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Tingkat Disabilitas Fisik Berdasarkan Penyakit Degeneratif yang Diderita Menurut Faktor Sosial dan Demografi (Kajian Isu Publik dalam Formulasi Kebijakan Kesehatan)


Didik Budijanto
Wahyu Dwi Astuti
2009

Abstract

Background: Riskesdas 2007 showed that 18.4% had been death by stroke; 8.3% by Diabetes Mellitus and hipertension;6.7% by heart. Hipertension is main trigger of stroke attacked and it is caused physical disability. Methods: Therefore the research will know a risk of physical disability that assosiation with degeneratif disease and background characteristic. Sample size are 664.196 persons. As dependent variable was physical disability and independent variable were degenaratif disaese (rheumatic, astma, heart, diabetes mellitus, emotional mental, stroke, and hipertension), also as modifier and confounder variable are background characteristic (age, sex, urban/rural, quintil). Data analysis use multiple logistic regression. Results: The result show that heart, emotional mental, rheumatic and astma disease in rural area are more higher than urban area. But diabetes mellitus, hipertension, stroke, and tumor disease in urban are more higher than rural area. Physical disability that caused by degeneratif diseases had deferent risk in urban and rural area. In urban area, a victim of heart disease has risk to get physical disability 1,5 times than not a victim of heart disease (OR=1.518), a victim of diabetes mellitus 2.06 times (OR=2.06), a victim of rheumatic 2.77 times (OR=2.77), Astma 1.65 times (OR=1,65), emotional mental 2.54 times (OR=2.541). In rural area, a victim of heart disease has risk to get physical disability 1,58 times than not a victim of heart disease (OR=1.584), a victim of diabetes mellitus 1.5 times (OR=1.524), a victim of rheumatic 2,55 times (OR=2.557), Astma 1.21 times (OR=1.217), emotional mental 1.9 times (OR=1.904). The conclusion, physical disability was more higher in rural than urban area. Rheumatic disease has biggest risk to get physical disability than other degeneratif disease. Key words: physical disability - degenartif diseases.

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