AMARAL, Aloto Ximenes Belo and Adi, M. Sakundarno and Sutiningsih, Dwi (2022) ANALISIS FAKTOR RISIKO KEJADIAN TUBERKULOSIS PARU DI KOTA MADYA LAUTEM - TIMOR LESTE. Masters thesis, School of Postgraduate Studies.

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Abstract

Latar belakang: Lautem merupakan kota dengan angka kejadian TB yang relative banyak dan pada tahun 2018-2020 lebih dari 80% kasus TB merupakan TB paru. Faktor risiko TB paru di Kota Lautem disebabkan beberapa faktor yaitu kontak erat dengan pasien TB, mengonsumsi alkohol,status merokok, akses ke fasilitas kesehatan,status gizi serta dukungan keluarga,sehingga angka kejadian masih tinggi sebab itu di perlukan kebijakan untuk mengintervensi kejadian TB berdasarkan faktor risiko.
Tujuan: Penelitian ini bertujuan untuk menganalisis faktor risiko kejadian TB paru di Kota Lautem-Timor Leste.
Metode: Penelitian ini menggunakan desain case control. Populasi kelompok kasus diambil di Puskesmas Rawat Inap Lospalos sedangkan populasi kelompok kontrol diambil di masyarakat Kota Lautem melalui Teknik simple random sampling. Jumlah sampel kasus 40 orang dan sampel kontrol 40 orang. Pengumpulan data dilakukan melalui wawancara mendalam dengan menggunakan kuesioner terstruktur.
Hasil penelitian: menunjukkan bahwa faktor risiko kejadian TB paru di Kota Madya Lautem adalah kontak erat dengan penderita TB paru OR = 8,704; 95% CI = 2,390 – 31,699; p = 0,01), penggunaan alkohol, (OR = 4,702; 95% CI = 1,522-14,531; p = 0,007). Untuk hasil uji regresi logistic menunjukkan kemungkinan efek mengalami kejadian TB Paru dengan didapatkan hasil; mengonsumsi alcohol (p = 52%), kontak erat (p = 66,8%) dan konsumsi alcohol + kontak erat (p = 90,49%).
Kesimpulan: Faktor resiko pada kejadian TB paru di Kota Madya Lautem Timor Leste adalah penggunaan alkohol dan kontak erat dengan pasien TB.
Bagi Puskesmas Lospalos disarankan untuk meningkatkan edukasi masyarakat dan meningkatkan kinerja dala intervensi penanganan TB berdasarkan faktor risiko dan bagi pemerintah untuk mengambil kebijakan terhadap penjualan alkohol.
Kata Kunci: Tuberkulosis, Faktor risiko, Kota madya Lautem-Timor-Leste

Background: Lautem is a city with a relatively high incidence of TB in 2018-2020 more than 80% of TB cases were Pulmonry TB. The risk factors for pulmonary TB in Lautem City are caused by several factors, namely a close contact with patient TB,consuming alcohol,status of smoking, access to health facilities,nutritional status and family support, therefor the incidence of TB is relativly high and policy is needed to intervene the incidence of TB based on risk factors. Objective: This study aims to analyze the risk factors on the incidence of pulmonary TB in Lautem City, Timor Leste. This study uses a case control design. The population of the case group was taken at the Lospalos Inpatient Health Center while the control group population was taken in the community of Lautem City through simple random sampling. The number of case samples was 40 people and the control sample was 40 people. Data was collected through in-depth interviews using a structured questionnaire. Results: showed that risk factors on the incidence of pulmonary TB in Lautem Municipality were close contact with patients with pulmonary TB OR = 8,704; 95% CI = 2,390 – 31,699; p = 0.01), alcohol use, (OR = 4.702; 95% CI = 1.522-14.531; p = 0.007). For the results of the logistic regression test showed the possible effect of experiencing the incidence of pulmonary TB with the results obtained; consuming alcohol (p = 52%), close contact (p = 66.8%) and alcohol consumption + close contact (p = 90.49%). Conclusion: The risk factors on the incidence of pulmonary TB in the Municipality of Lautem Timor Leste are alcohol use and close contact with TB patients. It is recommended for the Lospalos Health Center to improve public education and improve performance in TB treatment interventions based on risk factors and for the government to take policies on the sale of alcohol.
Keywords: Tuberculosis, Risk Factors, Municipality of Lautem-Timor-Leste

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