CD Tesis
Analisis Faktor Lingkungan Yang Memengaruhi Kejadian Diare Pada Balita Di Kawasan Pemukiman Padat Kecamatan Lima Puluh Kota Pekanbaru
The incidence of diarrhea in Pekanbaru based on data from the Health
Office in 2018, the incidence of diarrhea was recorded as many as 4,793 cases,
2,214 cases occurred in under-five children more than 5 - 6 under five per day
experiencing diarrhea. The data were obtained from 17 Puskesmas in Pekanbaru
City. The Puskesmas in Limapuluh District has the second highest number of
diarrhea cases in children under five after Puskesmas Pekanbaru City, which is
417 cases or 19.4%. This study aims to analyze the influence of physical
environmental factors (clean water facilities, latrine conditions, SPAL conditions,
and household waste management / PSRT), social environmental factors (washing
hands with soap, storing food, washing eating utensils and drinks) and other
factors. economy (family income) and social environmental factors (cleanliness of
nails, use of footwear, habit of washing hands with soap, habit of defecating) on
the incidence of diarrhea among toddlers in Lima Puluh District, Pekanbaru City.
This research will be conducted in Limapuluh District, Pekanbaru City
from June to October 2020. The research used a survey method. The population
in this study were all families with children under five in the working area of the
Puskesmas, Kecamatan Limapuluh, Pekanbaru City, and until March 2020, 832
children under five had diarrhea. The number of samples was determined using
the Slovin formula, namely 90 children under five in the working area of the
Puskesmas in 4 sub-districts in Limapuluh District, Pekanbaru City. Data were
collected by interviewing mothers who have children aged 12-59 months and who
live in densely populated areas in 4 sub-districts in Limapuluh District,
Pekanbaru City. The analysis method used is univariate analysis, bivariate
analysis with Chi Square (Fisher) and multivariate analysis with logistic
regression.
Of the 90 respondents who live in densely populated residential areas in 4
sub-districts (Rinits, Tanjung Rhu, Pesisir and Sekip) in Limapuluh District,
Pekanbaru City, 42.2% or 38 toddlers have had diarrhea. The results of the
bivariate analysis showed that physical environmental factors with variables of
clean water facilities, latrine conditions, SPAL conditions, and household waste
management (PSRT) had no effect on the incidence of diarrhea in children under
five. Although the variables of clean water facilities and latrine conditions are not
significant, these two variables influence each other, it is possible that there is an
interaction between the two variables in influencing the incidence of diarrhea in
children under five. The variable that most influenced the incidence of diarrhea in
children under five was clean water facilities with an adjusted OR of 2.58. The
odds of respondents whose clean water facilities did not meet the requirements
were 2.58 times greater than having diarrhea than those with clean water
facilities that met the requirements after being controlled for other variables.
Simultaneously the three variables of clean water facilities, latrine conditions and
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family income can explain the variation in the incidence of diarrhea among
children under five by 30.7% and the rest is influenced by other variables not
examined in the model, among others, the level of education, parental knowledge,
risky occupation. from parents, unhygienic food consumption habits or formula
milk incompatibility.
Keywords: Physical Environmental Factors, Economic Factors, Social
Environmental Factors, and The Incidence Of Diarrhea
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