Pengaruh Faktor Budaya Dan Ketersediaan Sanitasi Terhadap Perilaku Stop Buang Air Besar Sembarangan (BABS)
Keywords:
open defecation, social, cultural, sanitatition facilitiesAbstract
Open defecation remains a serious challenge in public health development, especially in rural areas of Indonesia. This study was conducted to analyze the influence of cultural factors and the availability of sanitation facilities on open defecation behavior in the working area of the Krejengan Probolinggo Community Health Center. This study used a cross-sectional design. The study population consisted of all married patients who visited the Krejengan Community Health Center in Probolinggo Regency, totaling 13,871 patients, with a sample of 100 people who met the inclusion criteria. Data were collected using questionnaires and analyzed using logistic regression. The results showed that, partially, cultural factors were also proven to have an effect, with a contribution of 8.9%, where negative culture increased the likelihood of open defecation by 2.972 times. The availability of sanitation facilities had the strongest influence, with a contribution of 9.2% and a prevalence ratio of 3.009. Multivariate analysis showed that only the availability of sanitation facilities variable was significantly influential when all variables were tested together. This confirms that sanitation infrastructure is a key enabling factor in changing open defecation behavior. These findings reinforce the importance of a structural approach to public health interventions, in which the provision of basic facilities must be a top priority before attempting to change behavior through education. Community- and culture-based interventions remain necessary to support the sustainability of the Stop Open Defecation program.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Andersen, R. M., & Davidson, P. L. (2007). Improving access to care in America: Individual and contextual indicators. In R. M. Andersen, T. H. Rice, & G. F. Kominski (Eds.), Changing the US Health Care System: Key Issues in Health Services Policy and Management (pp. 3–31). Jossey-Bass.
Anzelina, D., Desfita, S., Leonita, E., Puspita Sari, N., & Kursani, E. (2022). Factors Related To Open Defecation Free Behavior In Kuala Cenaku Public Health Center, Indragiri Hulu Regency In 2022: Faktor-Faktor Yang Berhubungan Dengan Perilaku Buang Air Besar Sembarangan (BABS) Di Wilayah Kerja Puskesmas Kuala Cenaku Kabupaten Indragiri Hulu Tahun 2022. Jurnal Olahraga Dan Kesehatan (ORKES), 1(2), 445–459. https://doi.org/10.56466/orkes/Vol1.Iss2.37
Ginting, J. B., Siagian, M., & Suci, T. (2024). Faktor-Faktor Yang Berhubungan Dengan Buang Air Besar Sembarangan (BABS) Di Desa Kampung Dalam Kabupaten Labuhan Batu Tahun 2023. Jurnal Maternitas Kebidanan, 9(1), 158-171.
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). San Francisco, CA: Jossey-Bass.
Irawati, D. K. (2022). Faktor risiko buang air besar sembarangan di Indonesia. Jurnal Keluarga Berencana, 7(2), 64-74.
Kemenkes RI. (2024). Profil Kesehatan Indonesia. Jakarta: Kementrian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2021. Jakarta: Kemenkes RI. https://pusdatin.kemkes.go.id/
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2021. Jakarta: Kemenkes RI. https://pusdatin.kemkes.go.id/
Noor, A., Harmanto, H., & Arya, K. A. S. (2024). Faktor-Faktor yang Berhubungan dengan Penggunaan Jamban Pada Masyarakat Pesisir Di Desa Waoleona Kecamatan Lasalimu Kabupaten Buton Tahun 2023. Innovative: Journal Of Social Science Research, 4(1), 10997-11009.
Rahmadani, A., Sari, K. P., & Permana, A. (2022). Faktor dominan yang mempengaruhi perilaku buang air besar sembarangan di daerah tertinggal. Jurnal Kesehatan Masyarakat Indonesia, 17(1), 41–48. https://doi.org/10.xxxx/jkmi.v17i1.xxx
Setyawan, F. E., Rachmawati, R., & Prasetyo, A. (2021). Peran budaya dalam perilaku buang air besar sembarangan di daerah pedesaan. Jurnal Kesehatan Masyarakat Nasional, 15(2), 85–92. https://doi.org/10.21109/kesmas.v15i2.4501
Triyono, A. (2014, September). Faktor-faktor yang berhubungan dengan perilaku buang air besar masyarakat nelayan di Kampung Garapan Desa Tanjung Pasir Kabupaten Tangerang Propinsi Banten. In Forum Ilmiah (Vol. 11, No. 3, pp. 365-374).
UNICEF & World Health Organization. (2021). Progress on household drinking water, sanitation and hygiene 2000–2020: Five years into the SDGs. https://www.who.int/publications/i/item/9789240030848
Wahyuningsih, S. (2020). Analisis Faktor-Faktor Yang Mempengaruhi Perilaku Buang Air Besar Sembarangan (Babs)(Studi Kasus Desa Tambe Kecamatan Bolo Kabupaten Bima). Jurnal Sanitasi Dan Lingkungan, 1(2), 52-57.
Wijayanti, A. K., Widagdo, L., & Shaluhiyah, Z. (2016). Faktor-faktor yang berhubungan dengan buang air besar di jamban Di Desa Gunungsari Kecamatan Pulosari Kabupaten Pemalang. Jurnal Kesehatan Masyarakat, 4(1), 450-460.
World Health Organization. (2020). Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health
Zhang, Z., Zhang, G., & Su, B. (2022). The spatial impacts of air pollution and socio-economic status on public health: Empirical evidence from China. Socio-Economic Planning Sciences, 83. https://doi.org/10.1016/j.seps.2021.101167
