FAKTOR-FAKTOR RISIKO YANG MEMPENGARUHI PASIEN TUBERKULOSIS PUTUS BEROBAT DI YOGYAKARTA

• Main Authors: , THASLIFA, , Dr. Dra. Ning Rintiswati, M.Kes
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2014
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/133155/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=73713
• Institution: Universitas Gadjah Mada

Background: Tuberculosis (TB) remains which a major public health problem in worldwide. Indonesia is one of five countries with the largest number of incident TB cases among 22 high burden countries. The prevalence of tuberculosis is low in Yogyakarta and treatment success continues to increase every year. However, the spread of TB infection transmission still continues. One of the alarming situation is the non-compliant to treatment of whom may still transmit the infection. The aims of this study was to determine factors that predict missing scheduled treatment visits for two or more consecutive months among tuberculosis patients in Yogyakarta, Indonesia. Methods: This study was a cross-sectional study based on tuberculosis 03 registers in the Health Department Province DIY during the period of 2008-2012. Inclusion criteria were patients aged 15 years old and above whereas patients who transfer-out to other health care were excluded from the observational. Factors assessed for missed visits were age, sex, class of tuberculosis, type of tuberculosis, and health care unit and analyzed using chi square in bivariate analysis and logistic regression in multivariate analysis with crude odds ratios (OR) and adjusted OR (AOR) presented. Results: Among 10984 tuberculosis patients, 9597 patients were included in analysis. Out of 9597 cases, 657 (7%) patients fall into the category of missed visits from treatment i.e. in hospital (10.60%), lung clinic (9.73%), and primary health care center (4.35%). The median age was 40 years old and 57.75% were males. Factors predicting missed visits were males (OR:1.26, p=0.006), older age 56-95 (OR:1.14, p=0.070), extra-pulmonary tuberculosis (OR:1.17, p=0.179), re-treatment (OR:1.32, p=0.103), and patients who received treatment in hospital (OR:1.10, p=0.000). In multivariate analysis, missed visits were statistically significant higher among older age 56-95 (AOR:1.25, p=0.013, 95% CI:1.00-1.55), males (AOR:1.23, p=0.19, 95% CI:1.04-1.45), re-treatment (AOR:1.65, p=0.004, 95% CI:1.18-2.32), and patients who received treatment in hospital (AOR:1.08, p=0.000, 95% CI:0.88-1.33). Whereas, type of tuberculosis not significant. Conclusions: Patients with older age, male, re-treatment, and patients who received treatment in hospital are more likely have missed visits on anti-tuberculosis treatment. Missed visits should receive more attention from health care workers in order to increase successful treatment rates.