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All Journal JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan Pro Health Jurnal Ilmiah Kesehatan Gema Lingkungan Kesehatan Proceeding Mulawarman International Conference on Tropical Public Health
Onny Setiani
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Environmental Science Health Professions Immunology & microbiology Public Health

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Knowledge, Attitudes, and Practices of Coconut Tappers in Managing Work-Related Musculoskeletal Disorders and Occupational Accidents Ahmad Farid; Onny Setiani; Yuliani Setyaningsih; Yusniar Hanani Darundiati
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): [The 3th MICTOPH] Fullpaper
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : In an effort to improve occupational safety and health for coconut tappers, it is necessary to have strategic public health measures. Coconut tappers are at risk of Work Related Musculoskeletal Disorders and occupational accidents, which require appropriate prevention and control. Our study aims to assess and implement measures to improve the occupational safety and health of coconut tappers in Wonosobo District, Central Java, Indonesia with a primary focus on the knowledge, attitudes and practices (KAP) of coconut tappers related to the interventions provided in the form of Simple Stretching, BSM Acupressure and Use of Safety Harness. Research Methods/ Implementation Methods : This study was conducted between August 2022 and July 2024 to assess the knowledge, attitudes and practices (KAP) related to the intervention provided in the form of Simple Stretching, BSM Acupressure and Use of Safety Harness of coconut tappers in Wonosobo Regency. The assessment was accompanied by the provision of Simple Stretching, BSM Acupressure and Use of Safety Harness training in the workplace and was carried out at the before and after stages to evaluate the possible impact of this intervention. Results : The results of simple stretching interventions, BSM acupressure and the use of safety harnesses used can statistically improve the knowledge, attitudes, and practices of coconut sugar penderes in minimizing the incidence of WMSDs and work accidents, but when viewed based on the mean difference value after being given the intervention. Based on the results of the difference test, the intervention group has a greater mean difference value than the control group. The increase in the mean difference value in the intervention group compared to the control group after 4 weeks of intervention knowledge +2.35 attitude +5.38 and practice +6.76. Conclusion/Lesson Learned : Occupational safety and health interventions in the form of simple stretching BSM Acupressure and Use of Safety Harness are considered effective and can be applied so as to improve knowledge, attitudes and practices in coconut tappers.
Association Between Pesticide Exposure and Type 2 Diabetes Mellitus Among Female Farmers: A Cross-Sectional Study Masyithah, Wulan; Onny Setiani; Yusniar Hanani Darundiati; Mursid Raharjo; Nurjazuli
JURNAL KESEHATAN LINGKUNGAN Vol. 17 No. 3 (2025): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v17i3.2025.220-229

Abstract

Introduction: The widespread use of pesticides in agriculture has been linked to an increased risk of diabetes mellitus. Long-term exposure to pesticides can disrupt glucose metabolism, trigger insulin resistance, and raise susceptibility to diabetes mellitus. This study investigates the association between pesticide exposure and the incidence of type 2 diabetes mellitus. Methods: This analytical observational study with a cross-sectional design involved 162 female farmers selected by purposive sampling from a population of 2,187, using the Lemeshow formula. Independent variables included work duration, types and frequency of pesticide use, spraying duration and direction, PPE usage, and cholinesterase levels. The dependent variable was type 2 diabetes mellitus. Data were collected through questionnaires, observation, and clinical tests for blood glucose and cholinesterase levels. Logistic regression was performed at 95% CI and α = 0.05. Result and Discussion: The results showed that 69.1% of female farmers exposed to pesticides had diabetes with lower cholinesterase levels as a significant indicator (p<0.001; OR=3.897; 95% CI=2.087-7.277). Factors such as working duration ≥10 years (p=0.010; OR=3.564; 95% CI=1.359-9.346), number of pesticides types (p=0.023; OR=3.370; 95% CI=1.187-9.570), spraying duration (p=0.020; OR=3.083; 95% CI=1.197-7.940), and PPE usage (p=0.007; OR=3.601; 95% CI=1.416-9.159) were associated with type 2 diabetes mellitus. Conclusion: Pesticides, particularly organophosphates and carbamates, act as endocrine-disrupting chemicals that impair pancreatic function and increase oxidative stress, contributing to insulin resistance. Female farmers more vulnerable to these effects due to hormonal sensitivity, making gender specific approaches essential. Strict regulations and farmer education are crucial to reduce long-term health risks.
Pesticide Spraying Practices and Hypertension Risk among farmers in Bumen Village, Indonesia Masyithah, Wulan; Onny Setiani; Darundiati, Yusniar Hanani; Suhartono; Raharjo, Mursid; Hasim, Jamal Hisham
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.317

Abstract

This study investigated the association between pesticide spraying practices and hypertension in horticultural farmers in Bumen Village, Sumowono District, Indonesia. A cross-sectional study was conducted among 132 male farmers selected through purposive sampling. Data were collected through structured interviews, blood pressure measurements, and field observations. Logistic regression revealed that mixing ≥2 pesticide types (OR=4.828; p=0.028), spraying ≥4 times per week (OR=4.552; p=0.010), and incomplete PPE use (OR=3.551; p=0.015) were significantly associated with hypertension. These findings underscore the need for stricter pesticide regulation, improved PPE use, and regular health monitoring to reduce health risks among farmers.
The Association Between Occupational Noise Exposure And The Incidence Of Hypertension Among Industrial Workers Az Zahro, Putri Rahmawati; Onny Setiani; Yusniar Hanani Darundiati
JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan Vol 22 No 2 (2025): Jurnal Kesehatan Lingkungan Volume 22 No. 2, Juli 2025
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Kesehatan Lingkungan Banjarbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jkl.v22i2.1045

Abstract

One common form of pollution is noise exposure, which, when exceeding the threshold of 85 dB(A), may increase the risk of hypertension. Hypertension is defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg, with several risk factors including age, length of employment, smoking habits, sleep duration, obesity, and diabetes. This study aimed to analyze the risk factors of hypertension among workers in the wood furniture industry. An observational analytic study with a cross-sectional approach was conducted involving 100 male workers selected through purposive sampling. Statistical analysis was performed using the chi-square test. The highest measured noise intensity was 95.3 dB(A), with an average of 87.3 dB(A). The mean systolic and diastolic blood pressures were 127.5 mmHg and 82 mmHg, respectively. Bivariate analysis showed that noise intensity (p = 0.021; PR = 3.619) and obesity (p = 0.005; PR = 4.334) were significantly associated with the incidence of hypertension. It can be concluded that high noise exposure and obesity are risk factors for hypertension among wood furniture industry workers.
Paparan Pestisida sebagai Faktor Risiko Hipertensi pada Petani: Kajian Literatur Ilham Pradana Sulistiyono Putra; Onny Setiani; Yusniar Hanani Darundiati
Pro Health Jurnal Ilmiah Kesehatan Vol. 7 No. 2 (2025): Pro Health Jurnal Ilmiah Kesehatan, July 2025
Publisher : Universitas Ngudi Waluyo

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Abstract

ABSTRAK Indonesia merupakan salah satu negara dengan konsumsi pestisida tertinggi di dunia, dan paparan terhadap pestisida telah dikaitkan dengan berbagai gangguan kesehatan, termasuk peningkatan tekanan darah. Hipertensi tercatat prevalensinya mencapai 33,7 % di kalangan masyarakat perdesaan Indonesia, termasuk di antara petani sebagai kelompok yang rentan. Penelitian ini bertujuan mengidentifikasi faktor risiko hipertensi yang terkait aktivitas penggunaan pestisida di kalangan petani. Metode yang digunakan adalah kajian literatur berbasis pendekatan PICO, dengan pencarian artikel secara sistematis melalui empat basis data (SINTA, Google Scholar, Scopus, dan PubMed), dibatasi pada publikasi dalam 10 tahun terakhir. Sebanyak 10 artikel memenuhi kriteria inklusi dan dievaluasi secara kritis. Faktor risiko hipertensi yang terdeteksi meliputi lamanya masa kerja sebagai petani, jenis dan jumlah pestisida yang digunakan, dosis aplikasi, frekuensi serta waktu penyemprotan, dan penggunaan alat pelindung diri (APD). Sebagian besar studi menunjukkan adanya hubungan signifikan antara paparan pestisida dan peningkatan risiko hipertensi. Kesimpulannya, paparan pestisida dari kegiatan pertanian merupakan faktor risiko yang signifikan terhadap hipertensi pada petani. Oleh karena itu, intervensi melalui edukasi dan penerapan penggunaan APD yang tepat sangat diperlukan untuk menurunkan risiko tersebut.   Kata kunci: Pestisida, Hipertensi, Petani, Paparan, Faktor Risiko             ABSTRACT Indonesia ranks among the world’s highest pesticide-consuming countries, and exposure to pesticides has been linked to various health issues, including elevated blood pressure. The prevalence of hypertension among rural communities in Indonesia, including farmers as a vulnerable group, is recorded at 33.7 %. This literature review, using the PICO framework, aims to identify risk factors for hypertension associated with pesticide-related farming activities. A systematic search was conducted across four databases (SINTA, Google Scholar, Scopus, and PubMed) limited to publications from the past 10 years. Ten articles met the inclusion criteria and were critically assessed. Identified primary risk factors for hypertension include duration of farming work, types and quantities of pesticide used, application dose, timing and frequency of spraying, and the use of personal protective equipment (PPE). Most studies demonstrate a significant association between pesticide exposure and an increased risk of hypertension. In conclusion, pesticide exposure through agricultural activities constitutes a significant risk factor for hypertension among farmers. Therefore, interventions focused on education and proper use of PPE are essential to mitigate this risk.   Keywords: Pesticide, Hypertension, Farmers, Exposure, Risk Factors
Co-Authors Ahmad Farid Az Zahro, Putri Rahmawati Hasim, Jamal Hisham Ilham Pradana Sulistiyono Putra Masyithah, Wulan Mursid Raharjo Nurjazuli Suhartono Yuliani Setyaningsih Yusniar Hanani Darundiati