The Relationship Between Community Role and Environment on the Incidence of Pulmonary Tuberculosis

Abstract

Tuberculosis (TB) is one of the infectious diseases and the main cause of death worldwide. Pulmonary TB is caused by the bacterium Mycobacterium tubercoluss. Itian Based on data on pulmonary TB disease from the Magetan Regency Health Office in 2021, the incidence of pulmonary TB in the work area of the Panekan Health Center is the highest compared to other health centers in Magetan Regency, which is 260 patients (2020-2022). This study aims to analyze the role of society (knowledge, attitude and action) and environment (physical condition of the house) on the incidence of pulmonary TB disease. This type of research is analytical with a case control approach. The sampling technique uses fixed disease sampling, namely patients who have been determined by medical personnel and recorded in the medical records of the Health Center. The population of this study is 260 patient homes and 260 non-patient homes. The sample size of this study was obtained by 113 respondents. Data collection was carried out by survey, interview, observation using questionnaires and physical measurements of respondents' homes. Data analysis using Chi square. The results of the study showed that statistical analysis obtained a p value for knowledge (p=0.095), attitude (p=0.335) and action (p= 0.445), the value was greater than 0.05 (p > 0.05), it can be concluded that there is no relationship between knowledge, attitude and action and the incidence of pulmonary TB. While the condition of the house showed a value of p = 0.000 < 0.05, it can be concluded that there is a relationship between the condition of the house and the incidence of pulmonary TB. The condition of the house is related to the incidence of pulmonary TB, while knowledge, attitude and actions are not related to the incidence of pulmonary TB. It is necessary to improve the condition of the house so that in the future it will reduce the incidence of pulmonary TB.