Ari Suwondo
Occupational Safety And Health Dept., Faculty Of Public Health, Diponegoro University

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Faktor-Faktor yang Berpengaruh terhadap Kejadian Tuberkulosis pada Wanita (Studi Kasus di RSUD Kabupaten Brebes) Muslih Muslih; Djoko Tri Hadi Lukmono; Suhartono Suhartono; Ari Suwondo; Martini Martini
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.896 KB) | DOI: 10.14710/jekk.v3i1.3128

Abstract

Background: Tuberculosis (TB) risk in women increased during the productive age. Various problems can arise if a woman suffering from TB given the role of women, especially married, pregnant, and have children. Her role as a housewife who must carry out the task of physical and mental care of children at the same time taking care of her husband will be disrupted. To determine the chances of marital status, pregnancy, parity, physical activity, level of education, level of knowledge, the kitchen smoke pollution, household contact history, history of comorbidities DM, population density, and spacious house ventilation of TB incidence in women.Methods: The study was observational analytic study with case control design. The sample size is as much as 128 people, consisting of 64 cases and 64 controls. Sampling was done by proportional random sampling technique. Data were analyzed with univariable, bivariable, and multivariable.Results: The results of multivariate analysis, parity (OR 5.9, 95% CI 2.40-14.89, p 0.0001), contact history (OR 4.9, 95% CI 1.75-14.14, p 0.003), pollution kitchen smoke (OR 4.2, 95% CI 1.71-10.67, p 0.002), ventilation (OR 4.2, 95% CI 1.72- 10.44, p 0.002) as a risk factor for TB in women.Conclusion: The incidence of tuberculosis in women in Brebes chance or greater risk inwomen with high parity, a history of contacts, exposure to cooking smoke pollution is high and stay at home with ventilation that do not qualify health requirements.
Faktor Risiko Campak Anak Sekolah Dasar pada Kejadian Luar Biasa di Kabupaten Pesawaran, Provinsi Lampung Ferry Ardhiansyah; Kamilah Budhi Rahardjani; Ari Suwondo; Mexitalia Setiawati; Apoina Kartini
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 2: Agustus 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.956 KB) | DOI: 10.14710/jekk.v4i2.4798

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Background: Measles is a contagious disease, still a health problem in Indonesia. In 2017 the measles BIAS immunization coverage in Pesawaran District was 98.8%, although coverage was quite good, measles cases in primary school-aged children were still common until the outbreak occurred. This can be caused by various child factors, maternal factors, and environmental factors. This study wants to examine the effect of child, maternal and environment factors on the incidence of measles in primary school-aged children in measles outbreaks event in Pesawaran District.Methods: Mix methods research with case control study design supported by in-depth interviews. The participants were 81 volunteer, consist of 27 cases and 54 controls taken by purposive sampling. Dependent variable was incidence of measles in primary school age children in the outbreak event. Independent variables were child, maternal and environment factors.  Bivariate and multivariate analysis.Result: Variables that had been proven to affect incidence of measles in Pesawaran District, were history of measles immunization (p= 0,004 OR = 13,716, 95%CI = 2,286-82,301), contact history with measles case (p=0,024 OR = 4,141, 95%CI = 1,208-14,201), occupancy density (p= 0,036 OR = 3,971, 95%CI = 1,092-14,443), and home ventilation (p= 0,036 OR = 3,591, 95%CI = 1,089-11,843). The resuts of the in-depth interviews supoorted the results of quantitative analysis that there was still a clash of religious leaders who did not support immunization.Conclusion: Factor that had been proven to the incidence of measles in primary school-age children in outbreaks were the history of measles Immunization/BIAS, history of contact with measles case, occupancy density, and home ventilation strengthened by the support of religious leaders towards immunization.
Hubungan Karakteristik Demografi, Faktor Keselamatan Dan Kesehatan Kerja (K3) Dan Lingkungan Terhadap Kejadian Leptospirosis (Studi Pada Pekerja Sektor Informal di Kota Semarang Tahun 2013-2016) Maria Ulfah; Anies Anies; Mateus Sakundarno Adi; Henry Setyawan; Ari Suwondo
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.817 KB) | DOI: 10.14710/jekk.v3i1.3126

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Background: Leptospirosis is a disease caused by pathogenic bacteria called Leptospira, which is transmitted directly or indirectly. There were many of Leptospirosis study. However, the relation between demographic characteristic, occupational health and safety, and environmental factors foccusing on the workers of informal sectors was unclear. The objectives of study were to measure the association between demographic characteristics, Occupational, Health and Safety, and environmental factors with Leptospirosis in the workers of informal sectors.Methods: An observational study with case-control design. Popupation of the study were all of workers of the informal sectors in Semarang City, it is including, but not limited to farmers, cleaning worker, laborers (farming, construction, handyman) and traditional market worker. Sample of the study were 82 persons, consist of 41 cases and 41 controls. Sample were taking by consecutive sampling. Data analysis perform by univariant, bivariant, and multivariant.Results: The main risk factors were age (18–40 years old) p=0,017; aOR=42,22;95%CI=1,96- 906,55; Gender (male) p=0,017; aOR=37,01, 95%CI=1,9- 718,6; history of open wound during working p=0,042; aOR=10,85; 95%CI=1,08-108,24; home sanitation (poor, with score <60%) p=0,025; aOR=25,25; 95%CI=1,5-423,3; and history of contact with the source of infection p=0,003; aOR=56,98; 95%CI=3,8-849,2.Conclusion: Demographic characteristics, Occupational, Health and Safety, and environmental factors were associated with Leptospirosis.
Beberapa Faktor yang Berisiko Terhadap Hipertensi pada Pegawai di Wilayah Perimeter Pelabuhan (Studi Kasus Kontrol di Kantor Kesehatan Pelabuhan Kelas II Semarang) Eka Oktaviarini; Suharyo Hadisaputro; Ari Suwondo; Henry Setyawan
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (464.557 KB) | DOI: 10.14710/jekk.v4i1.4428

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Background: Hypertension is an increase in arterial blood pressure where systolic blood pressure is ≥140 mmHg or diastolic blood pressure ≥90 mmHg. Hypertension is often called the silent killer because it does not cause symptoms so the treatment is often late. Occupational-related diseases one of which is hypertension. The type of work, work environment, lifestyle and individual characteristics can be a factor of hypertension.Methods: An analytical observational study using a case-control design with 76 samples consisting of 38 cases and 38 controls taken by consecutive sampling. The variables studied were age, gender, family history, type of work, years of work, workload, work schedule, sedentary behavior, coffee drinking habits, and smoking habits. Data were analyzed by bivariate and multivariate with logistic regression method.Results: Significant factors for hypertension were sex (p=0,012; OR adjusted 6,582; 95% CI 1,522-28,456) and the work type (p=0,020; OR adjusted 5,248; 95%CI 1,292-21,316) as risk factors, while sedentary behavior (p=0,030; OR adjusted 0,311; 95% CI 0,108-0,895) as a protective factor. The factors that are not significant at risk are age, family history, years of work, workload, work schedule, coffee drinking habits and smoking habits.Conclusion: Male and structural work type are risk factors, while sedentary behavior ≥ 6 hours/day is a protective factor. Probability at risk of hypertension is 75%. 
Faktor Risiko Kejadian Malaria di Puskesmas Cluwak dan Puskesmas Dukuhseti Kabupten Pati Fadjar Harry Wiwoho; Suharyo Hadisaputro; Ari Suwondo
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.819 KB) | DOI: 10.14710/j.e.k.k.v1i1.3935

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Background: Malaria cases in Indonesia have increased, where the API or the number of malaria positive in a region per thousand population, in 2009 that is 1.85 per 1,000 population rose to 1.96 per 1000 population in 2010. The purpose of this study to determine the risk factors of malaria in Pati Community Health Center.Method: This research used observational research method using case control study and sharpened with qualitative data through indepth interview. The case samples in this study were malaria patients with positive edge blood glucose (+) Plasmodium from case study population subjects, and control study samples were non-exposed to malaria. Data collection was done by observation and interview using questionnaire. The research variables are nutritional status, outdoor habit at night, habit of using mosquito net, habit of using mosquito repellent, presence of house ceiling, condition of wall of house, existence of sewer, existence of  pond  /  fish  pond,  existence  of  bush,  endemic  areas,  and  the  incidence  of  malaria. Processing and data analysis in this study was using Chi Square statistical test and statistical test of Logistic Regression.Results: The results showed that several factors that proved to be a risk factor for malaria occurrence were habit using mosquito net (p value=<0.01); The state of the home sky (p value=0.003); Existence of the gutter around the environment (p value=0.002).Conclusion: Factors that proved to be a risk factor for malaria occurrence were habit using mosquito net; The state of the home sky.
HUBUNGAN PAPARAN DEBU PM2.5TERHADAP GANGGUAN FUNGSI PARU PADA PENGEMUDI BUS RAPID TRANSIT(BRT) SEMARANG Rifa Attin Nur; Ari Suwondo; Siswi Jayanti
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.55 KB) | DOI: 10.14710/jkm.v7i3.27339

Abstract

PM2.5 is produced by one of them by gas emissions from moving sources such as vehicles. PM2.5 in the air will be inhaled in, deposited in the lungs to the alveoli and can subsequently result in a decrease in lung function leading to pulmonary function disorders. The pulmonary function disorder can be measurements by vital lung capacity using spirometry. Jobs with a high risk of being exposed to air pollutants, especially PM2.5 are related to traffic, one of which is the bus driver. Semarang BRT drivers feel symptoms of pulmonary dysfunction such as coughing and sneezing when working is reinforced by observation in a dusty terminal area. Individual characteristics that affect vital lung capacity are age, work period, nutritional status, history of pulmonary disease, smoking habits, and exercise habits. The purpose of this study was to determine and analyze the relationship of exposure to PM2.5 dust with pulmonary function disorders in Semarang BRT drivers. The type of this research is observational analytic with a cross-sectional approach and quantitative analysis method. The population in this study was 33 drivers from corridors II, III and IV with a total sampling method. Bivariate analysis was carried out by the Chi-Square test (α = 0.05). The results showed that all variables were age (sig = 0.368), work period (sig = 0.707), nutritional status (sig = 0.200), history of pumonary disease (sig = 1), smoking habits (sig = 0.670), exercise habits (sig = 0.062), and exposure to PM2.5 dust (sig = 0.797) had no association with pulmonary function disorders in Semarang BRT drivers. Researchers suggest the company install dust filters on buses and filter cleanings twice a month and inform them about PM2.5 dust as well as calls to prevent preventive health.
HUBUNGAN ANTARA BEBAN KERJA FISIK DENGAN KELELAHAN KERJA PADA PEKERJA INDUSTRI PENGOLAHAN IKAN ASIN DI UD. X Sherly Muzikha Yamaula; Ari Suwondo; Baju Widjasena
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 1 (2021): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21.129 KB) | DOI: 10.14710/jkm.v9i1.28621

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Fatigue is a subjective feeling accompanied by a decrease in efficiency and the needs. One factor that influences fatigue is work capacity. Salted fish processing industry workers use a lot of physical strength to work, if the physical workload received by workers increases, the workers will feel fatigued more quickly. The purpose of this study was to analyze the relationship between individual characteristics (age, sex, years of service, BMI, problems health) and physical workload with work fatigue. The type of this research was quantitative research, which was analytic observational with cross-sectional approach. The research instrument is to used the respondent's datasheet to observe individual characteristics, SNI 7269:2009 to measure physical workload based on calorie needs and the IFRC (Industrial Fatique Research Committee) Questionnaire to measure subjective work fatigue. The sampling technique used total sampling with population and sample in the study were 30 workers. Based on the statistical test with Fisher Exact, the results showed that there was no relationship between work fatique with age (p-value = 0.638), gender (p-value = 0.431), years of service (p-value = 1.000), BMI (p-value = 1.000), health problems (p-value = 0.070) and there is a relationship between work fatique with physical workload (p-value = 0.010). The suggestion for both company owners and workers is to pay attention to workers who are ex periencing fatique to take breaks or strecth muscles regularly every 2 hours.Keywords : Individual characteristics, physical workload, fatique
HUBUNGAN KUALITAS TIDUR, LAMA KERJA, DAN KELELAHAN MATA TERHADAP KEJADIAN MINOR INJURY DI INDUSTRI RUMAHAN SEPATU KULIT LACOSTA DESTA SHOESKUALITAS TIDUR, LAMA KERJA, DAN KELELAHAN MATA TERHADAP KEJADIAN MINOR INJURY DI INDUSTRI RUMAHAN SEPATU KULIT LACOSTA DESTA SHOES Dalliantika Muthia Zahra; Ari Suwondo; Daru Lestantyo
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 6 (2020): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.261 KB) | DOI: 10.14710/jkm.v8i6.28361

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Individual characteristics, job, and work environment must be mutually supportive to achieve a good implementation of safety and health in the workplace. Lacosta Desta Shoes produces leather shoes through a process that includes tools and materials that are at risk of causing minor injury. Minor injury is a type of work accident that can injure workers but does not require medical treatment and does not eliminate work hours. A fatal work accident can occur if a minor injury is not handled properly. This study aims to analyze the correlation between sleep quality, work hours, visual fatigue, and the occurrence of minor injury. This study uses observational analytic methods and cross-sectional studies. Sampling was performed by using a total sampling method which covers the entire population of Lacosta Desta Shoes workers as many as 15 people. The research instruments are a questionnaire sheet for individual characteristics and work hours, a checklist for visual fatigue and the occurrence of minor injury, and a standard PSQI questionnaire for sleep quality. Data analysis uses a chi-square statistical test. The results showed there was a correlation between visual fatigue with work tenure (????=0.033), nutritional status (????=0.011), sleep quality (????=0.033), and work hours (????=0.001) and there was a correlation between the occurrence of a minor injury with work hours (????=0.009) and visual fatigue (????=0.009). There was no correlation between visual fatigue with age (????=1.000), refractive abnormalities (????=0.231), and metabolic disease (????=1.000) with visual fatigue and no correlation between the occurrence of a minor injury with sleep quality (????=0.154). There are 12 workers (80%) who have experienced minor injuries in the last 3 months. Lacosta Desta Shoes can prevent and reduce the occurrence of minor injury toward workers through periodic visual health check-ups, work hours adjustment, and the provision of first aid kits in the shoe repair shops. 
Karakteristik Individu, Prosedur Penyemprotan dan Tingkat Cholinesterase: Studi Literatur pada Pekerja yang Terpapar Pestisida Sinta Pradananingrum; Yuliani Setyaningsih; Ari Suwondo
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 2 (2021): Supp April 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i2.1342

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Cholinesterase adalah enzim di dalam tubuh sebagai indikator toksisitas oleh organofosfat dan karbamat dalam tubuh. Berdasarkan laporan dari World Health Organization terdapat sekitar tiga juta kasus keracunan organofosfat yang memiliki dampak mematikan setiap tahun di seluruh dunia. Pada tahun 2017 terdapat 18,2 kasus keracunan pestisida pada pekerja pertanian di negara berkembang per 100.000 petani di seluruh dunia. Penelitian ini bertujuan mengkaji literatur tentang faktor-faktor yang berhubungan dengan tingkat cholinesterase. Metode tinjauan pustaka yang digunakan yaitu menyusun, mentabulasi serta membandingkan hasil penelitian, kemudian merangkum keseluruhan penelitian. Pencarian studi dilakukan melalui situs jurnal terakreditasi (Science Direct, Scopus, PubMed, Research Gate) serta pada halaman pencarian jurnal google scholar. Setelah menyaring dengan kata kriteria penelitian, Setelah melakukan tinjauan awal dengan pencarian literatur, dilanjutkan dengan skrining judul dan abstak kemudian penulis membaca full teks artikel. Hasil dari telaah full teks artikel tersebut sebanyak 23 artikel. Artikel yang telah ditelaah kemudian ditentukan sesuaI dengan krtieria inklusi dan eksklusi didapatkan 21 artikel. Banyak studi penelitian yang tidak dipilih karena tidak memenuhi kriteria inklusi penelitian. Berdasarkan hasil tinjauan pustaka didapatkan hasil bahwa terdapat hubungan antara masa kerja, umur, frekuensi penyemprotan, waktu penyemprotan dan lama penyemprotan. Masa kerja dan umur merupakan faktor karakteristik individu yang berhubungan dengan tingkat cholinesterase.
Perbedaan Berat Badan Bayi dan Hormon Prolaktin Dengan Breast Care Pada Ibu Nifas Normal (Studi di RSU Sarila Husada Kabupaten Sragen) Winnie Tunggal Mutika; Ari Suwondo; Runjati Tangwun
Berita Kedokteran Masyarakat (BKM) Vol 34, No 4 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.992 KB) | DOI: 10.22146/bkm.30272

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Effect of breast care among postpartum women on baby weight and prolactin hormones: preliminary studyPurposeThe aim of this study was to assess effectivity of breast care among postpartum women on baby weight and prolactin hormones.MethodThe study used quasi experimental with non equivalent time samples design. The sample was postpartum women in Sarila Husada hospital, Sragen and the sampling was performed by purposive sampling. The analysis was bivariate analysis using a paired t-test.ResultsThe average baby's weight before breast care was 3.1 kg with a standard deviation of 0.3. After breast care the average baby's weight was 3.0 kg with a standard deviation of 0.2. Statistical test obtained a p-value of 0.024, thus there was a significant difference between baby's weight before and after breast care. The average of prolactin hormone before breast care was 66.4 ng/ml with a standard deviation of 15.2. After breast care, the average prolactin hormone was 112.1 ng/ml with a standard deviation of 21.0. Statistical test obtained a p-value of 0.000, thus there was a significant difference between prolactin hormone before and after breast care.ConclusionThere were significant differences in baby weight with a decrease of 2.2% and prolactin hormone with an increase of 72.1% before and after breast care in postpartum women. In the breast care group, baby’s weight decreased by 2.2% but the baby’s weight loss did not exceed the maximum baby’s weight loss in the first week at 7%.