Relationship between Environmental Factors and Rheumatic Heart Disease

Tina Christina Lumban Tobing, Teddy Ontoseno, Sri Endah Rahayuningsih, Ratna Akbari Ganie, Yahwardiah Siregar

2019

Abstract

Rheumatic fever and rheumatic heart disease are the most common acquired heart diseases in children and the most common cause of death in the field of pediatric cardiology. Environmental factors play an important role in RHD. The prevalence of RF and RHD tend to decrease as socioeconomic status improves. To determine the relationship between environmental factors and RHD in children. A case-control study was conducted in the Department of Child Health, Haji Adam Malik Hospital from April to June 2017. The case group has consisted of children aged 5-18 years with RHD while the control group has consisted of healthy children. Demographic, anthropometric, and laboratory data were collected along with environmental factors. Statistical analysis was done using Statistical Product and Service Solution (SPSS). A P value of <0,05 at 95% confidence interval was considered significant. A total of 39 children were enrolled in each group. Subjects’ median age was 13.0 years. Males were dominant compared to females. Fathers who went to elementary and junior high school had a higher risk of having children with RHD (OR 28; P value 0,032 and OR 15,75; P value 0,011, respectively). Mothers who went to junior high school had 7 times higher risk of having children with RHD (P-value 0,026). Low monthly income increased the risk of RHD (OR 3,68; P value 0,009). Tap water usage, meat consumption more than once per week, and feasibility to buy clothes more than 1 pair per year decreased the risk of RHD at 0,31 (P value 0,013), 0,3 (P-value 0,016), and 0,04 times (P-value <0,001), respectively. Parent’s education, monthly family income, water source, consumption of meat, and feasibility to buy clothes are related to RHD in children.

Paper Citation

in Harvard Style

Tobing T., Ontoseno T., Rahayuningsih S., Ganie R. and Siregar Y. (2019). Relationship between Environmental Factors and Rheumatic Heart Disease.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 180-184. DOI: 10.5220/0009862901800184

in Bibtex Style

@conference{ictromi19,
author={Tina Christina Lumban Tobing and Teddy Ontoseno and Sri Endah Rahayuningsih and Ratna Akbari Ganie and Yahwardiah Siregar},
title={Relationship between Environmental Factors and Rheumatic Heart Disease},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={180-184},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009862901800184},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Relationship between Environmental Factors and Rheumatic Heart Disease
SN - 978-989-758-469-5
AU - Tobing T.
AU - Ontoseno T.
AU - Rahayuningsih S.
AU - Ganie R.
AU - Siregar Y.
PY - 2019
SP - 180
EP - 184
DO - 10.5220/0009862901800184