Introduction The mortality rate Indonesian Hajj Pilgrims is higher than Indonesian population mortality. The mortality rate of Indonesian hajj pilgrims fluctuated ranging from 2 to 3.8 per 1000 hajj.
Methods and Materials This research conducted to the 149 537 ordinary hajj pilgrims. Design of the study was cross-sectional ecological studies. Analysis was done using multilevel logistic regression.
Results Factors that contribute to mortality of Indonesian hajj pilgrims are age, sex, educational level, length of stay and pre-existing diseases. The factors with the highest contributions to mortality were age 60–69 years (36.4%), age >79 years (30.0%). male (27.6%) and low education (29.0%). Pre-existing disease contributed <6% to the death rate. Adjusted real per capita expenditure, no access to health facilities adult literacy, populations with health problems and populations self medicating contributed to mortality of Indonesian hajj pilgrims after controlling for other variables.
Conclusions It appears safer for Moslems to go to Mecca before age 50 years. We would suggest paying increased attention to the Hajj pilgrims >50 years old, males, those that are thin, those who have lung diseases, metabolic problems or cardio-cerebrovascular and those who flight in the second turn. Further research is needed about the cause of death of Hajj pilgrims in order to assess the effects of environment conditions in Saudi Arabia on Indonesian Hajj pilgrims.
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