FAKTOR DOMINAN YANG MEMPENGARUHI PERILAKU BUANG AIR BESAR SEMBARANGAN (BABS) DI KOTA PEKANBARU, PROVINSI RIAU

Abstract

ABSTRACT
 Open defecation is the act of disposing of waste in an area that can contaminate the environment. In Indonesia, there are still areas with Open Defecation Free (ODF) coverage that does not meet the national target (100%), one of which is in Pekanbaru City (28,6%). This study aims to explain the influence of environmental factors on defecation behavior. The type of research was quantitative with a cross-sectional design. A total of 194 families become respondents with proportional random sampling technique. Collecting data using a questionnaire. Data analysis was univariate, bivariate with chi-square test, and multivariate with logistic regression test. There were still 105 families (54.1%) who had open defecation. The variable that has a significant relationship with p-value <0.05 with open defecation behavior was latrine access (p=0.019), TOMA support (p=0.000), health care coaching (p=0.033), financial income (p=0.003) and habits (p=0.000). There were two dominant factors, namely habit with POR=3.771 (1.881-7.563) and TOMA support with POR=3.698 (1.872-7.034). Public awareness is needed, also increasing the frequency of home visits, socializing, and providing health information through print, electronic and social media. 
 Keywords: Open Defecation Free (ODF), Environmental Factor, Pekanbaru
 
 ABSTRAK
 Buang Air Besar Sembarangan (BABS) adalah tindakan membuang kotoran di area yang dapat mengkontaminasi lingkungan. Di Indonesia masih terdapat daerah dengan cakupan STOP BABS masih belum sesuai target nasional (100%), salah satunya di Kota Pekanbaru (28,6%). Penelitian ini bertujuan menjelaskan pengaruh faktor lingkungan terhadap perilaku BABS. Jenis penelitian kuantitatif dengan desain cross-sectional. Total 194 kepala keluarga (KK) yang menjadi responden dengan teknik proportional random sampling. Pengambilan data menggunakan kuesioner. Analisis data univariat, bivariat dengan uji chi-square dan multivariat dengan uji regresi logistic. Masih ditemukan 105 KK (54,1%) yang berperilaku BABS. Variabel yang memiliki hubungan yang signifikan p-value <0,05 dengan perilaku BABS yaitu akses jamban (p=0.019), dukungan TOMA (p=0.000), pembinaan nakes (p=0.033), pendapatan (p=0.003), dan kebiasaan (p=0.000). Terdapat dua faktor dominan yaitu kebiasaan dengan POR=3,771 (1,881-7,563) dan dukungan TOMA dengan POR=3,698 (1,872-7,034). Perlu kesadaran dari masyarakat, peningkatan frekuensi kunjungan rumah, sosialisasi dan pemberian informasi kesehatan melalui media cetak, elektronik juga media sosial.
 Kata kunci: Perilaku Buang Air Besar Sembarangan (BABS), Faktor Lingkungan, Pekanbaru