Spatial analysis of hepatitis a case distribution using Moran’s index and LISA (local indicator of spatial association): A case study of Sudimoro District, Pacitan Regency in 2019
Keywords:
hepatitis A, spatial autocorrelation, Moran's index, LISA (local indicator of spatial associaton), population densityAbstract
Background: Hepatitis A is an infectious disease of the liver caused by the hepatitis A virus (HAV). This virus can spread from human to human by oral-fecal route, by consuming food contaminated with HAV and using drugs that are injected into the veins of people with HAV. Hepatitis A risk factors can be viewed from: (1) Factors causing (agent), (2) environmental factors (environment), (3) factor host (host). Hepatitis A occurs in several developing countries where the HAV virus is endemic. Hepatitis A occurred in Pacitan Regency in 2019 with a total of 1.314 cases of sufferers, so that the Common Laurent Incidence (KLB) of Hepatitis A was determined in Pacitan Regency. Sudimoro Subdistrict is a sub-district in Pacitan Regency with the highest number of sufferers reaching 908 patients spread across 10 villages in Sudimoro District. Methods: Using the Moran's Index method, LISA (Local Indicator of Spatial Association), simple linear correlation, and an overlay between the number of sufferers and the total population. The objectives of this study were (1) to examine the spatial autocorrelation of the distribution of Hepatitis A sufferers in Sudimoro District in 2019. (2) to examine the relationship between population density and the distribution of Hepatitis A sufferers in Sudimoro District, Pacitan Regency in 2019. The method used is descriptive quantitative method, which explains the results of data processing in the form of a LISA cluster map and simple linear correlation. Findings: The results showed that (1) There was spatial autocorrelation in the distribution of Hepatitis A patients with Sudimoro Village, Gunungrejo Village, and Pagerlor Village as the high spatial cluster and Klepu Village, Sembowo Village, and Ketanggung Village as the low spatial cluster. (2) Population density has a relationship with the distribution of Hepatitis A sufferers, meaning that the higher the population density, the higher the number of hepatitis A sufferers, and vice versa. Conclusion: The correlation index of 0.48 means that the relationship has moderate strength. Novelty/Originality of this article: This study create a spatial model of the distribution of hepatitis A sufferers as a reference to assess the spatial autocorrelation of the distribution of hepatitis A sufferers and see the relationship between population density and the number of sufferers.
References
Anselin, L. (1993). Exploratory Spatial Data Analysis and geographic Information Systems. National Center for Geographic Information and Analysis.
Anselin, L., Jacqueline, C., David, C., & Wilpen, G., (2000). Spatial Analyses of Crime. Measurement and Analysis of Crime And Justice Spatial, 27(2), 213–262. https://www.ojp.gov/criminal_justice2000/vol_4/04e.pdf.
Badan Pusat Statistik. (2019). Kabupaten Pacitan dalam Angka. Badan Pusat Statistik Kabupaten Pacitan.
Badan Penelitian dan Pengembangan Kesehatan. (2018). Hasil Utama Riset Kesehatan Dasar (Riskedas). Kementrian Kesehatan Republik Indonesia.
Budiyanto, E. (2010). Sistem Informasi Geografis dengan ArcView GIS. Andi Yogyakarta.
Bivand, R. S., Pebesma, E., & Gomez, V. (2013). Applied Spatial Data Analysis with R. Biometrics. Springer.
Dinas Kesehatan Kabupaten Pacitan. (2020). Infodatin Hepatitis A. Dinas Kesehatan Kabupaten Pacitan.
Dinas Kesehatan Kabupaten Pacitan. (2019). Profil Kesehatan Kabupaten Pacitan 2018. Dinas Kesehatan Kabupaten Pacitan.
Economic Commission for Africa. (2005). Economic Report on Africa Meeting the Challenges of Unemployment and Poverty in Africa. Economic Commission for Africa.
Fares, A. (2015). Seasonality of hepatitis. J Family Med Prim Care, 4(1), 96-100. https://pubmed.ncbi.nlm.nih.gov/25810997/.
Godoy, P., Broner, S., Manzanares-Laya, S., Martínez, A., Parrón, I., & Planas, C. (2016). Outbreaks of hepatitis A associated with immigrants travelling to visit friends and relatives. Journal of Infection, 72(1), 112–115. https://pubmed.ncbi.nlm.nih.gov/26404744/.
Harisma, F. B., Syahrul, F., Mubawadi, T., & Mirasa, Y. A. (2018). Analisis Kejadian Luar Biasa Hepatitis A Di SMA X Kabupaten Lamongan Tahun 2018. Jurnal Berkala Epidemiologi, 6(2), 112-121. https://doi.org/10.20473/jbe.V6I22018.112-121.
Higgs, G. (2004). Health Services and Outcomes Research. Methodology, 5(2), 119–139.
Hikmah, F., Nuraini, N., & Sari, P. E. (2016) Mapping an Analysis of Hepatitis A Disease Distribution Based on Risk Factors in Bondowoso District. Jurnal Kesehatan, 14(3), 303-310. https://doi.org/10.15294/kemas.v14i3.11246.
Pertiwi, A.I.P., Ramani, A., & Ariyanto, Y. (2014). Pemetaan Risiko Hepatitis A dengan Sistem Informasi Geografis ( SIG ) di Kabupaten Jember Tahun 2013. Pustaka Kesehatan, 2(2), 361–368.
Cromley, E.K. & McLafferty, S.L. (2011). GIS and Public Health. Guilfold Press.
Kementrian Kesehatan Republik Indonesia. (2011). Peraturan Menteri Kesehatan Republik Indonsesia Nomor 2046/MENKES/PER/XII/2011. Jenis Penyakit Menular Tertentu Yang Dapat Menimbulkan Wabah Dan Upaya Penanggulangan. Kementrian Kesehatan Republik Indonesia.
Kementrian Kesehatan Republik Indonesia. (2019). Indonesian Health Profile Data and Information 2018. Kementrian Kesehatan Republik Indonesia.
Kosfeld, R. (2018). Spatial Econometrics with R . General Public License.
Lai, P. C., So, F. M., & Chan, K. W. (2009). Spatial Epidemiological Approaches in Disease Mapping and Analysis. CRC Press.
Latimer, A. M., Banerjee, S., Sang, H., Mosher, E. S., & Silander, J. A. (2009). Hierarchical models facilitate spatial analysis of large data sets: A case study on invasive plant species in the northeastern United States. Ecology Letters, 12(2), 144–154. https://doi.org/10.1111/j.1461-0248.2008.01270.x.
Lazwardi, R. T., Zulkarnaen, D., & Sukaesih, E. (2019). Analisis Model Metapopulasi Pada Transmisi Virus Hepatitis A (Studi Kasus di Jawa Barat Jawa Tengah dan Jawa Timur). Kubik, 4(1), 149—155. https://doi.org/10.15575/kubik.v4i1.5675.
Lembo, A. J. (2006). Spatial Autocorrelation. Cornell University.
Lesage, J., & Pace, R. K. (2009). Introduction to spatial econometrics. CRC Press.
Pfeiffer, D. U., Robinson, T. P., Stevenson, M., Stevens, K. B., & Rogers, D. J. (2008). Spatial Analysis in Epidemiology United Kingdom. Oxford University Press.
Pratiwi, E., Soekarso, T., Adam, K., & Setiawaty, V. (2017). Identifikasi Virus Hepatitis A pada Sindrom Penyakit Kuning Akut di Beberapa Provinsi di Indonesia Tahun 2013. Global Medical and Health Communication, 5(3), 199-204. https://doi.org/10.29313/gmhc.v5i3.2386.
Pusat Data dan Informasi Kementrian Kesehatan RI. (2019). Data dan Informasi Profil Kesehatan Indonesia. Kementrian Kesehatan Republik Indonesia.
Rahmanti, A. R. & Prasetyo, A. K. N. (2012). Sistem Informasi Geografis: Trend Pemanfaatan Teknologi Informasi Untuk Bidang Terkait Kesehatan. Seminar Nasional Informatika Medis III. Magister Teknik Informatika Universitas Islam Indonesia.
Nurdiansyah, R. (2020). Spatial Analysis of Hepatitis A Distribution Using Moran’s Index and LISA (Local Indicator of Spatial Association) – A Case Study of Sudimoro District, Pacitan in 2019. Undergraduate thesis. Universitas Muhammadiyah Surakarta.
Riner, M. E., Cunningham, C., & Johnson, A., (2004). Public Health Education and Practice Using Geographic Information System Technology. Public Health Nursing, 21(1), 57—65. https://pubmed.ncbi.nlm.nih.gov/14692990/.
Published
Issue
Section
Citation Check
License
Copyright (c) 2025 Robbi Nurdiansyah

This work is licensed under a Creative Commons Attribution 4.0 International License.