95% CI: 2.94, 5.92) and incidence of pulmonary tuberculosis. The study showed that tuberculosis was more common among productive age and smokers living in homes...
The prevalence of tuberculosis infection using tuberculin skin test (TST)-Mantoux test was obtained in 450 children of adolescent age attending secondary school in Zaria. Annual Risk of infection for the children surveyed was calculated using formula ARTI = 1-(1-p) 1/n. The prevalence of positivity was calculated using two cut off values.The prevalence of tuberculin positivity obtained was 43.3% using Mantoux reading of >10mm as positivity. The overall ARTI for the study population was thus 9.2%. The distribution of Mantuox results by sex. Total number of subjects with positive Mantoux is 19.5, giving a prevalence rate of 43.3%. The prevalence rate for boys was 41.2%, while that of girls was 53.2%. This was statistically significant z-statistic = 2.0 (p > 0.05). The Mantoux value was 7.79 +-5,37mm.Thirty percent (30%) had borderline positivity while 2.9% was satisfactory negative including 23.8% that had no induration at all. Fourty-three (43) subjects, representing 9,5% had a strongly positive result >/ 15mm. In this study, the ARTI was 9.2% and 6.4% corresponding to annual incidence of 460 and 320 new cases of smear positive TB respectively.In the absence of good TB control programme and proper record keeping as seen in most resource poor countries, Nigeria inclusive, the ARTI could be invaluable in the assessment and evaluation of TB activities including formulation of national policies. INTRODUCTION The advent of HIV/AIDS pandemic has worsened the tuberculosis (TB) situation in developing countries including Nigeria (Chretien, 1990). Diagnosis is difficult especially in children due to lack of sensitive laboratory tests and the clinical features that are similar to many other childhood illnesses. Annual risk of tuberculosis infection (ARTI) is an important index of following the trend of the TB situation in a given community (Borgdoff, 2002). The ARTI expresses the annual incidence of infection, and represents the percentage of individuals first infected in the course of one year. This is calculated from a measured prevalence of infection and the mean age of the cohort of children at the time of the survey using a mathematical model (Sutherland et al., 1971). The ARTI is independent of the quality and comprehensiveness of the notification system and has a very close relationship with the number of sources of infection present within the population at large (Styblo et al.,1969).
Environmental Health and Preventive Medicine, 2015
Objectives Indonesia is ranked as the 4th highest contributor to tuberculosis (TB) in the world. Semarang District in Central Java displays extremely low case detection rate (CDR), possibly contributing to the local prevalence of TB. Methods A case-control study was performed to explore the factors that cause such low CDR. We recruited 129 TB cases and 83 controls that visited the same centers and were not diagnosed with TB. Results The cases had 7.5 ± 2.3 symptoms/person on average, indicating the delay in diagnosis because the controls only displayed 1.0 ± 1.7. The multiple logistic regression analysis comparing the cases/controls extracted following factors as a risk to have TB: farmer, close contact with TB patients, ignorance of whether Bacillus Calmette-Guérin (BCG) was accepted or no, smoking, low income, a lot of people living in the same room, irregular hand wash before meals, not wash hands after blow, soil floor, and no sunlight and no ventilation in the house. Conclusions Neither the cases nor the controls knew the symptoms and how to avoid TB infection, which probably caused the delay in diagnosis. It is difficult to change the current living conditions. Thus, the amendment of the community-based education program of TB seems to be required.
Journal Article, 2019
The risk to tuberculosis (TB) exposure is an area that need more attention worldwide due to the fact that close to one third of the population of the world is at risk. This study is aimed to determine the prevalence and treatment outcomes of pulmonary tuberculosis in tuberculosis and leprosy referral hospital, Hadejia Local Government area Jigawa State. The methods used were descriptive and inferential statistical techniques to analyze the outcome. The most affected age group was between 18-39 years with the percentage prevalence of (51.8%) while the age group 1-6 years recorded the lowest percentage of prevalence (2%). Male Patients had a higher prevalence at 70.8%, compared to 29.2% in females. Significant differences with respect to gender and age of the patients was observed at p < 0.05. A significant association was found between age and treatment outcome of pulmonary tuberculosis (PTB). The involvement of the private health practitioners in tuberculosis control activities should therefore be encouraged in order to improve case findings. The high prevalence of pulmonary tuberculosis (PTB) can be slightly attributed to some socioeconomic factors associated with poverty such as adequate sanitary condition, lack of clean water and overcrowding.
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Tuberculosis (TB) remains a global health problem, and in Indonesia, although TB control efforts have been carried out since 1995. TB is ranked 9th as the leading cause of death worldwide. The increase in the number of TB cases caused by risk factors triggering include a decrease in the immune system caused by HIV infection, nutritional status, education, sex, occupation, air humidity, house ventilation, temperature, occupancy density lighting, and contact history. AIM: This study aimed to analyze the relationship of nutritional status, contact history, and smoking to the incidence of pulmonary TB in Community Health Centre Tamalatea of Jeneponto District. METOHDS: This type of research is analytic observational with a case–control design with a total sample of 147 samples consisting of 49 cases and 98 controls. Data collection was conducted from August to October 2019. Data analysis used in the study was univariate and bivariate analysis with Chi-square test. RESULTS: T...
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Tuberculosis is still the primary infectious disease in the world due to HIV/AIDS. In the 2015-2019 strategic plan of the Ministry of Health, infectious diseases are one of the main priorities that must create a Healthy Indonesia. The prevalence rate of pulmonary tuberculosis cases in Indonesia is 539,000 new cases each year, with the number of deaths around 101,000 per year. Acid Fast Bacilli (AFB) (+) incidence rate is around 110/ 100,000 population. AIM: This study aimed to identify the influencing factors and efforts to overcome pulmonary tuberculosis disease. MATERIALS AND METHODS: The research method was carried out by tracing the research reports/articles related to pulmonary tuberculosis incidence as many as 38 selected articles. RESULT: Factors that influence tuberculosis infection incidence include age, income level (socioeconomic), housing conditions, the behavior of opening windows every morning, smoking, and a history of contact with tuberculosis patients. T...
Background: The top priority areas of TB research include epidemiology, health services research and basic research. This research project strives to fulfil these research needs. Methods: 188 pulmonary TB patients, attending chest OP in CMC Hospital were interviewed using a pre-designed pre-tested structured questionnaire. Their medical records available at the RNTCP centre in the hospital were used to assess their clinical profile. Convenience sampling was used and data analysed using SPSS Inc. Version 18.0. Results:In this study, 54% of the patients affected were in the age group of 16-40 years of age, and 70% were males. The distance to the tertiary care centre (for initial diagnosis and other investigations) didn’t have a role to play in defaulting (P value – 0.034) but is found to be a major player for delay in diagnosis of tuberculosis (P < 0.001). The highest defaulting was seen during the 2nd month of the treatment, especially when 85% of the patients had felt a significant improvement of their symptoms. Also, it was found that 67.1% patients are not directly observed as per DOTS provisions. With regard to the KAPB aspect of the study, 60% were either unsure of the cause of TB or thought it was related to smoking, however, 79% knew that they prevent their disease from spreading to others by covering their mouth, while coughing/sneezing, with a hand-kerchief. 19.7% patients said they had faced discrimination from others owing to their disease. Conclusion:Being a male (3-fold risk), alcoholism (2-fold; P value- <0.03), smoking (2-fold; P value - <0.001) and an improvement in symptoms(p = 0.032) tend to have a higher risk ofdefaulting. Other factors – age, education level,employment, type of house,social stigma or poor treatment supervision do not have arole to play in defaulting.The KAPB of given population is poor and hence has to be addressed by proper IECactivities, through appropriate media. CMC = Chengalpattu Medical College TOTAL WORD COUNT = 300 KEY WORDS: TUBERCULOSIS, DEFAULTING, KAP
Global Journal of Health Science, 2021
OBJECTIVE: The number of tuberculosis (TB) cases in Indonesia is currently very high, so the analysis is needed to describe the environmental conditions at risk of TB disease. The aim of the study was to look at the prevalence of pulmonary TB in 2013-2014 in Indonesia based on the area of residence of the respondents and to see the relationship between the environmental conditions of the prevalence of TB in Indonesia. MATERIAL & METHODS: The Prevalence SPTB 2013-2014 was used cross-sectional design with national coverage. Sampling selection used multi-staged cluster sampling in the population aged 15 years and above. The analysis data used SPSS program; first analysis was used bivariate and continuing to multivariate analysis. RESULT: Tb prevalence rate with bacteriological confirmed was 759 [95% CI: 590, 961] per 100,000 population in aged 15 years and above. The bivariable analysis shown those participant who live at house with floor <8m2/person [95% CI:1,053,1,710] and those p...
2021
The increase in pulmonary TB cases is related to the success of treatment. Rough treatment will lead to multi-drug resistant TB (MDR TB). The purpose of this study was to analyze the relationship of Predisposing, and enabling factors with the successful treatment of pulmonary TB in the Cikulur Community Health Center, Lebak Regency. This study used a Case-control research design. The sampling technique was purposive sampling, and a sample size of 82 people. The independent variables were predisposing factors (age, gender, education level, employment status, motivation, knowledge and attitudes), enabling factors (medication adherence, drug side effects, and access to health facilities). The dependent variable was the success of TB treatment. Data analysis using Chi-Square test and multiple logistic regression. The results showed that a person with pulmonary TB with non-working status, adherence to treatment, and access to health facilities was 5.002 times easy to succeed in TB treatm...
International Research Journal of Engineering, IT and Scientific Research, 2017
Background: Tuberculosis is an infectious disease caused by bacteria Mycobacterium tuberculosis. This bacterium is a bacterium bacillus very strong so takes a long time to treat. As a chronic disease, pulmonary tuberculosis has several risk factors of symptom Tuberculosis factor. Objective: The objective of this study is to identify risk factors and symptoms of pulmonary Tuberculosis. Methods: The design used in this study is a cross-sectional descriptive study, with a non-random sampling method, is purposive judgmental (samples consideration) with the qualitative data. The research conducted by distributing questionnaires to the respondents after informed consent. Result: the risk factors that affect the incidence of Tuberculosis is high, can be seen from public education is low, the number of society who do not have jobs, people's incomes far below the standard wage area, many people who have children under five and there are still many who do not give BCG immunization, the number of people who are elderly, and home community is still high that smoke, the houses are solid, some people with Tuberculosis in the process of healing their patients with positive Tuberculosis who do not seek treatment, their pain smear + who interrupt their treatment, many people who have a family history of previously positive Tuberculosis, when it concluded that the people on the ground in public health Gunung Sari at high risk of Tuberculosis. Conclusion: In terms of risk factors for pulmonary Tuberculosis include age, education, occupation, income, have a toddler who has not been given the BCG vaccine and toddlers below the red line, have a family of the elderly, the respondent family who smoke, the home environment, lighting and air circulation in the house, and the presence of Tuberculos patients around the residence.
International journal of …, 2005
Background Host-related and environment-related factors have been shown to play a role in the development of tuberculosis (TB), but few studies were carried out to identify their respective roles in resource-poor countries. Methods A multicentre case-control study was conducted in Guinée, Guinea Bissau, and The Gambia, from January 1999 to March 2001. Cases were newly detected smear positive TB patients. Two controls were recruited for each case, one within the household of the case, and one in the community. Results Regarding host-related factors, univariate analysis by conditional logistic regression of 687 matched pairs of cases and household controls showed that TB was associated with male sex, family history of TB, absence of a BCG scar, smoking, alcohol, anaemia, HIV infection, and history and treatment of worm infection. In a multivariable model based on 601 matched pairs, male sex, family history of TB, smoking, and HIV infection were independent risk factors of TB. The investigation of environmental factors based on the comparison of 816 cases/community control pairs showed that the risk of TB was associated with single marital status, family history of TB, adult crowding, and renting the house. In a final model assessing the combined effect of host and environmental factors, TB was associated with male sex, HIV infection, smoking (with a dose-effect relationship), history of asthma, family history of TB, marital status, adult crowding, and renting the house. Conclusion TB is a multifactorial disorder, in which environment interacts with host-related factors. This study provided useful information for the assessment of host and environmental factors of TB for the improvement of TB control activities in developing countries.
2019
Background: Tuberculosis is still a major problem in the health of the Indonesian people. Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The main symptom is coughing for 3 weeks or more. It is estimated that the number of Tuberculosis patients in Indonesia is around 10% of the total number of Tuberculosis patients in the world. Indonesia is ranked second after India with the highest incidence of pulmonary tuberculosis in the world. Research Objectives: The purpose of this study was to determine the factors that influence the incidence of pulmonary tuberculosis in Kotaraja Public Health Center of Jayapura City, Papua Province. Research method: The research method used in this study was observational analytic with a case control study approach. A sample of 66 people consisted of 22 people with a diagnosis of pulmonary tuberculosis as a case and 44 people who were not sick with pulmonary tuberculosis as a control. The study was conducted in Octobe...
Background:- India is one of major contributor to global burden of tuberculosis which alone accounted for an estimated one quarter (26%) of all tuberculosis cases worldwide. The estimation of disease burden of tuberculosis is a challenge, considering its varied epidemiology and dynamics of transmission. As true disease burden cannot be estimated with count data therefore, statistical modeling techniques have been employed to analyze the disease burden in terms of prevalence of tuberculosis among males and females. Aim and Objective:- In this article efforts has been made to identify the factors which could be used to segregate the population prone to have higher risk for tuberculosis. Specifically the factors that are responsible for prevalence of tuberculosis in India during 2005 and 2015 have been identified. A comparative study of the factors responsible for prevalence of tuberculosis during these two periods has also been carried out. Methods:- In our analysis, the binary logistic regression model has been used by considering socioeconomic, demographic, cultural and health factors to know their impact on prevalence of the tuberculosis. Results:- Some of the variables under socioeconomic factors, demographic factors, cultural factors and health factors have shown decline in their impact on prevalence of tuberculosis in 2015 as compared to 2005. However rest of the variables has the same impact on the prevalence of tuberculosis without any variation. Conclusion:- The study reveals that there are some factors which were responsible for prevalence of tuberculosis in India during 2005 are also responsible for it in 2015, and these factors are continuously contributing in increasing the prevalence of tuberculosis. Hence it is suggested that there is a need to redesign the policies to minimize the risk factors generated on the part of the factors having same impact on the prevalence of tuberculosis during these two periods.
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