DETERMINAN INFEKSI SOIL-TRANSMITTED HELMINTHS PADA SISWA SD: ANALISIS PERAN PENGETAHUAN ORANG TUA DAN PRESTASI AKADEMIK
DOI:
https://doi.org/10.31004/prepotif.v9i3.53544Keywords:
Infeksi kecacingan, Pengetahuan orang tua, Prestasi Akademik, Soil-Transmitted Helminths, Siswa sekolah dasar, Academic performance, Elementary school students, Helminth infections, Parental knowledge, Soil-transmitted helminthsAbstract
Soil-Transmitted Helminths (STH) merupakan masalah kesehatan global dengan prevalensi tinggi pada anak sekolah dasar di negara berkembang. Meskipun pengetahuan orang tua dan prestasi akademik secara teoritis dapat memengaruhi risiko infeksi, hubungan empiris kedua faktor ini dalam konteks pedesaan Indonesia masih perlu konfirmasi. Penelitian ini bertujuan menganalisis hubungan pengetahuan orang tua dan prestasi akademik terhadap kejadian infeksi STH serta mengidentifikasi faktor dominan pada siswa sekolah dasar pedesaan Jawa Tengah. Penelitian observasional analitik dengan rancangan cross-sectional dilaksanakan di SD Negeri 2 Dibal, Boyolali, melibatkan 69 siswa kelas IV-VI (sensus). Variabel independen meliputi pengetahuan orang tua (kuesioner) dan prestasi akademik (nilai UTS), sedangkan variabel dependen adalah status infeksi STH (pemeriksaan feses metode direct smear). Analisis data menggunakan uji Fisher's Exact, Chi-square, dan regresi logistik biner. Hasil menunjukkan prevalensi infeksi STH 31,9% didominasi oleh Ascaris lumbricoides (86,4% kasus positif). Mayoritas orang tua (98,6%) memiliki pengetahuan baik, namun tidak ditemukan hubungan signifikan antara pengetahuan orang tua dengan infeksi STH (p=1,000) maupun prestasi akademik dengan infeksi STH (p=0,056). Analisis multivariat mengonfirmasi keduanya bukan prediktor signifikan (pengetahuan: OR=1,68×10⁻⁹, p=0,999; prestasi: OR=0,446, p=0,060). Disimpulkan bahwa pengetahuan orang tua dan prestasi akademik tidak berhubungan signifikan dengan infeksi STH di SD Negeri 2 Dibal. Faktor lingkungan sanitasi dan praktik higienis personal diduga lebih berperan, sehingga program deworming dan perbaikan sanitasi sekolah perlu diprioritaskan di wilayah endemik perdesaan.References
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