Factors Associated with Cerumen Impaction in the Coastal Elementary School (Case Study in 1st Grade of Five Elementary Schools, Bandarharjo Health Centers Work Area, in North Semarang)

Abstract

Cerumen impaction in children in six cities of Indonesia is 30.5%. The case of cerumen impaction in in 1st grade elementary school in the coastal area, Bandarharjo Public Health Center in 2015-2016 was significantly increased (18.345 and 32.77%). Cerumen impaction which is happened in pupils can caused hearing loss which impacted in abnormality growth, learning derivation, and difficulties in social adaptation. This study aimed to analyzed the factors associated with the cerumen impaction case in 1st grade elementary students. This study was an analytic observational study with cross sectional approach conducted on 262 subjects in five elementary schools in the coastal area, Bandarharjo Public Health Center, North Semarang. The selection of the subject was done by simple random sampling to determine the name of the school and the chidrens name to diagnosed cerumen impaction, then parents of children interviewed using questionnaire. Around 50.8% children suffered cerumen impaction. This history of ear infections is associated with cerumen impaction (p=0.004; POR=3.173; 95% Ci=1.472-6.842). Parents need to do infection prevention by not using ear-based cleaning tools and need to be educated about cerumen characteristics and functions.