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HIGEIA (Journal of Public Health Research and Development)
Published by Universitas Negeri Semarang
ISSN : 25415581     EISSN : 25415603     DOI : -
Core Subject : Health,
Public Health
The "Higeia" (Journal of Public Health Research and Development) is a scientific periodical journal containing scientific papers in the form of qualitative and quantitative research reports or research articles (original article research paper) with focus on epidemiology, biostatistics and population, health promotion, health environment, occupational health and safety, health policy administration, public health nutrition, hospital management, maternal and child health, and reproductive health.
Arjuna Subject : -
Articles 963 Documents
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Faktor Risiko Kejadian Tuberkulosis Paru pada Pasien Dewasa Yulianti, Mahfirohtul
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65138

Abstract

Abstrak Balkesmas Wilayah Semarang merupakan fasilitas kesehatan tingkat pertama di Kota Semarang yang melayani pemeriksaan dan pengobatan tuberkulosis. Incidence rate tuberkulosis di Kota Semarang pada tahun 2021 menunjukan adanya peningkaan dibanding tahun 2020, dari 156 per 100.000 penduduk menjadi 194 per 100.000 penduduk. Tujuan dari penelitian ini adalah mengetahui faktor risiko yang berhubungan dengan kejadian tuberkulosis pada pasien dewasa di Balkesmas Wilayah Semarang. Jenis penelitian ini adalah observasional analitik dengan rancangan penelitian cross sectional dan keseluruhan data yang digunakan dalam penelitian ini berasal dari data rekam medis pasien tuberkulosis dewasa periode Januari-Mei 2022. Sampel dalam penelitian ini sebanyak 84 responden, diambil dengan teknik simple random sampling. Proses analisis data dilakukan dengan aplikasi pengolah data dengan uji chi-square dan regresi logistik. Hasil penelitian menunjukan bahwa terdapat 4 variabel yang berhubungan dengan kejadian tuberkulosis pada pasien dewasa, yaitu riwayat kontak (p=0,014; AOR=4,146; IK 95%= 1,336-12,859), status gizi (p=0,011; AOR=4,272; IK 95%= 1,394-13,092), kepadatan pemukiman (p=0,002; AOR 6,392; IK 95%=1,940-21,058), dan status perokok (p=0,012; AOR= 4,069; IK 95%= 1,369-12,091). Kepadatan pemukiman merupakan variabel yang paling berhubungan secara signifikan terhadap kejadian tuberkulosis pada pasien dewasa. Kata kunci: Tuberkulosis, faktor risiko, rekam medis. Abstract Balkesmas Semarang is the first level health facility in the city of Semarang that serves tuberculosis examination and treatment. Incidence rate tuberculosis in Semarang City in 2021 shows an increase compared to 2020, from 156 per 100,000 population to 194 per 100,000 population. The purpose of this study was to determine the risk factors associated with the incidence of tuberculosis in adult patients at Balkesmas Semarang. This type of research is analytic observational with a cross sectional study design and the overall data used in this study comes from the medical records of adult tuberculosis patients for the period January-May 2022. The sample in this study was 84 respondents, taken by simple random sampling. Data were analyzed using a data processing application with chi-square test and logistic regression. The results showed that there were 4 variables associated with the incidence of tuberculosis in adult patients, namely contact history (p=0.014; AOR=4.146; 95% CI= 1.336-12.859), nutritional status (p=0.011; AOR=4.272; 95% CI= 1.394-13.092), residential density (p=0.002; AOR 6.392; 95% CI=1.940-21.058), and smoking status (p=0.012; AOR= 4.069; 95% CI= 1.369-12.091). Residential density is the variable most significantly related to the incidence of tuberculosis in adult patients. Keywords: Tuberculosis, risk factors, medical records
KINERJA KADER FORUM KESEHATAN KELURAHAN DALAM KEGIATAN PEMERIKSAAN JENTIK NYAMUK Tanjung, Annisa Zeihan
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65148

Abstract

Abstrak Pengendalian DBD dengan kegiatan PJN membutuhkan kerja sama lintas sektor terutama keaktifan Kader FKK dan masyarakat. Tingginya ABJ dan kasus DD/DBD/DSS yang terus meningkat hingga 86 kasus dengan IR 459,03/100.000 pada September 2022 menunjukkan belum optimalnya kinerja Kader FKK dalam kegiatan PJN. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kinerja Kader FKK dalam pelaksanaan PJN. Penelitian ini menggunakan rancangan deskriptif kualitatif melalui wawancara mendalam kepada 3 informan utama dan 4 informan triangulasi yang didapatkan dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa para kader telah melaksanakan tugas sesuai target, usia berkaitan dengan kinerja kader, tingkat pendidikan tidak menjadi tolak ukur kinerja, pengetahuan kader baik, belum ada imbalan yang layak, persepsi dan motivasi kader yang aktif sudah baik. Simpulan penelitian menunjukkan bahwa para Kader FKK telah menghasilkan kinerja yang baik namun belum terlaksana secara maksimal. Abstract DHF control with PJN activities requires cross-sectors collaboration, especially the activeness of FKK Cadres and community. High ABJ and DD/DBD/DSS cases which increased to 86 cases with an IR of 459.03/100,000 until September 2022 shows that FKK Cadre’s performance in PJN activities has not been optimal. This study aims to determine the factors that influence the performance of FKK Cadres in the implementation of PJN. This study used a qualitative descriptive design through in-depth interviews with 3 main informants and 4 triangulation informants obtained by purposive sampling technique. The results showed cadres had carried out their duties according the target, age was related to caders’ performance, level of education was not a benchmark for performance, cadres’ knowledge was good, no proper reward yet, perception and motivation of active cadres was good. The conclusion of the research shows that FKK Cadres have produced good performance but have not implemented it optimally.
Faktor Risiko Kejadian Infeksi Saluran Pernapasan Akut (ISPA) pada Balita Handayani, Nurik
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65159

Abstract

Abstrak Infeksi Saluran Pernapasan Akut (ISPA) menjadi salah satu dari 5 penyakit utama di Balkesmas wilayah Semarang sepanjang tahun 2021 dengan jumlah kasus sebanyak 714. Pada tahun 2021 kasus ISPA di Balkesmas wilayah Semarang didominasi oleh ISPA pada balita dengan proporsi sebesar 51,95%. Tujuan dari penelitian ini adalah mengetahui faktor risiko kejadian ISPA pada pasien balita di Balkesmas wilayah Semarang. Desain yang digunakan dalam penelitian ini adalah Cross Sectional dengan data rekam medis pasien. Penelitian ini dilaksanakan dari bulan Agustus hingga September 2022. Sampel dari penelitian berjumlah 80 responden yang dipilih menggunakan simple random sampling. Data dianalisis dengan uji chi square dan regresi logistik. Hasil analisis menunjukan terdapat 3 variabel yang berhubungan dengan kejadian ISPA pada balita yakni riwayat BBLR (p value = 0,003 ; AOR = 5,44 ; 95% CI = 1,809-16,362), status gizi (p value = 0,015 ; AOR = 3,8 ; 95% CI = 1,229-11,121), dan kebiasaan merokok di keluarga (p value = 0,12 ; AOR = 4,066 ; 95% CI = 1,37-12,072). Berdasarkan hasil tersebut, riwayat BBLR merupakan faktor yang paling berpengaruh terhadap kejadian ISPA pada balita di Balkesmas wilayah Semarang Abstract Acute Respiratory Infection (ARI) is one of the 5 main diseases in Balkesmas in the Semarang area throughout 2021 with a total of 714 cases. In 2021 ARI cases in Balkesmas in the Semarang area are dominated by ARI in children under five with a proportion of 64.37%. The purpose of this study was to determine the risk factors for the incidence of ARI in under-five patients at the Balkesmas Semarang. The design used in this study was Cross Sectional using medical record data. This research was conducted from August to September 2022. The sample for the study consisted of 80 respondents who were selected using simple random sampling. Data were analyzed by chi square test and logistic regression. The results showed that there were 3 variables associated with the incidence of ARI in infants, namely history of LBW (p value = 0.003 ; PR = 5.44 ; 95% CI = 1.809-16.362), nutritional status (p value = 0.015 ; PR = 3, 8 ; 95% CI = 1.229-11.121), and smoking habits in the family (p value = 0.12 ; PR = 4.066 ; 95% CI = 1.37-12.072). Based on these result, a history of LBW is the factor that most influences the incidences or ARI in children under five at Balkesmas in the Semarang
DUKUNGAN KELUARGA TERHADAP KEPATUHAN PENGOBATAN PASIEN TUBERKULOSIS (TBC) : SYSTEMATIC LITERATURE REVIEW Tasyakurillah, Naily
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65161

Abstract

Abstrak Menurut data Kemenkes 2022 terdapat 969.000 kasus TBC di Indonesia dengan jumlah kematian mencapai 144.000 kasus. Adapun 28.000 pasien diantaranya mengalami resistensi terhadap obat sehingga persentase keberhasilan pengobatan menunjukkan angka 86%. Tujuan penelitian untuk mengetahui pengaruh dukungan keluarga terhadap kepatuhan pengobatan pada pasien TBC. Penelitian ini merupakan Systematic literature review dengan metode PRISMA. Literatur diperoleh melalui database Google scholar dan Pubmed. Hasil akhir literatur yang sudah diskrining berdasarkan kriteria inklusi dan ekslusi sejumlah 12 artikel. Meta analysis dilakukan dengan uji heterogenity untuk mengetahui keragaman artikel dan forest plot untuk menyajikan hasil korelasi antarvariabel penelitian. Diperoleh nilai τ2 = 0,301; p value < 0.001; dan I2 = 94,14% yang berarti keragaman artikel sangat tinggi. Nilai Summary effect yang diperoleh sebesar 0,864 membuktikan bahwa dukungan keluarga memiliki pengaruh besar terhadap kepatuhan pengobatan pada pasien TBC. Peneliti selanjutnya dapat mengembangkan Systematic literatur review dengan metode meta analysis yang belum banyak dilakukan di Indonesia. Abstract According to Kemenkes data 2022 there were 969,000 cases of TB in Indonesia with the number of deaths reaching 144,000 cases. As for 28,000 of them experienced drug resistance so that the percentage of treatment success was 86%. The aim of the study was to determine the effect of family support on medication adherence in TB patients. This research is a systematic literature review using the PRISMA method. Literature was obtained through Google scholar and Pubmed databases. The final results of the literature that has been screened based on the inclusion and exclusion criteria are 12 articles. Meta analysis was carried out with heterogeneity tests to determine the diversity of articles and forest plots to present the results of the correlation between research variables. The value of τ2 = 0.301 is obtained; p-value < 0.001; and I2 = 94.14% which means that the diversity of articles is very high. The Summary effect value obtained was 0.864 proving that family support has a major influence on medication adherence in TB patients. Future researchers can develop a systematic literature review using the meta-analysis method, which has not been widely used in Indonesia.
Kejadian DBD di Kota Semarang Tahun 2019-2021 Hermania, Chindy; Cahyati, Widya Hary
HIGEIA (Journal of Public Health Research and Development) Vol 7 No 3 (2023): July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7i3.65192

Abstract

Abstrak Demam Berdarah Dengue/Dengue Hemorrhagic Fever (DBD/ DHF) merupakan penyakit disebabkan oleh gigitan nyamuk Aedes aegypti. Indonesia sebagai salah satu negara tropis berdasarkan laporan Kementerian Kesehatan Republik Indonesia, DBD telah menjadi masalah endemis di 33 provinsi dan 436 kabupaten/kota. DBD merupakan salah satu penyakit infeksi yang menyebabkan wabah di berbagai daerah di Indonesia dengan tingkat morbiditas dan mortalitas yang tinggi. Kota Semarang merupakan salah satu wilayah endemis DBD dengan kasus DBD tertinggi kedua di Indonesia. Penelitian ini merupakan penelitian deskriptif dengan rancang bangun case series. Sumber data pada penelitian ini menggunakan data sekunder yaitu dari Buku Saku Kesehatan Jawa Tengah Tahun 2019-2021, data Badan Pusat Statistik Kota Semarang, dan website resmi Dinas Kesehatan Kota Semarang Tahun 2019-2021 yaitu jumlah kasus DBD berupa angka kesakitan dan angka kematian per Kecamatan. Tujuan penelitian adalah untuk mendeskripsikan kejadian DBD di Kota Semarang yang mengalami kenaikan pada tahun 2019 setelah mengalami penurunan di tahun sebelumnya yaitu 2018. Hasil penelitian menunjukkan bahwa kasus DBD di Kota Semarang pada tahun 2019-2021 mengalami fluktuasi. Abstract Dengue Hemorrhagic Fever (DHF) is a disease caused by the bite of the Aedes aegypti mosquito. Indonesia as a tropical country based on the report of the Ministry of Health of the Republic of Indonesia, DHF has become an endemic problem in 33 provinces and 436 districts/cities. DHF is an infectious disease that causes outbreaks in various regions in Indonesia with high morbidity and mortality rates. Semarang City is one of the DHF endemic areas with the second highest DHF cases in Indonesia. This research is a descriptive study with a case series design. The source of data in this study used secondary data, namely from the Central Java Health Pocket Book for 2019-2021, data from the Central Bureau of Statistics for the City of Semarang, and the official website of the Semarang City Health Service for 2019-2021, namely the number of DHF cases in the form of morbidity and mortality rates per District. The aim of this research is to describe the incidence of DHF in Semarang City which has increased in 2019 after experiencing a decrease in the previous year, namely 2018. The results of the study show that DHF cases in Semarang City in 2019-2021 have fluctuated.
PARTISIPASI SISWA SEKOLAH DASAR DALAM PENGELOLAAN SAMPAH Ayuningsih, Hesti Fitri
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65232

Abstract

Abstract Student participation at school in waste management is an effort to support waste reduction at the source. Waste management at Jatipuro 1 Public Elementary School is still not good, the students are still littering, and there is still trash scattered around. This is because student participation in waste management is still lacking. The research design uses a cross sectional design, the sampling technique uses simple random sampling. This research was conducted at Jatipuro 1 Public Elementary School in October 2022. The research data was obtained using a questionnaire with a population of 160 students and a total sample of 60 students was obtained using the Lemeshow formula. The results of the data used are primary data with data collection methods in the form of observation and interviews with questionnaire instruments. Data were analyzed using the Chi Square test to determine factors related to student participation in waste management. The results of the hypothesis test show that there is a relationship between knowledge (p value 0.000) and attitude (p value 0.011) with student participation in waste management. It is hoped that the school can continue to educate students to further increase their knowledge and attitudes to actively participate in waste management at school.
MODEL PENGELOLAAN SAMPAH DI DESA JATIPURO Pratiwi, Tutut Vita
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65278

Abstract

AbstrakPengelolaan sampah rumah tangga sangat diperlukan untuk meminimalkan jumlah tumpukan sampah di TPS. Di Desa Jatipuro, sebagian besar ibu rumah tangga belum melakukan pengelolaan sampah secara tepat. Pada umumnya mereka hanya membakar, memendam, dan membuang langsung ke TPS. Penelitian dilakukan di Desa Jatipuro Kabupaten Klaten pada bulan September sampai Oktober 2022. Jenis penelitian ini adalahobservasional analitik dengan rancangan penelitian cross sectional. Sampel penelitian ini sebesar 92 ibu rumah tangga dengan teknik purposive sampling. Data dianalisis dengan uji chi square untuk mengetahui faktor yang berhubungan dengan pengelolaan sampah pada ibu rumah tangga. Hasil menunjukkan ada hubungan antara pengetahuan (p = 0,030), sikap (p = 0,002), dan ketersediaan sarana (p = 0,007). Sedangkan, variabel umur (p = 0,829), tingkat pendidikan (p = 0,274), dan pendapatan (p = 0,328) tidak berhubungan dengan pengelolaan sampah. Saran yang bisa diberikan dengan melakukan sosialisasi tentang pengelolaan sampah yang baik dan benar dari segala unsur masyarakat.AbstractHousehold waste management is required to reduce the number of garbage dumps in TPS. Most housewives in Jatipuro Village have not adequately handled their garbage. In most cases, they just burn, bury, or toss it directly into the TPS. From September to October 2022, the research was carried out in Jatipuro Village, Klaten Regency. This is an analytic observational study with a cross-sectional research design. Purposive sampling was used to choose 92 housewives for this study. The chi square test was used to evaluate data to discover waste management elements in housewives. The results show a correlation among awareness (p = 0.030), attitude (p = 0.002), and facility availability (p = 0.007). Meanwhile, the variables age (p = 0.829), education level (p = 0.274), and income (p = 0.328) were not associated to waste management. Suggestions that may be made by performing socialization regarding excellent and proper waste management among all members of society.
Kondisi Sanitasi Dasar dengan Kejadian Diare Fauziyah, Zidni; Siwiendrayanti, Arum
HIGEIA (Journal of Public Health Research and Development) Vol 7 No 3 (2023): July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7i3.65317

Abstract

Abstrak Kabupaten Demak menempati urutan kedua sebagai daerah dengan prevalensi diare tertinggi di Jawa Tengah, yaitu sebesar 11,69%. Desa Tridonorejo menjadi desa dengan kasus diare terbanyak di wilayah kerja Puskesmas Bonang 1 dengan 2,18% kasus. Penelitian ini bertujuan untuk mengetahui hubungan kondisi sanitasi dasar dengan kejadian diare di Desa Tridonorejo Kabupaten Demak. Jenis penelitian ini adalah analitik observasional dengan rancangan cross sectional. Penelitian dilaksanakan pada bulan September - Oktober 2022. Jumlah sampel sebanyak 96 yang diambil dengan teknik proportional random sampling. Data dikumpulkan dengan menggunakan kuesioner dan lembar observasi. Hasil analisis menggunakan uji chi-square dan uji fisher menunjukkan nilai p-value kondisi jamban (p=0,008; PR=4,5; CI 95%=1,573-12,913), kondisi sarana air bersih (p=0,081; PR=2,9; CI 95%=1,010-8,325), kondisi sarana pembuangan sampah (p=0,175; PR=2,60; CI 95%=0,776-9,065), dan kondisi saluran pembuangan air limbah (p=0,039; PR=3,7; CI 95%=1,159-11,937). Dapat disimpulkan bahwa terdapat hubungan antara kondisi jamban dan saluran pembuangan air limbah terhadap kejadian diare di Desa Tridonorejo. Abstract Demak Regency ranks second as the area with the highest prevalence of diarrhea in Central Java, which is 11.69%. Tridonorejo Village is the village with the most diarrhea cases in the working area of ​​the Bonang 1 Health Center with 2,18% cases. This study aims to determine the relationship between basic sanitation conditions and the incidence of diarrhea in Tridonorejo Village, Demak Regency. The type of this research is observational analytic with cross sectional design. The research was conducted in September - October 2022. A total of 96 samples were taken using proportional random sampling technique.The data were collected using questionnaires and observation sheets. Analysis results using chi-square and fisher test showed p-value of the latrine conditions (p=0,008; PR= 4,5; CI 95%=1,573-12,913), clean water (p=0,081; PR=2,9; CI 95%=1,010-8,325), garbage disposal (p=0,175; PR=2,60; CI 95%=0,776-9,065), and wastewater disposal (p=0,039; PR=3,7; CI 95%=1,159-11,937). It can be concluded that there is a relationship between latrine and wastewater disposal conditions on the incidence of diarrhea in Tridonorejo Village.diarrhea, basic sanitation
FAKTOR-FAKTOR KEJADIAN KEMATIAN MATERNAL DI KABUPATEN BREBES Amalia, Rizki
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.65477

Abstract

Abstrak Brebes merupakan salah satu wilayah di Provinsi Jawa Tengah dengan kematian ibu tertinggi dan jumlah kasusnya meningkat setiap tahun. Berdasarkan data Profil Kesehatan Provinsi Jawa Tengah, AKI di Kabupaten Brebes mengalami peningkatan dari 116,7 per 100.000 KH pada tahun 2019, meningkat menjadi 198,4 per 100.000 KH pada tahun 2020, dan 350,6 per 100.000 KH pada tahun 2021. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kematian maternal di Kabupaten Brebes. Jenis penelitian adalah observasional analitik dengan desain case-control, dilakukan pada Januari-September 2022. Teknik pengambilan sampel adalah purposive sampling. Jumlah sampel sebanyak 70 sampel terdiri dari 35 kasus dan 35 kontrol. Data diolah secara univariat dan bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa ada hubungan antara jarak kehamilan (p=0,010; OR=6,303; CI 95%=1,605-24,748) dan riwayat penyakit yang diderita oleh ibu (p=0,007; OR=8,609; CI 95%=1,758-42,164) dengan kematian maternal. Para ibu harus menunggu setidaknya 2 tahun sebelum merencanakan kehamilan berikutnya serta meningkatkan status kesehatan agar terhindar dari kematian. Abstract Brebes is one of the areas in Central Java Province with the highest maternal mortality along the number of cases is increasing every year. Based on data from the Central Java Province Health Profile, the MMR in Brebes Regency has increased from 116,7 per 100.000 KH in 2019, 198,4 per 100.000 KH in 2020, and 350,6 per 100.000 KH in 2021. The research aims to determine the factors associated with maternal mortality in Brebes District. This type of research is analytic observational with a case-control design, conducted from January to September 2022. The sampling technique was purposive sampling. The number of samples is 70 consisting of 35 cases and 35 controls. Data was processed univariately and bivariate using the chi-square test. The result showed a relationship between pregnancy spacing (p=0,010; OR=6,303; 95% CI=1,605-24,748) and a history of maternal disease (p=0,007; OR=8,609; 95% CI=1,758-42,164) with maternal death. Mothers should wait at least two years before planning to get pregnancy and improve their health status to avoid death.
FAKTOR RISIKO KEJADIAN DIABETES MELITUS DI WILAYAH PEDESAAN (ANALISIS DATA IFLS 4 DAN IFLS 5) Indriyana, Sumiyati
HIGEIA (Journal of Public Health Research and Development) Vol 7 No Sup (2023): Suplemen July 2023
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v7iSup.66010

Abstract

Abstrak Hasil riset kesehatan dasar tahun 2013 menunjukkan prevalensi diabetes melitus di wilayah pedesaan sebesar 1% dan mengalami kenaikan menjadi 1,01% pada hasil riset kesehatan dasar tahun 2018. Penelitian bertujuan untuk mengetahui faktor risiko kejadian diabetes melitus di wilayah pedesaan. Jenis penelitian yang digunakan adalah kuantitatif observasional dengan desain nested case control dimana responden dibagi menurut kelompok kasus dan kontrol pada IFLS gelombang ke-5 tahun 2014 kemudian diruntut paparanya di IFLS gelombang ke-4 tahun 2007. Hasil analisis bivariat menggunakan uji chi square menunjukkan tedapat hubungan yang signifikan antara jenis kelamin (p-value=0,047) keterpaparan asap rokok (p-value=0,009), obesitas (p-value<0,001), dan riwayat hipertensi (p-value=0,028) terhadap kejadian diabetes melitus di pedesaan. Tidak terdapat hubungan yang signifikan antara merokok (p-value=0,272) dan aktivitas fisik (p-value=0,772) dengan kejadian diabetes melitus di pedesaan. Hasil analisis multivariat menggunakan uji regresi logistik menunjukkan faktor risiko yang paling berpengaruh terhadap kejadian diabetes melitus di wilayah pedesaan adalah obesitas (p-value<0,001) dengan OR 2,710. Saran bagi Kementrerian Kesehatan Republik Indonesia untuk lebih meningkatkan screening diabetes melitus pada kelompok rentan di pedesaan yaitu kelompok dengan obesitas, mengalami keterpaparan asap rokok dan hipertensi. Abstract The results of basic health research in 2013 showed that the prevalence of diabetes mellitus in rural areas was 1% and had increased to 1.01% in the results of basic health research in 2018. The research aimed to determine the risk factors for developing diabetes mellitus in rural areas. The type of research used was quantitative observational with a nested case control design in which respondents were divided according to case and control groups at the 5th batch of 2014 IFLS and then followed up their exposure at the 4th batch of 2007 IFLS. The results of bivariate analysis using the chi square test showed that there was a relationship There was a significant difference between gender (p-value=0.047), exposure to cigarette smoke (p-value=0.009), obesity (p-value<0.001), and history of hypertension (p-value=0.028) on the incidence of diabetes mellitus in rural areas. There is no significant relationship between smoking (p-value=0.272) and physical activity (p-value=0.772) with the incidence of diabetes mellitus in rural areas. The results of multivariate analysis using logistic regression showed that the most influential risk factor for the incidence of diabetes mellitus in rural areas was obesity (p-value <0.001) with an OR of 2.710. Suggestions for the Ministry of Health of the Republic of Indonesia to further improve diabetes mellitus screening in vulnerable groups in rural areas, namely groups with obesity, exposure to cigarette smoke and hypertension.

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