Gambaran Disabilitas pada Penduduk dengan Diabetes Mellitus di Indonesia , Riskesdas 2013

Siti Isfandari, laurentia mihardja

Abstract


Abstract

Diabetes mellitus (DM) is one of degenerative diseases with high burden due to its impact on mortality and disability. There is yet information on the prevalence of DM related disability in Indonesian community. Analysis was performed to depict disability among “healthy’ and DM in population. The sample was derived from Riskesdas 2013 comprising 430,304 respondents aged 35 or higher. The results showed that DM prevalence was 3.6%. Females who lived in urban had higher prevalence. The prevalence of disability among the “healthy” was 13.8% while among DM was 44.1%. DM related disability started to rise among those aged 55 or higher. The 75 or higher age group had the highest prevalence (76.2%). Cognitive and mobility limitation were the highest disability among the diabetic. Those with DM had 4,89 times (95% CI 4,74 – 5,07) higher risk of disability compared with the ‘healthy group’. Meanwhile respondents with DM and stroke had the highest disability prevalence compared with other groups. The increasing trend of DM prevalence in Indonesia will be accompanied by disabilities. This will become burden for the sufferers, their family and society. Therefore it is necessary to strengthen DM prevention, promotion program, and improve DM related disability management.

Key words : DM, disability, Riskesdas 2013.

Abstrak

Diabetes mellitus (DM) merupakan salah satu penyakit degeneratif dengan beban penyakit cukup tinggi karena disabilitas dan kematian yang diakibatkannya. Belum ada informasi mengenai prevalensi disabilitas terkait DM di masyarakat Indonesia. Analisis data dilakukan untuk mendapatkan gambaran disabilitas pada penduduk “Sehat” dan “DM” di Indonesia. Sampel yang dianalisis berasal dari data Riskesdas 2013 sejumlah 430.304 responden usia minimal 35 tahun. Hasil analisis menunjukkan prevalensi DM sebesar 3,6% pada usia minimal 35 tahun. Prevalensi pada perempuan lebih tinggi dari laki-laki, dan prevalensi DM lebih tinggi di wilayah perkotaan dibanding perdesaan. Disabilitas pada kelompok “Sehat” sebesar 13,8% dan pada DM sebesar 44,1%. DM mulai meningkat pada usia 55 tahun dan tertinggi pada usia 75 tahun ke atas (76,2%).Keterbatasan kognisi dan mobilitas merupakan keterbatasan tertinggi yang dialami penderita diabetes (diabetisi) . Kelompok DM berisiko gangguan keterbatasan 4,89 x (95% CI 4,74 – 5,07) dibanding kelompok “Sehat”. Disabilitas pada kelompok DM dengan stroke tertinggi dibanding kelompok lain. Dengan semakin meningkatnya prevalensi DM di Indonesia akansemakin meningkat disabilitas yang menjadi beban bagi si penderita, keluarga dan masyarakat. Diharapkan pemegang program meningkatkan penyuluhan dan kegiatan pencegahan DM, memperlambat terjadinya disabilitas pada DM dan meningkatkan penanganan disabilitas.

Kata kunci: diabetes mellitus, disabilitas, riskesdas 2013


Keywords


DM, disability, Riskesdas 2013.

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