Increasing Incidence and Risk Factors for Transmission of Covid-19 in Brebes Community Health Center, Indonesia
Authors: Sutaip Sutaip , Sutiningsih Dwi , Adi Mateus Sakundarno , Diyana Sutra , Azzahra Nur Azizah , Bailai Puti Andalusia Sarigando , Giyantolin Giyantolin 
Published: March 2024

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Now, COVID-19 is still a problem in Central Java. COVID-19 cases in Central Java rank third highest in Indonesia, one of which is Brebes Regency, where there have been confirmed cases leading to death, with the highest cases at the Brebes Community Health Center. Purpose: The purpose of the study was to determine the risk factors for the occurrence of COVID-19 in the work area of the Brebes CHC, Central Java. Method: This research is a quantitative study with an analytical observational design with a Cross-Sectional approach. The data is carried out by exclusion and inclusion criteria so that it is in accordance with the desired research focus. The sample in this study amounted to 78 respondents using purposive sampling. Data analysis was performed by univariate, bivariate (Chi-square test), and multivariate. Results: The results of this study were that gender, occupation, contact history, and habit of wearing masks had a significant relationship with COVID-19 cases, with a p-value of 0.046; 0.035; 0.019l; and 0.026, respectively. Meanwhile, education has no relationship with the incidence of COVID-19 (p-value = 0.379). Conclusion: To sum up, the risk factors for COVID-19 cases in the Brebes CHC area were gender, occupation, contact history, and habit of wearing masks. In controlling COVID-19, it is essential to apply the One-Health approach through cross-sector collaborations.

Latar Belakang: Penyakit Coronavirus 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Sindrom Pernafasan Akut Parah Coronavirus 2 (SARS-CoV-2). Hingga saat ini, COVID-19 masih menjadi masalah di Jawa Tengah. Kasus COVID-19 di Jawa Tengah menduduki peringkat ketiga tertinggi di Indonesia salah satunya Kabupaten Brebes yang telah terkonfirmasi kasus meninggal dunia dengan kasus tertinggi di Puskesmas Brebes. Tujuan: Mengetahui faktor risiko terjadinya COVID-19 di wilayah kerja Puskesmas Brebes Jawa Tengah. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik dengan pendekatan Cross-Sectional. Sampel dalam penelitian ini berjumlah 78 responden dengan menggunakan random sampling. Analisis data dilakukan secara univariat, bivariat (uji Chi-square), dan multivariat. Hasil: Hasil penelitian ini adalah jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker memiliki hubungan yang bermakna dengan kasus COVID-19, dengan p-value 0,046; 0,035; 0,019l; dan 0,026, masing-masing. Sedangkan pendidikan tidak ada hubungan dengan kejadian COVID-19 (p-value = 0,379). Simpulan: Faktor risiko kasus COVID-19 di wilayah Puskesmas Brebes adalah jenis kelamin, pekerjaan, riwayat kontak, dan kebiasaan memakai masker. Dalam pengendalian COVID-19, pendekatan One-Health perlu diterapkan melalui kolaborasi lintas sektor.