Vol. 23 No. 3 (2026)
Medic Nutricia : Jurnal Ilmu Kesehatan, ISSN : 3025-8855

Articles

HUBUNGAN HOUSEHOLD FOOD INSECURITY DENGAN STATUS GIZI MAKRO DAN MIKRO PADA PASIEN TUBERKULOSIS DI RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER

DOI: https://doi.org/10.5281/zenodo.21452853

Published 2026-07-19

  • Krisna Dwi Bagus Setiawan
    • ,
  • Luh Titi Handayani
    • ,
  • Ginanjar Sasmito Adi

Krisna Dwi Bagus Setiawan
Universitas Muhammadiyah Jember

Luh Titi Handayani
Universitas Muhammadiyah Jember

Ginanjar Sasmito Adi
Universitas Muhammadiyah Jember

Abstract

Pendahuluan: Tuberkulosis (TB) merupakan penyakit infeksi kronis yang dapat menyebabkan peningkatan kebutuhan metabolik, penurunan nafsu makan, serta gangguan status gizi. Kondisi household food insecurity dapat memengaruhi pemenuhan kebutuhan nutrisi pasien TB dan berdampak pada status gizi makro maupun mikro. Metode: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Teknik sampling menggunakan purposive sampling dengan jumlah sampel 47 responden. Instrumen penelitian menggunakan kuesioner Household Food Insecurity Access Scale (HFIAS). Status gizi makro diukur menggunakan Lingkar Lengan Atas (LiLA), sedangkan status gizi mikro dinilai berdasarkan kadar hemoglobin (Hb). Analisis data menggunakan uji Spearman’s Rank Correlation dengan tingkat signifikansi α = 0,05. Hasil dan Analisis: Sebagian besar responden memiliki tingkat household food insecurity kategori food secure sebanyak 20 responden (42,6%) dan kategori midly food insecure sebanyak 19 responden (40,4%). Hasil uji Spearman menunjukkan terdapat hubungan antara household food insecurity dengan status gizi makro (p-value = 0,001; rs = 0,555) dan status gizi mikro (p-value = 0,017; rs = 0,346) pada pasien tuberkulosis. Diskusi: Household food insecurity berhubungan signifikan dengan status gizi makro dan mikro pasien tuberkulosis, yang ditunjukkan oleh dominasi masalah pada domain food utilization (mean = 0,72). Kondisi tersebut mengindikasikan bahwa pemanfaatan pangan yang belum optimal dalam jumlah yang cukup berkontribusi terhadap status gizi makro dan mikro pada pasien tuberkulosis di Rumah Sakit Tingkat III Baladhika Husada Jember.

Keywords

Household food insecurity, status gizi, tuberkulosis

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