Status Pekerjaan Berhubungan Dengan Remisi Pada Penderita Skizofrenia; Studi Percontohan Cross-Sectional Di Gorontalo, Indonesia

Abstract

WHO reported that there were 1 out of 300 people suffer from schizophrenia globally. In 2018, according to Basic Health Research result incidence of schizophrenia/psychosis in Indonesia was 6.7 / 1000 households. To estimate the relationship between age, sex, occupational status, marital status, education status and income with the state of schizophrenia remission in people with schizophrenia. We conducted a community-based survey in 5 primary health facilitiesin Gorontalo City with a Cross Sectional design. We were using a structured questionnaire interview  to record their demographic information such as sex, age, education status, marital status, and the occupation status before diagnosed schizophrenia, and those who kept their job during treatment . Chi Square was performed to measure the difference across groups. P-value <0.05 was considered as significant. There were 59 patients confirmed as schizoprenic participated in this study. Thirty-six (61.02%) subjects were given remision as they were recovered from any Schizophrenia indication. Males and older group (≥40 years old) were dominating people with schizophrenia (55.93%). Most of the subjects was in basic education level, and only few of them (20.34%) was in marriage. Before they were diagnosed with schizophrenia, there were 47.46% had job, however after they were given remission, only 22.03% had job. Bivariat analysis showed that there was no significant different between remission status with all of the variables except the occupation status before they were confirmed having schizophrenia and still keeping their job during treatment with p-value 0.036 and 0.001 respectively. Those who were working before diagnosed with Schizophrenia had higher probability in getting remission than those who never worked (OR 3.2 (1.06 to 9.69), p-value 0.036). It is beneficial for people with Schizophrenia under therapy to maintain their job in order to increase remission level