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All Journal JURNAL PENELITIAN KESMASY Jurnal Kesehatan Tambusai
Herman Herman
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Humanities Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASMA DI WILAYAH PERKOTAAN DAN PEDESAAN INDONESIA: ANALISIS DATA SURVEI KESEHATAN INDONESIA (SKI) 2023 Monica Evi Fania Girsang; Muhammad Syukri; Rd Halim; Adelina Fitri; Herman Herman
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2925

Abstract

Asthma is a chronic respiratory disease characterized by shortness of breath due to inflammation and narrowing of the airways. Differences in prevalence between urban and rural areas indicate differences in risk factors influenced by geographic, environmental, and social contexts. This study aims to analyze factors associated with asthma incidence in the population aged ≥15 years in Indonesia based on differences in residential areas (urban and rural). This study is a secondary data analysis using the Indonesian Health Survey (SKI). The sample of this study was 638,178 respondents aged ≥15 years. Data analysis consisted of univariate descriptive statistics, bivariate and multivariate logistic regression to identify independent predictors. The prevalence of asthma was 1.8%, with a higher proportion in urban areas (2.1%) than in rural areas (1.5%). In multivariate analysis, Factors related to the occurrence of asthma in urban areas are age (POR=1,15; 95%CI: 1,05–1,26), gender (POR=1,36; 95% CI: 1,26-1,48), obesity (POR=1,27; 95%CI: 1,16–1,40), central obesity (POR=1,34; 95% CI: 1,23-1,45), ISPA (POR = 4,15; 95% CI: 3,48–4,94), TB (POR = 3,55; 95% CI: 2,35–5,35) And in rural areas is age (POR=1,42; 95%CI: 1,24–1,63), central obesity(POR=1,37; 95% CI: 1,23–1,53), physical activity (POR = 1,37; 95% CI: 1,23–1,53), ISPA (POR = 4,06; 95%CI: 3,17–5,20), TB (POR = 6,78; 95% CI: 4,62–9,97).The dominant factor in urban areas is a history of acute respiratory infections (ARI) (p-value= 0.000; AdjPOR=3.95; 95%CI 3.30-4.71), while in rural areas is a history of tuberculosis (TB) (p-value= AdjPOR=4.81; 95%CI 2.18-7.27). Conclusion: There are differences in the dominant determinants of asthma incidence between urban and rural areas in Indonesia. A history of ARI is the main factor in urban areas, while a history of tuberculosis is more influential in rural areas. These findings emphasize the importance of an asthma control policy approach that is based on geographic context and integrated with respiratory tract infection control programs.
DETERMINANTS OF COMPLETE ANTENATAL CARE VISITS IN INDONESIA : A CROSS-SECTIONAL ANALYSIS OF THE 2023 INDONESIAN HEALTH SURVEY Rahma Anelia Pulungan; Muhammad Syukri; Helmi Suryani Nasution; Adelina Fitri; Herman Herman
Jurnal Kesehatan Tambusai Vol. 7 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i2.57022

Abstract

Cakupan kunjungan Antenatal Care (ANC) lengkap (K6) di Indonesia masih sangat rendah yaitu 17,6% jauh dibawah target Standar Pelayanan Minimal (SPM) 100%. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kunjungan Antenatal Care (ANC) lengkap di Indonesia. Studi ini menggunakan desain analisis data sekunder cross-sectional berdasarkan Survei Kesehatan Indonesia (SKI) 2023. Sebanyak 23.007 ibu hamil dimasukkan dalam analisis. Data dianalisis menggunakan analisis regresi logistik univariat, bivariat, dan multivariat dengan mempertimbangkan desain survei yang kompleks dan bobot sampel. Hasil penelitian menunjukkan bahwa kunjungan ANC lengkap berhubungan dengan usia (p =0,034; Adj PR = 2,7; 95% CI: 1,1-6,6), tingkat pendidikan (p =0,001; Adj POR = 1,8 ; 95% CI : 1,2-2,8), status pekerjaan  (p < 0,001; Adj POR = 2,5 ; 95% CI : 2,2-2,8), paritas (P < 0,001; Adj POR = 1,4 ; 95% CI : 1,2-1,8), sosial ekonomi (p < 0,001; Adj POR = 1,8 ; 95% CI : 1,3-2,3), kepemilikan asuransi kesehatan (p < 0,001; Adj POR = 4,5 ; 95% CI : 3,5-5,9), waktu tempuh ke faskes (p = 0,021; Adj POR = 1,2 ; 95% CI : 1,0 - 1,4), area tempat tinggal (p = 0,002; Adj POR = 1,2; 95% CI : 1,0-1,4), dan dukungan pendampingan kelas ibu hamil oleh suami atau keluarga (p < 0,001; Adj POR = 1,2 ; 95% CI: 1,1-1,4). Kepemilikan asuransi kesehatan merupakan faktor terkuat yang berhubungan dengan kunjungan ANC lengkap. Oleh karena itu, intervensi untuk memperluas dan mengoptimalkan cakupan program asuransi kesehatan pemerintah harus berfokus pada pengurangan hambatan akses dan penguatan dukungan sosial dan ekonomi bagi ibu hamil untuk meningkatkan cakupan ANC lengkap.
Co-Authors Adelina Fitri Adelina Fitri Helmi Suryani Nasution Monica Evi Fania Girsang Muhammad Syukri Muhammad Syukri Rahma Anelia Pulungan Rd Halim