FAKTOR RISIKO LINGKUNGAN TERHADAP KEJADIAN LEPTOSPIROSIS DI JAWA TENGAH (Studi Kasus Di Kota Semarang, Kabupaten Demak dan Pati)

NINGSIH, RIYAN (2009) FAKTOR RISIKO LINGKUNGAN TERHADAP KEJADIAN LEPTOSPIROSIS DI JAWA TENGAH (Studi Kasus Di Kota Semarang, Kabupaten Demak dan Pati). Masters thesis, UNIVERSITAS DIPONEGORO.

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Abstract

ABSTRAK FAKTOR RISIKO LINGKUNGAN TERHADAP KEJADIAN LEPTOSPIROSIS DI JAWA TENGAH (Studi Kasus di Kota Semarang, Kabupaten Demak dan Pati) xiii + 120 halaman +14 tabel + 8 gambar + 8 lampiran Leptospirosis adalah penyakit zoonosis yang disebabkan oleh bakteri Leptospira dan menular kepada manusia lewat kontak dengan urin hewan dan lingkungan yang terkontaminasi. Jawa tengah terutama kota Semarang, Kabupaten Demak dan Pati kasus leptospirosis sejak tahun 2005 terus mengalami peningkatan. Tujuan penelitian ini menganalisis faktor risiko lingkungan terhadap kejadian leptospirosis di Jawa Tengah. Penelitian ini merupakan penelitian explanatory research dengan metode observasional dengan pendekatan case control dengan 60 kasus dan 60 kontrol yang diambil dengan kriteria inklusi. Penegakkan kontrol dilakukan melalui diagnosis klinis dan pemeriksaan sediaan darah dengan Leptotek Lateral Flow. Data dianalisis secara univariat, bivariat dan multivariat dengan menggunakan uji regresi logistik. Hasil penelitian menunjukkan faktor lingkungan fisik yang mempengaruhi kejadian leptospirosis yaitu keberadaan genangan air (OR= 3,5 ; 95% CI : 1,282-9,301 ; p = 0,014) dan kebiasaan mandi / mencuci di sungai (OR= 7,5 ; 95% CI : 1,534-36,185 ; p = 0,014). Saran Dinas Kesehatan melakukan pengendalian faktor risiko Lingkungan fisik dengan kerjasama dengan dinas terkait terutama PROKASIH (Program Kali Bersih). Masyarakat perlu menjaga kebersihan rumah dan lingkungan sekitarnya terutama keberadaan genangan air di sekitar rumah dan tidak membiasakan mandi serta membuang sampah /bangkai tikus di sungai. Kata Kunci : Leptospirosis, Lingkungan, Faktor Risiko Kepustakaan : 62 (1995-2008) 12 ABSTRACT ENVIRONMENTAL RISK FACTORS THAT INFLUENCE THE INCIDENCE OF LEPTOSPIROSIS IN CENTRAL JAVA (Case Study In The City of Semarang, Demak Regency and Pati) xiii + 120 pages + 14 table + 8 picture + 8 enclosures Leptospirosis is zoonotic disease caused by Leptospira bacteria and transmitted to human through contact with animal urine and contaminated environment.The number of Central Java in city of Semarang in particular, and Pati Demak regency leptospirosis case since 2005 continues to increase. The purpose of this study is to analyze environmental risk factors for leptospirosis incidence in Central Java. This research was an explanatory research with observational method using case control approach in 60 cases and 60 controls taken with inclusion criteria. Diagnosis of control was taken based on clinical diagnosis and examination of blood supply with Leptotek Lateral Flow. The data was analyzed in univariate, bivariate and multivariate tests using logistic regression. The results of this research found that physical environmental factors that influenced the incidence of the existence including stagnant water of the ditch pools of leptospirosis (OR = 3.5; 95% CI: 1,282-9,301; p = 0.014) and habit of taking bath or washing in the river (OR = 7.5; 95% CI: 1.534- 36.185; p = 0.014). Department of Health advices to control the risk factors of physical environment by cooperating with relevant agencies, especially PROKASIH (Clean River Program). People need to keep cleaning the house and the neighborhood, especially the existence of pools of water around the house and do not get a shower and take out the trash / dead mouse in a river. Keywords : Leptospirosis, Environment, Risk Factors Bibliography : 62 (1995-2008)

Item Type:Thesis (Masters)
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
Divisions:Postgraduate Program > Master Program in Epidemiology
ID Code:23882
Deposited By:Mr UPT Perpus 2
Deposited On:09 Nov 2010 11:35
Last Modified:09 Nov 2010 11:35

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