Analysis of Factors Influencing Measles Incidence Among Children Under Five  in Tangerang City in 2023

Katrin Widarni; Martini Martini; Mateus Sakundarno Adi

doi:10.14710/jekk.v11i2.31964

DOI: https://doi.org/10.14710/jekk.v11i2.31964

Analysis of Factors Influencing Measles Incidence Among Children Under Five in Tangerang City in 2023

*Katrin Widarni - Master of Epidemiology, Faculty of Public Health, Universitas Diponegoro, Indonesia

Martini Martini - Department of Epidemiology and Tropical Disease, Faculty of Public Health, Universitas Diponegoro, Indonesia

Mateus Sakundarno Adi - Department of Epidemiology and Tropical Disease, Faculty of Public Health, Universitas Diponegoro, Indonesia

Received: 22 Apr 2026; Revised: 5 Jun 2026; Accepted: 1 Jul 2026; Available online: 1 Jul 2026; Published: 1 Jul 2026.

under http://creativecommons.org/licenses/by-sa/4.0.

BibTex Citation Data :

@article{jekk31964,
    author = {Katrin Widarni and Martini Martini and Mateus Adi},
    title = {Analysis of Factors Influencing Measles Incidence Among Children Under Five  in Tangerang City in 2023},
    journal = {Jurnal Epidemiologi Kesehatan Komunitas},
  volume = {11},
    number = {2},
    year = {2026},
    keywords = {Measles, Immunization, Risk Factors, Children Under Five, Tangerang City},
    abstract = {  Background:  Tangerang City experienced a significant increase in measles cases in 2023, with 114 laboratory-confirmed cases out of 484 suspected cases, despite achieving a complete basic immunization coverage of 106.4%. This phenomenon suggests that additional factors may have contributed to the occurrence of measles and warrant further investigation. This study aimed to analyze the factors influencing measles incidence among children under five years of age in Tangerang City in 2023.   Methods:  This study employed a cross-sectional design with a total sample of 137 children under five who underwent laboratory examination. Bivariate analysis was conducted using the Chi-square test to identify associations between independent variables—namely immunization status, nutritional status, history of contact, parental education, parental occupation, and family income—and measles incidence.   Result:  Factors significantly associated with measles incidence were immunization status (PR = 1.62; p = 0.045 for unvaccinated children and PR = 2.22; p = 0.021 for children with incomplete immunization) and a history of contact with measles cases (PR = 4.17; p < 0.001). Other factors, including nutritional status, parental education, parental occupation, sex, and family income, were not statistically significant.   Conclusion :  Incomplete immunization status and a history of close contact with measles patients are the primary risk factors for measles incidence in Tangerang City. Recommended measures include strengthening immunization coverage, enhancing surveillance, and improving community education to prevent measles transmission. },
   issn = {2615-4854},   pages = {188--198}  doi = {10.14710/jekk.v11i2.31964},
    url = {https://ejournal2.undip.ac.id/index.php/jekk/article/view/31964}
}

Citation Format:

Abstract

Background: Tangerang City experienced a significant increase in measles cases in 2023, with 114 laboratory-confirmed cases out of 484 suspected cases, despite achieving a complete basic immunization coverage of 106.4%. This phenomenon suggests that additional factors may have contributed to the occurrence of measles and warrant further investigation. This study aimed to analyze the factors influencing measles incidence among children under five years of age in Tangerang City in 2023.

Methods: This study employed a cross-sectional design with a total sample of 137 children under five who underwent laboratory examination. Bivariate analysis was conducted using the Chi-square test to identify associations between independent variables—namely immunization status, nutritional status, history of contact, parental education, parental occupation, and family income—and measles incidence.

Result: Factors significantly associated with measles incidence were immunization status (PR = 1.62; p = 0.045 for unvaccinated children and PR = 2.22; p = 0.021 for children with incomplete immunization) and a history of contact with measles cases (PR = 4.17; p < 0.001). Other factors, including nutritional status, parental education, parental occupation, sex, and family income, were not statistically significant.

Conclusion : Incomplete immunization status and a history of close contact with measles patients are the primary risk factors for measles incidence in Tangerang City. Recommended measures include strengthening immunization coverage, enhancing surveillance, and improving community education to prevent measles transmission.

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Keywords: Measles, Immunization, Risk Factors, Children Under Five, Tangerang City

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Section: Articles

Language : EN

In Vol 11, No 2: Mei 2026

Mujiati, E. 2015.Faktor Risiko Kejadian Campak Pada Anak Usia 1-14 Tahun di Kecamatan Metro Pusat Propinsi Lampung Tahun 2013-2014. [Skripsi]. UniversitasSriwijaya Palembang
World Health Organization. (2019, April 15). Measles cases surge globally, with 362% increase in first three months of 2019 compared to last year. Diakses dari https://www.who.int/news/item/15-04-2019-measles-cases-surge-globally-with-362-increase-in-first-three-months-of-2019-compared-to-last-year
Kementerian Kesehatan RI. (2023). Situasi Campak di Indonesia Tahun 2023. [Press Release/Laporan Situasi]. Diakses dari sumber resmi Kementerian Kesehatan RI
Dinas Kesehatan Provinsi Banten. (2024). Data Kasus Campak Provinsi Banten Tahun 2021-2023. (Data Internal)
Dinas Kesehatan Kota Tangerang. (2024). Laporan Tahunan Surveilans Campak Kota Tangerang Tahun 2023. (Data Internal)
Nurlaila, N., Syafruddin, S., & Sari, N. (2020). Faktor-faktor yang Berhubungan dengan Kejadian Luar Biasa Campak di Kabupaten Aceh Besar Tahun 2018. Jurnal Kesehatan Masyarakat, 16(1), 1-10
Azis, H., & Ramadhani, S. (2019). Hubungan Imunisasi Campak dengan Kejadian Campak di Kota Tangerang Selatan. Jurnal Kesehatan Masyarakat
Fadilah, D. (2017) ‘Hubungan Kasus Campak Terhadap Status Imunisasi Campak di Desa Tegaljati Kecamatan Sumber Wringin Kabupaten Bondowoso Tahun 2016’, Journal of Dharma Praja, 3(1), pp. 11–15
Yani, S. L., Yuniastini and Fitriana (2015) ‘Hubungan Status Imunisasi Campak Dengan Kejadian Campak’, Jurnal Keperawatan, 11(2), pp. tjk.ac.id/index.php/JKEP/article/view/580
Falawati, W. F. et al. (2020) ‘Hubungan Status Imunisasi Dan Peran Petugas Imunisasi Dengan Kejadian Campak Di Kabupaten Muna’, Midwifery Journal: Jurnal Kebidanan UM. Mataram, 5(1), pp. 60–64. doi: 10.31764/mj.v5i1.1067
World Health Organization. (2022). Measles Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/measles
Centers for Disease Control and Prevention. (2021). Epidemiology and Prevention of Vaccine-Preventable Diseases. The Pink Book: Course Textbook
Ahmad Musyafa, Cahyadin, Th. B. Rahayujati, & Henny Indriyanti (2017). "Penyelidikan Kejadian Luar Biasa (KLB) Campak di Kecamatan Jiken Kabupaten Blora Tahun 2016." Jurnal Epidemiologi Lapangan Universitas Gadjah Mada
Linda Andriani (2017). "Hubungan Karakteristik Balita, Umur Saat Imunisasi Campak, dan Riwayat ASI Eksklusif Terhadap Campak Klinis." Universitas Airlangga
Bayu Septian Ardiyanto, Badar Kirwono, & Yuli Kusumawati (2016). "Analisis Faktor Risiko dengan Kejadian Campak di Kabupaten Boyolali." Universitas Muhammadiyah Surakarta
Destiyanta, D. (2015). Pengaruh Pendidikan dan Pekerjaan Orang Tua terhadap Kejadian Campak. Jurnal Promosi Kesehatan
World Economic Forum. (2025, May 9). Measles cases are still rising – are we at a tipping point? Diakses dari https://www.weforum.org/stories/2025/05/measles-cases-rising-health-vaccines/
Darden, M. E., & Macis, M. (2024). Trust and Health Care-Seeking Behavior. NBER Working Paper No. 32028. National Bureau of Economic Research. Diakses dari https://www.nber.org/papers/w32028

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