Analysis of Environmental Risk Factors for Leptospirosis in Bantul, Yogyakarta, Indonesia

Authors

  • Andri Setiawan Master study program of public health, Universitas Sebelas Maret
  • Noor Alis Setiyadi Master’s Program in Public Health, Universitas Muhammadiyah Surakarta
  • Bhisma Murti Master’s Program in Public Health, Universitas Sebelas Maret

DOI:

https://doi.org/10.26911/jepublichealth.2024.09.04.03

Abstract

Background: Leptospirosis is a disease caused by the bacterium leptospira sp. The number of cases and deaths due to leptopirosis from year to year is always increasing. The purpose of this study is to analyze environmental risk factors for the incidence of leptospirosis in Bantul Regency, Special Region of Yogyakarta, Indonesia.
Subjects and Method: This study uses an observational analytical approach with a cross-sectional design. The research location is in Bantul Regency with a sample of 200 research subjects. The sampling technique is fixed disease sampling. The dependent variable was the incidence of leptospirosis and the independent variables were the physical condition of the house, the condition of the residential environment, the presence of rats, the presence of livestock or pets, near rivers, flooded areas, occupation, habits of using personal protective equipment, age and gender. The research instruments used were questionnaires and checklists and the data was analyzed using logistic regression analysis.
Results: Risk factors that increase the incidence of leptospirosis are poor home conditions (OR= 2.18; 95% CI = 1.12 to 4.24; p=0.022); Poor residential environmental conditions (OR = 2.58; 95% CI = 1.33 to 5.03; p = 0.005); presence of rats inside and/or outside the home (OR = 4.51; 95% CI = 1.40 to 14.55; p = 0.012). The risk of leptospirosis infection decreases with the use of PPE (OR = 0.17; 95% CI= 0.08 to 0.37; p<0.001).
Conclusion: Poor house conditions, poor residential environmental conditions, the presence of rats inside and or outside the house are risk factors that increase the incidence of leptospirosis. Meanwhile, the use of PPE reduces the risk of leptospirosis infection

Keywords:

Leptospirosis, egression analysis, environmental , risk factors

Correspondence

Andri Setiawan. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir Sutami No.36, Surakarta, Jawa Tengah. Email: andrisetiawan@student.uns.ac.id. Mobile: +6285228131260.

References

Anwar M, Sugiharto (2018). Analisis spasial kasus leptospirosis berdasar faktor epidemiologi dan faktor risiko lingkungan (Spatial analysis of leptospirosis cases based on epidemiological factors and environmental risk factors). J higeia. 2(3): 386–395. https://doi.org/10.15294/higeia.v4i4.36324.

Dewi PS, Rahardjo SS, Murti B (2020). Analysis of environmental risk factors on the leptospirosis disease in Klaten, Central Java. J Epidemiol Public Health. 3(1):11-24. https://doi.org/10.26911/jepublichealth. 2018.03.01.02.

Dinas Kesehatan Bantul (2024). Profil Kesehatan Kabupaten Bantul Tahun 2023 (Bantul Regency Health Profile in 2023). Yogyakarta: Dinas Kesehatan Bantul.

Dinkes DIY (2023). Profil Kesehatan Daerah Istimewa Yogyakarta Tahun 2022 (Yogyakarta Special Region Health Profile in 2022). Yogyakarta : Dinkes DIY.

Endarto Y (2020). Pengetahuan personal hygiene dengan perilaku pencegahan kejadian leptospirosis di Kota Bima NTB . J Delima Harapan. 7(1): 24–30. https://doi.org/10.31935/delima.v7i1.92.

Hartskeerl RA, Collarres PM, Ellis WA (2011). Emergence, control and re-emerging leptospirosis: dynamics of infection in the changing world. Clin Microbiol Infect. 17(4): 494–501. https://doi.org/10.1111/j.14690691.2011.03474.x.

Katulistiwa N, Lestari K (2016). Analisis kondisi rumah dan keberadaan tikus yang terkena kasus leptospirosis di Kabupaten Klaten (Analysis of house conditions and the existence of rats affected by leptospirosis cases in Klaten Regency). J Environ Health. 8(1): 1–13. https://ejournal.unair.ac.id/JKL/article/view/3095/2249.

Kementerian Kesehatan RI (2017). Petunjuk Teknis Pengendalian Leptospirosis Cetakan ke-3. Jakarta: Kementerian Kesehatan RI.

Kementerian Kesehatan RI (2023). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Kementerian Kesehatan RI.

Maniiah G, Raharjo M, Astorina N (2016). Faktor lingkungan yang berhubungan dengan kejadian leptospirosis di Kota Semarang. J Public Health. 4(3):792–798. https://doi.org/10.14710/jkm.v4i3.13539.

Pertiwi SMB, Setiani O, Nurjazuli (2014). Faktor lingkungan yang berkaitan dengan kejadian leptospirosis di Kabu-paten Pati Jawa Tengah. J Environ Health. 13(2): 51–57. https://doi.org/10.14710/jkli.13.2.51%20%2057.

Murti B (2013). Desain dan Ukuran Sampel untuk Penelitian Kuantitatif dan Kuali-tatif di Bidang Kesehatan. Yogyakarta: Gadjah Mada University Press.

Mythri B (2016). Leptospirosis an enigmatic zoonosis. Inter J Cur Res. 8(17): 22-28. https://ijcrr.com/abstract.php?article_id=199#/.

Ramadhani T, Yunianto B (2010). Kondisi lingkungan yang tidak sehat berisiko terhadap kejadian leptospirosis (studi kasus di Kota Semarang) (Unhealthy environmental conditions are at risk of leptospirosis (case study in Semarang City). Health Dev. 20:546-554. https://dx.doi.org/10.22435/mpk.v0i0.747.

Rejeki DSS, Nurlaela S, Octaviana D (2013). Pemetaan dan analisis faktor risiko leptospirosis. Natl Public Health J. 8(4):179-186. https://scholarhub.ui.ac.id/kesmas/vol8/iss4/7/.

Royanialita W, Adi M, Yuliawati S (2017). Gambaran faktor risiko kejadian leptospirosis di Kabupaten Boyolali. J Public Health. 5(1): 243–247. https://doi.org/10.14710/jkm.v5i1.15530.

Samekto M, Hadisaputro S, Adi MS, Suhartono S, Widjanarko B (2019). Faktor-faktor yang berpengaruh terhadap kejadian leptospirosis (Studi Kasus Kontrol di Kabupaten Pati). J Comm Health Epidemiol. 4(1): 27-34. https://doi.org/10.14710/jekk.v4i1.4427.

Sofiyani M, Dharmawan R, Murti B (2018). Risk factors of leptospirosis in Klaten, Central Java. J Epidemiol Public Health. 3(1):11-24. doi: 10.26911/jepublichealth.2018.03.01.02

Sulistyawati S, Nirmalawati T, Mardenta R N (2016). Spatial analysis of leptospirosis disease in Bantul Regency Yogyakarta. Natl Public Health J. 12(1): 111–119. https://doi.org/10.15294/kemas.v12i1.4615.

Supriyati D, Ustiawan A (2013) Spesies tikus, cecurut dan pinjal yang ditemukan di pasar Kota Banjarnegara. Balaba. 9(02): 39–46. https://dx.doi.org/10.22435/balaba.v9i2%20Des.3351.

Suratman (2006). Analisis faktor risiko lingkungan dan perilaku yang berpengaruh terhadap kejadian leptospirosis berat Di Kota Semarang. Tesis. Universitas Diponegoro Semarang.

Tunissea A (2011). Analisis Spasial Faktor Risiko Lingkungan Pada Kejadian Leptospirosis di Kota Semarang. Tesis. Universitas Diponegoro Semarang.

Untari (2018). Pilar Utama Ilmu Kesehatan Masyarakat (Main Pillars of Public Health Sciences). Yogyakata: Thema Publising.

Widoyono (2011). Penyakit Tropis Epidemiologi, Penularan, Pencegahan dan Pemberantasan. Edisi Kedua (Tropical Diseases Epidemiology, Transmission, Prevention and Eradication. Second Edition). Jakarta: Erlangga.

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Published
2024-10-16

Issue
Vol. 9 No. 4 (2024)

Section
flow-chart-line Articles

How to Cite
Setiawan, A., Setiyadi, N. A., & Murti, B. (2024). Analysis of Environmental Risk Factors for Leptospirosis in Bantul, Yogyakarta, Indonesia. Journal of Epidemiology and Public Health, 9(4), 425–436. https://doi.org/10.26911/jepublichealth.2024.09.04.03

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