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Raising medium-sized livestock and hepatitis risk: A national study in Indonesia
Background: Environmental sanitation, among others raising medium-sized livestock, affect the spread of hepatitis A and E. This paper presents an assessment of relation between place of raising medium-sized livestock and risk of hepatitis in high prevalence endemic hepatitis provinces in Indonesia.
Methods: This paper used a part data of the Basic Health Survey (Riskesdas) 2007 in 33 provinces in Indonesia. For this assessment samples consisted of those who had as well as did not have medium-sized livestock in twelve provinces with Hepatitis prevalence above national average. Hepatitis subject was those who ever diagnosed hepatitis by health workers (physician or paramedic) or ever had symptoms of hepatitis in the last 12 months.
Results: Of 141,291subjectts, 1,257 (0.8%) subjects ever had hepatitis.
In general, subjects who had raising medium-sized livestock had 83% more hepatitis risk compared to who did not have raising medium-sized livestock [adjusted odds ratio (ORa)= 1.83; 95% confidence interval (CI)= 1.61-2.09].
The highest risk (almost 2-fold) to be hepatitis occurred among who had corral inside the house for raising medium-sized livestock (ORa=1.98; 95% CI=1.47-2.66), and the least risk (38% more risk) to be hepatitis occurred among who had corral outside the house for raising medium-sized livestock (ORa=1.38; 95% CI=1.14-1.67) compared with who did not have raising medium-sized livestock.
Conclusion: The least risk to be hepatitis occurred among who had corral outside the house among whom raising medium-sized livestock. (Health Science Indones 2011;2:14-20)
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