Even in various cities, inadequately habitable residential areas tend to become slums and no longer meet the standards of a healthy residential environment. This study utilizes descriptive analysis and multiple linear regression analysis with a total of 100 respondents. The Slum Environment Follow-up Determination Model shows the results of the settlement conditions in Tebing Tinggi City, where many people live in unsuitable places, with damaged or inadequate building structures, high housing density, and wooden buildings. As a result, they are vulnerable to fire hazards. Additionally, there is a lack of clean water services, drainage facilities, household waste disposal, waste management, and poor environmental road quality (many roads lack upper pavement or are dirt roads), as well as inadequate street lighting. The low levels of education and income indicate a low socioeconomic status in the slum areas of Tebing Tinggi City. Factors such as Building Density Level (BDL), Environmental Drainage, income, and education collectively significantly influence people's decisions to live in slum environments. However, factors such as Building Density Level (BDL), Environmental Drainage, income, and education partially influence people's decisions to live in slum environments. The pattern of community participation in tackling slum areas remains the same, with an average of 57% not participating in decision-making, implementation, achievement, and program result evaluation.
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