HUBUNGAN KONDISI PERUMAHAN DENGAN RISIKO PENULARAN TUBERKULOSIS PARU DI WILAYAH PUSKESMAS LARANGAN KOTA CIREBON

Abstract

Background : Pulmonary tuberculosis (TB) continues to pose a significant public health problem in Indonesia, with household environmental factors influencing disease transmission. This study aimed to examine the association between housing conditions and pulmonary TB risk in the working area of the Larangan Health Center, Cirebon City. Methods : A case-control design was employed, including 36 smear-positive TB cases and 36 controls selected from neighboring households using purposive sampling. Data were collected through direct observation and measurement of ventilation, lighting, air humidity, occupancy density, wall and floor materials, and ceiling condition, using standardized instruments. Univariate, bivariate (Chi-square), and multivariate (binary logistic regression) analyses were performed. Results : Results indicated that poor ventilation and high occupancy density were significantly associated with increased TB risk, with adjusted odds ratios of 4.30 (95% CI: 1.50–12.20) and 3.60 (95% CI: 1.30–10.10), respectively. Other housing factors were not significant in the multivariate model. Conclusion : The findings emphasize the importance of improving household ventilation, reducing overcrowding, and integrating environmental interventions into TB control programs. Public health strategies combining housing modifications and community education are recommended to mitigate pulmonary TB transmission in high-risk areas.