Rengganis Wardani Dyah Wulan Sumekar, Wahono Endro Prasetyo
Department of Public Health, Faculty of Medicine, University of Lampung, Bandar Lampung, Indonesia.
Department of Civil Engineering, Faculty of Engineering, University of Lampung, Bandar Lampung, Indonesia.
Indian J Community Med. 2018 Jul-Sep;43(3):204-208. doi: 10.4103/ijcm.IJCM_60_18.
The current evidence shows that people in low-socioeconomic positions tend to be at high risk for tuberculosis (TB) transmission.
The aim of this study is to identify the significance of socioeconomic position and TB risk factors to TB transmission, particularly in Bandar Lampung, Indonesia.
This cross-sectional study, conducting in January-November 2017, included 166 samples of smear-positive TB patients collected from 30 community health centers across the city that had implemented DOTS strategy.
The latent variables consisted of the following: socioeconomic position, housing, nutritional, healthcare access, and TB transmission, which was measured through corresponding indicators. The data were collected through in-depth interviews.
Data analyzed using the partial least square method.
Determinants of socioeconomic position through housing determinants significantly influence TB transmission with 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.
TB 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.
目前的证据表明，社会经济地位较低的人群往往面临较高的结核病传播风险。
本研究的目的是确定社会经济地位和结核病风险因素对结核病传播的重要性，特别是在印度尼西亚楠榜市。
这项横断面研究于2017年1月至11月进行，纳入了从全市30个实施直接观察短程化疗（DOTS）策略的社区卫生中心收集的166例涂片阳性结核病患者样本。
潜在变量包括社会经济地位、住房、营养、医疗保健可及性和结核病传播，通过相应指标进行测量。数据通过深入访谈收集。
使用偏最小二乘法分析数据。
通过住房决定因素的社会经济地位决定因素对结核病传播有显著影响，贡献率为42.3%。他们还表明，教育、住房密度指数和家庭内部传播是解释其相关潜在变量的最强指标。
结核病控制项目应与教育改善、住房密度指数降低以及加强家庭内部接触者检查相结合。这些项目应由卫生机构和其他相关机构提供支持。研究结果将改善结核病控制项目，特别是在社会经济差距较大的低收入和中等收入国家。
