Pengaruh Predisposing, Enabling, dan Need terhadap Pemanfaatan Pelayanan TB Paru di Kawasan Periferi Kabupaten Deli Serdang

Abstract

Tuberculosis (TB) remains one of the major public health challenges in Indonesia, including in Deli Serdang Regency. The number of pulmonary TB cases in the peripheral areas of Deli Serdang continues to increase year by year, accompanied by a low recovery rate. This study aims to analyze the influence of predisposing, enabling, and need factors on the utilization of pulmonary TB services in the peripheral areas of Deli Serdang Regency. This research employed a quantitative design with a cross-sectional approach. The study population consisted of pulmonary TB patients in two peripheral sub-districts, with a total sample of 130 respondents selected using purposive sampling. Data were collected through interviews using structured questionnaires and analyzed using Chi-Square tests and logistic regression. The study results showed a significant influence of accessibility (p=0.006; R=0.139), disease severity (p=0.023; R=0.139), and individual disease perception (p=0.038; R=0.139) on the utilization of pulmonary TB services in the peripheral areas of Deli Serdang Regency. Multivariate analysis revealed that accessibility was the most dominant variable explaining the utilization of TB services. The R value of 0.139 indicates that accessibility, disease severity, and individual perception can explain 13.9% of the variance in the utilization of pulmonary TB services. It can be concluded that the utilization of TB services in peripheral areas remains low and is influenced by multiple factors. The implications of this study highlight the need for integrated interventions to improve service accessibility. The findings are expected to serve as recommendations for local governments and policymakers in formulating sustainable TB elimination strategies