| dc.description.abstract | Typhoid fever is a systemic infection that remains a significant public health issue
in Indonesia, particularly in areas with inadequate sanitation and poor personal
hygiene. According to WHO data from 2009, the global case fatality rate (CFR) for
typhoid fever was 3.5 percent and in 2019, approximately 70 percent of global
deaths occurred in Asia. In Indonesia, the 2018 Riskesdas reported a CFR ranging
from 0.6 percent to 5 percent In Medan, there were 11,550 cases in 2021, while
Harapan Hospital in Pematangsiantar recorded 737 cases in 2024. This study aims
to analyze the relationship between individual characteristics and personal hygiene
with the incidence of typhoid fever among patients at Harapan Hospital,
Pematangsiantar, in 2025. The research employed a quantitative analytic design
with a cross-sectional approach, involving 112 respondents selected through
accidental sampling. Data were collected using questionnaires and medical
records, and analyzed with the chi-square test. The results showed a typhoid fever
incidence rate of 52.7 percent. Individual characteristics significantly associated
with typhoid fever were age and education (p<0.05). Regarding personal hygiene,
habits such as washing hands after defecation, before eating, snacking habits, and
hand and nail cleanliness were significantly related (p<0.05). These findings
highlight the importance of education and behavioral interventions, especially
among young people and those with lower education, as well as improving personal
hygiene practices to prevent typhoid fever. This study is expected to inform health
policy and educational programs in healthcare facilities and the wider community. | en_US |
