Faktor Yang Paling Dominan Terhadap Pemasungan Orang Dengan Gangguan Jiwa Di Indonesia (Factors Contributing to Shackling Practice of Psychotic People in Indonesia)

Idaiani, Sri • Raflizar, Raflizar
Journal article Buletin Penelitian Sistem Kesehatan • January 2015 Indonesia


Background: Severe psychotic people have been subjected to shackling practice in Indonesia. This study aims at investigating the most dominant factors contributing to shackling practice suffered by severe psychotic people in Indonesia and deriving an overview of their family characteristics. Methods: Basic Health Research (Riskesdas) of 2013 was employed as data of the study. 1,655 households out of 11,896 census block were selected as samples for data analysis purposes. The data was collected by means of interview conducted by an enumerator towards the head of households. Other variables i.e. access to health facility, geographic location, settlement, and economic background of the family were also further analyzed. Bivariate analysis followed with multivariate logistic regression with complex samples method was conducted by using SPSS statistics version 21. Finding of the study shows significance if it has a significance level of ρ < 0.05 reflected in 95% confidence interval. Results:Economic status of households have been the most dominant variable towards the shackling practice. Households in the quintile 1 group have the highest probability (OR adj 2.32; 95% CI 1.24-;4.34). Households in quintile 2 group have nearly similar probability with that of quintile 1 (OR adj 2.15;95% CI 1.14-;4.40). Households with low economic characteristic show more ignorance regarding the availability of health facility and live in rural areas for nearly half part. Conclusion: According to Basic Health Research of 2013, the most dominant factor of shackling practice in Indonesia is economic status of the households in addition to ignorance towards health facility and far settlement off the cities. Recommendations: knowledge of the person's family, the availability of drugs and access to health facilities that will easily encourage medication adherence and reduce the tendency of deprivation of people with mental disorders.




Buletin Penelitian Sistem Kesehatan

Buletin Penelitian Sistem Kesehatan (Bulletin of Health Systems Research) is an open access, peer... see more