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The Food Factor Toward The Occurence Of Gastritis In Ende Regency, Province,

Maria Salestina Sekunda, Anatolia Karmelita Doondori, Yustina Pacifica Maria Paschalia Health Polytechnic of Email: [email protected], [email protected], [email protected]

Abstract

Background: Gastritis is one of the illnesses suffered by almost everyone and is considered as an ordinary thing for granted, but it was the beginning of gastritis a disease which can be troublesome even can cause death. Purpose. This study identified the eating patterns against the Gastritis occurrences. Methods: A case control study with 67 cases and 134 control subjects was conducted in the District Rewarangga South Ende in 2017. The data of the eating patterns includes sour and spicy food. The data were analyzed by multivariate logistic regression. Results: The result of this research is that cases and controls have been comparable in terms of sex (p = 0,224), age (p = 0,360), education (p = 0,001) and occupation (p = 0,430). The results known that a risk factor of gastritis incidence of spicy foods (OR 4,240, p = 0,007), habit of consumsing acidic food (OR 3,360; p = 0,017). Conclusion: It can be concluded that the risk factors of gastritis in the Sub-district of Rewarangga, Ende Indonesia were the habits of usually eat the acid food and spicy food. Therefore, it is necessary to encourage promotion, such as education about gastritis and healthy as well as preventive measures such as improvement of the habits and not habits comsumption the acid food and spicy food. Keywords: Gastritis, The food factor, Case control, Indonesia

*Correspondence: [email protected] Present Address: Ende, East Nusa Tenggara, Indonesia

©The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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INTRODUCTION Jakarta Bandung 32.5%, 35.3% of Gastritis is one of the illnesses Palembang, Aceh 31.7% and 31.2% of suffered by almost all people regardless Pontianak. It is caused by a less healthy of age, gender, education, employment eating patterns (Vayu Media, 2009). and so on. The disease is often caused by Nationally, gastritis is the disease gastritis diet that is frivolous. Gastritis is that ranks fifth of the 50 cases of distinguished into two acute and chronic hospitalization throughout hospitals in and actions handling on each different Indonesia. The number of occurrence of gastritis. gastritis in some areas in Indonesia is Research results health agencies quite high with the prevalence of 274.396 WHO hold a review of the 8 countries of case of 238.452 million inhabitants. In the world have been getting some results the year 2012, in the city of Surabaya to percentage of occurrence of gastritis in Figure 31.2% incidence of gastritis, the world, the country's most gastritisnya Denpasar 46% while in the Field events high numbers i.e. America with amounted to 91.6% and there is in some percentage India reached 47%, with a other countries such as in Southeast Asia percentage of 43%, United Kingdom amounted to 583.635 of the population China 22%, 31%, Japan 14.5%, Canada each year. In the province of NTT in the 35%, France, 29.5% and 40.8% Indonesia. year 2013 the number of sufferers as Ordinary gastritis is regarded as a paltry much as 2450 people, the year 2014 as but gastritis is the beginning of a disease much as 17,827 men and year 2015 as that can vex us. In Indonesia the number much Government Health Office (13,303. of occurrence of gastritis is quite high. Ende, 2015). Of the above events, shows From research and observations made by that the number of sufferers of gastritis the depertemen health RI numbers in the Regency of Ende continues to Genesis gastritis in some cities in experience increased from year to year. Indonesia there is a high reach 91.6% in As for the public health Rewarangga the the city of Medan, and in some cities such incidence of gastritis in 2015 as much as Surabaya, Denpasar 31.2% 46%, 50%, people and in 1453 the year 2017

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(January-March) as much as 456 cases of bipolar disorder in the working area gastritis (Clinic Rewarangga, 2017). Clinics Rewarangga Ende year 2017 Gastritis can be caused always (January-March) as much as 456 people. consume foods that are spicy, acidic, The case is gastritis, sufferers aged > 15- vinegar, coffee, alcohol, eating disorders, 55 years old, lived in the village often put off eating or eating when Rewarangga South East District and hungry, a diet that does not controlled subdistrict Ende. Population control is can cause a variety of diseases, including healthy and not experiencing symptoms the diseases of gastritis. Diseases of of gastritis during the year 2016, residing gastritis can attack anyone regardless of adjacent to but not the same House with age, gender, race, tribe or nation cases under 1 year and more of the same- (Soeparman, 2001). Given the high sex case, by cases and are willing to be the incidence of gastritis explisit prevention respondent with signed approval sheets efforts and the handling of the case of and taken in purposive sampling. gastritis so it can lower the risk of incidence of gastritis in the District of RESULTS AND DISCUSSION Ende. Efforts to minimize the dangers of Table 1 shows that the te; ah done by health workers by characteristics of the groups of case and providing health counselling about control groups did not differ (already gastritis. komparabel) in variables of gender, age, level of education, and employment METHOD status. The proportion of respondents The type of research used in this who are male-sex either on the case as study is an observational analytical case- well as on more control compared to control design using with identification respondents who-sex women with a or are looking for a quantity of each risk mean age in both groups of cases and factor for occurrence of gastritis in the controls was 37 where the proportion of Regency of Ende Indonesia. The respondents age well in case group or population of the case was all sufferers of control the majority between the ages of 207

20-30 years. The proportion of individuals who did not suffer from educational level of respondents in most gastritis (OR 4.240; 95% CI = 1,481- of the cases the Group educated 12,137; p = 0.007). Elementary School while in the control The behavior of the respondents group the majority of educated. The proved to be a risk factor for gastritis is proportion of respondents either type of the habit of eating foods that are acidic, work on a case or group controls mostly spicy food eating habits. The results work as farmers. showed that individuals who suffer from Table 2 shows that in the case of gastritis 3.360 (95% CI = 1,246-9,059) groups, the case of the proportion of have a history of a habit of consuming respondents who have a habit of eating foods that are acidic compared to acid food amounted to 70.2% greater individuals who did not suffer from compared to the proportion of gastritis. This is in line with research respondents who have a habit of eating conducted by Nany dkk (2012) in Gowa, food acid in the control group of 35.8%. where individual sufferers of bipolar The case of the proportion of disorder have a history of 2.42 times respondents who have a habit of eating more likely to consume foods that are spicy food as much as 82.1% greater acidic compared to individuals who did compared to the proportion of not suffer from gastritis. This is in line respondents who have a habit of eating with the results of research conducted by spicy food on a control group of 43.3%. Murjayanah (2010) which suggests that a Table 3 shows that individuals with history of consuming foods that gastritis 3.360 times larger with a history stimulate an increased stomach acid (OR of sour food eating habits compared to = 4,84) more at risk to be exposed to individuals who did not suffer from gastritis. As for the research results gastritis (OR 3.360; 95% CI = 1,246-9,059; Sulastri, dkk (2012) who suggested that p = 0.017). Individuals with gastritis 68.2% of sufferers experience a 4.240 times larger with a history of spicy recurrence of gastritis gastritis due to food eating habits compared to

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eating the kind of food that is not hobbies or his penchant for consuming appropriate. foods that are high in acid. In addition, a According to Brunner & Suddart great desire not to eat certain types of (2001), the kind of unhealthy food such foods containing acids for patients with as food acids will stimulate gastric wall to gastritis can not above begging, so these remove the stomach acid and ultimately types of food are still frequently to be lead to power decreases gastric wall and consumed. Type of food containing acids inflicting wounds on the wall the most widely consumed by all respondents stomach. Gastritis is usually preceded by is the gravy, hot and sour, Rujak, candied an irregular eating patterns. The bad sour. These types of food consumed eating habits and consume unhealthy because it became a habit and a penchant food hygiene is a factor of risk of for respondents, this type of food usually occurrence of gastritis (Rev., 2011). serve as side dishes accompanying staple Gastritis occurs because of a mismatch of food such as sweet potato and rice. the stomach with food eaten as food, The results of this study showed spicy (Chili or pepper) or food that has a that individuals who suffer from gastritis high fat content and acid, so that the 4.240 (95% CI = 1,481-12,137) have a production of stomach acid is not history of a habit of consuming food that controlled (Yuliarti, 2009). The risk of is spicy compared to individuals who did occurrence of gastritis for respondents not suffer from gastritis. This is in line who frequently consume types of food with research conducted by Nasution are at risk as the acid-food acid, risky (2001) about dietary factors with gastritis 3.360 times suffer from gastritis in the Jakarta State University shows that compared to not taking any type of food there is a relationship between types of often acidic and if seen LL value and UL, food with gastritis. This is in accordance subvariabel acid food eating habits a with the results of this study that the statistically meaningful. Frequent eating habits of spicy food is a risk factor consumption of these types of foods that of Genesis of gastritis. are acid caused the respondents have 209

According to Sediaoetama (2004), respondents have a habit of consuming consuming excessive spicy foods will foods that are spicy and seasoned so that stimulate the percernaan system preventive efforts need to be made of the especially the stomach and intestinal health care personnel to provide health contractions. This will cause a sense of education to the community for limit heat and uluhati pain accompanied by spicy foods eating habits because it can nausea and vomiting. These symptoms increase the risk of gastritis. With the make sufferers are increasingly ability of individuals who do not experiencing a decrease in appetite. consume spicy and marinated can lower When the consumption of spicy food > 1 the risk of occurrence of gastritis. time a week for a minimum of 6 weeks is The results of this research were left continuously can cause irritation in obtained through interview and the stomach. questionnaire about eating behavior of The occurrence of cases of gastritis individuals so that led to the disease of in the study viewed from the results of gastritis. The results of the research it is the study showed that the proportion of known that many of the respondents who ordinary people that consume spicy foods do not have good behavior in consuming is greater in the Group of cases (82.1%) a healthy diet so much once the compared to the control group (43.3%). respondents behave not as healthy as The results of this research are only consuming foods that are spicy, acidic. obtained through interview and This is because most educated questionnaire about the behavior of respondents SD on a group of cases as individuals in consuming spicy food in much as 37.3% greater than control the absence of direct observation. group as much as 19.4%. According to Individuals who have a habit of Notoatmodjo (2003), the concept of basic consuming spicy foods have reason that education is one of the learning process eating with fits feels more delicious and that occurs in the education process hearty so as to increase the appetite. means growth, developments or changes Results of the study noted that most toward more mature, better and more

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mature at the individual, group and the only on the basis of medical data and community. The higher the level of memory. Third, the selection of cases and knowledge then it will make it easier for controls was determined by researchers someone to behave otherwise healthy life making it difficult to determine both and the lower the level of education a groups comparable in external factors person then it would affect his ability to and other sources of bias. behave in a healthy life. In addition, the Research results can be concluded results of the interview obtained data that the behavior of acidic food eating that most respondents have never get habits and eating spicy foods increases information about gastritis both from the risk of occurrence of gastritis. Hence health workers or other social media. the need for education on a regular basis According to Notoatmodjo (2003), about how prevention of gastritis and information can be obtained at home, in improved lifestyles such as eating habits, schools, institutions, organizations, spicy and acidic foods so that it can media, and healthcare. It is therefore decrease the incidence of gastritis. expected that preventive efforts are implemented in the form of health REFERENCES ………., 2008. Metodeologi Research, education about disease gastritis so can Jakarta: CV Sagung Seto. increase knowledge and understanding Arwana, h. 2008. Gastritis. www.wordpress.co.id Rona Mahaji of the people who have an impact on Daughter Sari, et al, 2010, Dietary decreasing the incidence of gastritis. Relationship With incidence of Gastritis in patients at the In this study there were some Muhammadiyah University of weaknesses. First the possibility of Malang Medical Center (UMC), Nursing Journal, ISSN: 2086-3071 ambiguous information behavior because Department of health of RI, 2001, Six 5- the researchers did not do special year development plan of the health field, observation against some of the http//www.health.go.id information obtained as the habit of Desi, Kurniati (2013) are risk factors associated with the Occurrence of eating food acidic and spicy. Second, the Gastritis in patients In Outpatient possibility of recall ambiguous because Clinics Pemancuangankecamatan 211

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