RISK FACTORS OF DENGUE MORTALITY IN PAMEKASAN DISTRICT (2018-2020)

Jurnal Berkala Epidemiologi Pub Date : 2022-09-26 DOI:10.20473/jbe.v10i32022.293-302

Shavia Maulidina Zein, Yunus Ariyanto, A. M. Ersanti

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引用次数: 1

Abstract

Background: The incidence of Dengue Haemoragic Fever (DHF) in the Pamekasan District is still high. Mortality of DHF was always happening in Pamekasan District from 2016 to 2020. Purpose: This study aims to analyze the risk factors of DHF mortality in the Pamekasan District (2018-2020). Methods: The study was conducted from October 2020-June 2021 with a case-control study. Total population was 293 cases. The sample was 54 respondents (1:2) with proportional random sampling. The inclusion criteria were families living under the same roof for a minimum of 17 years. The variables were dengue mortality, age, sex, education, history of DHF, comorbidities, access to health services, delay in treatment, family income, residence, and family knowledge. Data were collected through interviews and documentation study. The analysis in this study used univariate (frequency) and bivariate (crosstabs use OR). Results: Risk factors of DHF mortality in Pamekasan District are children (OR = 2.05; 95% CI=0.59-7.04), low education (OR=1.16; 95% CI=0.30-4.46), history of dengue (OR=3.57;95%CI=1.09-11.66), comorbidities(OR=17.50; 95% CI=4.25-72.05), difficult access to health services (OR=3.10; 95% CI=0.79-12.09), delay in treatment (OR=5.20;95% CI=1.50-18.0), low income family (OR=1.16; 95% CI = 0.30-4.46) and low of family knowledge about dengue (OR = 7.00; 95% CI = 1.99-24.58). Meanwhile, protective factors are female (OR = 0.70; 95% CI = 0.22-2.23) and rural (OR = 0.48 ; 95% CI = 0.13-1.73). Conclusion: Risk factors of DHF mortality in Pamekasan District (2018-2020) are the history of DHF, comorbidities, delay in treatment, and low family knowledge about DHF. ABSTRACT Background: The incidence of dengue fever in Pamekasan District is still high. Mortality of dengue was always happen in Pamekasan District since 2016 to 2020. Purpose: This study aimed to analyze the risk factors of dengue mortality in Pamekasan District (2018-2020). Methods: This research was case-control study. The study was conducted from October 2020-June 2021 in Primary Health Care selected at Pamekasan District. Total sample was 54 cases. Data was collected by interviews and documentation study. Analysis using uinvariate and bivariate (OR test). Results: Based on the results of OR test, risk factors of dengue mortality in pamekasan district (2018-2020) are: children (OR = 2.05 ; 95% CI = 0.59-7.04), education ≤ 9 yeras (OR = 1.16; 95% CI= 0.30-4.46), history of dengue (OR= 3.57 ; 95% CI = 1.09-11.66), comorbidities (OR=17.50; 95% CI=4.25-72.05), difficult access to health services (OR=3.10; 95% CI=0.79-12.09), delay in treatment (OR=5.20 ; 95% CI = 1.50-18.0), low income family (OR = 1.16; 95% CI = 0.30-4.46) and low of family knowledge about dengue (OR = 7.00; 95% CI = 1.99-24.58) while protective factors are : female (OR = 0.70; 95% CI = 0.22-2.23) and rural areas (OR = 0.48 ; 95% CI = 0.13-1.73). Conclusion: Risk factors of dengue mortality in Pamekasan District (2018-2020) are history of dengue, comorbidities, delay in treatment and low of family knowledge about dengue.

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2018-2020年帕梅卡桑县登革热死亡危险因素分析

背景：帕梅卡桑地区登革热的发病率仍然很高。从2016年到2020年，帕梅卡桑区的DHF死亡率一直在发生。目的：本研究旨在分析帕梅卡桑地区（2018-2020年）DHF死亡率的危险因素。方法：本研究于2020年10月至2021年6月进行，采用病例对照研究。总人口为293例。样本为54名受访者（1:2），采用比例随机抽样。纳入标准是居住在同一屋檐下至少17年的家庭。变量包括登革热死亡率、年龄、性别、教育程度、DHF病史、合并症、获得医疗服务的机会、治疗延迟、家庭收入、居住地和家庭知识。数据是通过访谈和文献研究收集的。本研究中的分析使用了单变量（频率）和双变量（交叉表使用OR）。结果：帕梅卡桑地区DHF死亡率的危险因素是儿童（OR=2.05；95%CI=0.59-7.04）、低教育程度（OR=1.16；95%CI=0.30-4.46）、登革热病史（OR=3.57；95%CI=1.09-11.66）、合并症（OR=17.50；95%CI=4.25-72.05）、难以获得医疗服务（OR=3.10；95%CI=0.79-12.09）、治疗延迟（OR=5.20；95%CI=1.50-18.0），低收入家庭（OR=1.16；95%CI=0.30-4.46）和家庭对登革热的了解程度低（OR=7.00；95%CI=1.9-24.58）。同时，保护因素为女性（OR=0.70；95%CI=0.22-2.23）和农村（OR=0.48；95%CI=0.13-1.73），家庭对DHF的了解程度低。背景：帕梅卡桑地区登革热发病率仍然很高。自2016年至2020年，帕梅卡桑区的登革热死亡率一直在发生。目的：本研究旨在分析帕梅卡桑地区（2018-2020年）登革热死亡的危险因素。方法：采用病例对照研究。该研究于2020年10月至2021年6月在帕梅卡桑区选定的初级卫生保健中心进行。总样本为54例。数据是通过访谈和文献研究收集的。使用一元和二元分析（OR检验）。结果：根据OR测试结果，帕梅卡桑区（2018-2020年）登革热死亡率的危险因素为：儿童（OR=2.05；95%CI=0.59-7.04）、教育程度≤9年（OR=1.16；95%CI=0.30-4.46）、登革热病史（OR=3.57；95%CI=1.09-11.66）、合并症（OR=17.50；95%CI=4.25-72.05）、难以获得医疗服务（OR=3.10；95%CI=0.79-12.09），治疗延迟（OR=5.20；95%CI=1.50-18.0）、低收入家庭（OR=1.16；95%CI=0.30-4.46）和家庭对登革热的了解程度低（OR=7.00；95%CI=1.9-24.58），而保护因素为：女性（OR=0.70；95%CI=0.22-2.23）和农村地区（OR=0.48；95%CI=0.13-1.73），合并症、治疗延迟和家庭对登革热的了解程度低。

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Jurnal Berkala Epidemiologi

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