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Ambar Mudigdo
Faculty of Medicine, Sebelas Maret University
Public Health

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Effects of Education, Nutrition Status, Treatment Compliance, Family Income, and Family Support, on the Cure of Tuberculosis in Mojokerto, East Java Puspitasari -; Ambar Mudigdo; Rita Benya Adriani
Journal of Epidemiology and Public Health Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health

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Abstract

Background: Tuberculosis is an important global public health issue. Countries around the world have committed to control the disease with various programs. However, the cure of Tuberculosis treatment in many countries is still low, which can hamper the success of Tuberculosis control program. Productivity of Tuberculosis patients continues to decrease that leads to socioeconomic burden. This study aimed to examine the effects of education, nutrition status, treatment compliance, family income, and family support, on the cure of Tuberculosis.Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Mojokerto, East Java, from April to May, 2017. A total sample of 108 Tuberculosis patients were selected for this study by fixed disease sampling. The sample consisted of 35 uncured cases of Tuberculosis and 73 cured cases of Tuberculosis. The dependent variable was cure of Tuberculosis. The independent variables were education, nutrition status, treatment compliance, family income, and family support. The data was collected by a set of questionnaire and analyzed using path analysis.Results: Nutritional status (b= 1.31; 95% CI = 0.41 to 2.22; p=0.004) and treatment compliance (b= 1.07; 95% CI= 0.17 to 1.97; p=0.019) directly and positively affect the cure of Tuberculosis. Nutritional status was affected by high education (b=1.62; 95% CI =0.62 to 2.63; p=0.002), family income (b=1.66; 95% CI =0.70 to 2.62; p=0.001), and strong family support (b=1.50; 95% CI =0.36 to 2.63; p=0.010). Treatment compliance was affected by high education (b= 0.84; 95% CI = -0.14 to 1.81; p=0.093), family income (b= 1.36; 95% CI =0.42 to 2.30; p=0.005), and strong family support (b=2.08; 95% CI =0.96 to 3.19; p<0.001).Conclusion: Cure of Tuberculosis is directly affected by nutritional status and treatment compliance. Education, family support, and family income, indirectly affect cure of Tuberculosis.Keywords: cure of Tuberculosis, education, nutrition status, family income, family support, treatment complianceCorrespondence: Puspitasari. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: puspita90@yahoo.co.id. Mobile: +6281333060714.Journal of Epidemiology and Public Health (2017), 2(2): 141-153https://doi.org/10.26911/jepublichealth.2017.02.02.05
Path Analysis on the Influence of Educational Level, Stages of Cancer, Social Support, and Coping Strategy toward the Quality of Life of Breast Cancer Patients in Dr. Moewardi Hospital, Surakarta Sri Nuryati; Ambar Mudigdo; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 2 No. 3 (2017)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.156 KB)

Abstract

Background: Breast cancer develops into main health problem for women globally. Patients of breast cancer will endure transformation both physically as well as psychologically, it will give impact to the quality of life. The study aimed to analyze the influence of educational level, stages of cancer, social support, and coping strategy toward the quality of life of breast cancer patients.Subjects and Method: The study employed mixed method with quantitative and qualitative approach. The study was conducted in Dr. Moewardi Hospital, Surakarta in August – October 2017. There were a total of 150 study subjects selected with stratified random sampling. Purposive sampling was used for qualitative study with 3 informants. The dependent variable was quality of life. The independent variables were educational level, stages of cancer, social support and coping strategy. Quantitative data collection was conducted by using questionnaires. Social support variable was measured by using Multidimensional scale of perceived social support (MSPSS) questionnaires, coping strategy variable was measured by brief COPE questionnaires and life quality variable was measured by WHOQOL BREF questionnaires. Data qualitative collection was by means in depth interview. Quantitative data was analyzed by using path analysis, qualitative data was analyzed by using interactive model Miles and Huberman.Result: Quality of life was influenced by educational level (b= 8.69, SE= 1.84, p<0.001), stages of cancer (b= -6.41, SE= 2.94, p= 0.029), social support (b= 1.03, SE= 0.34, p= 0.003), coping strategy (b= 2.07, SE= 0.43, p<0.001). Coping strategy was influenced by educational level (b= 0.97, SE= 0.34, p= 0.004) and social support (b= 0.37, SE= 0.06, p<0.001).Conclusion: Quality of life of breast cancer patients is influenced by educational level, stages of cancer, social support, and coping strategy. Coping strategy was influenced by educational level and social support. Key words: social support, coping strategy, quality of life, path analysisCorrespondence: Sri Nuryati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sri.nuryati1985@gmail.com. Mobile: +6282138283802.Journal of Epidemiology and Public Health (2017), 2(3): 225-235https://doi.org/10.26911/jepublichealth.2017.02.03.04
Co-Authors Bhisma Murti Puspitasari - Rita Benya Adriani Sri Nuryati