Integration of clean and healthy living behavior and home environment: A holistic approach to controlling pulmonary tuberculosis
DOI:
https://doi.org/10.61511/evojes.v2i2.2025.2142Keywords:
pulmonary tuberculosis, clean and healthy living behavior, home environmentAbstract
Background: Pulmonary tuberculosis (TB) is a contagious infectious disease that remains a major public health problem, particularly in developing countries such as Indonesia. One of the contributing factors to the high transmission rate of pulmonary TB is the low implementation of Clean and Healthy Living Behavior, as well as poor household environmental conditions that do not meet health standards. This study aimed to determine the correlation between clean and healthy living behavior and the condition of the home environment among pulmonary TB patients at Puskesmas Gattareng, Bulukumba Regency. Methods: This research employed a descriptive analytic design with a cross-sectional approach, involving 38 respondents selected through simple random sampling from a total population of 42 patients. Data were collected using a clean and healthy living behavior questionnaire adapted from Alpul Laely and a healthy house assessment instrument based on criteria from the Indonesian Ministry of Health. Data were analyzed using univariate and bivariate analysis with the Spearman Rho test at a significance level of α = 0.05. Findings: The findings showed that most TB patients had a moderate level of clean and healthy living behavior (39.2%) and lived in unhealthy homes (57.9%). The statistical test revealed a strong correlation between clean and healthy living behavior and the condition of the home environment among TB patients (ρ = 0.01; r = 0.772). Conclusion: There is a significant relationship between clean and healthy living behavior and the condition of the home environment of pulmonary TB patients. Improving clean and healthy living behavior and housing conditions plays a crucial role in TB control efforts within the community. Novelty/Originality of this article: The novelty of this study lies in linking clean and healthy living behavior with home environment conditions among pulmonary TB patients.
References
Asfiya, N. A., Prabamurti, P. N., & Kusumawati, A. (2021). Faktor yang Berhubungan dengan Praktik PHBS Pencegahan TB Paru pada Santri di Kabupaten Tegal (Studi di Pondok Pesantren Attholibiyah Bumijawa). Media Kesehatan Masyarakat Indonesia, 20(6), 379–388. https://doi.org/10.14710/mkmi.20.6.379-388
Bao, Y., Wang, C., Xu, H., Lai, Y., Yan, Y., Ma, Y., Yu, T., & Wu, Y. (2022). Effects of an mHealth Intervention for Pulmonary Tuberculosis Self-management Based on the Integrated Theory of Health Behavior Change: Randomized Controlled Trial. JMIR Public Health and Surveillance, 8(7). https://doi.org/10.2196/34277
Emery, J. C., Dodd, P. J., Banu, S., Frascella, B., Garden, F. L., Horton, K. C., Hossain, S., Law, I., van Leth, F., Marks, G. B., Nguyen, H. B., Nguyen, H. V., Onozaki, I., Quelapio, M. I. D., Richards, A. S., Shaikh, N., Tiemersma, E. W., White, R. G., Zaman, K., … Houben, R. M. G. J. (2023). Estimating the contribution of subclinical tuberculosis disease to transmission: An individual patient data analysis from prevalence surveys. ELife, 12. https://doi.org/10.7554/eLife.82469
Hasir, H., Nurhikmah, N., & Nurbaya, N. (2022). Pelatihan dan Edukasi dalam Pengelolaan Lingkungan Fisik Rumah pada Pasien TB Paru di Wilayah Kerja Puskesmas Binanga. Poltekita: Jurnal Pengabdian Masyarakat, 3(2), 241–249. https://doi.org/10.33860/pjpm.v3i2.870
Hikmawati, F. (2020). Metodologi Penelitian. PT Rajagrafindo Persada.
Iruedo, J. O., & Pather, M. K. (2023). Time-to-Treatment Initiation in a Decentralised Community-Care Model of Drug-Resistant Tuberculosis Management in the OR Tambo District Municipality of South Africa. International Journal of Environmental Research and Public Health, 20(14). https://doi.org/10.3390/ijerph20146423
Jones-López, E. C., Namugga, O., Mumbowa, F., Ssebidandi, M., Mbabazi, O., Moine, S., Mboowa, G., Fox, M. P., Reilly, N., Ayakaka, I., Kim, S., Okwera, A., Joloba, M., & Fennelly, K. P. (2013). Cough aerosols of Mycobacterium tuberculosis predict new infection: A household contact study. American Journal of Respiratory and Critical Care Medicine, 187(9), 1007–1015. https://doi.org/10.1164/rccm.201208-1422OC
Kininmonth, A. R., Schrempft, S., Smith, A., Dye, L., Lawton, C., Fisher, A., Llewellyn, C., & Fildes, A. (2021). The Home Environment Interview and associations with energy balance behaviours and body weight in school-aged children – a feasibility, reliability, and validity study. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1–14. https://doi.org/10.1186/s12966-021-01235-3
Kininmonth, A. R., Schrempft, S., Smith, A., Dye, L., Lawton, C., Fisher, A., Llewellyn, C. H., & Fildes, A. (2022). Associations between the home environment and childhood weight change: a cross-lagged panel analysis. International Journal of Obesity, 46(9), 1678–1685. https://doi.org/10.1038/s41366-022-01170-8
Luies, L., & Preez, I. du. (2020). The echo of pulmonary tuberculosis: Mechanisms of clinical symptoms and other disease-induced systemic complications. Clinical Microbiology Reviews, 33(4), 1–19. https://doi.org/10.1128/CMR.00036-20
Luo, D., Yu, S., Huang, Y., Zhan, J., Chen, Q., Yan, L., & Chen, K. (2022). Recent Transmission and Prevalent Characterization of the Beijing Family Mycobacterium tuberculosis in Jiangxi, China. Polish Journal of Microbiology, 71(3), 371–380. https://doi.org/10.33073/pjm-2022-033
Magfirah, A., & HS, N. (2022). Hubungan Perilaku Hidup Bersih Dan Sehat (PHBS) Dengan Pencegahan TB Paru Di Wilayah Kerja UPTD Puskesmas Lampahan Kecamatan Timang Gajah Kabupaten Bener Meriah. Jurnal Kesehatan Saelmakers PERDANA, 5(2), 267–272. https://doi.org/10.32524/jksp.v5i2.665
Mahdi Ahmed, Azni Idris, S. R. S. O., P A Wheeler, Rome, L. de, Abu-zahra, T. R., Ta, R. A., Arabiyyat, A. R., Mikkelsen, R. L., United States Environment Protection Agency, Risse, M., Afriyansyah, B., Zghair, H., Ali, A., Adhikari, B. K., Barrington, S., Martinez, J., King, S., Agamuthu, P., Fauziah, S. H., Hue, N. V, … Khalil, M. S. (2021). Hubungan Perilaku Hidup Bersih dan Sehat Tatanan Rumah Tangga Strata Utama dengan Kejadian Tuberkulosis Paru di Wilayah Kerja Puskesmas Sambungmacan 1 Kabupaten Sragen. Australian Journal of Basic and Applied Sciences, 2(1), 20–29. http://dx.doi.org/10.1080/10962247.2015.1083913%0Ahttps://doi.org/10.1080/10962247.2015.1083913%0Ahttp://inpressco.com/category/ijcet%0Awww.eijst.org.uk%0Ahttps://mafiadoc.com/sustainable-management-of-wet-market-waste-citeseerx_5b6de990097c470f468b45ef.h
Majuntu, L., Kawatu, Y., & Sambuaga, J. V. J. (2018). Hubungan Kondisi Fisik Rumah dengan Kejadian Tuberkulosis Paru di Wilayah Puskesmas Sambuara Kecamatan Essang Selatan Kabupaten Kepulauan Talaud. Jurnal Kesehatan Lingkungan, 5(1), 1–12.
Mandal, S. (2020). Towards building a tuberculosis free world. Indian Journalof Tuberculosis, January.
Mardianti, R., Muslim, C., & Setyowati, N. (2020). Hubungan Faktor Kesehatan Lingkungan Rumah Terhadap Kejadian Tuberkulosis Paru (Studi Kasus di Kecamatan Sukaraja Kabupaten Seluma). Naturalis: Jurnal Penelitian Pengelolaan Sumber Daya Alam Dan Lingkungan, 9(2), 23–31. https://doi.org/10.31186/naturalis.9.2.13502
Martinez, L., Seddon, J. A., & Horsburgh, C. R. (2025). Effectiveness of preventive treatment among different age groups and Mycobacterium tuberculosis infection status: a systematic review and individual-participant data meta-analysis of contact tracing studies. HHS Public Access, 12(8), 633–641. https://doi.org/10.1016/S2213-2600(24)00083-3.Effectiveness
Mendelsohn, S. C., Mulenga, H., Tameris, M., Moloantoa, T., Malherbe, S. T., Katona, A., Maruri, F., Noor, F., Panchia, R., Hlongwane, K., Stanley, K., Heijden, Y. F. van der, Hadley, K., Ariefdien, D. T., Chegou, N. N., Walzl, G., Scriba, T. J., Sterling, T. R., Hatherill, M., & Team, the R. S. A. S. (2025). Screening for Asymptomatic Tuberculosis among Adults with Household Exposure to a Patient with Pulmonary Tuberculosis. MedRxiv, 2025.01.20.25320843. https://www.medrxiv.org/content/10.1101/2025.01.20.25320843v1%0Ahttps://www.medrxiv.org/content/10.1101/2025.01.20.25320843v1.abstract
Nathavitharana, R. R., Pearl, A., Biewer, A., Tzelios, C., Mase, S., Munsiff, S. S., & Nardell, E. (2025). Assessing Infectiousness and the Impact of Effective Treatment to Guide Isolation Recommendations for People With Pulmonary Tuberculosis. Journal of Infectious Diseases, 231(1), 10–22. https://doi.org/10.1093/infdis/jiae482
Noerhalimah, T. (2020). The Scope Of PHBS In Household And Healthy Home With The Incidence Of Tuberculosis In West Java. Journal of Public Health Research and Community Health Development, 4(1), 28. https://doi.org/10.20473/jphrecode.v4i1.15005
Notoadmojo, S. (2018). Metodologi Penelitian Kesehatan. Rineka Cipta.
Prasetya, I. N. (2020). Pengaruh Faktor-Faktor Rumah Sehat Dan Perilaku Hidup Bersih Dan Sehat (PHBS) Terhadap Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Waru Kecamatan Waru Kabupaten Sidoarjo. Swara Bhumi, 5(9), 74–82.
Quan, Z., Xu, J., Li, M., Cheng, C., Mijiti, P., Jiang, Q., Takiff, H., Ren, Z., & Gao, Q. (2024). Transmission of tuberculosis in rural Henan, China: a prospective population-based genomic spatial epidemiological study. Emerging Microbes and Infections, 13(1), 1–10. https://doi.org/10.1080/22221751.2024.2399273
Rahmadi. (2018). Pengantar Metodologi Penelitiaan. In Antasari Press (Vol. 44, Issue 8). https://idr.uin-antasari.ac.id/10670/1/PENGANTAR METODOLOGI PENELITIAN.pdf
Selvam, C., Mutisyab, D., & Prakashc Sandhya , Kasturi Rangannaa, and R. T. (2017). Intensity of exposure to pulmonary tuberculosis determines risk of tuberculosis infection and disease. Physiology & Behavior, 176(1), 139–148. https://doi.org/10.1183/13993003.01578-2017.Intensity
Seo, W., Kim, H. W., Kim, J. S., & Min, J. (2024). Long term management of people with post-tuberculosis lung disease. Korean Journal of Internal Medicine, 39(1), 7–24. https://doi.org/10.3904/kjim.2023.395
Sriratih, E. A., Suhartono, S., & Nurjazuli, N. (2021). Analisis Faktor Lingkungan Fisik Dalam Ruang Yang Berhubungan Dengan Kejadian Tuberkulosis Paru Di Negara Berkembang. Jurnal Kesehatan Masyarakat (Undip), 9(4), 473–482. https://doi.org/10.14710/jkm.v9i4.29741
Sudigdo, S. (2018). Dasar-dasar Metodologi Penelitian Klinis (Ke-5). Sagung Seto.
Suharno, I., Akili, R. H., & Boky, H. B. (2019). Hubungan Kondisi Fisik Lingkungan Rumah Dengan Kejadian Ispa Pada Balita Di Wilayah Kerja Puskesmas Wawonasa Kota Manado. Kesmas, 8(4), 96–103.
Syapitri, H., Amila, & Aritonang, J. (2021). Metodologi Penelitian Kesehatan. In Ahlimedia Press.
Wulandari, S. (2022). Hubungan lingkungan fisik rumah dengan kejadian Tuberkulosis Paru. Unnes Journal of Publik Health, 1(1), 3–6.
Yani, D. I., Pebrianti, R., & Purnama, D. (2022). Gambaran Kesehatan Lingkungan Rumah pada Pasien Tuberkulosis Paru. Jurnal Keperawatan Silampari, 5(2), 1080–1088. https://doi.org/10.31539/jks.v5i2.3548
Zaenab, Rafidah, Haerani, & Azizah, N. (2025). Risk Factors of Physical Condition of House and Clean and Healthy Living Behavior (PHBS) to Tuberculosis in Kaluku Bodoa Health Center Area, Makassar City. International Journal of Statistics in Medical Research, 14, 100–108. https://doi.org/10.6000/1929-6029.2025.14.10
Zulaikhah, S. T., Ratnawati, R., Wibowo, J. W., Fuad, M. U., Noerhidayati, E., Cahyono, E. B., Abduh, M. S., & Lusito, L. (2019). Penerapan PHBS dengan peningkatan pengetahuan dan sikap melalui pendekatan keluarga di Desa Gaji Kabupaten Demak. Indonesian Journal of Community Services, 1(2), 126. https://doi.org/10.30659/ijocs.1.2.126-133
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2025 Asrar As, Ririn Sabriadi, Marifat Istiqa Mukty, Nurhidayah Tiasya Sanas
This work is licensed under a Creative Commons Attribution 4.0 International License.
