Isfandiari Muhammad Atoillah, Wahyuni Chatarina Umbul, Pranoto Agung
Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya 60115, Indonesia.
Healthcare (Basel). 2022 May 9;10(5):872. doi: 10.3390/healthcare10050872.
Indonesia is currently undergoing an epidemiological transition, with the double burden of disease due to increasing industrialization and urbanization leading to an increase in the prevalence of non-communicable diseases such as obesity and diabetes. On the other hand, the prevalence of infectious diseases such as tuberculosis remains high. Several factors were considered as risk factors in tuberculosis coincidence with type 2 diabetes mellitus. The purpose of this study was to develop a predictive index for tuberculosis in type 2 diabetes mellitus patients based on their biological, social, and environmental factors, and their psychological well-being as well. This case-control study involved 492 respondents consisting of 246 type 2 diabetes mellitus patients The variables studied were biological and social factors, the quality of their housing, and psychological well-being. Data analysis was conducted using a logistic regression test. The results showed that the predictive index formula was as follows: -3.218 + 0.867 × age + 1.339 × sex + 1.493 × history of contact with previous patient + 1.089 × glycemic control + 1.622 × tuberculosis clinical symptoms + 1.183 × body mass index + 0.891 × duration of diabetes mellitus + 0.454 × area of ventilation + 0.583 × psychological well-being. It is suggested that health workers, especially in primary health care facilities, will be able to increase the awareness of the risk of the coincidence of diabetes mellitus with tuberculosis.
印度尼西亚目前正在经历流行病学转变，由于工业化和城市化进程的加快，疾病负担双重化，导致肥胖和糖尿病等非传染性疾病的患病率上升。另一方面，结核病等传染病的患病率仍然很高。有几个因素被认为是结核病与2型糖尿病并发的危险因素。本研究的目的是基于2型糖尿病患者的生物、社会和环境因素以及他们的心理健康状况，制定一个结核病预测指数。这项病例对照研究涉及492名受访者，其中包括246名2型糖尿病患者。所研究的变量包括生物和社会因素、住房质量以及心理健康状况。数据分析采用逻辑回归检验。结果表明，预测指数公式如下：-3.218 + 0.867×年龄 + 1.339×性别 + 1.493×与既往患者接触史 + 1.089×血糖控制 + 1.622×结核病临床症状 + 1.183×体重指数 + 0.891×糖尿病病程 + 0.454×通风面积 + 0.583×心理健康状况。建议卫生工作者，尤其是基层医疗卫生机构的工作者，能够提高对糖尿病与结核病并发风险的认识。
