Pengaruh Perilaku Orang Tua Balita terhadap Terjadinya Demam Tifoid di Tiga Rumah Sakit Kota Medan Tahun 2014

Abstract

Typhoid fever is one of transmitted diseases which is closely related to unhealthy environment. Typhoid fever ranks the third of the 10 inpatient serious diseases in the Indonesia hospitals with CFR 6, 7 per 1000. In the Indonesian hospital it ranks the second of the 10 serious diseases with the proportion of 114 per 1. 000 people. In 2014, there were 20 cases of typhoid in dr. Pirngadi Hospital, 41 cases in Putri Hijau Hospital, and 37 cases in Haji Hospital, Medan. The objective of the research was to analyze the influence of the behavior of parents who had balita (below ive year-old children) on the incidence of typhoid fever in three hospitals in Medan, in 2014. The research was an observational analytic with case control approach. The samples consisted of 40 cases and 40 controls. The data were gathered by conducting interviews and analyzed by using univariate analysis, bivatriate analysis with chi square test, multivatriate analysis with multiple logistic regression analysis by calculating Population Attribute Risk. The result of the bivatriaet analysis showed that there was the correlation between knowledge at OR = 6,152 (95%CJ:2,334-16,211), action at OR = 3,095 (95%CI:l,243-7,706), and drinking water supply at OR = 2,852 (95%CI:l,137- 7, 152) an the incidence of typhoid. The results of multivatriate analysis showed that the variable which had the most dominant influence on the incidence of typhoid fever in three hospitals in Medan was knowledge at OR 6,152(95%CI:2,334-16,211). The probability value of the people who where affected by typhoid feverwas 81, 7%. The dominant risk factor could be corrected so that it couldprevent from theincidence of typhoid fever o/70,9%. Knowledge was the variable which had the most dominant influence on the incidence of typhoid fever. Therefore, it is recomended that the management of the hospitals should not only provide medication but also provide promotion and prevention, and the people should participate in preventing and the transmission of typhoid fever.