FAKTOR RISIKO KEJADIAN DIARE PADA MASYARAKAT YANG TINGGAL DI SEPANJANG SUNGI DELI, SUMATERA UTARA

Abstract

Background: Diarrheal disease is the second leading cause of death in children under five years old, and is responsible for killing around 525 000 children every year. Interventions to prevent diarrhea, including safe drinking-water, use of improved sanitation and hand washing with soap can reduce disease risk. This study aimed to investigate risk factors of diarrhea among communities living nearby Deli river area, North Sumatera.

Subjects and Method : This was a cross-sectional study conducted in communities living nearby Deli river area, North Sumatera. A total of 96 subjects were selected for this study. The dependent variable was diarrhea incidence. The independent variables were use of toilet, clean water, hand wash, processing of waste, human excreta. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results : The risk of diarrhea increased with poor use of toilet (PR=1.67; 95%CI 0.99 to 2.79; p=0.040), poor use of clean water (PR=1.66; 95%CI 1.02-2.70; p=0.035), hand washing without soap (PR=1.74; 95%CI 1.12 to 2.68; p=0.002), poor garbage management (PR=2.50; 95%CI 1.33 to 4.89; p=0.001), improper human excreta disposal (PR=1.64; 95%CI 1.04 to 2.60; p=0.032). Waste management behavior is the variable that is most related to the incidence of diarrhea in infants in Deli River Watershed in 2018. Model of Logical Logical Regression Equation (p / (1-p)) = -2,254 + 1,162 handwashing behavior + 1,024 clean water facilities + 1,593 waste management

Conclusion: The risk of diarrhea increases with poor use of toilet, poor use of clean water, hand washing without soap, poor garbage management, and improper human excreta disposal.