School Education Level Research Articles

Soluble urokinase Plasminogen Activator Receptor (suPAR) mediates the effect of a lower education level on adverse outcomes in patients with coronary artery disease.

To investigate whether the adverse impact of lower educational attainment on mortality risk in patients with coronary artery disease (CAD) is mediated by the activation of inflammatory and immune pathways, estimated as elevated soluble urokinase plasminogen activator receptor levels. In 3164 patients undergoing coronary angiography, we investigated multivariable associations between suPAR and educational attainment and assessed the relationship between a lower educational level (defined as a high-school degree or less as the highest educational qualification) and outcomes using Cox proportional hazard and Fine and Gray's subdistribution competing risk models. The potential mediating effect through suPAR and high-sensitivity C-reactive protein (hs-CRP) was assessed using mediation analysis. A total of 1814 patients (57.3%) had achieved a higher (≥college) education level and 1350 patients (42.7%) a lower (≤high school) education level. Soluble urokinase plasminogen activator receptor levels were 9.0% [95% confidence interval (CI) 6.3-11.8, P ≤ 0.0001] higher in patients with lower educational qualifications than in those with higher educational qualifications after covariate adjustment. Lower educational attainment was associated with a higher risk of cardiovascular death after adjustment for demographic, clinical, and behavioural covariates, including CAD severity and heart failure history, medication use, and hs-CRP levels [hazard ratio 1.26 (95% CI 1.02-1.55, P = 0.03)]. However, after adjustment for suPAR levels, the effect of a lower educational level on cardiovascular death became insignificant. Values were similar for all-cause death. Soluble urokinase plasminogen activator receptor levels mediated 49% and hs-CRP levels 17% of the cardiovascular death risk attributable to lower educational attainment. Circulating suPAR levels importantly mediate the effects of lower educational attainment on mortality, indicating the importance of systemic inflammation and immune dysregulation as biologic mediators of adverse social determinants of health.

The characteristics of the elderly with hypertension in Jatimulyo Village

Background: Physical and psychological decline is a sign of aging. In addition, aging also increases the risk of diseases that can lead to death. Hypertension is a non-communicable but chronic disease with a very high prevalence rate in the elderly. Many changes occur during the aging process. These changes need special attention. In the elderly, some problems arise from physical, cognitive, social, and sexual feelings. One of the changes in the cardiovascular system in the elderly is hypertension. 
 Methods: The samples used were ten patients according to the inclusion and exclusion criteria. The research data is primary data obtained from interviews based on questionnaires. Of the ten research subjects, the proportion of hypertension was found in problems with the characteristics of age 60-74 years as much as 70%, female gender (70%), high school education level (60%), and existing housewife occupation (70%). In addition, most of the research subjects had grade 1 hypertension (90%).
 Results: Of the ten research subjects, the proportion of hypertension was found in problems with the characteristics of age 60-74 years as much as 70%, female gender (70%), high school education level (60%), and housewife occupation (70%). In addition, most of the research subjects had grade 1 hypertension (90%).
 Conclusion: Hypertension is also a non-communicable but chronic disease with a very high prevalence rate in the elderly. The prevalence of hypertension at the world level, especially in developed countries, in the elderly population > 60 years is estimated to reach two-thirds or around 60%-80%.

Exploring Social Media Use Integration Based on Educational Level Among Emerging Adults

Objective: Social media has become integral to everyday life, including among emerging adults. Surveys showed that Instagram has become one of emerging adults' most popular social media. Social media could facilitate emerging adult developmental tasks, such as identity exploration. Further, social media uses integration concepts to explore how individuals build emotional connections and involve social media in their daily social routines. Additionally, it is essential to view social media use integration based on educational background. This study explored differences in social media use integration among emerging adults based on education level. Method: A cross-sectional study design was conducted among 305 men and women emerging adults. Participants completed a self-administered questionnaire comprising demographic characteristics and a Social Media Use Integration scale. Data were analyzed using descriptive analysis and one-way ANOVA statistic technique. Results: Descriptive analysis results showed that individuals with a high school education level had the highest social media use integration scores compared to groups from other education levels. Further, education level notably contributed to the score difference in social media use integration among emerging adults. Novelty: This study contributed to exploring further the social media use integration among emerging adults, specifically in the context of educational background.

Association of socioeconomic status with metabolic syndrome and its components among adult population: a community-based cross-sectional study in Nanjing Municipality of China

ObjectivesTo investigate the association of metabolic syndrome (MetS) and its components with socioeconomic status (SES) among general and gender-specific adult population in Nanjing municipality, China.DesignCross-sectional study.Participants13287 participants completed the survey....

BREAST CANCER AWARENESS AND SCREENING USING BSE, CBE AND CLINICAL FOLLOW UP AMONG RURAL WOMEN OF TRIPURA, NORTH-EAST INDIA

Background: Breast cancer is one of the most common causes of cancer morbidity and mortality among females around the globe. In India its the second most common cancer in females which is chiefly attributed to lack of knowledge on breast cancer and Breast Self Examination (BSE) especially among rural women. The purpose of this study was to assess the level of awareness on breast cancer, BSE and Clinical Breast Examination (CBE) of rural women having breast problems and their follow up. Methodology: This cross sectional descriptive study was carried out in the rural area around AGMC, Agartala, Tripura among the women. The data was collected by social workers from door to door using a predesigned questionnaire covering various aspects. Brief talk on awareness and BSE was given in form of on-site group discussions. Results: Out of 774 participants, majority belonged to the age group of 40-50 years having school level education(46.8%), married(88.5%), home maker(54.6%), below poverty line (58.8%). Most common electronic source of information were television/radio(75.4%). Most of them identified family history(72.7%) as risk factor & breast lump(100%) as most common symptom of breast cancer. Lacking knowledge about BSE(40.3%) was identified as an important barrier for conducting it. Only 17.8% practiced BSE. Conclusions: This study showed that the overall knowledge of breast cancer and BSE is inadequate and insufficient which warrants effective sensitization by public health education/programmes thus enhancing the knowledge and prevention strategies. This will help in early detection of breast cancer thus reducing morbidity, mortality and burden of disease.

LEVEL OF ANXIETY ABOUT COVID-19 IN THE COMMUNITY RT I RW XII KELURAHAN MANYAR SABRANGAN SURABAYA

Anxiety is a judgement and emotional response to something dangerous. Anxiety is strongly instability, decreased income, sudden layoffs, difficulty finding employment, and loss of life in a matter of days after contracting Covid-19 which could cause anxiety. The purpose of this study was to determine the level of anxiety about Covid-19 in the community of RT I RW XII Manyar Sabrangan Village. The sampling technique in this study used an incidental sampling technique with a total of 110 people. The results of this study indicate that people with anxiety levels based on age mostly experience severe anxiety with the highest presentation at the age of 18-25 years (57.15%), while based on education most experience moderate anxiety with the highest presentation in junior high school education (33.3%) and anxiety levels based on work almost all experience moderate anxiety with the highest presentation as self-employed (88.88%). It is expected for every community to continue to discipline themselves in implementing health protocols such as wearing masks, washing hands, maintaining distance and carrying out Covid-19 vaccinations.

Teaching Mathematics to Students with Visual Impairment Studying at the Primary Level: Role of Multisensory Approach

Purpose: The study of mathematics helps students develop their cognitive abilities. By emphasizing the quantitative and dimensional characteristics of the objects, it establishes the basis for logical reasoning. In mathematics, students who are visually challenged often struggle with a lack of conceptual understanding and difficulties with the disequilibrium stage of the reasoning process. (Jones, 2018).
 Design/Methodology/Approach: The purpose of this research is to inquire into the difficulties and solutions utilized by primary school educators who work with students who have vision problems. The main objective of the research was to provide an overview of mathematics educators' current efforts to incorporate a multi-sensory approach into their pedagogy for students with impaired vision. It was a quantitative research and descriptive research design was used. The study comprised 100 school-level VI special education teachers. Data for this study was collected via convenient sampling.
 Findings: The statistical analysis showed that the majority of teachers were not utilizing the multisensory approach (tactile, auditory & kinesthetic etc.) and helping material to improve the mathematical skills of the VI students. Most of the teachers lacked specialization in mathematics, and learning conditions were unsuitable while teaching mathematics to SWVI. Majority of Teachers were not utilizing multisenses while teaching mathematics to students with visual impairment.
 Implications/Originality/Value: This study indicates that SWVI were facing problems because their teachers were not utilizing appropriate teaching material while teaching mathematics, lacked effective teaching skills and there was an inappropriate use of adaptive tools while teaching mathematics to SWVI. p-Value 0.016 is < 0.05. displays that there is a statistically significant difference in the opinion of the teachers based on their educational qualifications on the importance of using a multisensory approach to enhance the mathematical skills of SWVI.

Merdeka Curriculum: Strengthening Character Through Assessment At SMP Negeri 17 Pontianak

This research aims to determine the implementation of character strengthening through independent curriculum assessments in junior high school level education units. Curriculum changes require adjustments to the competencies of teachers and students. Especially junior high school students who have just experienced the transition from primary to junior secondary education. In order to find answers to research questions, researchers conducted research at SMP Negeri 17 Pontianak. The research method is descriptive qualitative. The research procedure was carried out starting with preparing the design, implementation and research report. Data collection techniques using observation, interviews and documentation studies. The research results were analyzed according to Milles and Huberman's analysis. Research population of teachers and students of SMP Negeri 2 Pontianak. Meanwhile, the research samples were from social studies teachers and several students. The results of the research show that SMPN 17 Pontianak is still in the adjustment or adaptation stage. Formative assessment is able to provide encouragement to teachers to be more systematic and consistent in assessing students in areas mastered. The assessment at SMPN 17 Pontianak is an evaluation for teachers to review students' abilities, for example what learning needs students need and the obstacles or challenges faced by students. Apart from still not mastering the adaptation process for teachers in the independent curriculum assessment, another obstacle is the limited number of textbooks from the central government which until now has not provided these textbooks to the SMP Negeri 17 Pontianak school. So students are forced to buy textbooks individually and not all students can buy textbooks.

Assessing Depression and Anxiety Levels in English and Spanish-Speaking Patients throughout a Course of Radiation Therapy

An estimated 32.2% and 41.9% of breast cancer patients experience depression and anxiety, respectively. However, distress experienced by patients with breast cancer receiving radiation therapy may vary at different time points and differ in comparison to other patients with breast cancer, potentially due to differences in the understanding of radiotherapy and variability in the severity of side effects. This study sought to describe the changes in levels of depression and anxiety experienced by English and Spanish-speaking patients throughout a course of radiation therapy for breast cancer, along with the impact of different variables on these levels of distress to better understand and quantify potential gaps. Eligibility criteria included English and Spanish-speaking females, ages 18 or older, undergoing radiation therapy treatment for breast cancer at two institutions, including a safety-net hospital. Pre- and post-treatment surveys were completed before and after delivery of radiation therapy. Sociodemographic characteristics collected included: race, ethnicity, marital status, education level, longest residency location, housing, and food security. The survey ended with the standardized PHQ-4 questionnaire, which uses a maximum total score of 12 to assess anxiety and depression. Results were analyzed using the Analysis of Covariance procedure. A total of 160 participants completed pre- and post-treatment surveys. Half of the participants were non-white (50%), primarily married (42.5%), and had a high school or associate's level education (46.9%). The total baseline distress mean (BDM) was 2.96 (Standard deviation, SD = 3.11), and the final distress mean (FDM) was 2.78 (SD = 3.78). English-speaking patients comprised 82.5% (n = 132) of the sample and had a BDM of 2.91 with an adjusted change mean (ACM) decrease of 0.45. Spanish-speaking patients comprised 17.5% (n = 28) of the sample, with a BDM of 3.21 and an ACM increase of 1.03 (P = 0.002). Housing (P = 0.021) and food insecurity (P = 0.002) also showed increasing distress with increased insecurity at baseline. Our study shows that Spanish-speaking patients present with higher levels of distress than their English-speaking counterparts and their distress increased throughout treatment as opposed to English speakers. Other factors, such as housing and food insecurity, are also significantly associated with increased distress. As the number of Spanish speakers in the US continues to increase, it will be important to continue assessing potential differences in cancer care. In addition, understanding the distress changes throughout radiation treatment could help inform future interventions that address these disparities.

Dynamics of Drivers of Conflict in Water-Related Resource Scarcity: Focus on Lake Turkana Basin of Kenya

Lake Turkana basin, located in Turkana County of Kenya, has become a central point for studying the dynamics of conflicts resulting from water-related resource scarcity. The study sought to identify specific drivers of water use-related resource conflicts in the basin and was anchored on the Negotiation Theory. Historically, the semi-arid and arid regions of the Kenyan borders have experienced perennial conflicts between ethnic groups in the Lake Turkana Basin that revolve around scarce water-related resources on land and in water. Using a descriptive study design, convenience sampling accessed 36 respondents through 36 questionnaires, interview schedules, three focus group discussions (FGDs), and an observation guide. The study findings demonstrate that drivers of conflicts were not just locally domesticated but also had external factors and influences, including dynamics associated with inflammatory political speeches and economic and environmental factors resulting in a harsh climate. Additionally, high illiteracy, with over 45% having only primary school level education, cultural pressures where 75% male domination was observed, ethnic tensions, historical grievances, scarce critical resources which were only concentrated in a few locations, and geopolitical interests of neighbouring countries contributed to conflicts in the region. In conclusion, drivers of conflict must be carefully understood for long-term resolutions. The study limitations included remoteness and lack of infrastructure in the basin. Further research is recommended to establish whether the key drivers could be reversed in their efforts to drive conflicts to manage perennial conflicts. Alternative Dispute Resolution (ADR) mechanisms are highly recommended for managing these perennial water resource-related conflicts.

Implications and Implementation of Biological Philosophy on Biological Topics: Plant Growth and Development

This article comprehensively discusses growth and development in plants, explaining the differences between these two concepts, as well as their implications in the world of education, especially at the junior high school (SMP), senior high school (SMA) and tertiary education (PT) levels. Growth is explained as an increase in the size and number of cells which is quantitative, while development is a process towards maturity which is qualitative. Growth and development in plants are interrelated and occur continuously. In middle school, students understand the various systems in plant life and the importance of growth and development. In high school, they analyze the relationship between internal and external factors and growth and development processes and carry out experiments related to external factors in plants. The College provides students with the opportunity to conduct in-depth research on plant growth and development, developing their metacognitive abilities. This article highlights the importance of integrating plant growth and development concepts in educational curricula to create deeper understanding and better quality learning.

Development of an Evaluation Model for Islamic Religious Education and Character Education (PAI-BP) at The High School Level: Between Urgency and Effectiveness

The research is aimed to: (1) identify a factual model of learning evaluation of Islamic Religious and Moral Education (PAI-BP); (2) develop the PAI-BP learning evaluation model to suit the needs of the high school education level; and (3) knowing and analyzing the effectiveness of the PAI-BP learning evaluation development model at the high school education level in Karanganyar Regency for the 2020/2021 academic year. The type of the research is development research targetting the evaluation model for Islamic Religious and Moral Education (PAI-BP) for high school level. The data collection method was done using observation, in-depth interviews, document analysis, tests, and questionnaires techniques. Data analysis was carried out by qualitative and quantitative analysis. The research concluded that: (1) The factual model of the evaluation of Islamic Religious Education and Moral Education (PAI-BP) at the high school education level currently done separately between the process of learning and its product; (2) The evaluation model developed has two main components, namely: the learning process and output. The learning process includes four subcomponents, namely: (a) teachers’ performance in the classroom, (b) teachers’ personality, (c) students’ behavior, and (d) learning facilities. Whereas the learning output includes four sub-components, namely aspects: (a) akidah akhlaq, (b) Qur'an-Hadith, (c) Fiqh, and (d) Islamic history; and (3) The effectiveness of the PAI-BP learning evaluation model developed shows that based on the experts, user and practitioner assessments, the model developed is considered as a Good model to evaluate PAI-BP learning at high school level education.

The Impact of Education Level, Access to Transportation, and the Home Environment on Patient-Reported Outcomes after Orthopaedic Trauma Surgery

Objectives It is known that Social Determinants of Health (SDOH) impact a variety of health outcomes. Of these determinants, it remains unclear how education level, access to transportation, and the home environment influence Patient-Reported Outcomes (PROs) following orthopaedic trauma surgery. Methods A cross-sectional survey was conducted at an urban level 1 trauma center to collect data on demographics, education level, access to transportation, and the home environment of 120 patients who underwent fracture fixation surgery. Patient data was correlated with PRO data as measured by Patient Reported Outcomes Measurement Information System (PROMIS) survey scores, including global mental health (GM), global physical health (GP), pain interference (PI), and physical function (PF). A multivariable mixed-effects regression analysis was performed to determine associations between SDOH and PROs. Results Multivariable regression analysis results demonstrated that patients with high school or lower education levels were associated with better PF (P=0.007). Patients with access to transportation were associated with higher GM (P = 0.016), while those who lived greater than 5 miles from the hospital were associated with higher GP (P = 0.0498). Those with difficulty accessing the bathroom were associated with lower GP (P = 0.007) and GM (P = 0.0008), increased PI (P = 0.0002), and lower PF (P = 0.004). People living in apartments had higher GM (P = 0.0008). Navigating stairs inside the home was associated with lower GP (P = 0.030) and higher PI (P = 0.0007), while those who navigated stairs outside of their home reported higher GP (P = 0.038). Conclusion This study found that in our population, education level, access to transportation, and the home environment appeared to be associated with PROs following orthopaedic trauma surgery.

Change characteristics and influencing factors of grassland degradation in adjacent areas of the Qinghai-Tibet Plateau and suggestions for grassland restoration.

Natural grasslands are being progressively degraded around the world due to climate change and socioeconomic factors. Most of the drivers, processes, and consequences of grassland degradation are studied separately, and it is not yet clear whether the change characteristics and influence factors of adjacent areas of grassland are identical. We analyzed changes in grassland area and quality, and the influences of climate changes and socioeconomic factors from 1980-2018 in Maqu County, Xiahe County and Luqu County on the eastern Qinghai-Tibet Plateau (QTP). We found that areas with high and medium coverage grassland in Maqu County and Luqu County decreased continuously with time, while low coverage grassland areas increased in three counties. In Xiahe County, the medium coverage grassland area reduced with time (except for 2010), while the high and low coverage grassland areas increased. The actual net primary productivity of the three counties showed a downward trend. In Maqu County, the total grassland area had an extremely significant positive correlation with number of livestock going to market, commodity rate, gross domestic product (GDP), primary industry, tertiary industry, household density, and levels of junior middle school education and university education in the area. In Luqu County, the total grassland area high coverage grassland area were significantly negatively correlated with total number of livestock, secondary industry, levels of primary school education, and temperature. Ecological education was positively correlated with high coverage grassland, and negatively correlated with low coverage grassland in all three areas. The results of this study suggest that the best ways to restore the area and quality of grasslands in these areas would be to reduce the local cultivated land area and slow down the development of the primary and tertiary industries in Maqu County, and to control industry development and the total number of livestock in Luqu County. This study also suggests that improving education level and strengthening the level of ecological education are conducive to the restoration of grasslands.

Predicting children’s perceived reading proficiency with prosody modeling

Reading is a foundational skill and the focus of school-level education efforts across countries. The assessment of linguistic competence from oral reading has long been the subject of scientific studies linking the reader’s comprehension of the text to various measures of oral reading fluency. Given the time and resource intensive nature of such assessment, it is of interest to automate the prediction of reading fluency from audio recordings using the same pedagogical rubrics. Given recent findings about the importance of prosody to the communicative purpose of reading aloud, we discuss new approaches to modeling it reliably for the automatic assessment task. We present a new data set of children’s oral reading screened for minimum word decoding skill and rated for comprehensibility by two human experts. We develop a system for the automatic prediction of rater scores that also facilitates insights about the complementarity and inter-dependence of computed lexical accuracy, rate and prosodic features as corroborated by multiple performance measures. With achieved values of correlation and agreement that surpass the corresponding inter-rater measures, we also show how text-dependent prosodic features, informed by speech rate and speaking style, contribute prominently to system performance.

What motivates South African students to attend university? A cross-sectional study on motivational orientation

Students’ reasons for attending university are likely to impact their participation, academic engagement, and learning outcomes. This study aims to investigate undergraduate students’ motivations for attending a South African university and its association with specific socio-demographic factors. The study used a cross-sectional survey design. Participants were undergraduate students ( N = 220) who completed a socio-demographic survey and the Student Motivations for Attending University Questionnaire-Revised scale. Descriptive statistics, correlations, and analysis of variance were used to determine associations between the study variables. The reasons for attending university were significantly related to racial identity, student generational status, parental educational status, and family characteristics. Students in their first and second years of study were motivated to attend university to prove their self-worth. Students who identified as Black as well as those coming from a single- or double-parent household and students whose parents had a school-level education were more likely to attend university to help their families. The findings suggest that students are motivated beyond the immediate benefits of employment and personal earnings and that the upliftment of their families is a central reason for attending university. For universities striving to connect with their students, understanding students’ motivational orientation can inform intervention efforts aimed at enhancing retention and throughput.

Leadership Promotion Strategies for College Administrators

The leadership of college administrators is a critical figure in fulfilling the college's responsibilities, and it has a far-reaching impact on all aspects of disciplinary development, quality education, and the effectiveness of the school's operation. Leadership enhancement of college administrators is conducive to improving the structured reform of the internal structure of the college organization, establishing sound college system management, and improving the level of school education. It will also promote the academicization process of the college's internal organization, strengthen academic research and discipline construction, and promote educational exchanges and cooperation between teachers and students. It not only encourages the harmony and coordination of disciplines within the college, optimizes the allocation of resources, but also improves the level of education and teaching and further enhances the academic competitiveness of the whole university. This study explores the strategies for strengthening the leadership of development college administrators by sorting out theories, drawing on the theoretical perspectives of Bolman & Deal, Sergiovanni, and Zheng, and doing empirical research by comprehensively applying the questionnaire survey research method. In this study, five universities in Guangxi Zhuang Autonomous Region were grouped for a questionnaire survey using random sampling. College administrators and faculty, and staff members were assessed to provide an empirical research basis for leadership enhancement strategies. Finally, the corresponding plan was provided for the results of the study.

Socio-economic factors associated with open defecation among agricultural households: a cross-sectional study in Haiti

BackgroundOpen defecation (OD) is recognised as an important public health challenge in low-income and middle-income countries. Although agriculture is the main occupation in these countries, few if any study on...

Multicultural Competence as a Teacher’s Metacognition to Achieve a Positive School Climate

Our modern times are marked by socio-economic and cultural processes whose effects are rapidly crossing national borders and creating a global community for which multiculturalism is no longer just a concept but a social reality. As a key tool for its harmonization, intercultural education is determined, which provides conditions for interaction between cultures and prepares multicultural individuals. There is a need for the teacher to acquire the appropriate intercultural readiness and competence to enable her to posit the climate in the classroom. At the same time, there is a lack of research on the psychological climate in culturally mixed classrooms, characteristic of most schools today. The aim of the study is to investigate the importance of teachers’ “intercultural readiness” factors for achieving a positive psychological climate in a multicultural educational environment. The research instrument synthesizes questionnaires on the classroom, on the organization of the educational environment and on the psychological climate and adapts them to the level of primary school education. The sample consisted of 95 teachers from Attica in Greece. The data were analyzed with the statistical package SPSS and one-way ANOVA was applied. The research assumption is confirmed that universities preparing pedagogical specialists are responsible for developing master’s degree programs in intercultural education or courses for additional professional qualification with a focus on the formation of intercultural competence as a teacher’s metacognition.

Factors Associated with The Incidence of Pulmonary Tuberculosis in Lebak District, Banten Province, Indonesia

Introduction: Pulmonary tuberculosis (TB) is a chronic disease caused by Mycobacterium tuberculosis. The prevalence of pulmonary TB is increasing every year. The previous studies found that knowledge, physical condition of the house, gender and education level are the well-known of factors associated with the TB cases. This study aims to determine the factors associated with the incidence of Pulmonary TB at Puskesmas Maja, Lebak Regency, Banten Province, Indonesia.Methods: Case control study design was used in this study. Total 20 cases and controls were recruited. Cases are individuals aged over 15 years with pulmonary tuberculosis who were confirmed by sputum examination with acid-fast staining (BTA+) showing the presence of Mycobacterium tuberculosis. Controls were individuals with negative sputum examination results. A purposive sampling technique was used to find the defined-case and control groups. A study questionnaire was used to collect the determinant factors and house condition parameter was measured directly. The chi-square test was used to determine the association of each variable related to TB incidence.Results: The demographic data showed that the majority of TB patients in Puskesmas Maja were male who had an elementary to high school education level and had a low level of knowledge and unhealthy physical conditions of the house. The results of bivariate analysis showed that there was a significant relationship between gender, education level, knowledge, and physical condition of the house with the incidence of pulmonary TB at Puskesmas Maja, Lebak Regency.Conclusion: This study concludes that all four variables have a significant relationship with the occurrence of Pulmonary TB at Puskesmas Maja, Lebak Regency. The results of this study can be a source of reference for further research and also become the basis for overcoming pulmonary TB in Banten Province in particular and in Indonesia