Hubungan Tingkat Pengetahuan Orangtua Tentang Merokok dengan Kejadian Infeksi Saluran Pernapasan Akut (Ispa) pada Balita di Wilayah Kerja Puskesmas Gunungsari Cirebon

Authors

  • Iyant Yudi Gymnasti Mahardika Universitas Swadaya Gunung Jati
  • Eni Suhaeni Universitas Swadaya Gunung Jati
  • Siti Maria Ulfah Universitas Swadaya Gunung Jati

DOI:

https://doi.org/10.57214/jka.v10i2.1121

Keywords:

Acute Respiratory Infections (ARI), Ccross-Sectional Study, Parental Knowledge, Smoking Behavior, Toddlers

Abstract

Acute respiratory infections (ARIs) are a major cause of morbidity and mortality from communicable diseases globally. According to the WHO in 2022, ARIs contributed to nearly 14% of under-five deaths worldwide. Smoking, the leading preventable cause of death, was linked to 1.3 million deaths in 2023 due to secondhand smoke exposure, with nearly 1.2 million (about 90%) occurring in low- and middle-income countries. Knowledge significantly influences behavior, as individuals with better understanding are more likely to take appropriate preventive actions This study aims to identify the relationship between parental knowledge of smoking and the incidence of acute respiratory infections (ARIs) in toddlers in the Gunungsari Cirebon Health Center area. A quantitative cross-sectional observational study was conducted. A non-probability sampling technique, specifically quota sampling, was used to obtain a sample of 57 participants. Spearman’s rank correlation test was applied for statistical analysis. The results showed that the majority of parents had a moderate level of knowledge about smoking (61.4%). The p-value (2-tailed) was 0.091, indicating that there was no significant relationship between parental knowledge of smoking and the incidence of ARIs in toddlers. In conclusion, parental knowledge of smoking was not significantly associated with ARI occurrence in toddlers in the Gunungsari Cirebon Health Center area.

References

Aisyiah, I. K., Effandilus, E. T., & Badriah, N. (2023). Hubungan jenis kelamin dan berat badan lahir dengan kejadian ISPA pada balita. Jurnal Kesehatan Tambusai, 4(4), 6031–6037.

Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan Riskesdas 2018 nasional.

Crackower, M. A., Sarao, R., Oudit, G. Y., Yagil, C., Kozieradzki, I., Scanga, S. E., et al. (2002). Angiotensin-converting enzyme 2 is an essential regulator of heart function. Nature, 417(6891), 822–828. https://doi.org/10.1038/nature00786

Dentasari, R. D., Hidayat, E. M., & Setyorini, D. (2021). Nutritional status with the incidence of acute respiratory infection in toddlers. In International Conference on Nursing and Public Health (pp. 52–56).

Dinas Kesehatan Kota Cirebon. (2022). 10 kasus penyakit terbanyak di Kota Cirebon tahun 2021.

Fardani, S. F., Nugraheni, W. T., Ningsih, W. T., & Sumiatin, T. (2023). Hubungan tingkat pendidikan dan pengetahuan orang tua dalam pencegahan ISPA pada balita. Jurnal Pendidikan Tambusai, 7(3), 20450–20457.

Fathmawati, F., Rauf, S., & Indraswari, B. W. (2021). Factors related with the incidence of ARI in toddlers in Sleman. PLOS ONE, 16(9), Article e0257881. https://doi.org/10.1371/journal.pone.0257881

Govers, C., Calder, P. C., Savelkoul, H. F. J., Albers, R., & van Neerven, R. J. J. (2022). Nutrition and viral respiratory infections. Frontiers in Immunology, 13. https://doi.org/10.3389/fimmu.2022.841532

Harmer, D., Gilbert, M., Borman, R., & Clark, K. L. (2002). Quantitative mRNA expression profiling of ACE2. FEBS Letters, 532(1–2), 107–110. https://doi.org/10.1016/S0014-5793(02)03640-2

Hendrina, R. P., & Fauzi, A. (2023). Household air pollution and ARI in children. Proceedings of the International Conference on Nursing and Health Sciences, 4(1), 25–30. https://doi.org/10.37287/picnhs.v4i1.1649

Hikisz, P., & Jacenik, D. (2023). Acrolein in lung diseases and respiratory cancers. Cells, 12. https://doi.org/10.3390/cells12060879

Ibrahim, I. A., Nadimin, N., & Salsabilah, M. (2021). Immunization status and ARI in toddlers. Al-Sihah: The Public Health Science Journal, 13(2), 207. https://doi.org/10.24252/al-sihah.v13i2.24847

Juniantari, N. P. A., Negara, G. N. K., & Satriani, L. A. (2023). Hubungan perilaku merokok orang tua dengan kejadian ISPA. Hearty, 11(2), 207–214. https://doi.org/10.32832/hearty.v11i2.15046

Kamal, M. D. M., Aziz, F., Islam, M. D. R., Ahsan, M., & Islam, S. N. (2020). Immunonutritional status and ARI. SAGE Open Medicine, 8. https://doi.org/10.1177/2050312120940533

Lehman, H. K., Yu, K. O. A., Towe, C. T., & Risma, K. A. (2022). Respiratory infections in immunodeficiency. Journal of Allergy and Clinical Immunology: In Practice, 10(3), 683–691. https://doi.org/10.1016/j.jaip.2021.10.073

Lestari, D. P., Dirhan, D., Wulan, S., & Syavani, D. (2021). Pengetahuan ibu dan perilaku merokok dengan ISPA. Jurnal Sains Kesehatan, 28(2), 25–33. https://doi.org/10.37638/jsk.28.2.25-33

Lestari, S., & Barkah, A. (2023). Hubungan tingkat pengetahuan ibu terhadap kejadian ISPA. Jurnal Keperawatan PPNI Jawa Barat, 1(1). https://doi.org/10.70332/jkp.v1i1.5

Leung, J. M., Yang, C. X., Tam, A., Shaipanich, T., Hackett, T. L., Singhera, G. K., et al. (2020). ACE-2 expression in smokers. European Respiratory Journal, 55. https://doi.org/10.1183/13993003.00688-2020

Li, Y., & Hecht, S. S. (2022). Carcinogenic components of tobacco. Food and Chemical Toxicology, 165. https://doi.org/10.1016/j.fct.2022.113179

Loaiza-Ceballos, M. C., Marin-Palma, D., Zapata, W., & Hernandez, J. C. (2022). Viral infections and air pollutants. Air Quality, Atmosphere & Health, 15(1), 105–114. https://doi.org/10.1007/s11869-021-01088-6

Lugg, S. T., Scott, A., Parekh, D., Naidu, B., & Thickett, D. R. (2022). Cigarette smoke exposure. Thorax, 77, 94–101. https://doi.org/10.1136/thoraxjnl-2020-216296

Mäkinen, T. M., Juvonen, R., Jokelainen, J., Harju, T. H., Peitso, A., Bloigu, A., et al. (2009). Cold temperature and respiratory infections. Respiratory Medicine, 103(3), 456–462. https://doi.org/10.1016/j.rmed.2008.09.011

Maung, T. Z., Bishop, J. E., Holt, E., Turner, A. M., & Pfrang, C. (2022). Indoor air pollution and respiratory health. International Journal of Environmental Research and Public Health, 19. https://doi.org/10.3390/ijerph19148752

Mo, Y., Pham, T. M., Lim, C., Horby, P., Stewardson, A. J., & Harbarth, S. (2022). Hand hygiene and ARI. Epidemiology & Infection, 150, Article e79. https://doi.org/10.1017/S0950268822000516

Muharrami, R., Hidayati, R., & Turyanti, A. (2021). Climate variables and pneumonia incidence. Agromet, 35(1), 39–48. https://doi.org/10.29244/j.agromet.35.1.39-48

Peraturan Pemerintah Republik Indonesia Nomor 81 Tahun 1999.

Pratiwi, D. S., Nurlila, R. U., Armayani, & Handayani, F. (2022). Status gizi dan pengetahuan ibu dengan ISPA. Jurnal Ilmiah Kesehatan Mandala Waluya.

Rogan, M. (2016). Respiratory infections, acute. In International Encyclopedia of Public Health (pp. 332–336). Elsevier. https://doi.org/10.1016/B978-0-12-803678-5.00383-0

Safitri, F., Andika, F., & Savia, N. (n.d.). Determinan kejadian ISPA pada balita.

Sari, D. P., & Ratnawati, D. (2020). Pendidikan kesehatan dan pengetahuan ibu. Jurnal Ilmiah Ilmu Keperawatan Indonesia, 10(2), 1–7. https://doi.org/10.33221/jiiki.v10i02.578

Sari, N. W., et al. (2021). Teori dan aplikasi epidemiologi kesehatan. Zahir Publishing.

Sari, R. (2020). Pengetahuan dan kebiasaan merokok dengan ISPA. Jurnal Kesehatan Luwu Raya, 7(1), 7–12.

Setiani, E. M., Mirasa, Y. A., & Winarti, E. (2023). Determinasi pengetahuan ibu dan rokok terhadap ISPA. Sci-Tech Journal, 2(2), 233–244.

Suhada, S. B. N., Novianus, C., & Wilti, I. R. (2023). Faktor-faktor kejadian ISPA pada balita. Environmental Occupational Health and Safety Journal, 3(2), 115. https://doi.org/10.24853/eohjs.3.2.115-124

Torres, A., Cilloniz, C., Niederman, M. S., Menéndez, R., Chalmers, J. D., Wunderink, R. G., et al. (2021). Pneumonia. Nature Reviews Disease Primers, 7. https://doi.org/10.1038/s41572-021-00259-0

World Health Organization. (2020). Pusat pengobatan infeksi saluran pernapasan akut berat.

World Health Organization. (2022). Pneumonia in children.

World Health Organization. (2023). WHO report on the global tobacco epidemic 2023.

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Published

2026-05-28

How to Cite

Iyant Yudi Gymnasti Mahardika, Eni Suhaeni, & Siti Maria Ulfah. (2026). Hubungan Tingkat Pengetahuan Orangtua Tentang Merokok dengan Kejadian Infeksi Saluran Pernapasan Akut (Ispa) pada Balita di Wilayah Kerja Puskesmas Gunungsari Cirebon. Jurnal Kesehatan Amanah, 10(2), 01–14. https://doi.org/10.57214/jka.v10i2.1121