Hubungan kebiasaan merokok dalam keluarga dengan infeksi saluran pernapasan akut anak di bawah umur lima tahun

DOI: https://doi.org/10.33024/hjk.v19i11.1840

Authors

  • Niken Patricia Maarontong Fakultas Ilmu Kesehatan, Universitas Sam Ratulangi
  • Grace Debbie Kandou Fakultas Ilmu Kesehatan, Universitas Sam Ratulangi
  • Fima Lanra Fredrik Gerarld Langi Fakultas Ilmu Kesehatan, Universitas Sam Ratulangi

Anak di Bawah Umur Lima Tahun Infeksi Saluran Pernapasan Akut Kebiasaan Merokok

Abstract

Background: Acute respiratory infections (ARI) are a leading cause of morbidity and mortality in young children worldwide, particularly in developing countries. The main risk factors for ARI in young children include exposure to cigarette smoke, indoor air pollution from biomass use, poor nutritional status, and household overcrowding. Exposure to household cigarette smoke, also known as secondhand smoke, has been shown to increase the risk of lower respiratory tract infections, including bronchiolitis and bronchitis, in infants and toddlers. This relationship demonstrates a dose-response pattern, where the higher the number of cigarettes smoked in the household, the greater the risk of respiratory disease in children.

Purpose: To determine the relationship between family smoking habits and acute respiratory infections in children under five years of age.

Method: This study used a cross-sectional design to capture the relationship between family smoking habits and the incidence of ARI in toddlers. Data collection was conducted electronically using the Google Forms platform. The primary respondents were the fathers or mothers of toddlers, who were considered to have the most relevant knowledge regarding household conditions and the child's health history.

Results: All univariate variables of family smoking habits were significantly associated with the occurrence of acute respiratory infections (ARI) in toddlers. Each cigarette smoked per day increased the odds of acute respiratory infections (ARI) in toddlers by 17%.

Conclusion: There is a significant association between family smoking habits and the incidence of acute respiratory infections (ARI) in toddlers.

 

Keywords: Acute Respiratory Infection; Children Under Five Years of Age; Smoking Habits.

 

Pendahuluan: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama morbiditas dan mortalitas pada anak balita di seluruh dunia, khususnya di negara berkembang. Faktor risiko utama ISPA pada balita antara lain adalah paparan asap rokok, polusi udara dalam ruangan akibat penggunaan biomassa, status gizi yang buruk, serta kepadatan hunian rumah tangga. Paparan asap rokok di rumah tangga, atau yang dikenal sebagai secondhand smoke, telah terbukti meningkatkan risiko infeksi saluran pernapasan bawah, termasuk bronkiolitis dan bronkitis, pada bayi dan balita. Hubungan ini menunjukkan pola dosis respons, di mana semakin tinggi jumlah batang rokok yang dihisap dalam rumah tangga, semakin besar pula risiko penyakit pernapasan pada anak.

Tujuan: Untuk mengetahui hubungan kebiasaan merokok dalam keluarga dengan infeksi saluran pernapasan akut anak di bawah umur lima tahun.

Metode: Penelitian ini menggunakan desain cross-sectional untuk memotret hubungan antara kebiasaan merokok dalam keluarga dan kejadian ISPA pada balita. Pengumpulan data dilakukan secara elektronik dengan menggunakan platform google forms. Responden utama adalah ayah atau ibu dari balita yang dianggap memiliki pengetahuan paling relevan mengenai kondisi rumah tangga dan riwayat kesehatan anak.

Hasil: Semua variabel kebiasaan merokok dalam keluarga secara univariat memiliki hubungan bermakna dengan terjadinya ISPA pada balita di keluarga. Setiap batang rokok sehari menambah odds ISPA pada balita dalam keluarga sebesar 17% lebih besar.

Simpulan: Terdapat hubungan signifikan antara kebiasaan merokok dalam keluarga dengan kejadian infeksi saluran pernapasan akut pada balita.

 

Kata Kunci: Anak di Bawah Umur Lima Tahun; Infeksi Saluran Pernapasan Akut; Kebiasaan Merokok.

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References

A’yun, I. Q., & Umaroh, R. (2023). Polusi udara dalam ruangan dan kondisi kesehatan: analisis rumah tangga Indonesia. Jurnal Ekonomi Dan Pembangunan Indonesia, 22(1), 2.

Allinson, J. P., Chaturvedi, N., Wong, A., Shah, I., Donaldson, G. C., Wedzicha, J. A., & Hardy, R. (2023). Early childhood lower respiratory tract infection and premature adult death from respiratory disease in Great Britain: a national birth cohort study. The Lancet, 401(10383), 1183-1193.

Cosin-Tomas, M., Cilleros-Portet, A., Aguilar-Lacasaña, S., Fernandez-Jimenez, N., & Bustamante, M. (2022). Prenatal maternal smoke, DNA methylation, and multi-omics of tissues and child health. Current Environmental Health Reports, 9(3), 502-512.

Enyew, H. D., Hailu, A. B., & Mereta, S. T. (2023). Kitchen fine particulate matter (PM2. 5) concentrations from biomass fuel use in rural households of Northwest Ethiopia. Frontiers in Public Health, 11, 1241977.

Islam, M. A., Hasan, M. N., Ahammed, T., Anjum, A., Majumder, A., Siddiqui, M. N. E. A., & Ahmed, F. (2022). Association of household fuel with acute respiratory infection (ARI) under-five years children in Bangladesh. Frontiers in Public Health, 10, 985445.

Jones, L. L., Hashim, A., McKeever, T., Cook, D. G., Britton, J., & Leonardi-Bee, J. (2011). Parental and household smoking and the increased risk of bronchitis, bronchiolitis and other lower respiratory infections in infancy: systematic review and meta-analysis. Respiratory research, 12(1), 5.

Lu, W., Wang, L. A., Mann, J., Jenny, A., Romero, C., Kuster, A., & Thompson, L. (2022). Biomass smoke exposure and atopy among young children in the Western Highlands of Guatemala: a prospective cohort study. International journal of environmental research and public health, 19(21), 14064.

Nurhayati, I., Yuniarti, T., Hidayat, U., Pramudyono, R. K., Wardhani, A. K., & Shohib, I. A. (2025). Penyelidikan epidemiologi kejadian ISPA pada balita di Puskesmas Tanjungsiang Subang Jawa Barat. Avicenna: Journal of Health Research, 8(1).

Ozawa, N., Shibayama, T., Hiraga, N., Fukushima, H., Suzuki, R., & Furuya, K. (2023). Parental readiness for the transition to adulthood of children with a chronic disease. Journal of Pediatric Nursing, 69, 56-61.

Purimahua, S. L. (2023). Faktor Risiko Kejadian Pneumonia Balita Pada Budaya Panggang (Lalakoti) di Kabupaten Timor Tengah Selatan (Doctoral dissertation, Universitas Hasanuddin).

Putri, S. R., Maharani, F., & Romdhoni, A. C. (2022). Acute respiratory infections in children under-five years because of the smoking parents: Literature review. World Journal of Advanced Research and Reviews, 16(3), 577-582.

Qamarya, N., & Hayati, Z. (2022). The relationship between cigarette smoke exposure with acute respiratory infections (ARI) and stunting in Bima 2022. Science Midwifery, 10(4), 2921-2927.

Rubinson, N. G., Fong, G. T., Gravely, S., Quah, A. C., Bitan, M., Lev Ari, S., & Rosen, L. J. (2023). The association between risk perceptions, anxiety, and self-reported changes in tobacco and nicotine product use due to COVID-19 in May-June 2020 in Israel. BMC Public Health, 23(1), 759.

Salmaddiina, A., Fitria, L., & Nabila, S. (2022). Association between Environmental Factors and the Incidence of Acute Respiratory Infection in Children under Five in East Nusa Tenggara, Indonesia. Malaysian Journal of Medicine & Health Sciences, 18(4).

Scala, M., Bosetti, C., Bagnardi, V., Possenti, I., Specchia, C., Gallus, S., & Lugo, A. (2023). Dose-response relationships between cigarette smoking and breast cancer risk: a systematic review and meta-analysis. Journal of Epidemiology, 33(12), 640-648.

Singh, P. K., Singh, L., Wehrmeister, F. C., Singh, N., Kumar, C., Singh, A., & Singh, S. (2022). Prevalence of smoking and smokeless tobacco use during breastfeeding: a cross-sectional secondary data analysis based on 0.32 million sample women in 78 low-income and middle-income countries. EClinicalMedicine, 53.

Smith, K. R., Samet, J. M., Romieu, I., & Bruce, N. (2000). Indoor air pollution in developing countries and acute lower respiratory infections in children. Thorax, 55(6), 518-532.

Syarifah, A. U., Riskyana, C. D., & Tjahyanto, T. (2023). Risiko Paparan Asap Rokok Pada Ibu Hamil Terhadap Kejadian Penyakit Paru Anak: Tinjauan Pustaka. Health Information: Jurnal Penelitian.

van der Lubbe, A., Swaab, H., Vermeiren, R. R., & Ester, W. A. (2024). Stress, eating behavior and adverse health in parents of young children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 54(2), 662-672.

Woolley, K. E., Dickinson‐Craig, E., Lawson, H. L., Sheikh, J., Day, R., Pope, F. D., & Thomas, G. N. (2022). Effectiveness of interventions to reduce household air pollution from solid biomass fuels and improve maternal and child health outcomes in low‐and middle‐income countries: A systematic review and meta‐analysis. Indoor air, 32(1), e12958.

Xiang, S., Chen, Z., Dai, Z., & Wang, F. (2023). Global burden of lower respiratory infections attributable to secondhand smoke among children under 5 years of age, 2010–2019: a systematic analysis of the global burden of disease study 2019. BMC Public Health, 23(1), 1920.

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Published

2026-02-03