The Correlation between Social Determinants and Environmental Condition with Measles Cases among Infants in Padang, West Sumatera

Abstract

Background: Indonesia is targeting to eliminate measles by 2020. In 2018 there were still 191 cases of measles in the city of Padang. This study aimed to determine the risk factors most associated with the incidence of measles among children under five in Padang City in 2018. Subjects and Method: A case-control study was conducted in Padang City, West Sumatera. The total of 74 children under five were enrolled in this study consisting of 37 with measles and 37 without measles. The study subjects were selected using sampling technique for cases and purposive sampling with matching age and sex for controls. The dependent variable was measles incidence. The independent variable was exclusive breastfeeding, measles immunization status, and vitamin A intake. The data were collected using medical records and questionnaire. The data were analyzed using d logistic regression. Results: The logistic regression showed that the most influential variable with the incidence of measles among children under five was measles immunization status with (OR= 6.33; 95% CI= 1.87 to 21.39; p= 0.003). Conclusion: Children under five who are not immunized against measles have the highest risk of measles incidence among children under five in Padang City. Keywords: measles, immunization, children under five Correspondence: Iyana Putri. Faculty of Public Health, University of Indonesia, Depok, West Java. Email: iyanaputri71@gmail.com. Mobile: 085264332552 DOI: https://doi.org/10.26911/the7thicph.01.12