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LOGISTIC REGRESSION ANALYSIS FOR PULMONARY TUBERCULOSIS RELATED TO ENVIRONMENTAL FACTORS IN KATOBU HEALTH CENTRE: PULMONARY TUBERCULOSIS RELATED TO ENVIRONMENTAL Fadmi, Fitri Rachmillah; Rahmawati, Rahmawati; Fitriyanti, Fitriyanti; Mulyani, Sri; Justin, Wa Ode Sitti
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 1 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss1/301

Abstract

Background: Pulmonary tuberculosis is one of the infectious diseases that has infected nearly one-third of the world's population, with many facing difficulties in its control due to a significant number of patients who do not achieve a cure. This is attributed to the challenge of pinpointing the factors that could serve as the primary causes. This study aims to predict the dominant factors contributing to the occurrence of pulmonary tuberculosis. Methods: This analytical observational study applied a case-control study design. A total of 30 patients with pulmonary tuberculosis were included as the case group, and healthy individuals without clinical symptoms of pulmonary tuberculosis were put as the control group. Data analysis used the Chi-Square test and binary logistic regression. Results: The research findings indicate a significant correlation between housing density (p=0.020<0.05), ventilation (p=0.009<0.05), room humidity (p=0,.000<0.05), lighting (p=0.002<0.05), type of flooring in the house (p=0.007<0.05) and smoking habits (p-value=0.001). The results of the multiple logistic regression analysis using the backward LR method indicate that room humidity (p-value=0.001<0.05) is the dominant factor in the occurrence of pulmonary tuberculosis. Conclusion: The incidence of pulmonary tuberculosis is higher among smokers living in homes with overcrowding, inadequate humidity and lighting, and dirt or wood floors. Room humidity plays a significant role in the development of pulmonary tuberculosis. Therefore, providing education on how to maintain and pay attention to the physical condition of the home is crucial to avoid the occurrence of pulmonary tuberculosis.
Perceived Behavior Model for Heart Disease Prevention in BPJS Mandiri Participants: A Health Belief Approach Riza, Yeni; Budiarto, Wasis; Haksama, Setya; Kuntoro, Kuntoro; Yudhastuti, Ririh; Wibowo, Arief; Notobroto, Hari Basuki; Fadmi, Fitri Rachmillah
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/hd20705

Abstract

Background: Heart disease remains a leading cause of death globally and is increasingly prevalent in Indonesia. Preventive behavior plays a crucial role in reducing the burden of this disease, especially among populations with limited healthcare access. This study aims to develop a Perceived Behavior Model based on the Health Belief Model combined with WHO's STEPWise approach to enhance health quality related to heart disease prevention behaviors. Methods: This observational cross-sectional study examined demographic factors, perceived susceptibility, seriousness, barriers, benefits, self-efficacy, and cues to action regarding heart disease preventive behavior. Participants adopted preventive measures such as maintaining a healthy diet, refraining from smoking, avoiding alcohol consumption, and staying physically active. The study surveyed 435 individuals from the total 82,232 BPJS Mandiri (self-paying participants of Indonesia’s National Health Insurance system) members in Banjarmasin, Indonesia, without any intervention. Data analysis was conducted using the Partial Least Square (PLS) method with SmartPLS software version 3.29. The full model of structural equation modeling and theory confirmation also examined the presence or absence of relationships between latent variables. Result: The study found a direct and positive effect of demographic factors on perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and self-efficacy, as well as on perceived susceptibility and seriousness regarding heart disease preventive behaviour. Conclusions: Understanding these cultural influences can guide policymakers in strengthening prevention strategies within Indonesia’s Social Security Agency of Health system, reducing financial burdens, and improving public health outcomes. These insights may also inform global discussions on culturally tailored health interventions.