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Farrah Fahdhienie
Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh, Banda Aceh
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Risk factors of pulmonary tuberculosis in Indonesia: A case-control study in a high disease prevalence region Fahdhienie, Farrah; Mudatsir, Mudatsir; Abidin, Taufik F.; Nurjannah, Nurjannah
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.943

Abstract

Tuberculosis (TB) remains one of the most widespread infectious diseases in the world, with high mortality and morbidity rates, contributing to a significant disease burden, particularly in developing countries. The aim of this study was to determine the risk factors of TB among the population aged 17 years (late adolescent) and above in one of the high TB prevalence countries, Indonesia. A case-control study was conducted in Banda Aceh, Indonesia, involving newly diagnosed pulmonary TB patients who visited one of the eleven community health centers in Banda Aceh. The controls were individuals matched by age and sex who lived near the cases and had no TB infection. A total of 16 risk factors were assessed. Hierarchical multivariable logistic regression models were used to examine the association between the risk factors and the occurrence of TB. A total of 196 cases and 196 controls were included in the study. Multivariable logistic regression analysis identified 11 independent predictors for the occurrence of TB after controlling possible confounders. Patients who lived in houses with insufficient light exposure were 77 times more likely to develop TB compared to those living in houses with sufficient light exposure (adjusted odds ratio (AOR): 77.69; 95%CI: 27.09, 222.79). The study also showed that people who had close contact with TB patients (AOR: 25.39; 95%CI: 2.10, 306.52), had poor knowledge of TB  (AOR: 24.2; 95%CI: 6.89, 85.17), had comorbidities (AOR: 4.49; 95%CI: 1.35, 14.89), insufficient food utilization (AOR: 3.41; 95%CI: 1.51, 7.71), negative preventive behavior (AOR: 3.39; 95%CI: 1.49, 7.72), low education level (AOR: 3.08; 95%CI: 1.26, 7.55), and insufficient housing humidity (AOR: 2.89; 95%CI: 1.18, 7.12) were associated with increased the odds of having TB. Being employed, having income above minimum wage, and having good nutritional intake were protective factors for developing TB. In conclusion, the determinants of TB among people aged 17 years and older are a clear indication of the need for TB prevention programs targeting not only individual risk factors but also environmental risk factors, particularly providing adequate housing conditions. This study provided useful information that might help to develop and adopt effective policies for TB control in Indonesia.
Co-Authors Abdi, Naufal Abdullah, Asnawi Abidin, Taufik F. Achmad, Asmawati Afriliansyah Sihotang Afriliansyah, Afriliansyah Agustin, Rahmanda Amelia Agustina Agustina Agustina Agustina Agustina Akbar, Azrial Akbar, Fahrisal Akhmalnihar, Ulfa Amalia, Anasya Amara Rizal, Audia Amin, Fauzi Ali Andrean, Heppy Maulizar Andria, Dedi Anggun Paramita Djati Arafani, Vilda Arbi, Anwar ARBIE, ANWAR Arifin, Vera Nazhira Arifin, Vera Nazira Arifin, Vera Nazirah Ariscasari, Putri Arlianti, Nopa Asnawi Abdullah Atira, Dhia Azwar, Eddy Baharuddin , Dharina Baharuddin, Dharina Basri Aramico, Basri Bella, Natha Damayanti, Elok Darmawan, Aldi Darwis, Aryandi Dede Dessy Listyana Depa Raihan Desi Ari Apsari Devi Zulfika Dharina Baharuddin Diana, Mutia Eddy Azwar Elvira Nova Riany Erma Wina Erwiyanti, Sherly Nurfajri Fadhlullah Fadhlullah Fadhlullah, Fadhlullah Fahmi Ichwansyah Faisal Abdurahman fajri, izzarul fahmi Fathiariani, Liza febrianti, heni Febriyanti, Heni Fitri, Raihanil Hafnidar, Hafnidar Hamisah, Irma Handayani, Yusra Haris Ferdinal Setiawan Hasnaini, Cika Hayatunnufus Hayatunnufus Hermansyah Hermansyah Humaira, Adintya Ibrahim, Aisha Humaira Ichwamsyah, Fahmi Ihsan, Ahadun Ipah Riani Iqhrammullah, Muhammad Irma Hamisah Irma Linda Jabari, Jabari Julamnur, Ratifa Kamalurrijal, Kamalurrijal Kartini Kartini Kausar, Muhammad Anis AL Khairunnisa LB, ROSMAINI Lheena, Cut Putri Zaila M. Marthoenis Maidar, Maidar Maidar, Maidar Mainimar Mainimar Mairani, Tiara MAQFIRAH, MONA HILOKA Maqfirah, Rauzatul Marhamah Marhamah Marzuki Marzuki Maudi, Viranika Maulana, Aiga Maulinasari, Maulinasari Melania Hidayat Meutia Zahara Mhd. Nauval Ridha Mudatsir Mudatsir Muhammad Ghifari Karsa Muhammad Iqbal Muharani, Muharani Mulia, Syarifah Sulfira Mushaddiq, Muhammad Mutia, Sunnia Nahrisah, Putri Naila Sabila Nana Wildana Nauval, M. Dharma Nazri Fajrianda Nengsi, Poppy Sri Ningsih, Rima Wirayudha Nisak, Khairun Nisrina Nisrina Nova Septiana Puteri Nurjannah Nurjannah Nurjannah, Nurjannah Nurmaili Nurmaili Phossy Vionica Ramadhana Pratiwi, Agil Putri Balqis, Putri Putri Riza Yana Radhiah Zakaria Rahayu, Rauza Lestari Rahma Wati Rahmadhani, Syahri Rahmadhaniah Rahmadhaniah Rahmah, Fitri Mauliza Raiyan, Deka Ramadhana, Phossy Vionica Ramadhani, Putri Nur Ramadhani, Tiara Rasmawati, Rasmawati Rawanita, Misdar Regina, Farin Rezeki, Tamara Riany, Elvira Nova Ricinta, Putroe Aliya Rihadah, Sofaa Risa Hajjatul Ula Riska Riska Rosaria Indah Saiful Kamal sainah, Nur Santika, Deva saputra, T. Yudha Sari, Herdinda Mutiara Sari, Putri Ardila Savitri, Hidayati Septiani, Riza Siska Riani Soleha, Rifa Sonia Bella Sanjaya Sugisni, Susi Syahriazi Tahara Dilla Santi Tahara Dilla Santi Tapa, Rd Baresi Sananda ULUL AZMI Utari, Nadia Vera Nazhira Arifin Vera Nazhira Arifin Vera Nazhira Arifin Vera Nazhira Arivin Waliyyuddin, Rajwa Wardiati, Wardiati Wartini, Sari Wiwit Aditama Yesi Yuliana Yesika Amananda Yusafrita, Yusafrita Zahara, Meutia Zakaria , Radhiah Zakaria, Radhiah Zuhriyyah, Azqia