Factor Associated with Underweight among People with Tuberculosis

Abstract

Background: The relationship between Tuberculosis (TB) and nutritional status is a significant one. Patients with TB who are underweight face a higher risk of death. Purpose: This research aims to analyze the factors related to the occurrence of being underweight among TB patients at the Public Health Center (PHC) in Perak Timur, Surabaya. Method: This was an analytical observational study and used a cross-sectional design. The sample for this research was 41 respondents, who were TB patients and were undergoing treatment at the PHC in Perak Timur, Surabaya. Data collection was done from March 2020 to June 2020. Primary data was collected by conducting interviews using a questionnaire. Data analysis was performed using a chi-square test. Results: The results indicated that, out of the 41 respondents, there were 21 respondents who were underweight (51.22%). Descriptively, underweight TB patients were more likely to be in the intensive phase of treatment (90%), have a low income (56.76%), have a low education status (65.38%), and be unemployed (59.38%), with PR=0.43 and 95%CI=0.76–9.38. The results of this research indicated a link between the treatment phase and TB patients being underweight (p=0.01; PR=2.33; 95% CI=1.43–3.79), the level of education attained by underweight TB patients (p=0.04; PR=0.41; 95% CI=0.17–0.99), and the income of underweight TB patients (p=0.04; PR=0.43; 95%CI=0.30–0.63). The results of this research indicated that there was a correlation between the work status and TB patients being underweight (p=0.07; PR=2.67; 95%CI=0.76–9.38). Conclusion: The treatment phase, education level and income are significantly related to TB patients being underweight.

Correlation Between Population Density, Cure Rate, Mortality Rate With Tb Afb+ Incidence in Surabaya 2018-2020

“…The number of TB AFB+ cases in 2018 was 3,003, with a total cure rate of 2,111 (70.30%) (10). Surabaya confirmed TB AFB+ in 2019 in as many as 2,998 patients, with 2,399 (80.02%) declared cured (11). The number of TB AFB+ patients in 2020 was 4,943, with 2,810 (56.85%) patients declared cured (8), which shows that the cure rate in 2018-2020 is still below the target of 85% of the total incidence of TB AFB+.…”

“…The population density in 2018 was 8,841.36 people/km2, meaning that 1 km2 is inhabited by 8,842 people (10). The population density in 2019 was 8,862.01 people/km2, meaning that every 1 km2 is inhabited by 8,862 people (11). The population density in 2020 is 8,888.19 people/km2, meaning that every 1 km2 is inhabited by 8,888 people (8).…”

“…In 2019, the mortality rate during treatment was 190 (2.71%) in 7,007 AFB + TB cases (6). In 2020, 179 people (2.25%) died during treatment from 7,950 confirmed cases of AFB + TB (11). Providing social support to TB patients is an effort for them to feel more confident and active in treatment (12).…”

Status Gizi Pasien Tuberkulosis Paru pada Anak Sebelum dan Sesudah Terapi Obat Anti Tuberkulosis (OAT)

“…Status gizi adalah hasil keseimbangan antara asupan nutrisi dengan nutrisi yang dibutuhkan tubuh (3). Status gizi pada pasien TB memiliki hubungan dua arah (4).…”

Determinant of Successful Tuberculosis Treatment in Puskesmas Singosari in 2020-2022

“…Furthermore, a study at the East Perak Health Center indicated that the treatment phase can be associated with the weight of Tuberculosis patients. The results of the study showed that individuals in the intensive treatment phase were 2.33 times more likely to experience underweight compared to those in the continuation treatment phase [22]. The dosage of Anti-Tuberculosis Drugs administered to TB patients is carefully regulated to ensure precise dosing in accordance with the TB management guidelines.…”