Effects of Education, Nutrition Status, Treatment Compliance, Family Income, and Family Support, on the Cure of Tuberculosis in Mojokerto, East Java
Abstract
Background: Tuberculosis is an important global public health issue. Countries around the world have committed to control the disease with various programs. However, the cure of Tuberculosis treatment in many countries is still low, which can hamper the success of Tuberculosis control program. Productivity of Tuberculosis patients continues to decrease that leads to socioeconomic burden. This study aimed to examine the effects of education, nutrition status, treatment compliance, family income, and family support, on the cure of Tuberculosis.
Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Mojokerto, East Java, from April to May, 2017. A total sample of 108 Tuberculosis patients were selected for this study by fixed disease sampling. The sample consisted of 35 uncured cases of Tuberculosis and 73 cured cases of Tuberculosis. The dependent variable was cure of Tuberculosis. The independent variables were education, nutrition status, treatment compliance, family income, and family support. The data was collected by a set of questionnaire and analyzed using path analysis.
Results: Nutritional status (b= 1.31; 95% CI = 0.41 to 2.22; p=0.004) and treatment compliance (b= 1.07; 95% CI= 0.17 to 1.97; p=0.019) directly and positively affect the cure of Tuberculosis. Nutritional status was affected by high education (b=1.62; 95% CI =0.62 to 2.63; p=0.002), family income (b=1.66; 95% CI =0.70 to 2.62; p=0.001), and strong family support (b=1.50; 95% CI =0.36 to 2.63; p=0.010). Treatment compliance was affected by high education (b= 0.84; 95% CI = -0.14 to 1.81; p=0.093), family income (b= 1.36; 95% CI =0.42 to 2.30; p=0.005), and strong family support (b=2.08; 95% CI =0.96 to 3.19; p<0.001).
Conclusion: Cure of Tuberculosis is directly affected by nutritional status and treatment compliance. Education, family support, and family income, indirectly affect cure of Tuberculosis.
Keywords: cure of Tuberculosis, education, nutrition status, family income, family support, treatment compliance
Correspondence: Puspitasari. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: puspita90@yahoo.co.id. Mobile: +6281333060714.
Journal of Epidemiology and Public Health (2017), 2(2): 141-153
https://doi.org/10.26911/jepublichealth.2017.02.02.05
References
Adriani M, Wirjatmadi B (2013). Pengantar Gizi Masyarakat. Jakarta: Kencana Prenada Media Group.
Amaliah R (2012). Faktor-faktor Yang Berhubungan Dengan Kegagalan Konversi penderita TB paru BTA Positif Pengobatan Fase Intensif di Kabupaten Bekasi Tahun 2010. Fakultas Kesehatan Masyarakat Universitas Indonesia.http://lib.ui.ac.id/ [Diaksespada tanggal 29 Januari 2017].
Currie CSM, Floyd K, Williams BG, Dye C (2005). Cost, Affordability And Cost-Effectiveness Of Strategies To Control Tuberculosis In Countries With High HIV Prevalence. BMC Public Health, 5:130.
Danusantoso H (2000). Ilmu Penyakit Paru. Jakarta: Hippocrates.
Dinas Kesehatan Jawa Timur(2015). Profil Kesehatan Provinsi Jawa Timur 2014.
Dinas Kesehatan Kota Mojokerto (2015). Profil Kesehatan Kota Mojokerto tahun 2014.
Erawatyningsih E, Purwanta, Subekti H (2009). Faktor-Faktor Yang Mempengaruhi Ketidakpatuhan Berobat Pada Penderita Tuberkulosis Paru. Berita Kedokteran Masyarakat, 25(3): 117-124.
GarciaIS, Blanco AR, Perez JLV, Viejo MAG, Hernandez MJJ, Lopez O, Asensio AN(2009). Risk Factors for Multidrug resistant Tuberculosis in a Tuberculosis Unit in Madrid, Spain. Eur J Clin Microbiol Infect Dis, 28:325–330.
Golden MP, Vikram HR (2005). Extra pulmonary Tuberculosis: An Overview. American Family Physician, 72 (9).
Hutapea TP (2009). Factors Affecting Compliance to Medication in Lung Tuberculosis Patients. Folia Medica Indonesiana, 45:45-49.
Kementerian Kesehatan RI(2013). Riset Kesehatan Dasar 2013. Badan Penelitian dan Pengembangan Kesehatan.http:// labmandat.litbang.depkes.go.id/images/download/laporan/RKD/2013/Laporan_riskesdas_2013_final.pdf [Diakses pada tanggal 29 Januari 2017].
Kurniawan N, Rahmalia S, Indriati G (2015). Faktor-Faktor Yang Mempengaruhi Keberhasilan Pengobatan Tuberkulosis Paru. JOM, 2: 729-741.
Muna L, Soleha U (2014). Motivasi Dan Dukungan Sosial Keluarga Mempengaruhi Kepatuhan Berobat Pada Pasien TB Paru Di Poli Paru Bp4 Pamekasan. Jurnal Ilmiah Kesehatan, 7(2): 172-179.
Murtantiningsih, Wahyono, B (2010). Faktor-Faktor Yang Berhubungan Dengan Kesembuhan Penderita Tuberkulosis Paru. KEMAS, 6(1):44-50.
Nagarkar AK, Dhake D, Jha P (2012). Perspective Of Tuberculosis Patient On Family Support And Care In Rural Maharashtra. Indian Journal Of Tuberculosis, 59: 224-230.
Nugroho RA (2011). Studi Kualitatif Faktor Yang Melatarbelakangi Drop Out Pengobatan Tuberkulosis Paru. KEMAS, 7:83-90.
Nurmadya, MedisonI, Bachtiar H (2015). Hubungan Pelaksanaan Strategi Directly Observed Treatment Short Course dengan Hasil Pengobatan Tuberkulosis Paru Puskesmas Padang Pasir Kota padang 2011-2013. Jurnal Kesehatan Andalas, 4(1): 207-211.
Perhimpunan Dokter Paru Indonesia (2006). Pedoman Diagnosis & Penatalaksanaan Tuberkulosis di Indonesia. Jakarta.
Phelan JC, Link BG, Tehranifar P (2010). Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications. Journal of Health and Social Behavior, 51:28-41.
Purwaningrum S, Wardani S (2012). Hubungan Antara Asupan Makanan Dan Status Kesadaran Gizi Keluarga Dengan Status Gizi Balita Di Wilayah Kerja Puskesmas Sewon I Bantul. KES MAS, 6(3):144-211.
Ruditya DN (2015). Hubungan Antara Karakteristik Penderita TB Dengan Kepatuhan Memeriksakan Dahak Selama Pengobatan. Jurnal Berkala Epidemiologi, 3(2):122-133.
Samuel B, Volkmann T, Cornelius S, Mukhopadhay S, Mejojose, Mitra K, Kumar AMV, et al(2016). Relationship Between Nutritional Support And Tuberculosis Treatment Outcomes In West Bengal, India. Journal of Tuberculosis Research, 4:213-219.
Silva VD, Tigeh S, WirawanN, Made B (2016). The Relationship Between Education, Job, Family Income With TB Medication Dropouts In Timor Leste. Bali Medical Journal, 5:97-100.
Subhakti KA (2014). Hubungan dukungan keluarga dengan tindakan penderita TB paru melakukan kontrol ulang di Puskesmas Sidomulyo. Pekanbaru: UR. Naskah asli tidak dipublikasikan.
Tirtana BT (2011). Faktor-Faktor yang Mempengaruhi Keberhasilan Pengobatan Pada Pasien Tuberkulosis Paru Dengan Resistensi Obat Tuber kulosis di Wilayah Jawa Tengah. Semarang: Universitas Diponegoro.
Wardlaw GM (2007). Perspective in Nutrition. Edisi ke-7. New York: McGraw-Hill.
Wirdani (2000). Hubungan Keberadaan PMO dengan Keteraturan Minum Obat Penderita TB di Kab. Pandeglang. Depok: UI
WHO (2014). Global Tuberculosis Report 2014. World Health Organization. http://www.who.int/tb/publications/global_report/gtbr14_main_text.pdf [diakses pada 5 Februari 2017].
_____ (2015). Sustainable Development Goals. World Health Organization. http://www.who.int/mediacentre/events/meetings/2015/unsustainable development-summit/en/.diakses pada 5 Februari 2017].
_____ (2017). Global Tuberculosis Report 2016. World Health Organization. http://www.who.int/tb/publications/globalreport/en/ [diakses pada 29 Januari 2017].
