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Journal : health dynamics

Factors Affecting the Occurrence of Filariasis in East Lampung, Indonesia Damayanti, Erisya; Budiati, Endang; Irianto, Sugeng Eko; Adyas, Atikah; Pratiwi Putri, Dian Utama
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20706

Abstract

Background: East Lampung is an endemic area for filariasis. Survey results since 2004, showing Sekampung and Sekampung Udik sub-districts, indicate a microfilaria rate of filariasis above 1%. In 2024, 11 chronic filariasis patients were found. This research aims to analyze the influence of living habits, mosquito breeding sites, family support, the role of health workers, and the role of community leaders on the incidence of filariasis. Methods: This research type is quantitative with a case-control design. The research sample consisted of 44 respondents. The sampling technique used was purposive sampling. Data collection methods included interviews and observations using questionnaires and observation sheets as guidelines. Data analysis consisted of univariate, bivariate, and multivariate analyses. Results: Bivariate analysis showed the influence of living habits (p-value 0.043), mosquito breeding sites (p-value 0.004), family support (p-value 0.035), the role of health workers (p-value 0.027), and the role of community leaders (p-value 0.019) on the incidence of filariasis. Multivariate analysis revealed that living habits dominantly influence the incidence of filariasis with a p-value of 0.011. Conclusions: There is an influence of lifestyle habits on the incidence of filariasis, mosquito breeding, family support, the role of health workers, the role of community leaders on the incidence of filariasis in East Lampung Regency with the most influential variable, namely lifestyle habits, which dominantly affect the incidence of filariasis in East Lampung Regency.
The Relationship Between Medical Staff Education and Hemodialysis Therapy Adherence to Improve Quality of Life in Patients With Chronic Kidney Disease (CKD) at RSUD Menggala [Accepted] Ariwidowati, Diajeng; Budiati, Endang; Irianto, Sugeng Eko
Health Dynamics Vol 3, No 3 (2026): March 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic Kidney Disease (CKD) is a chronic condition that requires routine and continuous hemodialysis therapy. Patient adherence to hemodialysis at RSUD Menggala is crucial to prevent complications and improve quality of life. Various factors are suspected to influence adherence, including environmental factors, educational instruments/media, and individual factors. This study aimed to analyze the relationship between environmental, instrument, and individual factors and adherence to hemodialysis therapy among CKD patients at RSUD Menggala in 2025. Methods: This analytical study employed a cross-sectional design. The sample consisted of 84 CKD patients undergoing hemodialysis at RSUD Menggala. Data were collected using a validated and reliable questionnaire. Analyses were conducted univariately, bivariately using Fisher’s Exact test, and multivariately using logistic regression. Results: Statistical analysis showed significant relationships between environmental factors (p=0.004), educational instruments (p=0.003), and individual factors (p=0.000) with patient adherence to hemodialysis. Multivariate analysis indicated that individual factors were the most dominant variable affecting adherence (p=0.001; OR=12.308). Conclusion: Individual factors play the most significant role in improving adherence to hemodialysis therapy among CKD patients at RSUD Menggala.