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影响印度尼西亚雅加达西部钩端螺旋体病发病率的社区行为

Community Behaviors That Affect the Incidence of Leptospirosis in West Jakarta, Indonesia.

作者信息

Susanna Dewi, Nova Rusyda Ihwani Tantia, Rozek Laura

机构信息

Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.

Master Program of Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.

出版信息

Vector Borne Zoonotic Dis. 2023 Jan;23(1):29-34. doi: 10.1089/vbz.2022.0023. Epub 2022 Dec 12.

Abstract

Leptospirosis is an infectious disease caused by a pathogenic species transmitted directly or indirectly from animals to humans. It is endemic in Southeast Asia in several countries, including Indonesia and Thailand. Therefore, this study aimed to determine the effect of community behavior on the incidence of leptospirosis in West Jakarta in 2019. The study used a case-control design, and data were obtained from the West Jakarta Health Office. The sample included 140 respondents, consisting of 70 leptospirosis patients (cases) and 70 participants who did not suffer from the disease (controls) in a 1:1 ratio. In the bivariate analysis, there were significant effects on leptospirosis incidence from knowledge (odds ratio [OR] = 18.789), occupation (OR = 31.875), injury history (OR = 20.842), and recreation (OR = 0.294). Multivariate analysis showed significant effects based on occupation, present wounds, and recreation records. Occupation was a dominant factor in leptospirosis in West Jakarta (OR 54.116: 95% confidence interval: 4.435-660.372). The dominant factors for leptospirosis were risky occupations, followed by a history of injuries.

摘要

钩端螺旋体病是一种由致病物种引起的传染病,可直接或间接从动物传播给人类。它在包括印度尼西亚和泰国在内的东南亚几个国家呈地方性流行。因此,本研究旨在确定2019年雅加达西部社区行为对钩端螺旋体病发病率的影响。该研究采用病例对照设计,数据来自雅加达西部卫生局。样本包括140名受访者,按1:1的比例,由70名钩端螺旋体病患者(病例)和70名未患该病的参与者(对照)组成。在双变量分析中,知识(优势比[OR]=18.789)、职业(OR=31.875)、受伤史(OR=20.842)和娱乐活动(OR=0.294)对钩端螺旋体病发病率有显著影响。多变量分析显示,基于职业、现有伤口和娱乐活动记录有显著影响。职业是雅加达西部钩端螺旋体病的主要因素(OR 54.116:95%置信区间:4.435-660.372)。钩端螺旋体病的主要因素是危险职业,其次是受伤史。

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