WAHIDAH, Wahidah and Adi, M. Sakundarno and Agushybana, Farid (2023) PEMODELAN KEJADIAN CAMPAK PADA MASYARAKAT RURAL DAN URBAN (Studi Kasus Di Kabupaten Batu Bara dan Kota Medan). Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

Latar Belakang: Campak merupakan penyakit menular yang disebabkan oleh morbilivirus dan ditularkan melalui udara ataupun kontak langsung dengan penderita. Insiden rate kasus campak tahun 2023 di Kabupaten Bara 21/1.000.000 pendudukan sedangkan di Kota Medan sebesar 49/1.000.000 penduduk.
Tujuan: Memprediksi Kejadian campak pada masyarakat Rural dan Urban di Kabupaten Batu Bara dan Kota Medan.
Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain case control yang dilakukan di wilayah Dinas Kesehatan Kabupaten Batu Bara dan Kota Medan pada Bulan Maret-September Tahun 2023. Jumlah sampel sebanyak 56 kasus dan 112 kontrol. Pengambilan data dilakukan secara langsung dengan wawancara menggunakan kuesioner. Analisa data menggunakan uji chi-square dan uji regresi binary logistik.
Hasil Penelitian: Berdasarkan hasil uji multivariat bahwa terdapat 9 faktor resiko yang berbeda mempengaruhi kejadian campak di Pedesaan yaitu: mempunyai riwayat kontak (p-value 0,000;OR 30,41), jenis kelamin laki-laki (p-value 0,000; OR 23,36) dan pendidikan ibu menjadi faktor protektif (p-value 0,002; OR 0,07) sedangkan di perkotaan frekuensi konsumsi vitamin A tidak standar (0-1 kali/tahun) (p-value 0,000;OR 43,74), pendapatan keluarga rendah p-value 0,000;OR 11,51), tidak konsumsi vitamin A (p-value 0,000;OR 5,24), ibu tidak memiliki pendidikan (p-value 0,037;OR 4,77), umur anak berisiko (p-value 0,020;OR 4,28) dan pekerjaan ibu menjadi faktor protektif (p-value 0,000;OR 0,09). Probabilitas kejadian campak di Pedesaan lebih tinggi sebesar 95% dibandingkan di Perkotaan sebesar 80%.
Kesimpulan: Probabilitas kejadian campak di Pedesaan sebesar 95% sedangkan di Perkotaan sebesar 80%.
Kata kunci: Pemodelan;Campak;Rural:Urban

Background: Measles is an infectious disease caused by morbillivirus and is transmitted through the air or through direct contact with sufferers. The incidence rate of measles cases in 2023 in Bara Regency is 21/1,000,000 inhabitants, while in Medan City it is 49/1,000,000 inhabitants.
Objective: Predict the incidence of measles in rural and urban communities in Batu Bara Regency and Medan City.
Method: This research used a quantitative research with a case-control design carried out in the Batu Bara Regency and Medan City Health Service areas in March-September 2023. The number of samples was 56 cases and 112 controls. Data collection was carried out directly by interview using a questionnaire. Data analysis used the chi-square test and binary logistic regression test.
Research Results: Based on the results of the multivariate test, there are 9 different risk factors influencing the incidence of measles in rural areas, namely: having a history of contact (p-value 0.000; OR 30.41), male gender (p-value 0.000; OR 23.36) and maternal education is a protective factor (p-value 0.002; OR 0.07) while in urban areas the frequency of vitamin A consumption is not standard (0-1 times/year) (p-value 0.000; OR 43.74), low family income p- value 0.000; OR 11.51), not consuming vitamin A (p-value 0.000; OR 5.24), mother has no education (p-value 0.037; OR 4.77), age of child at risk (p-value 0.020; OR 4.28) and mother's employment was a protective factor (p-value 0.000; OR 0.09). The probability of measles occurring in rural areas is 95% higher than in urban areas of 80%.
Conclusion: The probability of measles occurring in rural areas is 95% while in urban areas it is 80%.
Keywords: Modeling; Measles; Rural: Urban

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