Indian Journal of Public Health Research & Development

Sofa Khasani ¹, Tri Yunis Miko Wahyono ²

Affiliations
1 Master of Epidemiology Student, School of Public Health, University of Indonesia, ID
2 Department of Epidemiology, School of Public Health, University of Indonesia, ID

Abstract

Background: Measles is a major cause of child mortality worldwide. High measles immunization coverage is required in reducing the child mortality. The study aimed to identify the determinants of first dose measles immunization in four districts in Indonesia.

Method: This cross sectional study used secondary data of The Assessment of Second Dose Measles Immunization and Immunization for School Children Coverage in Two Provinces in Indonesia in 2017. Sample were total of 1,200 respondents whose children aged 12-37 months in the survey. Bivariate and multivariate analysis were used to examine the predisposing, enabling, need, and reinforcing factors associated with the immunization.

Results: Factors that statistically associated with the immunization were attitudes toward immunization service quality PR=1,35 (95%CI 1,02-1,79); information on immunization PR=3,17 (95%CI 2,37-4,22); perceived needs of immunization PR=1,55 (95%CI 1,13-2,13); and family support PR=9,07 (95%CI 5,76- 14,28). The dominant determinant was the family support.

Conclusion: All the factors associated to the first dose measles immunization have important role in the child immunization. Therefore, stakeholders were expected to intervent all the factors in increasing the immunization coverage.

Keywords

Immunization, First Dose Measles, Indonesia.

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Zarnuzi ¹, Tri Yunis Miko Wahyono ²

Affiliations
1 Master of Epidemiology Student, School of Public Health, University of Indonesia, ID
2 Department of Epidemiology, School of Public Health, University of Indonesia, ID

Abstract

This study aims to determine the relationship of the Body Mass Index (BMI) to the incidence of Tuberculosis. This is a cross-sectional study. The subjects in this study were people aged ≥18 years who were interviewed and had complete data. We investigated Tuberculosis-related factors in Indonesia associated with body mass index by controlling other confounding variables. Statistical analysis with p value <0.05 was considered significant. The prevalence of tuberculosis in respondents is 1%. Chi square test showed a significant relationship between body mass index and tuberculosis (p <0.001). Multivariate analysis showed that people with thin BMI were 2.54 times at risk of tuberculosis compared to people with normal BMI. Active discovery of Tuberculosis cases must be carried out to increase the number of case finding by involving the participation of the community and across sectors.

Keywords

Body Mass Index, Tuberculosis, Cross-sectional, Indonesia.

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Udin Komarudin ¹, Tri Yunis Miko Wahyono ²

Affiliations
1 Master of Epidemiology Student, School of Public Health, University of Indonesia, Depok, West Java 16424, ID
2 Department of Epidemiology, School of Public Health, University of Indonesia, Depok, West Java 16424, ID

Abstract

Transgender people are 49 times more likely to live with HIV than common people. In 2015 HIV prevalence in Indonesia increased from 2011. This study aims to determine the risk factors associated with HIV infection in transvestites. This study used a cross-sectional design, using data from the Indonesian Ministry of Health’s Integrated Biological and Behavior Survey in 2015, the study population was all transvestites in five cities in Indonesia, the sample was someone who was biologically male but behaved like a woman, aged ≥15 years interviewed and have complete data. We investigate risk factors associated with HIV infection. Data analysis used the SPSS application, for p-value statistical tests <0.05 were considered statistically significant. Results: 64% of transvestites aged over 30 years, 57% had low education, 67% of transvestites had anal sex in the past week, 86% of transvestites used condoms during sex, the results of multivariate analysis showed that factors associated with HIV infection were having sex with male client at last week (OR=1.60, 95% CI: 1.04-2.45); age ≥30 years (OR=1.61, 95% CI: 1.10-2.38) and had a history of symptoms of STIs in the last year (OR=1.88, 95% CI: 1.24-2.85). Risk factors associated with HIV infection among transvestites in five cities in Indonesia are having anal sex with male client in the past week; Age ≥30 years; and have a history of symptoms of STIs in the past year.

Keywords

Risk Factors, HIV Infection, Transvestites, Indonesia.

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