Wardani, Dyah Wulan and Wahono, Endro Prasetyo (2018) Prediction Model of Tuberculosis Transmission Based on Its Risk Factors and Socioeconomic Position in Indonesia. Indian Journal of Community Medicine, 43 (3). pp. 204-208. ISSN 0970-0218

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Abstract

Context: The current evidence shows that people in low socioeconomic positions tend to be at high risk for TB transmission. Aims: To identify the significance of socioeconomic position and TB risk factors to TB transmission, particularly in Bandar Lampung, Indonesia. Settings and Design: This cross-sectional study, conducting in January – November 2017, included 166 samples of smear-positive TB patients collected from 30 primary health centres across the city that had implemented DOTS strategy. Methods and Material: The latent variables consisted of: socioeconomic position, housing, nutritional, healthcare access, and TB transmission, which was measured through corresponding indicators. The data was collected through in-depth interviews. Statistical analysis used: Data analyzed using Partial least square method. Results: Determinants of socioeconomic position through housing determinants significantly influence TB transmission with R2 of 42.3%. They also show that education, housing density index, and internal house transmission are the strongest indicators in explaining their associated latent variables. Conclusions: Tuberculosis control program should be integrated with education improvement, a reduction of housing density index, and strengthened examinations of internal house contacts. These programs should be supported by health institutions and other related institutions. The findings will improve TB control programs, especially in low and middle income countries with high socioeconomic disparity.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Fakultas Kedokteran (FK) > Prodi Pendidikan Dokter
Depositing User: Dr. Dyah Wulan S.R. Wardani
Date Deposited: 02 May 2019 04:10
Last Modified: 02 May 2019 04:10
URI: http://repository.lppm.unila.ac.id/id/eprint/11473

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