The Community Disease Prevention Behaviors in District Maros South Sulawesi Province

The community diseases prevention behaviors assumed influenced by knowledge of infectious disease, hygiene and health knowledge, motivation and of behaviors aof disese prevention than influence by attitude prevention of infectious diseases. This study aimed to examine the effect of variable knowledge infectious disease, hygiene and health knowledge, motivation prevention of infectious diseases, an attitude towards the behavior of infectious disease prevention. The research was conducted in Maros Regency, South Sulawesi Province with a quantitative approach survey method, which uses the quesioner that measure all variables mentioned above. The population in this study is the district's communities sampled from the Turikale, Mandai and Bantimurung sub-District of 200 respondents. The Structural Equational Modeling (SEM) is used to assess significant relation between all variable. The results showed that infectious disease prevention knowledge, attitudes prevention of infectious diseases affect the community behavior of infectious disease prevention, while knowledge of hygiene and health, communicable disease prevention motivation does not affect the behavior of infectious disease prevention. These results, suggest that knowledge of hygiene and health and prevention of infectious diseases motivation of concern that the incidence of infectious diseases, especially pulmonary tuberculosis, dengue fever, and diarrhea in Maros is not increased.


Introduction
Efforts to achieve national development goals contained in the Act of 1945 has been carried out development in various fields of human life which, in the health sector that aims to raise awareness, willingness and ability to live a healthy life for every member of the community in order to obtain the optimal degree of public health through the creation of society, nation and state of Indonesia which is characterized by the behavior of people living healthy and in a healthy environment, have the ability to reach quality health services in a fair and equitable, and have optimal health status throughout the territory of the Republic of Indonesia (Law of Health, 2010).
Although the government, especially the Ministry of Health.has conducted various programs in the prevention of infectious diseases for the objectives mentioned above can be achieved, but the incidence of infectious diseases in Indonesia such as Tuberculosis (TB), Morbili, Dengue Hemorrhagic Fever (DHF), Hepatitis, HIV/AIDS, Malaria, Diarrhea, Fever typhoidal still high and can affect anyone (old, young, male, female, poor, or rich) and anywhere (Law of Health, 2010).In the province of South Sulawesi in 2010, the incidence of infectious diseases have been reported, among others, as many as 3,417 cases of pulmonary tuberculosis, diarrhea as many as 13 494 cases (South Sulawesi Provincial Health Office, 2010), then in Maros the incidence of infectious diseases in 2011 by Survelans The disease has been reported that there are five types of diseases that the highest incidence of Tuberculosis as many as 633 cases, as many as 13 242 cases of diarrhea, Similar Diseases Influenza (ILI) as many as 1115 cases, as many as 980 cases of abdominal typhoidal and Denque Dengue Fever (DHF) in the rainy season as well still high (District Health Office Maros, 2012).
Picture of the incidence of infectious diseases at the top, can be caused by various factors, among others, is the behavior.According Notoatmodjo (2007) that the transmission of infectious diseases depends on factors agent (disease-causing), host (landlady: including human behavior), and route of transmission (transmission path).Furthermore, according to the behavior of Bannet that action or individual action based on the knowledge, attitudes, and values espoused (Swan & Stepp, 1974).Various studies on infectious diseases associated with behaviors have been reported, among others: the Media (2011) stated that the behavior and consciousness of some people to check their sputum and use of health care facilities are lacking.Nurjanah (2012) stated that the behavior of closed water reservoirs (TPA) and dispose of waste associated with the incidence of dengue, while the behavior of closed landfill and access to clean water is not associated with the incidence of dengue.
Based on the incidence of infectious diseases penjelan mentioned above, especially tuberculosis, diarrhea, and dengue fever in the province of South Sulawesi, especially in Maros.Researchers looked at the need to conduct research on the grounds that it is based on interviews with the Head of Observation and Control of Infectious Diseases Department of Health stated that the district's participation in the prevention of infectious diseases and concern for environmental sanitation house is still lacking.The next reason is still finding housing conditions that do not meet the standards as a healthy home in all districts with percentages between 20-40 per cent, this is caused by poverty, (Health Kab. Maros, 2012).

Research Methods
Type of research is a quantitative research, when viewed from the data collected, this study includes research survey, when viewed from the usefulness of this study, this research include descriptive and analytic studies, (Singarimnun, 1989).This research describes the behavior of the community in the prevention of infectious diseases while including reviewing analytic relationship between the independent variables (endogenous): "Knowledge prevention of infectious diseases" (X1), "Knowledge Clean and Healthy Lifestyle" (X2), "Motivation prevention of infectious diseases" (X3), on the dependent variable (Endogenous): "infectious disease prevention attitude" (X4), "Behavior community about prevention of infectious diseases" (Y).
Sample in this study is the people who live in villages or village that has a large 5 incidence of communicable diseases in the district's highest is suspected disease Pulmonary tuberculosis, diarrhea; Bloody diarrhea; ILI; Tipes abdominalis, and DBD (Health Kab. Maros, 2012).Sampling in this study is the multi-stage random sampling technique, with a sample of 200 respondents.Structural Equational Modeling (SEM) is used to assess the significan relationship between all variables.
Committed against people who visited the health center for the community wawacara techniques or sample who can not read and techniques for public inquiry or samples that can read using the instrument questionnaire containing questions about the independent variables: knowledge of infectious disease prevention, knowledge of health behavior, motivation penceghan infectious diseases, infectious disease prevention attitudes, and behavior of infectious disease prevention.

Behavior Prevention of Communicable Diseases (Y)
Based on Figure 2, the analysis above shows that the condition of the behavior in the prevention of infectious

Effect of Infectious Diseases Prevention Knowledge Attitude against Infectious Disease Prevention
Based on the results of the analysis of Tables 1 and 2

Knowledge Influence Behavior Clean and Healthy Behavior against Infectious Disease Prevention
Based on the results of the analysis of Tables 1 and 2 above, shows the influence of Knowledge Behavior Clean and Healthy for Infectious Disease Prevention Behavior positive for 0058 with a probability value (p) of 0.267.With the value of (p) > 0.05.H 0 is accepted, meaning there is no significant influence of Knowledge Behavior Clean and Health Behavior Against Infectious Disease Prevention.The influence coefficient is positive, which may indicate that the higher the level of Communicable Disease Prevention Behavioral Sciences, the more High-Behavioral Prevention of Infectious Diseases, or vice versa.

Knowledge Influence Behavior Clean and Healthy Attitude against Infectious Disease Prevention
Based on the results of the analysis of

Motivation Influence Behavior against Infectious Disease Prevention Communicable Disease Prevention
Based on the results of the analysis of

Effect of Infectious Diseases Prevention Knowledge of the Communicable Disease Prevention Behaviors
Based on the results of the study showed that there is a significant relationship between knowledge of the Communicable Disease Prevention Communicable Disease Prevention Behaviors.The influence coefficient is positive, which may indicate that the higher the level of knowledge of Communicable Disease Prevention higher level of Behavioral Prevention of Infectious Diseases.Communicable Disease Prevention Behavioral variables are defined in this study is the activity or acts committed by public Maros associated with source control measures of disease, the cause of disease control measures, and increase the body's resistance to infectious diseases Tb, diarrhea, and dengue, while Knowledge Communicable Disease Prevention is all factual knowledge, conceptual and procedural known by the public Maros associated with source control of infectious diseases, control of the causes of infectious diseases, and increase endurance tehadap Tb infectious diseases, diarrhea, and dengue.
In connection with the role of knowledge has a positive influence on behavior, this is in line with the theory Bannet in Swan and Stepp (1979) which states that the environmental behavior is an action or individual action based on the knowledge, attitudes and values espoused.So the behavior of infectious disease prevention district's society is also based on the knowledge of infectious disease prevention that has been owned obtained from health education or health promotion.Furthermore, the results of this study in accordance with Asriani (2011) study which states that knowledge relating to compliance tuberculosis in pulmonary tuberculosis treatment program in PHC Example Medan.
From the above it can be concluded that in order to improve the district's public behavior in the prevention of infectious diseases that can be done is to increase factual knowledge, conceptual, and procedural about infectious diseases through the role of health workers in community empowerment in health through keseahatan education or health promotion.

Effect of Infectious Diseases Prevention Knowledge of the Attitude of Communicable Disease Prevention
Based on the results of the study showed that there is a significant relationship between knowledge of the attitude of Communicable Disease Prevention Communicable Disease Prevention.Kofesien effect is negative this attitude identifies that the higher the lower the district's community Behavior Communicable Disease Prevention or otherwise.Communicable Disease Prevention attitude variables are referred to in this research is the tendency to respond (positively or negatively) by Maros Regency society associated with the source of disease control measures, control measures that cause disease, and increase the body's resistance to infectious diseases Tb, diarrhea, and DHF.
In connection with the role of knowledge that have an influence on attitude, this is in line with the opinions Sarwono (2007), which states that a person's attitude can be changed by obtaining additional information about the object, through persuasion and pressure of the environment.The information referred to in this opinion is knowledge about the prevention of infectious diseases in the form of factual, conceptual, and procedural about source control infectious diseases, control of the causes of infectious diseases, and increase endurance, especially Tb tehadap infectious diseases, diarrhea, and dengue.Furthermore, Azwar (2003), states that the knowledge memengang important role in determining the attitude.Information received will increase the person's knowledge.Knowledge that will raise awareness in the form of an attitude.
From the above it can be concluded that in order to change the attitude of district's community in the prevention of infectious diseases is necessary to increase knowledge about the prevention of infectious diseases and the necessary regulation of the government so that people can be healthy.

Knowledge Influence Behavior Clean and Healthy Behavior Influential against Infectious Disease Prevention
Based on the results of the study indicate that there is no significant influence of PHBs Knowledge Against Infectious Disease Prevention Behaviors.The coefficient of the positive influence that means that PHBs knowledge indicates that the higher the level the more High PHBs Knowledge also Communicable Disease Prevention Behaviors or otherwise.Variable knowledge PHBs are referred to in this research is to use knowledge of basic sanitation, healthy home inhabit knowledge, knowledge of a balanced diet, water quality knowledge, and knowledge to protect themselves from disease-based environment.
In connection with the role of the community's knowledge PHBs Maros against infectious disease prevention behavior, not in line with the results Wahyuni ( 2008), which states that the determinant of knowledge, attitude, level of education, population density, and home ventilation affect the behavior of people in prevention TB disease transmission.
From the above description, it can be concluded that in order to change people's behavior Maros in infectious disease prevention, health promotion needs to be done continuously so that people can grow awareness of the importance of PHBs in maintaining health.

Knowledge Influence Behavior Clean and Healthy for Infectious Disease Prevention Attitude
Based on the results of the study indicate that there is no significant influence of PHBs Knowledge Attitude Against Infectious Disease Prevention.The coefficient of negative influences which means that the district's knowledge society PHBs indicated that higher levels of knowledge PHBs then lower the Communicable Disease Prevention attitude or vice versa.Communicable Disease Prevention attitude variables are referred to in this research is the tendency to respond (positively or negatively) by Maros Regency society associated with the source of disease control measures, control measures that cause disease, and increase the body's resistance to infectious diseases Tb, diarrhea, and DHF, while PHBs Knowledge is all factual knowledge, conceptual and procedural associated with the use of basic sanitation, healthy home inhabit knowledge, knowledge of a balanced diet, water quality knowledge, and knowledge to protect themselves from disease-based environment.
In connection with the role of PHBs knowledge of the attitudes of society in the prevention of infectious diseases in this study, is not in line with the opinions Sarwono (2007), which states that a person's attitude can be changed by obtaining additional information about the object, through persuasion and pressure of the environment.The information referred to in this opinion is knowledge of PHBs.Furthermore, Anwar (2003), states that the knowledge memengang important role in determining the attitude.Information received will increase the person's knowledge.Knowledge that will raise awareness in the form of an attitude.This is caused by a factor of public education in general are at a low category, so the ability for understanding PHBs limited knowledge society consequently not determine the attitude in the prevention of infectious diseases.
From the above description, it can be concluded that in order to change attitudes masyarakata in the prevention of infectious diseases associated with knowledge PHBs, efforts should be made in the form of health education or promotion continuously.

Influence Motivation to Behavior Prevention of Infectious Diseases Prevention of Infectious Diseases.
Based on the results of the study indicate that there is no significant influence of motivation Behavior Against Infectious Disease Prevention Communicable Disease Prevention.The coefficient of the negative influence that indicates that the higher level of knowledge of Communicable Disease Prevention, the higher the Communicable Disease Prevention Behaviors or otherwise.Communicable Disease Prevention Motivation variable in question in this research is a force something that is in someone who can push, turn, move and direct the actions undertaken by the public Maros associated with source control measures of disease, the cause of disease control measures, and increased resistance to infectious diseases Tb, diarrhea, and dengue, while the Communicable Disease Prevention Knowledge is all factual knowledge, conceptual and procedural Maros known by the public relating to the control of infectious diseases sources, controlling the causes of infectious diseases, and increase endurance Cosmos Tb infectious diseases, diarrhea, and dengue.
In connection with the role of motivation on behavior prevention of infectious diseases mentioned above, is not in line with the opinions Stooner (1992), which states that motivation is something that causes and supporting actions or behavior.This, due to the district's because people do not feel that prevention of infectious diseases is a necessity, Sarwono (2007).From the above description, it can be concluded that in order to improve the district's public behavior in the prevention of infectious diseases it is necessary to increase the motivation of infectious disease prevention through the provision of health care facilities, health workers fairly, environmental sanita facilities such as clean water, public toilets, landfills garbage and so on.From the analysis of Table 3 above, it has been proved that each lane exogenous variables on the endogenous variables tested the influence of direct, indirect, and total effect, showed that:

Direct Impact, Influence of Indirect and Total Effect
• Communicable Disease Prevention Knowledge variables directly affect positive for 0.877; indirect positive effect of 0016; and the total effect of the positive.0.893 to the Communicable Disease Prevention Behavior.
• Knowledge Variable Clean and Healthy Lifestyle (PHBs) direct effect of positive 0058; indirect positive effect of 0.007; and the total effect of positive 0006 for Infectious Disease Prevention Behaviors.
• Variable Motivation Against Infectious Disease Prevention Communicable Disease Prevention Behaviors of Negative 0.013.
Based on differences in the magnitude of the effect of exogenous variables Communicable Disease Prevention Behavioral variables can be concluded that the Communicable Disease Prevention Knowledge variables most dominant compared to the PHBs veriabel, Motivation, and Attitude.That is to change behavior is becoming behavior can prevent the transmission of infectious diseases so that the incidence of infectious diseases can be suppressed in the district's community, then that needs to be improved first is knowledge about the prevention of infectious diseases, further PHBs, then the attitude of Communicable Disease Prevention, and the last Motivation Prevention Infectious diseases in general and in particular to the infectious disease tuberculosis, dengue fever, and diarrhea.

Conclusion
The level of knowledge of Communicable Disease Prevention district's society shows that of the 200 respondents who had pengetahaun low category as many as 22 people (11.0%) and higher category 178 (89.0%).
It was concluded that knowledge of infectious disease prevention majority district's public high category.The level of knowledge of Clean and Healthy Lifestyle (PHBs) district's community shows that of the 200 respondents who had knowledge of the low category as many as 11 people (5.5%) and the high category of 189 people (94.55).It was concluded that knowledge of clean and healthy communities majority district's high category.The level of Communicable Disease Prevention Attitude district's society shows that of the 200 respondents who have the attitude category Whereas many as 25 people (12.5%), high category as many as 137 people (68.5%), and very high category as many as 36 people (18.0%).It can be concluded that the attitude of infectious disease prevention majority district's public high category.Knowledge of infectious diseases affect the behavior of people in the prevention of infectious diseases in Maros, It is based on the value of CR 7.111 <± 2:56, and the value of (p) marked **** at significance level of 0.05 (5%).This means that knowledge of infectious diseases, especially Tb, diarrhea and dengue can improve people's behavior in terms of prevention of infectious diseases.
Knowledge of infectious diseases affect the attitude of infectious disease prevention in the district's community.
It is based on the value (p) 0.0188 < 0.05, significant at the 0.05 level (5%).This means that knowledge of infectious diseases, especially Tb, diarrhea and dengue can increase people's attitudes in terms of prevention of infectious diseases.Knowledge Behavior Clean and Healthy does not affect the behavior of people in the prevention of infectious diseases in Maros.It is based on the value (p) 0.267 > 0.05 at significance level of 0.05 (5%).This means that knowledge PHBs can not improve people's behavior in terms of prevention of infectious diseases.Knowledge of clean and healthy does not affect the attitude of the community in the prevention of infectious diseases in Maros.It is bas ed on the value (p) of 0.232 > 0.05 at significance level of 0.05 (5%).This means that knowledge PHBs can not improve people's behavior in terms of prevention of infectious diseases.

Figure
Figure 1.Research Design

Table 1 .
Results of regression weights: (group number 1-default model) et.org/ies Figure 4. Dist gure 5. Distribu de Prevention o4.1 Effect of Infectious Diseases Prevention Knowledge against Infectious Disease Prevention BehaviorsBased on the results of the analysis of Table1and 2 above, shows the magnitude of Communicable Disease Prevention Knowledge Effect Against Infectious Disease Prevention Behavior positive for 0877 with a value of CR amounted to 7,111 > 2.56 and a probability value (p) marked * ** hypothesis H0 is rejected, meaning a significant difference between the knowledge of Conduct Against Infectious Disease Prevention Communicable Disease Prevention.The influence coefficient is positive, the which may indicate that the higher the level of knowledge of Communicable Disease Prevention, the more high-Behavioral Prevention of Communicable Diseases or vice versa.
above, shows the influence of Communicable Disease Prevention Knowledge Attitude Against Infectious Disease Prevention negative for 0226 with a probability value (p) of 0.018.With the value of (p) < 0.05.H 0 is rejected, meaning a significant difference between Knowledge Attitude Against Infectious Disease Prevention Communicable Disease Prevention.The influence coefficient is negative the which may indicate that the higher the level of knowledge of the Communicable Disease Prevention increasingly Low Attitudes Prevention of Communicable Diseases or otherwise.
Table 1 and 2 show the influence of Communicable Disease Prevention Motivation Against Infectious Disease Prevention Behaviors of negative 0.013 with probability (p) of 0.822.With the value of (p) > 0.05.H 0 is accepted, meaning there is no significant influence of motivation on the Prevention of Infectious Diseases Infectious Disease Prevention Behaviors.The influence coefficient is negative which may indicate that higher levels of motivation Prevention of Infectious Diseases, the lower the Communicable Disease Prevention Behaviors or otherwise.

Table 3 .
Results of Direct Impact Analysis, Indirect Influence, and Impact Total