[ABSTRAK PM2,5 merupakan salah satu indikator adanya pencemaran udara dalamruang (indoor air pollution). Indonesia termasuk peringkat kelima jumlah kasus TBterbesar di dunia, dan Kota Cirebon merupakan kota dengan angka penemuan kasusTB paru tertinggi di Provinsi Jawa Barat. Tujuan penelitian ini adalah untukmenganalisis hubungan PM2,5 di udara ruang dalam rumah dengan kejadian TBparu BTA positif di Kota Cirebon.Disain penelitian ini adalah kasus kontrol. Kriteria kasus adalah penderitabaru TB Paru yang berusia minimal 15 tahun dan hasil pemeriksaan sputum positifberdasarkan konfirmasi laboratorium Puskesmas periode November 2014 s/d April2015 serta bertempat tinggal di Kota Cirebon. Kriteria kontrol adalah tetanggaterdekat kasus yang tidak menderita TB paru, tidak memiliki gejala klinis mirip TBparu berdasarkan konfirmasi dari petugas puskesmas setempat, berusia minimal 15tahun dan bertempat tinggal di Kota Cirebon. Total jumlah sampel adalah 168responden dengan jumlah kasus adalah 84 responden, dan kontrol 84 responden.Konsentrasi PM2,5 di udara ruang dalam rumah berpengaruh terhadapkejadian TB paru BTA positif di Kota Cirebon (OR 7,034; 95% CI 3,570 ? 13,860).Variabel lainnya yang signifikan adalah jenis kelamin (OR 3,947; 95% CI 2,026-7,692), lama berada di rumah (OR 2,682; 95% CI 1,430 ? 5,028), jenis bahan bakarmemasak (OR 3,260; 95% CI 1,116-9,523), status merokok (OR 3,034; 95% CI1,446 ? 6,365), jenis atap rumah (OR 3,713; 95% CI 1,945 ? 7,089), dan lajuventilasi kamar (OR 2,493; 95% CI 1,264 ? 4,918). Hasil analisis multivariatdengan regresi logistik menunjukkan bahwa konsentrasi PM2,5 dalam rumahberhubungan dengan kejadian TB paru BTA positif (OR adjusted 6,14; 95% CI2,904-12,975) dikontrol oleh variabel jenis kelamin, jenis atap rumah, dan lajuventilasi kamar. Masih banyak rumah yang belum dilengkapi jendela atauventilasinya kurang, atap rumah tidak dilengkapi oleh langit-langit, sehingga masihbanyak rumah yang tidak memenuhi kriteria rumah sehat. Diperlukan upayapeningkatan pengetahuan dan kesadaran masyarakat tentang kriteria rumah sehat,dan masyarakat agar menjaga pola perilaku hidup bersih dan sehat, termasuk tidakmerokok. ABSTRACT PM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking.;PM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking., PM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking.] |