Relationship between Exposure to Solid Waste and Dengue Incidence in Communities Surrounding Bakung Landfill Bandar Lampung

Abstract

Introduction :Dengue fever is a significant public health problem in Indonesia, including in Bandar Lampung City. Environmental factors, such as the presence of poorly managed landfills, are thought to contribute to the increase in dengue cases. This study aims to analyze the relationship between exposure to solid waste around Bakung landfill and the incidence of dengue disease in the surrounding community.

Method : The research method used was an observational analytic study with a cross-sectional design. The study sample consisted of 200 households within 500 meters radius of Bakung landfill selected by purposive sampling. Data were collected through structured questionnaires, interviews, and observation of environmental conditions. Statistical analysis used chi-square test and logistic regression to determine the relationship and main risk factors.

Result : The results showed that there was a significant association between solid waste exposure and DHF incidence (p = 0.019), with people exposed to solid waste having a 3 times greater risk of DHF than those not exposed (OR = 3.01; p = 0.013). In addition, the habit of maintaining environmental hygiene was also significantly associated with DHF incidence (p = 0.027). People with good hygiene habits had a lower risk of DHF (OR = 0.43; p = 0.029).

Conclusion : The conclusion of this study emphasizes that poor waste management and low environmental hygiene contribute to the increase of DHF cases. Therefore, efforts to improve waste management in Bakung landfill, community education related to sanitation, and government intervention in disease vector control are needed to reduce the incidence of DHF in the area.