Determinants of Pulmonary TB Patient Deaths in the Sukaraja Community Health Center, Bogor Regency, 2019-2022

Anna  Sunita; Bobih  Sukardi; Cicilia  Windianingsih; Ahdun  Trigono

Anna Sunita
Bobih Sukardi
Cicilia Windianingsih
Ahdun Trigono

Keywords: Death for Pulmonary TB Patients, Smoking

Abstract

Indonesia is ranked third in the number of tuberculosis cases in the world after India and China. Tuberculosis is a contagious disease that can cause death. The risk of developing TB disease includes individual factors (age, gender, income level, education level, socio-economic), home environmental factors, smoking habits, contact history, and so on. This study aims to determine the factors associated with the death of pulmonary TB patients in the working area of the Sukaraja Public Health Center, Bogor Regency. This study uses a quantitative method with a case control design. Data collection techniques using a questionnaire. A sample of 82 respondents with a ratio of 1:4, namely 19 cases and 63 controls. The sampling frame comes from TB registers 01, 04 and 06 at the Sukaraja Health Center who died in the period 2019 - 2022 as cases. Meanwhile, the controls were TB patients who did not die during the same year and were declared cured or had complete treatment. Univariate analysis, bivariate with chi square test and multivariate analysis using logistic regression test. The results showed that the risk factors associated with the death of pulmonary TB patients were gender (p=0.013), BCG vaccine (p=0.002), comorbidities (p=0.006), previous history of TB (p=0.010), smoking (p= 0.007), and the physical condition of the house (p=0.008). The final model of this study is that smoking is associated with TB death at the Sukaraja Health Center, Bogor Regency, with a risk of death for pulmonary TB patients up to 7,273 times compared to non-smokers, if the patient has a history of not being vaccinated with BCG, male gender, previous history of TB, has comorbidities, and living in a non-standard physical home environment. It is recommended that the Bogor District Health Office establish a smoking cessation program for pulmonary TB patients and carry out continuous monitoring of smoking behavior, especially in pulmonary TB patients. Continuing research with a better retrospective or prospective cohort design, especially exposure to cigarette smoke which causes the death of pulmonary TB patients.

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Risk Stratification and Factors Associated with Abandonment of Tuberculosis Treatment in a Secondary Referral Unit

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