Rejeki Dwi Sarwani Sri, Solikhah Solikhah, Wijayanti Siwi Pramatama M
Department of Public Health, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia.
Iran J Public Health. 2021 Sep;50(9):1816-1824. doi: 10.18502/ijph.v50i9.7054.
Risk factors of Malaria transmission at cross-boundaries area is important to be identified. This study aimed to identify the risk factors of Malaria transmission at cross-boundaries area in Menoreh Hills, Java, Indonesia.
The design of the study was an observational study with a case-control design. Data on malaria cases and controls were obtained from the Primary Health Care in Menoreh. All malaria positive patients with clinical and laboratory examinations recorded in health services during 1 Jan 2015-31 Dec 2015. Overall, 138 cases and 138 controls were included. Several variables were collected such as altitude, night out behavior, the use of mosquito nets, nighttime bed, travel history, mosquito bite prevention activities, cattle ownership, distance to mosquito breeding site, etc. Data were obtained by structured questionnaires and observation. Data were analyzed by univariate, bivariate and multivariate.
The altitude of house >500 m above sea level proved to be influential as a risk factor for Malaria (OR 3.62, 95% CI 1.61-8.16, =0.002). Several variables were identified as a risk factor of Malaria such as the wall of the house from bamboo/wood, no insecticide and distance of house <100 m from mosquito breeding site.
An awareness for the local health sector particularly to provide a recommendation for house construction to protect a community from Malaria transmission.
确定跨界地区疟疾传播的风险因素很重要。本研究旨在确定印度尼西亚爪哇省梅诺雷山跨界地区疟疾传播的风险因素。
本研究设计为病例对照观察性研究。疟疾病例和对照的数据来自梅诺雷山的初级卫生保健机构。收集了2015年1月1日至2015年12月31日期间卫生服务机构记录的所有经临床和实验室检查确诊的疟疾阳性患者。总共纳入了138例病例和138名对照。收集了几个变量，如海拔、夜间外出行为、蚊帐使用情况、夜间床铺、旅行史、防蚊叮咬活动、养牛情况、距蚊虫滋生地的距离等。数据通过结构化问卷和观察获得。数据进行了单变量、双变量和多变量分析。
房屋海拔>500米被证明是疟疾的一个有影响的风险因素（比值比3.62，95%置信区间1.61 - 8.16，P = 0.002）。几个变量被确定为疟疾的风险因素，如房屋墙壁为竹/木结构、未使用杀虫剂以及房屋距蚊虫滋生地<100米。
当地卫生部门应提高认识，特别是要为房屋建设提供建议，以保护社区免受疟疾传播。
