LAPORAN KELOMPOK II

UKURAN ASOSIASI

Anggota Kelompok II :
Siti Balqis Soraya 170904768
Reva Mulyati
Ahmad Syarif
Fatin Hamamah
Lulu Nurjanah

Pembimbing :
Dr. Agus Handito, SKM., M.Epid

PROGRAM STUDI MAGISTER ILMU KESEHATAN MASYARAKAT

UNIVERSITAS MUHAMMADIYAH PROF DR HAMKA
JAKARTA
2018
SOAL 1

We have eight pigs being observed over twelve weeks. All pigs are free of disease at the start of the study.
The pigs are then checked each week for a disease.

Animal Week Time at

1 2 3 4 5 6 7 8 9 10 11 12 risk (weeks)
1 infected 9
2 12
3 Infected 4
4 12
5 Withdrawn 3
6 12
7 12
8 Infected 7
Total time at risk: 71

QUESTIONS:

1) Prevalence
a) The point prevalence on week 8?
b) The period prevalence for the last month?
2) Cumulative incidence
the cumulative incidence for the 12-week period?
3) Incidence rate
Using the exact method, we add up the number of weeks at risk to give a total of 71 pig weeks. So,
Incidence rate is?

ANSWERS:

Data acquired from above:

 Initial population (p) = 8 Pigs

 Loss follow up = 1 pig (pig number 5 withdrawn after 3rd week)
 New cases = 3 cases infection
 Period of time = 12 weeks
 Total time risk = 71 weeks

1) Prevalence
𝑨𝒍𝒍 𝑪𝒂𝒔𝒆𝒔 𝒐𝒏 𝒘𝒆𝒆𝒌 𝟖 𝟐
a) Point Prevalance on week 8 = 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏 𝒐𝒏 𝒘𝒆𝒆𝒌 𝟖 × 𝟏𝟎𝟎% = 𝟕
× 𝟏𝟎𝟎% = 𝟐𝟖, 𝟓𝟕%
b) Period Prevalence for the last month (week 9-12)
𝑨𝒍𝒍 𝑪𝒂𝒔𝒆𝒔 𝒊𝒏 𝒑𝒆𝒓𝒊𝒐𝒅 𝒘𝒆𝒆𝒌 𝟗−𝟏𝟐 𝟑
= 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏 𝒐𝒏 𝒘𝒆𝒆𝒌 𝟗−𝟏𝟐
𝒙 𝟏𝟎𝟎% = 𝟕
× 𝟏𝟎𝟎% = 𝟒𝟐, 𝟖𝟔%
 𝑨𝒍𝒍 𝑵𝒆𝒘 𝑪𝒂𝒔𝒆𝒔 𝒇𝒐𝒓 𝒕𝒉𝒆 𝟏𝟐 𝒘𝒆𝒆𝒌𝒔 𝒑𝒆𝒓𝒊𝒐𝒅
2) Cumulative incidence for the 12-week period = 𝑰𝒏𝒊𝒕𝒊𝒂𝒍 𝑷𝒐𝒑𝒖𝒍𝒂𝒕𝒊𝒐𝒏
𝒙 𝟏𝟎𝟎

𝟑
= 𝒙 𝟏𝟎𝟎 = 𝟑𝟕, 𝟓 𝒄𝒂𝒔𝒆𝒔 𝒑𝒆𝒓 𝟏𝟎𝟎 𝒑𝒊𝒈𝒔 𝒇𝒐𝒓 𝟏𝟐 𝒘𝒆𝒆𝒌𝒔
𝟖

= 𝟑, 𝟏 𝒄𝒂𝒔𝒆𝒔 𝒑𝒆𝒓 𝟏𝟎𝟎 𝒑𝒊𝒈𝒔 𝒑𝒆𝒓 𝒘𝒆𝒆𝒌

𝑵𝒖𝒎𝒃𝒆𝒓 𝒐𝒇 𝒏𝒆𝒘 𝒄𝒂𝒔𝒆𝒔 𝒅𝒖𝒓𝒊𝒏𝒈 𝒑𝒆𝒓𝒊𝒐𝒅 𝟑

3) Incidence rate = 𝑻𝒐𝒕𝒂𝒍 𝒕𝒊𝒎𝒆 𝒆𝒂𝒄𝒉 𝒑𝒊𝒈 𝒐𝒃𝒔𝒆𝒓𝒗𝒆𝒅 𝒂𝒕 𝒓𝒊𝒔𝒌 𝒙 𝟏𝟎𝟎 = 𝟕𝟏
𝒙 𝟏𝟎𝟎

= 𝟒, 𝟐 𝒄𝒂𝒔𝒆𝒔 per 100 pigs per week

SOAL 2

Selama periode suatu penelitian kohort untuk mengetahui apakah infeksi HIV meningkatkan risiko TB
pada populasi pengguna narkoba, diketahui terdapat cumulative insidens 0,037 dari 8 kasus HIV positif
yang menderita TB dan cumulative insidens 0,003 dari 280 responden yang HIV negatif dan tidak
menderita TB.

1. Buatlah tabel 2x2 dari ilustrasi diatas

2. Hitunglah RR dan interpretasikan

JAWABAN:

Data yang diperoleh:

 Cumulative Incidence (CI) TB+ pada HIV+ = 0,037

 Total kasus HIV+ = 8 Kasus
 Cumulative Incidence (CI) TB- pada HIV- = 0,003
 Total kasus HIV- = 280 kasus

1. Tabel 2x2 kasus TB pada HIV

Faktor TB+ TB- Total Cumulative Incidence (Risk)

𝒂
HIV+ 8(a) ?(b) 8+b 𝒂+𝒃
= 𝟎, 𝟎𝟑𝟕

𝒄
HIV- ?(c) 280(d) 280+c 𝒄+𝒅
=?

Total 8+c b+280 8+b+c+280

𝒂 𝟖
CI (TB+ HIV+) = = = 0,037 Jadi, 𝒃 = 208
𝒂+𝒃 𝟖+𝒃

𝒅 𝟐𝟖𝟎
CI (TB- HIV-) = = = 0,003 Jadi, 𝒄 = 93.503
𝒄+𝒅 𝒄+𝟐𝟖𝟎

Jadi, Tabel 2x2 Kasus TB pada HIV

Faktor TB+ TB- Total Cumulative Incidence (Risk)
𝟖
HIV+ 8 208 216 = 𝟎, 𝟎𝟑𝟕
𝟐𝟏𝟔
𝟗𝟑. 𝟓𝟎𝟑
HIV- 93.503 280 93.783 = 𝟎, 𝟗𝟗𝟕
𝟗𝟑. 𝟕𝟖𝟑
Total 93.511 488 93.999
 𝒂
𝑪𝑰 𝒑𝒂𝒅𝒂 𝒌𝒆𝒍𝒐𝒎𝒑𝒐𝒌 𝑲𝒂𝒔𝒖𝒔 (𝑻𝑩+𝑯𝑰𝑽+) 𝒂+𝒃
2. RR (Relative Risk) = = 𝒄
𝑪𝑰 𝒑𝒂𝒅𝒂 𝒌𝒆𝒍𝒐𝒎𝒑𝒐𝒌 𝑷𝒆𝒎𝒃𝒂𝒏𝒅𝒊𝒏𝒈 (𝑻𝑩+𝑯𝑰𝑽−)
𝒄+𝒅

𝟎,𝟎𝟑𝟕
= x 100 % = 0,037 x 100 % = 3,7 %
𝟎,𝟗𝟗𝟕
Berarti, Penderita HIV+ mempunyai resiko untuk terjangkit TB sebesar 3,7 % dibandingkan
dengan bukan penderita HIV/HIV-.