HUBUNGAN ANTARA KETERPAJANAN ASAP ROKOK DAN RIWAYAT PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) DI INDONESIA

Nunik Kusumawardani, Ekowati Rahajeng, Rofingatul Mubasyiroh, Suhardi Suhardi

Abstract


ABSTRACT

Smoking is a public health problem. The health impact is related to degenerative diseases caused by smoking such as Chronic Obstructive Pulmonary Disease (COPD). WHO states that COPD is the third leading cause of death in the world. The study aims to determine the relationship between cigarette smoke exposures (active and passive) and COPD. The study design was cross-sectional. Sample was 17,246 subjects of the 2013 Basic Health Research  aged> 30 years. The variables analyzed were COPD, gender, age, current smoking habit, smokers, passive smokers and former smokers. Logisticregression analysis with a complex sample to see the difference and the strength of the relationship of smoking habits and cigarette smoke exposures with a history of diagnosed COPD. The results showed a higher risk of developing COPD are in the group of smokers every day (including ex-smokers every day) with an OR of 3.73. Tobacco smoke exposures in the population who do not smoke (including passive smokers) have a significant relationship with the incidence of COPD, with OR of 1.69.

Keywords: Expossure, cigarrete smoke, COPD

 

ABSTRAK

Kebiasaan merokok merupakan salah satu masalah kesehatan masyarakat. Dampak kesehatan yang paling jelas terlihat adalah terkait munculnya penyakit-penyakit degeneratif akibat rokok seperti Penyakit Paru Obstruktif Kronik (PPOK). WHO menyebutkan PPOK merupakan penyebab kematian ketiga di dunia. Penelitian bertujuan mengetahui besarnya hubungan antara keterpajanan asap rokok(aktif maupun pasif) dengan kejadian PPOK. Penelitian menggunakan data Riskesdas 2013 dengan sampel seluruh anggota rumah tangga yang berusia > 30 tahun, yaitu sejumlah 17.246 responden. Variabel yang dianalisis adalah PPOK, jenis kelamin, usia, kebiasaan merokok saat ini, perokok berat, perokok pasif, dan mantan perokok. Analisis menggunakan legresi logistik  untuk melihat perbedaan dan kekuatan hubungan kebiasaan merokok dan keterpajanan asap rokok dengan riwayat pernah didiagnosa PPOK. Hasil penelitian menunjukkan risiko PPOK lebih tinggi pada kelompok perokok setiap hari (termasuk mantan perokok setiap hari) dengan OR 3,73. Keterpajanan asap rokok pada populasi yang tidak merokok (termasuk perokok pasif) mempunyai hubungan yang bermakna terhadap kejadian PPOK, dengan nilai OR sebesar 1,69.

Kata kunci: Keterpajanan, asap rokok, PPOK


Keywords


Keterpajanan, asap rokok, PPOK

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