Risk factor mapping and case map of environmentally based disease in Yogyakarta

  • Hariza Adnani Graduate Programs in Health Promotion and Comunity Empowerment, Universitas Sebelas Maret, Surakarta, Indonesia
  • Achmad Arman Subiyanto Masters Program in Family Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
  • Diffah Hanim Master Program in Nutrition, Universitas Sebelas Maret, Surakarta, Indonesia
  • Endang Sutisna Sulaeman Master Program in Public Health, Universitas Sebelas Maret, Surakarta, Indonesia
Keywords: case study, geographic information system, health risk assessment, infectious diseases, map
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BACKGROUND A geographic information system (GIS) is required to guide interventions into prevent ARI and reduce the incidence of cases. The purpose of this study is to find out whether there is spatial autocorrelation in the spread of ARI; to obtain spatial information about the ARI risk factors, the ARI case map, and the factors related to the occurrence of ARI.

METHODS This study is a quantitative research study with case-control study design.The sampling technique was purposive sampling. Spatial analysis techniques used were buffers and spatial clustering. The measurement of spatial autocorrelation was calculated by Moranâs Index method.

RESULTS The risk factors for ARI based on the history of ARI disease were cough and cold in the last one year, and cough and cold lasting more than two weeks (OR = 15.691; 95% CI = 6.558-37.546 and OR = 6.645; 95% CI = 3.013-14.652). The risk factors for ARI based on the house physical environment were the room density, existence of glass windows on the house roof, electricity as a light source, presence of family members who smoke, and proximity to pollution exposure and waste disposal. Moran's Index value shows positive spatial autocorrelation.

CONCLUSIONS GIS produces ARI distribution patterns. Based on the results of the cluster, the incidence of ARI cases in this region are interrelated or one case with another case is closely related, due to its close position.


  1. Eric A. F. Simoes, Thomas Cherian, Jeffrey Chow, Sonbol A. Shahid-Salles, Ramanan Laxminarayan, and T. Jacob John. Disease Control Priorities in Developing Countries. 2nd edition. New York: Oxford University Press; 2006.

  2. WHO. Epidemic-prone & pandemic-prone acute respiratory diseases: Infection prevention & control in health-care facilities. Summary guidance 2007: 2008.

  3. Ministry of Health RI. The Basic Health Research (Riskesdas) in 2013, Jakarta: Agency for Health Research and Development: 2013.

  4. Zaman K, Baqui AH, Yunus M, Sack RB, Bateman OM, Chowdhury HR, et al. Acute respiratory infections in children: a community-based longitudinal study in rural Bangladesh. J Trop Pediatr. 1997:43(3); 133-7.

  5. King S, Glanville J, Sanders ME, Fitzgerald A, Varley D. Effectiveness of probiotics on the duration of illness in healthy children and adults who develop common acute respiratory infectious conditions: a systematic review and meta-analysis. Br J Nutr. 2014:112(1); 41-54. https://doi.org/10.1017/S0007114514000075

  6. Creswel WJ. 2002. Research Design Qualitative, Quanitative, and Mixed Methods Approaches, Second Edition. London; Sage Publication: 2002.

  7. Boots, BN and Getis, A,. Poin Patern Analysis. Newbury Park, Ca: Sage Production: 1988.

  8. Jacquez, GM. Spatial Cluster Analysis. Chapter 22. In The Handbook of Geographic Information Science. S. Fotheringham and J. Wilson (Eds.). Blackwell Publishing, 2008. p 395-416. https://doi.org/10.1002/9780470690819.ch22

  9. Ministry of Health RI, 2011. Decree of the Minister of Health of the Republic of Indonesia Number: 1077/MENKES/PER/V/2011 regarding Guidelines for Improving Indoor Air.

  10. Jackson S, Mathews KH, Pulanic D, Falconer R, Rudan I, Campbell H, et al. Risk factors for severe acute lower respiratory infection in children: a systematic review and meta-analysis. Croat Med J. 2013;54(2):110-21. https://doi.org/10.3325/cmj.2013.54.110

  11. Dharmage SC, Rajapaksa LC, Fernando DN. Risk factors of acute lower respiratory tract infections in children under five years of age. Southeast Asian J Trop Med Public Health. 1996;27(1):107-10.

  12. Azizi BH, Zulkifli HI, Kasim MS. Protective and risk factors for acute respiratory infections in hospitalized urban Malaysian children: a case-control study. Southeast Asian J Trop Med Public Health. 1995;26(2):280-5.

  13. Deb SK. Acute respiratory disease survey in Tripura in case of children below five years of age. J Indian Med Assoc. 1998;96(4):111-6.

  14. Tupasi TE, de Leon LE, Lupisan S, Torres CU, Leonor ZA, Sunico ES, et al. Patterns of acute respiratory tract infection in children: a longitudinal study in a depressed community in Metro Manila. Rev Infect Dis. 1990:12 Suppl 8:S940-9. https://doi.org/10.1093/clinids/12.Supplement_8.S940

  15. Cardoso MR, Cousens SN, de Góes Siqueira LF, Alves FM, D'Angelo LA. Crowding: risk factor or protective factor for lower respiratory disease in young children?. BMC Public Health. 2004;4:19. https://doi.org/10.1186/1471-2458-4-19

  16. Gergen PJ, Fowler JA, Maurer KR, Davis WW, Overpeck MD. The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: Third National Health and Nutrition Examination Survey, 1988 to 1994. Pediatrics. 1998;101(2):E8. https://doi.org/10.1542/peds.101.2.e8

  17. Cerqueiro MC, Murtagh P, Halac A, Avila M, Weissenbacher M. Epidemiologic risk factors for children with acute lower respiratory tract infection in Buenos Aires, Argentina: a matched case-control study. Rev Infect Dis. 1990;12 Suppl 8:S1021-8. https://doi.org/10.1093/clinids/12.Supplement_8.S1021

  18. Biswas A, Biswas R, Manna B, Dutta K. Risk factors of acute respiratory infections in underfives of urban slum community. Indian J Public Health. 1994;43(2):73-5.

  19. Jedrychowski W, Maugeri U, Flak E, Mroz E, Bianchi I. Predisposition to acute respiratory infections among overweight preadolescent children: an epidemiologic study in Poland. Public Health. 1998;112(3):189-95. https://doi.org/10.1038/sj.ph.1900438

  20. Suriyasa P, Balgis, Sapton R, Hapsari MI. Non-dirt house floor and the stimulant of environmental health decreased the risk Acute Respiratory Infection (ARI). Med J Indones. 2006;15(1):60-5. https://doi.org/10.13181/mji.v15i1.214

How to Cite
Adnani H, Subiyanto AA, Hanim D, Sulaeman ES. Risk factor mapping and case map of environmentally based disease in Yogyakarta. Med J Indones [Internet]. 2019Aug.9 [cited 2022Dec.8];28(2):174-82. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/3093
Community Research