Temperature and non‐communicable diseases: Evidence from Indonesia's primary health care system

Fritz, Manuela

doi:10.1002/hec.4590

Cited by 8 publications

(8 citation statements)

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“…This is a wake-up call about the risks that heat poses to urban communities. 11 Indirectly, climate change and heat can exacerbate all causes and morbidity of certain diseases through reduced physical health. Heat will lead to heat stress and death in the most severe cases.…”

Section: Introductionmentioning

confidence: 99%

Risk Burden of Heat-Related Morbidity Due to Urban Heat Island Effect in Tamalanrea District, Makassar

Khairunnisa,

Ihsan,

Patandianan

2023

MKMI

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One of the problems in the urban environment is the rise in land surface temperature and heat buildup (Urban Heat Island) around built-up areas. People living in UHI areas will experience an increased risk of health burdens. Therefore, early identification for disaster mitigation is needed to achieve a sustainable city. This study aims to provide an overview of the risk of the spread of heat-related diseases based on the relative risk value in Tamalanrea District. This study considers the relationship between Land Surface Temperature (LST) values in 2019, 2020, and 2021 with the incidence of heat-related diseases obtained from the Integrated Health Center Recording and Reporting System (IHCRRS) in Tamalanrea District, Makassar City in 2019, 2020 and 2021. Data analysis used Pearson correlation test and Standardized Morbidity Ratio (SMR) epidemiological approach. The results showed a significant relationship between LST values and the incidence of hypertension, heart disease, and asthma in 2019 and the incidence of headache and hypertension in 2021. Bira and Kapasa sub-districts were at the highest risk for the spread of heat-related diseases than other sub-districts with a risk score > 4.00 (very high). These findings can be used to help guide public health interventions and preventive urban planning efforts.

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Section: Introductionmentioning

confidence: 99%

Risk Burden of Heat-Related Morbidity Due to Urban Heat Island Effect in Tamalanrea District, Makassar

Khairunnisa,

Ihsan,

Patandianan

2023

MKMI

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“…The initial point of contact for primary healthcare can be a Puskesmas (public health center), a Klinik Pratama (primary clinic), or a general practitioner. 15 BPJS Health provides sample data for research purposes that contains information on membership and healthcare services. This data records the utilization of BPJS Health services by its members at healthcare facilities that cooperate with BPJS Health and have submitted claims to BPJS Health.…”

Section: Introductionmentioning

confidence: 99%

“…14 The sample data provided by BPJS Health has been used for various research purposes, such as analyzing patterns of chronic disease multimorbidity, 16 evaluating the dengue surveillance system, 17 and investigating the relationship between temperature and primary healthcare visits. 15 A previous study using BPJS Health data linked with daily-district meteorological data investigated the relationship between temperature and primary healthcare visits. The study found that on hot days, all-cause visits increased by 8%, visits with a diabetes diagnosis increased by 25%, and visits with a cardiovascular disease diagnosis increased by 14%.…”

Section: Introductionmentioning

confidence: 99%

“…The study found that on hot days, all-cause visits increased by 8%, visits with a diabetes diagnosis increased by 25%, and visits with a cardiovascular disease diagnosis increased by 14%. 15 In contrast, our study aims to explore the relationship between temperature and healthcare visits of patients with diabetes, not only at primary care but also referral care. The third edition of BPJS Health sample data (2015-2020), launched in December 2021, consists of general sample data and contextual sample data for Diabetes mellitus and Tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Ambient Temperature on Diabetes Patient Visits at Primary and Referral Healthcare Services in Yogyakarta Province, Indonesia: An Analysis of Indonesian National Health Insurance Data 2021

Ramadona,

Qaimamunazzala,

Kusnanto

et al. 2023

Preprint

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The global incidence of diabetes mellitus is on the rise, posing a significant health challenge worldwide. Recent evidence indicates a possible link between diabetes mellitus and temperature. This study aimed to examine the effect of temperature on diabetes patient visits in Yogyakarta Province, Indonesia, which is currently experiencing a high burden of diabetes and an increasingly aging population. Daily temperature data for 2021 were obtained from the Indonesian Meteorological, Climatological, and Geophysical Agency (BMKG). The number of diabetes patient visits was gathered from BPJS Health data samples for primary and referral healthcare facilities in the province. The relationship between temperature and diabetes patient visits was explored through data visualization, Pearson correlation, and Poisson regression models. We found a short-term correlation between higher temperatures and an increase in patient visits daily. However, observations on Sundays and holidays may not reflect the delayed effect of temperature on patient visits since not all primary and referral care providers offer services on these days. Nonetheless, including the observations on these days is necessary to assess the overall impact of temperature on patient visits weekly and monthly. The regression analysis revealed that for each additional one-degree Celsius increase in the average monthly temperature, the estimated number of patients for primary care increased by 15% and 14% for referral care services.

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“…‡ This chapter is based onFritz (2022). The article benefited greatly from the valuable advice provided by Michael Grimm.…”

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confidence: 99%

Health challenges of the 21st century - Empirical essays on the health and economic burden of non-communicable diseases and climate change in Southeast Asia

Fritz¹

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Moreover, I had the pleasure to work with great co-authors and fellow researchers, to whom I am thankful for their collaboration, valuable exchanges and sharing their experiences. Hanna Fromell -I very much enjoyed the work with you on the systematic review which resulted in Chapter 2 of this thesis. Michael Grimm, Ingmar Weber, Elad Yom-Tov and Benedictus Praditya -it was a great joy to work with you on our Facebook project which resulted in Chapter 4 of this thesis. A special thanks needs to go to Benedictus for his incredible design of our campaign advertisements. Jurjen van der Schans -it was a pleasure to work with you on the SUNI-SEA project.I am also grateful to my fellow doctoral students and colleagues at the Chair of Development Economics and the University of Passau, who started this journey together with me, who then became close friends and who made me looking forward to coming to office on every single day: Ann-Kristin, Marina, Nathalie, Nicolas, Sidiki and Stefan. Thanks to all of you for providing such a cheerful working environment at the Chair. A special thanks to Nicolas for being my office mate for three years, even during lock-downs, to Nathalie for guiding me in my first fieldwork experiences in Indonesia, to Kathi for the great parties and 'Bootshaus Schwimmen', and to Carl for numerous enjoyable coffee breaks. A big thanks also to those who proofread some parts of this thesis and helped me to cut my sometimes (very) long sentences into smaller parts: Nathalie, Olivia and Carl. To Christiana, thank you for your excellent support in any administrative task.Thanks also to the whole Development Economics Group in the EEF department in Groningen, especially Kritika, Mark and Claire. You made my stay in Groningen very special and enjoyable. Mark, thank you for your help in writing a Dutch summary.I am thankful to my friends who accompanied me throughout this journey and who helped me to stay grounded and balanced if academia became once in a while too overwhelming. A special thanks needs to go to Ronja, who was a great support and also proofread parts of my work.And last but not least, I am deeply grateful to my parents, Hannah and Thomas, to my brother, Basti, and to my families in Berlin and Freiburg for their unconditional support and love, despite my inability to explain to them in detail what I am actually working on.

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Temperature and non‐communicable diseases: Evidence from Indonesia's primary health care system

Abstract: Für den Inhalt der Passauer Diskussionspapiere ist der jeweilige Autor verantwortlich. Es wird gebeten, sich mit Anregungen und Kritik direkt an den Autor zu wenden.

Cited by 8 publications

References 97 publications

Risk Burden of Heat-Related Morbidity Due to Urban Heat Island Effect in Tamalanrea District, Makassar

Risk Burden of Heat-Related Morbidity Due to Urban Heat Island Effect in Tamalanrea District, Makassar

Effect of Ambient Temperature on Diabetes Patient Visits at Primary and Referral Healthcare Services in Yogyakarta Province, Indonesia: An Analysis of Indonesian National Health Insurance Data 2021

Health challenges of the 21st century - Empirical essays on the health and economic burden of non-communicable diseases and climate change in Southeast Asia

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