Risk Factors for Child Tuberculosis in Ambon City in 2019

Ivy Violan  Lawalata; Bellytra  Talarima

doi:10.37899/journallamedihealtico.v1i3.123

Ivy Violan Lawalata Public Health Study Program, Faculty of Health, Indonesian Christian University, Maluku, Indonesia
Bellytra Talarima Public Health Study Program, Faculty of Health, Indonesian Christian University, Maluku, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v1i3.123

Keywords: TB in Children, Bacillus Calmette-Guérin (BCG), Household Contact

Abstract

The percentage of TB globally reaches 6% (530,000 TB patients children/year) while the death of children (with negative HIV status) suffering from TB reaches 74,000 deaths/year or with a percentage of about 8% of the total deaths caused by TB (TB Control Guidelines, 2014 ). The number of TB cases in children in Ambon City in 2018 was 220 cases in 22 Puskesmas, the highest cases of TB in children were in three Puskesmas including Puskesmas Ch.M. Tiahahu, 16 TB cases in children, Air Salobar Health Center with 5 TB cases for children and Rijali Health Center with 1 TB case for children. This study aims to determine whether BCG immunization, nutritional status, LBW, smoking, and household contacts are risks of TB in children in Ambon City in 2019. This type of research uses retrospective correlation analytical case control studies design that identifies patients and their effects or diseases. certain (cases) and groups without cases. The sample in this study consisted of 22 cases of TB for children under five and 64 controls for children under five. The case sampling technique was the total sampling, the comparison of cases and controls was 1: 2. The results of the analysis based on 95% CI obtained a value of OR = 0.101 with a CI 95% LL - UP 0.010-1.024, nutritional status OR = 1.761 with 95% CI LL - UP 0.524-5.921, LBW OR = 3.492 with 95% CI LL - UP 1,141-10,688, smoking behavior OR value = 0.536 with CI 95% LL - UP 0.189-1.521 and household contacts determine the value OR = 31.00 with CI 95% LL - UP 6.029-159,398.

References

Basic Health Research. (2018). Data Riset kesehatan Dasar (Basic Health Research) Tahun 2018. Kemertrian Keseharan RI.
Chan, P. C., Yang, C. H., Chang, L. Y., Wang, K. F., Kuo, Y. C., Lin, C. J., ... & Huang, L. M. (2013). Lower prevalence of tuberculosis infection in BCG vaccinees: a cross-sectional study in adult prison inmates. Thorax, 68(3), 263-268.
Dinas Kesehatan Kota Ambon. (2018). Data Triwulan Bidang P2PL Dinas Kesehatan Kota Ambon Tahun 2018. Pemerintah Kota Ambon.
Global Tuberculosis Report. (2018). Global Tuberculosis 2018 Report. https://www.who.int/tb/publications/global_report/gtbr2018_main_text_28Feb2019.pdf?ua=1.
Kholifah, S. N., & Indreswari, S. A. (2015). Faktor Terjadinya Tuberkulosis Paru Pada Anak Berdasarkan Riwayat Kontak Serumah. Visikes: Jurnal Kesehatan Masyarakat, 14(2).
Okamura, T., & Morimoto, A. (2011). Smoking is an important risk factor for cardiovascular disease in Japan. Nihon rinsho. Japanese journal of clinical medicine, 69, 599-603.
Prihanti, G. S., & Rahmawati, I. (2017). Analisis Faktor Risiko Kejadian Tuberkulosis Paru. Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga, 11(2), 127-132.
Ragonnet, R., Trauer, J. M., Geard, N., Scott, N., & McBryde, E. S. (2019). Profiling Mycobacterium tuberculosis transmission and the resulting disease burden in the five highest tuberculosis burden countries. BMC medicine, 17(1), 208.
Sejati, A., & Sofiana, L. (2015). Faktor-faktor terjadinya tuberkulosis. KEMAS: Jurnal Kesehatan Masyarakat, 10(2), 122-128.
Susila, S. (2014). Metode Penelitian Epidemiologi Bidang Kedokteran dan Kesehatan. Yogyakarta: Bursa Ilmu.