Determinant Factors of the Indonesian Hajj Pilgrims mortality in Mecca
The mortality rate of Indonesian Hajj was higher than Indonesian population. For the last twenty years, the annual mortality rate fluctuated ranging from 2 to 3.8 per 1000 hajj. Socio-demographic, Human development index, poverty index and health condition in population where the hajj come from can be predict the hajj mortality rate as a contextual variables. This study aimed to understand some determinant factors to the Indonesian Hajj Mortality.
METHODS: This research conducted to the 149.537 hajj. Design of the study was cross-sectional ecological studies. Multilevel statistical analysis of GLLAMM logistic regression intercept was carried out to attain the study objectives. Contribution counting by Impact Fraction Rate in Attributable Fraction of Exposure
RESULTS:
Male more risky than female OR: 1.75 (95% CI: 1.5–2.16), age>80 have OR 37.04 compare to <40 years old (95% CI: 20.9–53.5), lower education have 2 times higher risk of death (95% CI: 1.08–1.95). Pilgrims who have lung diseases metabolic and cardio-cerebrovascular diseases have more than 1.3 times risk of death (95% CI: 1.09–1.63).
The highest contribution based on individual level is the pilgrims of 60 to 69 years old was 36.35%, >70 years old was 30%, male was 27.6% and low education contribute 29% to the death rate, preexisting disease contribute less than 6% to the death rate.
At the province level Adjusted real per capita expenditure, population without access to health facilities, Adult literacy, and population self medicating measure from HDI score have a large varies between province neither health problem which is not vary to contribute to the Indonesian Hajj Mortality.
CONCLUSIONS:
It is better for Moslems to go to Mecca before 50 years old. We must give more attention to the hajj pilgrims more than 50 years old, men, thin, have preexisting diseases and come from the Province with low HDI score.