FAKTOR RISIKO KEJADIAN CHIKUNGUNYA DI KABUPATEN BOYOLALI,PROVINSI JAWA TENGAH

Abstract Chikungunya fever is one of re-emerging diseases in Indonesia. The most prominent symptoms in chikungunya patients are severe pain in joints, especially in the knee, ankles, arms and hands joints , as well as joints of the spine so that the joints very difficult to be moved. The disease is caused by Chikungunya virus (CHIKV) group.Cases of Chiku-ngunya in Central Java were increased, starting in 2005 which totaled only 46 cases, then became 86 cases in 2006, and increased sharply to reach 2,801 cases in 2007. The cases were distributed in several districts in Central Java including Boyolali, which contributes to considerable number of Chikungunya cases. In 2007 and 2008 the number of Chikungunyacases in Boyolali reached 634 and 517 respectively. In this study a survey was conducted to establish the relationship between community characteristics, socio-economic conditions, knowledge, attitudes and behaviour of the people,entomological and environmental survey as risk factors of Chikungunya in Boyolali. This study was an analytical epidemiologic study with case control study design. Results showed that cases of Chikungunya was majority in the age range of 20-45 and 46-64 years, 51 (39.23%) and 50 cases (38.46%) respectively, among them,80 females (61.54%). The most of the Chikungunya cases ; 34 (26.15%)were not completed primary school and farmers, the main occupation of the people, were 41 cases (31.54%). Based on all of characteristic of the respondents, only gender that have significant relationshipswith the Chikungunya case (with P 0.05). Knowledge and practices of the people on the prevention towards Chikungunya transmissions has no significant relationships to the case(with P > 0.05). Hanged cloth was also has no relationships with the case, but the existing of Aedes sp larvae shown significant relationships to the case (with P 0,05.Keberadaan pakaian tergantung tidak berhubungan dengan kasus Chikungunya, sedangkan keberadaan jentik nyamuk di TPA berhubungan dengan kasus Chikungunya dengan nilai P < 0,05. Kata kunci : Pengetahuan, Sikap, Praktik, Chikungunya, faktor risiko