The Importance of Community Behavior

Oct 13, 2025 by wbrum.org 16 views

The Influence of Home Environment and Community Behavior on the Chikungunya Incident in Nisam District, North Aceh Regency

Introduction

Chikungunya, a viral disease transmitted through the bite of infected Aedes mosquitoes, has become a significant public health concern in various regions of Indonesia. The disease is characterized by sudden fever, joint pain, and skin rashes, and has been reported in several districts, including Nisam District in North Aceh Regency. In 2012, the district recorded 34 cases of Chikungunya, highlighting the need for a comprehensive understanding of the factors contributing to the spread of the disease.

Background

Chikungunya is a mosquito-borne disease caused by the chikungunya virus, which is transmitted through the bite of infected Aedes Aegypti and Aedes Albopictus mosquitoes. The disease is characterized by sudden onset of fever, joint pain, and skin rashes, and can lead to severe complications, including arthritis and neurological disorders. In Indonesia, Chikungunya has been reported in several regions, including North Aceh Regency, where the disease has become a significant public health concern.

Methodology

To understand the factors contributing to the spread of Chikungunya in Nisam District, an observational analytic survey study with a case-control design was conducted. The study involved 68 participants, consisting of 34 cases and 34 controls, who were selected from all households in the district. Data was collected through interviews and observations using questionnaires, and analyzed using univariate, bivariate (chi-square test), and multivariate (multiple logistics regression test) methods with a 95% confidence level.

Results

The results of the study showed that the home environment, particularly the use of gauze wire in ventilation, and community behavior, especially attitudes and actions, had a significant influence on the incidence of Chikungunya. Conversely, wall density, house ceiling, landfills (TPA), and humidity did not show a significant effect on the incidence of the disease. Multiple logistics regression analysis revealed that action was the dominant variable affecting the incidence of Chikungunya, with an Exp coefficient value (B) of 4,779.

Discussion

The findings of this study highlight the importance of community behavior in preventing Chikungunya. The results suggest that effective health education and campaigns are essential to increase awareness and encourage changes in community behavior. The study also emphasizes the need for an integrated approach to prevention, involving various parties, including the government, health workers, and the community.

Conclusion

The study provides several important points that need to be considered in the prevention of Chikungunya:

The Importance of Community Behavior

The results of this study confirm that community behavior, especially preventive measures, has a great influence on the Chikungunya events. This indicates that effective health education and campaigns are very important to increase awareness and encourage changes in community behavior.

Environmental Factors

Although the density of the walls, ceiling of the house, TPA and humidity does not have a significant effect, environmental factors remain important in preventing disease. Further research needs to be done to explore the influence of other environmental factors on the events of Chikungunya.

Integrated Approach

Prevention of Chikungunya requires an integrated approach involving various parties, including the government, health workers, and the community. Increasing cooperation and coordination between various parties is very important in building an effective prevention system.

Recommendations

Based on the findings of this study, the following recommendations are made:

Increase public awareness about the dangers of Chikungunya through intensive health education and campaigns.
Encourage precise preventive behavior, such as the use of gauze wire in ventilation and windows.
Run a structured health program to prevent the spread of Chikungunya.
Increase cooperation and coordination between various parties, including the government, health workers, and the community, to build an effective prevention system.

By implementing these recommendations, it is hoped that Chikungunya events in Nisam District can be reduced and public health can be maintained.
Frequently Asked Questions (FAQs) about Chikungunya and the Study

Q: What is Chikungunya?

A: Chikungunya is a viral disease transmitted through the bite of infected Aedes mosquitoes. It is characterized by sudden fever, joint pain, and skin rashes.

Q: What are the symptoms of Chikungunya?

A: The symptoms of Chikungunya include sudden fever, joint pain, especially in the knees, ankles, toes, and hands, and skin rashes.

Q: How is Chikungunya transmitted?

A: Chikungunya is transmitted through the bite of infected Aedes mosquitoes, particularly Aedes Aegypti and Aedes Albopictus.

Q: What is the significance of the study on Chikungunya in Nisam District?

A: The study aimed to understand the factors contributing to the spread of Chikungunya in Nisam District, North Aceh Regency, and to identify effective prevention strategies.

Q: What were the findings of the study?

A: The study found that the home environment, particularly the use of gauze wire in ventilation, and community behavior, especially attitudes and actions, had a significant influence on the incidence of Chikungunya.

Q: What is the importance of community behavior in preventing Chikungunya?

A: The study highlights the importance of community behavior in preventing Chikungunya. Effective health education and campaigns are essential to increase awareness and encourage changes in community behavior.

Q: What is the role of environmental factors in preventing Chikungunya?

A: Although the study found that wall density, house ceiling, landfills (TPA), and humidity did not have a significant effect on the incidence of Chikungunya, environmental factors remain important in preventing disease.

Q: What is the recommended approach to preventing Chikungunya?

A: The study recommends an integrated approach to prevention, involving various parties, including the government, health workers, and the community.

Q: What are the key recommendations for preventing Chikungunya?

A: The key recommendations include:

Increasing public awareness about the dangers of Chikungunya through intensive health education and campaigns.
Encouraging precise preventive behavior, such as the use of gauze wire in ventilation and windows.
Running a structured health program to prevent the spread of Chikungunya.
Increasing cooperation and coordination between various parties, including the government, health workers, and the community, to build an effective prevention system.

Q: What are the implications of the study for public health?

A: The study highlights the importance of community behavior and environmental factors in preventing Chikungunya. It also emphasizes the need for an integrated approach to prevention, involving various parties. By implementing these recommendations, it is hoped that Chikungunya events can be reduced and public health can be maintained.

Q: What are the limitations of the study?

A: The study has several limitations, including the small sample size and the reliance on self-reported data. Further research is needed to confirm the findings and to explore the influence of other environmental factors on the events of Chikungunya.

Q: What are the future directions for research on Chikungunya?

A: Future research should focus on exploring the influence of other environmental factors on the events of Chikungunya, as well as on developing effective prevention strategies that take into account the complex interactions between community behavior and environmental factors.