ANALYSIS OF FACTORS INFLUENCING CLEAN AND HEALTHY (PHBS) PRACTICES TO PREVENT PULMONARY TB AMONG STUDENTS AT ISLAMIC BOARDING SCHOOL PALEMBANG

Background: Indonesia ranks second in the world for tuberculosis (TB) cases, with a total of 1,060,000 cases and 134,000 deaths per year. This means that 17 people die from TB every hour. Clean and healthy living behavior (PHBS) is essential in preventing pulmonary TB. Islamic boarding schools (pesantren) may increase TB incidence if the students do not maintain personal and environmental hygiene. This study analyzes the factors influencing PHBS practices in preventing pulmonary TB among students at Zaadul Ma'ad Islamic Boarding School. Methods: Using a quantitative, cross-sectional method, the study involved 50 respondents selected through total sampling. A structured questionnaire was used, and data were analyzed with univariate, bivariate (chi-square test at 95% significance), and multivariate analyses. Results and Discussions: All respondents were male, 86% were mid-adolescents (15-17 years), 70% had normal nutritional status, and 35% had a history of smoking. Significant factors associated with PHBS practices for TB prevention included knowledge (p=0.091), attitudes (p=0.006), facility availability (p=0.054), resource availability (p=0.002), support from religious leaders (kyai) (p=0.012), teachers (ustadz/ustadzah) (p=0.003), boarding school administrators (p=0.012), school regulations (p=0.006), and healthcare workers (p=0.003). Attitudes (OR=11.374) and school regulations (OR=9.409) were the most influential variables. Conclusions: Islamic boarding schools should implement regulations mandating personal hygiene, providing students with clear guidelines for maintaining cleanliness within the boarding school environment. Keywords: PHBS, pulmonary tuberculosis, prevention, factor analysis, Islamic boarding school