Faktor yang Memengaruhi Kejadian ISPA pada Balita di Wilayah Kerja Puskesmas XIII Koto Kampar I Kabupaten Kampar Tahun 2014

(1)

Lampiran 1

KUESIONER PENELITIAN

DETERMINAN KEJADIAN ISPA PADA BALITA

DI WILAYAH KERJA PUSKESMAS XIII KOTO KAMPAR I

KABUPATEN KAMPAR TAHUN 2014

No. Pertanyaan

Jawaban

I. IDENTITAS RESPONDEN (IBU

BALITA)

1. Nama Ibu :

2. Umur Ibu

…...………… Tahun

3. Alamat

4. Pendidikan

1. Tidak sekolah/tidak tamat SD

2. SD

3. SMP

4. SMA

5. Akademik/Perguruan Tinggi

5. Pekerjaan

1. PNS

2. Pegawai Swasta

3. Wiraswasta

4. Petani

5. Tidak bekerja/IRT

II

IDENTITAS BALITA

6. Nama Balita :

7. Jenis Kelamin

Laki-laki/Perempuan

8. Umur

………... Bulan

9. Berat Badan

………....Kg

10. Berat Badan Lahir (KMS)

………Gram

11. Apakah anak balita anda mendapat ASI

dan diberi makanan tambahan?

1. Tidak mendapat ASI

2. Mendapat ASI

12. Status Gizi

1. Gizi Tidak Baik

(2)

13. Apakah anak balita anda mendapatkan

imunisai :

1. Tidak Lengkap

2. Lengkap

BCG ... kali

DPT ...kali

Polio ...kali

Campak ...kali

Hepatitis B ...kali

III

FAKTOR LINGKUNGAN FISIK RUMAH

14. Luas Ventilasi Rumah

15. Jumlah anggota keluarga yang

menetap di rumah

16. Luas lantai rumah

17. Jenis bahan bakar apa yang

sering digunakan untuk

memasak?

... m x ... m = ...m2

... orang

... m x ... m = ...m2

1. Kayu bakar

2. Minyak tanah

IV STATUS PENYAKIT ISPA PADA BALITA

18. Apakah dalam dua minggu

terakhir ini anak ibu mengalami

tanda-tanda klinis seperti batuk dan

atau pilek, disertai demam atau tidak?

(3)

Lampiran 3

Uji validitas dan Reliabilitas

Reliability Statistics

Cronbach's Alpha N of Items

.874 7

Item-Total Statistics

Scale Mean if Item Deleted

Scale Variance if Item Deleted

Corrected Item-Total Correlation

Cronbach's Alpha if Item Deleted

berat_badan_lahir 9.97 5.137 .507 .876

asi 9.90 4.576 .841 .831

status_gizi 9.90 4.576 .841 .831

imunisasi 9.87 5.154 .547 .870

ventilasi 9.90 4.576 .841 .831

kepadatan_rumah 9.93 5.375 .403 .888

(4)

Lampiran 4

Hasil Uji Statistic

1. Analisis Univariat

ISPA

Frequency Percent Valid Percent Cumulative Percent

Valid ISPA 140 54.3 54.3 54.3

Tidak ISPA 118 45.7 45.7 100.0

Total ₂₅₈ _100.0 _100.0

umur_ibu_kat

Valid >30 tahun 211 81.8 81.8 81.8

<=30 tahun 47 18.2 18.2 100.0

Total ₂₅₈ _100.0 _100.0

pendidikan

Valid Rendah 73 28.3 28.3 28.3

Tinggi 185 71.7 71.7 100.0

Total ₂₅₈ _100.0 _100.0

pekerjaan

Valid Bekerja 76 29.5 29.5 29.5

Tidak Bekerja 182 70.5 70.5 100.0

Total ₂₅₈ _100.0 _100.0

jenis_kelamin_balita

Valid Laki-laki 123 47.7 47.7 47.7

Perempuan 135 52.3 52.3 100.0

(5)

umur_balita

Valid 0-11 Bulan 42 16.3 16.3 16.3

12-59 Bulan 216 83.7 83.7 100.0

Total ₂₅₈ _100.0 _100.0

BBLR

Valid BBLR 105 40.7 40.7 40.7

Tidak BBLR 153 59.3 59.3 100.0

Total ₂₅₈ _100.0 _100.0

ASI

Valid Tidak ASI 78 30.2 30.2 30.2

ASI 180 69.8 69.8 100.0

Total ₂₅₈ _100.0 _100.0

status_gizi

Valid Tidak Baik 99 38.4 38.4 38.4

Baik 159 61.6 61.6 100.0

Total ₂₅₈ _100.0 _100.0

status_imunisasi

Valid Tidak Lengkap 88 34.1 34.1 34.1

Lengkap 170 65.9 65.9 100.0

Total ₂₅₈ _100.0 _100.0

ventilasi_rumah

Valid Tidak Memenuhi Syarat 111 43.0 43.0 43.0

(6)

ventilasi_rumah

Memenuhi Syarat 147 57.0 57.0 100.0

Total ₂₅₈ _100.0 _100.0

kepadatan_rumah

Memenuhi Syarat 150 58.1 58.1 100.0

Total ₂₅₈ _100.0 _100.0

bahan_masak

Valid Kayu Bakar 130 50.4 50.4 50.4

Minyak Tanah 128 49.6 49.6 100.0

Total ₂₅₈ _100.0 _100.0

2. Analisis Bivariat BBLR * ISPA

Crosstab

ISPA

Total

ISPA Tidak ISPA

BBLR BBLR Count 64 41 105

Expected Count 57.0 48.0 105.0

% within BBLR 61.0% 39.0% 100.0%

% within ISPA 45.7% 34.7% 40.7%

% of Total 24.8% 15.9% 40.7%

Tidak BBLR Count 76 77 153

% within BBLR 49.7% 50.3% 100.0%

% within ISPA 54.3% 65.3% 59.3%

% of Total 29.5% 29.8% 59.3%

(7)

% within BBLR 54.3% 45.7% 100.0%

% within ISPA 100.0% 100.0% 100.0%

% of Total 54.3% 45.7% 100.0%

Value df

Asymp. Sig. (2-sided)

Exact Sig. (2-sided)

Association 3.179

c

1 .075 .077 .048

N of Valid Cases 258

a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 48.02. b. Computed only for a 2x2 table

c. The standardized statistic is 1.783.

d. For 2x2 crosstabulation, exact results are provided instead of Monte Carlo results.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for BBLR

(BBLR / Tidak BBLR) 1.582 .955 2.618

For cohort ISPA = ISPA 1.227 .984 1.531

For cohort ISPA = Tidak

ISPA .776 .583 1.033

(8)

ASI * ISPA

Association .996

c

1 .318 .343 .194

c. The standardized statistic is .998.

(9)

Value

Lower Upper

Odds Ratio for ASI (Tidak

ASI / ASI) 1.315 .768 2.252

ISPA .859 .632 1.167

tatus_gizi * ISPA

Crosstab

Pearson Chi-Square 4.527a 1 .033 .040 .023

Continuity Correctionb 3.996 1 .046

Likelihood Ratio 4.560 1 .033 .040 .023

(10)

Linear-by-Linear

Association 4.509

c

1 .034 .040 .023

Risk Estimate

Value

Lower Upper

Odds Ratio for status_gizi

(Tidak Baik / Baik) 1.740 1.043 2.905

For cohort ISPA = ISPA 1.277 1.025 1.590

ISPA .734 .545 .987

(11)

Status_imunisasi * ISPA

Crosstab

ISPA

Total

ISPA Tidak ISPA

status_imunisasi Tidak

Lengkap

Count 51 37 88

% within

status_imunisasi 58.0% 42.0% 100.0%

% within ISPA 36.4% 31.4% 34.1%

% of Total 19.8% 14.3% 34.1%

Lengkap Count 89 81 170

% within

% within ISPA 63.6% 68.6% 65.9%

% of Total 34.5% 31.4% 65.9%

Total Count 140 118 258

% within

% within ISPA 100.0% 100.0% 100.0%

% of Total 54.3% 45.7% 100.0%

Value Df

Association .730

c

1 .393 .430 .235

(12)

Value Df

Association .730

c

1 .393 .430 .235

Risk Estimate

Value

Lower Upper

Odds Ratio for

status_imunisasi (Tidak Lengkap / Lengkap)

1.254 .746 2.109

ISPA .882 .659 1.181

Ventilasi_rumah * ISPA

Crosstab

% within ventilasi_rumah 71.2% 28.8% 100.0%

(13)

% within ISPA 43.6% 72.9% 57.0%

% of Total 23.6% 33.3% 57.0%

% within ISPA 100.0% 100.0% 100.0%

% of Total 54.3% 45.7% 100.0%

Value Df

Fisher's Exact Test .000 .000

Linear-by-Linear

Association 22.353

c

1 .000 .000 .000

Risk Estimate

Value

Lower Upper

Odds Ratio for

ventilasi_rumah (Tidak Memenuhi Syarat / Memenuhi Syarat)

3.481 2.058 5.888

ISPA .493 .357 .680

(14)

Kepadatan_Rumah * ISPA

Tidak Memenuhi Syarat

Count 74 34 108

% within

kepadatan_rumah 68.5% 31.5% 100.0%

% within ISPA 52.9% 28.8% 41.9%

% of Total 28.7% 13.2% 41.9%

Memenuhi Syarat Count 66 84 150

% within

% within ISPA 47.1% 71.2% 58.1%

% of Total 25.6% 32.6% 58.1%

% within

% within ISPA 100.0% 100.0% 100.0%

% of Total 54.3% 45.7% 100.0%

Value Df

Linear-by-Linear

Association 15.150

c

1 .000 .000 .000

(15)

Risk Estimate

Value

Lower Upper

Odds Ratio for

kepadatan_rumah (Tidak Memenuhi Syarat / Memenuhi Syarat)

2.770 1.649 4.652

ISPA .562 .411 .768

Bahan_masak * ISPA

Crosstab

ISPA

Total

ISPA Tidak ISPA

bahan_masak Kayu Bakar Count 89 41 130

% within bahan_masak 68.5% 31.5% 100.0%

% within ISPA 63.6% 34.7% 50.4%

% of Total 34.5% 15.9% 50.4%

Minyak Tanah Count 51 77 128

% within ISPA 36.4% 65.3% 49.6%

% of Total 19.8% 29.8% 49.6%

% within ISPA 100.0% 100.0% 100.0%

(16)

Value df

Linear-by-Linear

Association 21.201

c

1 .000 .000 .000

Risk Estimate

Value

Lower Upper

Odds Ratio for bahan_masak (Kayu Bakar / Minyak Tanah)

3.277 1.964 5.468

ISPA .524 .392 .701

(17)

Analisis Multivariat

Block 1: Method = Backward Stepwise (Wald)

Omnibus Tests of Model Coefficients

Chi-square df Sig.

a. A negative Chi-squares value indicates that the Chi-squares value has decreased from the previous step.

Model Summary

Step -2 Log likelihood Cox & Snell R Square Nagelkerke R Square

1 304.007a _.179 _.239

2 304.007a _.179 _.239

3 304.128a _.178 _.238

4 305.683a _.173 _.231

a. Estimation terminated at iteration number 4 because parameter estimates changed by less than .001.

Classification Tablea

Observed

Predicted

ISPA

Percentage Correct

ISPA Tidak ISPA

Step 1 ISPA ISPA 104 35 74.8

Tidak ISPA 43 75 63.6

Overall Percentage _69.6

(18)

Omnibus Tests of Model Coefficients

Variables in the Equation

B S.E. Wald df Sig. Exp(B)

(19)

Variables not in the Equation

Score df Sig.

Step 2a _Variables _asi _.000 ₁ _.983

Overall Statistics .000 1 .983

Step 3b _Variables _asi _.001 ₁ _.978

imunisasi .120 1 .729

Overall Statistics .121 2 .941

Step 4c _Variables _asi _.048 ₁ _.826

status_gizi 1.558 1 .212

imunisasi .215 1 .643