Main Article Content

Abstract

Background:


Acute Respiratory Infection (ARI) is one of the leading causes of morbidity among children under five in Indonesia. Mining areas have a higher risk of ARI occurrence. This study aimed to analyze the relationship between epidemiological, environmental, behavioral, and health service factors and the incidence of ARI among children under five in the mining area of Morosi District, Konawe Regency.


Methods: This research employed a cross-sectional design with a total of 118 mothers of children under five selected through purposive sampling. Data were analyzed using univariate analysis to describe frequency distributions and bivariate analysis using the Chi-square test.


Results: The results showed an ARI prevalence of 75.4%. The presence of black mold (p-value = 0.003), type of house ventilation (p-value = 0.029), distance from the house to the industry (p-value = 0.020), and distance from the house to the main road (p-value = 0.037) were significantly associated with ARI. Household behavior of opening windows (p-value = 0.025) and the availability of a village health post (p-value = 0.001) were also significantly related to ARI incidence.


Conclusion:  It can be concluded that ARI incidence among children under five in the mining area of Morosi is influenced by environmental factors (ventilation and black mold), household behavior (window-opening habit), and access to primary health care facilities (village health post). ARI prevention efforts should focus on improving home environmental conditions, promoting clean and healthy living behaviors, and enhancing access to primary health services in mining areas.

Keywords

ARI children under five home environment behavior mining area

Article Details

How to Cite
Yanti, F., & Rafiuddin, A. T. (2026). Living Near the Mines: Understanding the Multifactor Causes of Acute Respiratory Infection in Toddlers of Konawe Regency: Acute Respiratory Infection. INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 8(1), 26–37. https://doi.org/10.36566/ijhsrd/Vol8.Iss1/352

References

  1. 1. World Health Organization (WHO). World Health Statistics 2023: Monitoring Health for the SDGs. Geneva: WHO; 2023. Available from: https://www.who.int/data/gho/publications/world-health-statistics
  2. 2. Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2023. Jakarta: Kemenkes RI; 2023. Available from: https://pusdatin.kemkes.go.id
  3. 3. D’Amato G, Cecchi L, Annesi-Maesano I. Climate change and respiratory diseases. Eur Respir J. 2021;57(3):2003446. doi:10.1183/13993003.03446-2020
  4. 4. Liu, H.-Y., Dunea, D., Iordache, S., & Pohoata, A. A Review of Airborne Particulate Matter Effects on Young Children’s Respiratory Symptoms and Diseases. Atmosphere. 2018; 9(4), 150. https://doi.org/10.3390/atmos9040150
  5. 5. Kudus M , Jayadipraja E.A , Syam A , Suriani L. Analysis of Increasing Case of Acute Respiratory Infections (ARI) in Nickel Mining Environment in Pomalaa District, Kolaka Regency, Southeast Sulawesi. Waluya The International Science Of Health Journal. 2022;1(2):52-57. Available from: DOI : https://doi.org/10.54883/wish.v1i2.10
  6. 6. Mahendra I.G.A.P, Farapti F. The Relationship between Household Physical Condition with Incidence of Toddler's Acute Respiratory Infection in Surabaya. Jurnal Berkala Epidemiologi. 2018; 6(3):227–235. Available from: https://doi.org/10.20473/jbe.V6I32018.227-235
  7. 7. Corden, E., Siddiqui, S. H., Sharma, Y., Raghib, M. F., Adorno, W., III, Zulqarnain, F., Ehsan, L., Shrivastava, A., Ahmed, S., Umrani, F., Rahman, N., Ali, R., Iqbal, N. T., Moore, S. R., Ali, S. A., & Syed, S. Distance from Healthcare Facilities Is Associated with Increased Morbidity of Acute Infection in Pediatric Patients in Matiari, Pakistan. International Journal of Environmental Research and Public Health. 2021;18(21), 11691. https://doi.org/10.3390/ijerph182111691
  8. 8. Hassen S, Getachew M, Eneyew B, Keleb A, Ademas A, Berihun G, Berhanu L, Yenuss M, Natnael T, Kebede A B, Sisay T. Determinants of Acute Respiratory Infection (ARI) among Under-Five Children in Rural Areas of Legambo District, South Wollo Zone, Ethiopia: A matched case–control study, International Journal of Infectious Diseases. 2020;96: 688-695, https://doi.org/10.1016/j.ijid.2020.05.012. https://www.sciencedirect.com/science/article/pii/S1201971220303180
  9. 9. Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2014.
  10. 10. Chamekh, M., Deny, M., Romano, M., Lefèvre, N., Corazza, F., Duchateau, J., & Casimir, G. Differential Susceptibility to Infectious Respiratory Diseases between Males and Females Linked to Sex-Specific Innate Immune Inflammatory Response. Frontiers in immunology. 2017;8, 1806. https://doi.org/10.3389/fimmu.2017.01806
  11. 11. Kementerian Kesehatan RI. Petunjuk Teknis Imunisasi Dasar Nasional 2022. Jakarta: Direktorat Surveilans dan Imunisasi; 2022. Available from: https://www.kemkes.go.id
  12. 12. Husni Tamrin, Chrismis Novalinda Ginting, Ali Napiah Nasution. Analysis of Dominant Risk Factors for the Incidence of Ispa in Toddlers in the Working Area of the Labuhan Room Labuhanbatu Health Center in 2024. International Journal of Research Publicationand Reviews. 2024; 5(12):1209-1217. https://www.ijrpr.com/
  13. 13. Susanto SB, Nimas Sitoresmi. Analysis of Factors Influencing The Incident of ARI in Toddler in The Lararan Rejosari Village Of Wonosobo. Journal for Quality of Public Health (JQPH). 2024; 8(1):93-101. Available from: https://jqph.org/index.php/JQPH/article/view/519
  14. 14. Ramadhansyah M.F. Arumdani I.S , Nurany H , Rachmawati I , Laliyanto. Understanding The Health Hazards of Black Mold: An Overview of Environmental and Population-Based Risks. Jurnal Serambi Engineering. 2025; 10(2):13119 – 13129. https://jse.serambimekkah.id/
  15. 15. Jones, E. R., Cedeño Laurent, J. G., Young, A. S., Coull, B. A., Spengler, J. D., & Allen, J. G. (2022). Indoor humidity levels and associations with reported symptoms in office buildings. Indoor air, 32(1), e12961. https://doi.org/10.1111/ina.12961
  16. 16. Pandey P, Dong B. Analysis of Impacts of Window Opening Behavior on Indoor Air Pollutants in Residential Dorms through Deep Neural Network. E3S Web of Conferences. 2023; 396. DOI: 10.1051/e3sconf/202339601097
  17. 17. Rahmawati S, Sari D. Household ventilation and cleaning behavior related to ARI incidence among children in South Sumatra. J Kesmas Global. 2022;5(2):88–96. Available from: https://journal.unnes.ac.id/sju/index.php/jkg
  18. 18. World Health Organization (WHO). Tobacco and Children’s Health: WHO Report on the Global Tobacco Epidemic. Geneva: WHO; 2021. Available from: https://www.who.int/publications/i/item/9789240032095
  19. 19. Sitorus D, Andi H, Yusuf R. Indoor smoking behavior and ARI incidence among toddlers in Makassar. J Promosi Kesehatan Indones. 2022;17(2):129–36. doi:10.14710/jpki.17.2.129-136
  20. 20. Prasetya F, Rahayu L, Utami N. Solid fuel use and respiratory infections among women and children in rural Indonesia. Int J Occup Environ Health. 2023;29(1):44–52. doi:10.1080/10773525.2023.2247612
  21. 21. Lestari E, Puspita W, Nirmala R. Mattress-cleaning frequency and risk of ARI among toddlers in East Java. J Kesehatan Lingkungan Indones. 2021;20(3):211–8. doi:10.14710/jkli.20.3.211-218
  22. 22. Nurhidayah F, Yusuf A, Wahyuni D. Availability of local health facilities and respiratory infection prevention in Luwu Timur District. J Kesmas Komunitas. 2022;11(2):98–106.
  23. 23. Pertiwi A, Hasanah S, Nugroho Y. Maternal participation in posyandu and early detection of ARI among toddlers in rural Java. J Kesmas Nasional. 2021;16(3):187–93.