Ridwan Amiruddin
Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

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Non-adherence to pulmonary tuberculosis treatment: prevalence and associated factors in an urban community health center in Makassar, Indonesia Zalsah Puteri Annisa Syahrani; Ridwan Amiruddin; Eri Wijaya; Octavio Sequeira; Bayu Satria Wiratama
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.28079

Abstract

Purpose: Non-adherence to tuberculosis (TB) treatment remains a major public health concern, contributing to drug resistance, ongoing trans- mission, and increased morbidity and mortality. This study aimed to determine the prevalence and determinants of treatment non-adherence among pulmonary TB patients at the Tamalate Public Health Center, Makassar City, Indonesia, focusing on sociodemographic, behavioral, and health-related factors. Methods: A cross-sectional study was conducted from April 2024 among 110 pulmonary TB patients selected through exhaustive sampling. Treatment adherence was measured using the Morisky Medication Adherence Scale (MMAS). Data were collected via structured interviews using KoboCollect and analyzed in Stata 14.0 using univariate and bivariate analyses (Chi-square and odds ratio). Results: Among 110 respondents, 30.0% were non-adherent. Most demonstrated poor TB-related knowledge (77.3%), low income (65.4%), and low education levels (42.7%). More than half experienced adverse drug effects (55.4%) and reported high family support (54.6%). In multivariate analysis, poor knowledge about tuberculosis remained independently associated with treatment non-adherence (aOR = 7.3; 95% CI: 2.13–25.30). Other factors, including adverse drug effects, household income, educational level, employment status, health insurance type, and family support, were not independently associated with non-adherence after adjustment. Conclusion: Treatment non-adherence in urban TB patients was primarily driven by poor tuberculosis-related knowledge, underscoring the need for strengthened, structured patient education within TB control programs.
Risk Factors for Chronic Complications in Type 2 Diabetes Mellitus Patients in Makassar City: A Case-Control Study Andi Selvi Yusnitasari; Ridwan Amiruddin; Andi Nur Afifah Wahyuni; Andi Tis'a Ramadhani; Ghea Fricillia Sambe
Miracle Journal of Public Health Vol 8 No 2 (2025): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v8i2.500

Abstract

The prevalence of type 2 diabetes mellitus continues to increase globally and has become a significant economic burden on health, making the identification of risk factors for chronic complications important in order to prevent long-term effects. This study aims to analyze risk factors for chronic complications in patients with type 2 DM at five community health centers in Makassar: Sudiang, Ballaparang, Kassi-kassi, Antara, and Paccerakkang. The study design used an analytical observational approach with a case-control approach. The total sample consisted of 100 respondents (50 cases and 50 controls) selected using purposive sampling. Data were collected through interviews and medical records, then analyzed univariately and bivariately (Odds Ratio/OR). The results of statistical analysis showed that age (OR = 2.524; 95% CI = 0.723-8.818), blood pressure (OR = 1.379; 95% CI = 0.628–3.029), GDP (OR = 3.802; 95% CI = 1.482–9.750), duration of DM (OR = 18.614; 95% CI = 6.782–51.087), treatment adherence (OR = 2.263; 95% CI = 1.013–5.052), stress (OR = 1.084; 95% CI = 0.494–2.377), and self-care for DM (OR = 2.495; 95% CI = 1.105–5.629). Based on these findings, patients with type 2 DM are advised to monitor their blood sugar levels regularly, improve adherence to therapy, and implement good self-care practices such as diet management, regular physical activity, and periodic health checkups to prevent chronic complications.