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Faktor Risiko Kelelahan Kerja pada Operator Internal Transfer Vehicle (ITV) di PT. Belawan New Container Terminal Lubis, Fatma Sri Ramadhan; Arrazy, Syafran; Eliska, Eliska; Batubara, Abdul Karim
Jurnal Biomedika dan Kesehatan Vol 8 No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

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Abstract

Background Occupational fatigue is an important issue in the field of occupational health and safety that is often experienced by workers in the industrial sector, especially workers who are involved in activities that are monotonous, repetitive, and last for a long duration of time. This condition can have an impact on reducing work productivity, increasing the risk of work accidents, and affecting the physical and mental health of workers. This study aims to analyze the risk factors associated with job fatigue in ITV (Internal Transfer Vehicle) Operators at PT Belawan New Container Terminal. Methods The research method uses a quantitative approach with a cross-sectional study design. The number of samples in this study were 39 respondents selected by total sampling technique. Data analysis was carried out through univariate analysis to describe the characteristics of respondents and bivariate analysis using the chi-square test to determine the relationship between independent variables, namely length of work, Body Mass Index (BMI), age, medical history, and work shifts with fatigue. Results The results showed a significant relationship between length of work (p = 0.005), BMI (p = 0.001), and work shift (p = 0.000) with job fatigue. However, the variables of age (p = 0.318) and medical history (p = 0.816) did not have a significant relationship. Therefore, the management is expected to formulate appropriate policies related to the setting of working hours. Conclusions The conclusion in this study is that there is a relationship between length of work, BMI, and work shifts with job fatigue, but there is no relationship between age and medical history. Therefore, management is expected to formulate appropriate policies related to setting working hours, structuring the shift system, and monitoring the nutritional status of workers in order to reduce the rate of fatigue.
Analysis of factors causing work accidents among oil palm harvesters at PTPN IV Dolok Ilir Ms, Saidana Wahyudi Putra; Aidha, Zuhrina; Arrazy, Syafran
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2043

Abstract

According to the ILO every year more than 250 million people experience accidents at work. Throughout 2023, 224 thousand cases of work accidents occurred in the oil palm plantation sector Based on the Occupational Safety and Health Profile, according to data from BPJS Employment, cases of work accidents in North Sumatra in 2024 reached 9,319 work accidents. Work accidents that often occur at PT Dolok Ilir Palm Oil Plantation are impaled by palm thorns, crushed by palm fronds, cut by machetes, eyes exposed to palm waste, scratched by palm fruit thorns. The purpose of this study was to determine the factors that cause the incidence of work accidents in labor workers. This research method uses quantitative with a cross-sectional approach. Sampling using the sloving formula with cluster random sampling technique. The results of the study showed that there were factors that influenced the incidence of work accidents in oil palm harvesters were age, use of PPE, and attitudes with a Sig value. < 0,05. Attitude is the most dominant factor in the incidence of work accidents with an Exp B value = 3.892, which means that a negative attitude is 3.892 times more risky than a positive attitude. It is expected that workers can increase awareness about the importance of prioritizing safety when working.
Determination Of Risk Factors Of Musculoskeletal Disorders In Palm Oil Harvesting Workers In Batu Jong-Jong Village Br.SK, Dea Ananda; Arrazy, Syafran; Peralihan, Hotmatua; Wasiyem; Utami, Tri Niswati
Periodicals of Occupational Safety and Health Vol. 4 No. 1 (2025)
Publisher : Universitas Ahmad Dahlan

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Abstract

Background : Musculoskeletal disorders (MSDs) describe disorders of the musculoskeletal system that arise from exposure to static position pressure that is repeated over a long period of time. This condition often causes complaints in the joints, ligaments, and tendons, a condition that is commonly experienced by workers who harvest oil palm fruit. The purpose of this study was to identify the determination of risk factors (work posture, work duration, age, physical fitness, work period and body mass index (BMI)) for the occurrence of musculoskeletal disorders in oil palm fruit harvesters in Batu Jong-Jong Village. Methods: This study applies a cross-sectional design with the use of primary data as the main source. A total of 68 oil palm harvesters were selected as respondents through a Stratified Sampling technique. Data were collected using a questionnaire distributed to respondents, as well as the Rapid Entire Body Assessment (REBA) and Nordic Body Map (NBM) assessment methods. The data obtained were then analyzed using the Chi-Square statistical test. Results: The results of the study showed that there was a relationship between work posture (p-value 0.003 and PR 2.172), age (p-value 0.000 and PR 3.095), physical fitness (p-value 0.009 and PR 2.160), length of service (p-value 0.009 and PR 2.160) with the incidence of musculoskeletal disorders. While there was no relationship between the duration of work (p-value 0.287 and PR 1.290) and body mass index (BMI) (p-value 0.936 and PR 1.076) with the incidence of musculoskeletal disorders. Conclusion: It can be concluded that there is a relationship between work posture, age, length of service and physical fitness with the incidence of musculoskeletal disorders in oil palm fruit harvesters.
KONDISI FISIK RUMAH SEBAGAI FAKTOR RISIKO ISPA PADA MASYARAKAT PESISIR KOTA MEDAN Arrazy, Syafran; Putri, Adelia; Masyithah, Ruhul; Siregar, Siti Romaito
Jurnal Kesehatan Marendeng Vol. 9 No. 2 (2025): JURNAL KESEHATAN MARENDENG
Publisher : LPPM STIKES Marendeng Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58554/jkm.v9i02.141

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) adalah salah satu gangguan kesehatan yang umum terjadi di daerah pesisir, terutama pada masyarakat dengan kondisi rumah yang tidak memenuhi standar kesehatan. Studi ini bertujuan untuk mengkaji hubungan antara kondisi fisik rumah dan kasus ISPA pada masyarakat di daerah pesisir Kota Medan. Studi ini menggunakan pendekatan kuantitatif dengan desain potong lintang (cross-sectional) dan melibatkan 160 responden yang tinggal di Kecamatan Medan Labuhan dan Medan Belawan. Data dikumpulkan melalui observasi dan wawancara menggunakan kuesioner terstruktur. Variabel fisik rumah yang dianalisis meliputi langit-langit, dinding, lantai, jendela kamar tidur, jendela ruang keluarga, ventilasi, lubang asap dapur, dan pencahayaan. Analisis dilakukan menggunakan perangkat lunak JASP dengan uji chi square dan prevalence ratio (PR). Hasil analisis menegaskan bahwa terdapat hubungan yang bermakna antara kondisi langit-langit rumah (p=0,016), keberadaan jendela kamar tidur (p=0,048), dan pencahayaan alami (p=0,007) dengan ISPA. Sementara itu, variabel fisik lain tidak menunjukkan keterkaitan yang bermakna secara statistik. Dapat disimpulkan bahwa beberapa aspek fisik rumah yang tidak memenuhi standar layak huni berperan dalam tingginya angka kasus ISPA di daerah pesisir, sehingga intervensi berupa perbaikan fisik rumah dan edukasi rumah sehat sangat diperlukan. Langit langit rumah di pesisir sebaiknya menggunakan material tahan lembap seperti gypsum atau papan fiber semen untuk mencegah pertumbuhan jamur yang memperparah ISPA.
Implementation of the Smoke-Free Area (SFA) Policy in Islamic University Nahar, Syamsu; Ulfah, Fitria; Syam, Abdi Mubarrak; Siregar, Putra Apriadi; Suraya, Rani; Arrazy, Syafran
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1004

Abstract

Background: Indonesia's high prevalence of active smoking among young adults, despite WHO recommendations, underscores the need for Smoke-Free Area (SFA) in educational institutions to promote healthier environments. Objective: This investigation aimed to evaluate adherence to Smoke-Free Area (SFA) regulations across three Islamic universities in Indonesia and analyze the associated tobacco use behaviours among students and faculty members. Methods: The study used a cross-sectional design, conducting structured interviews with 7.040 participants from Universitas Islam Negeri Sumatera Utara, Universitas Islam Negeri Syarif Hidayatullah Jakarta, and Universitas Islam Negeri Wali Songo Semarang. The research focuses on the dissemination of information about the dangers of smoking, designated smoking areas, and cigarette butts. The study used a structured questionnaire and JASP version 19 software for data analysis, including spatial analysis with QGIS. Results: Universitas Islam Negeri Sumatera Utara has the lowest overall compliance with regulations, while Universitas Islam Negeri Syarif Hidayatullah and Universitas Islam Negeri Wali Songo show moderate compliance. Health Studies has the lowest adherence, particularly in "Signage." Education Studies leads in implementing smoking prevention measures, while Social Studies effectively disseminates information about smoking dangers. This data provides insights into smoking behavior and prevalence. Conclusion: The Smoke-Free Area (SFA) implementation and adherence varied among three Islamic universities in Indonesia, with Universitas Islam Negeri Sumatera Utara showing the lowest compliance rates, while Universitas Islam Negeri Syarif Hidayatullah and Universitas Islam Negeri Wali Songo showed moderate to high adherence. Keywords: health promotion; smoke-free Area (SFA); smoking; students; university
SMOKE-FREE ZONE POLICIES AND PNEUMONIA INCIDENCE AMONG INFANTS IN INDONESIA (ANALYSIS OF SECONDARY DATA FROM THE 2023 INDONESIA HEALTH SURVEY) Adinda, Faiza; Siregar, Putra Apriadi; Arrazy, Syafran; Wasiyem, Wasiyem; Hidayat, Rahmat
Journal of Gender and Social Inclusion in Muslim Societies Vol 6, No 1 (2025): Journal of Gender and Social Inclusion in Muslim Societies (JGSIMS)
Publisher : Pusat Studi Gender dan Anak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jgsims.v6i1.25686

Abstract

Indonesia remains one of the ASEAN countries that has not fully implemented a smoke-free zone policy (SFZ). SFZ policies can prevent air pollution that can cause pneumonia. The novelty of this study lies in its analysis of SFZ policies based on the level of regional regulations, namely Regional Regulations and Mayor/Regent Regulations, which are linked to pneumonia cases in infants, utilizing national data with a large sample size to provide empirical evidence as a basis for strengthening SFZ policy implementation in Indonesia. This study aims to determine the relationship between SFZ policies and pneumonia cases in infants in Indonesia. This study used a cross-sectional design. The study population consisted of 284,177 respondents, and the study sample consisted of 49,747 respondents. This study used the 2023 Indonesian Health Survey questionnaire as an instrument and used the chi-square test with JASP version 19 software for data analysis. The results of the study indicate that there is a significant relationship between the form of implementation of SFZ policies at the district/city level (p=0.045) and no significant relationship in the implementation of SFZ across provinces in Indonesia (p=0.162; PR=1.159), districts/cities that implemented SFZ (p=0.664; PR=1.059), the duration of SFZ implementation in districts/cities (p=0.269; PR=0.891), fathers' smoking behavior (p=0.867; PR=0.983), and mothers' smoking behavior (p=0.1; PR=1.938). It can be concluded that there is a significant relationship between the form of local regulations/mayor/regent regulations on SFZ and the incidence of pneumonia in infants in Indonesia with p=0.045. These findings emphasize the importance of the government's role in strengthening the implementation of SFZ policies through improved monitoring, enforcement, and integrated evaluation.  Policy strengthening can be achieved through regulations accompanied by strict sanctions, data-based monitoring by the Ministry of Health, and continuous education on the dangers of thirdhand smoke for parents.  In addition, the results also indicate that the gender of mothers as primary caregivers plays an important role in protecting infants from exposure to cigarette smoke. Therefore, empowering mothers through improved health literacy and social support is crucial to reducing the risk of pneumonia in toddlers. Districts/cities that do not yet have smoke-free policies are expected to formulate them immediately, while the wider community is expected to actively participate in supporting the implementation of smoke-free policies to protect toddlers from the dangers of smoking.
Efektivitas Penyuluhan Pola Hidup Sehat Terhadap Pencegahan Batuk Di Desa Sei Bejangkar Anjaini, Nurul; Salsabila, Assyifa Azzahra; Assyifa, Rumaisha; Arrazy, Syafran; Arika, Romiza
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1858

Abstract

Batuk merupakan salah satu dari tiga masalah kesehatan tertinggi di desa sei bejangkar, dengan 157 kasus tercatat dari Januari hingga Agustus 2025. Penelitian ini merupakan penelitian  kuantitatif dengan desain one group pretest-posttest mengenai pengaruh penyuluhan pola hidup sehat terhadap kejadian batuk di Desa Sei Bejangkar. Penelitian ini menggunakan 30 sampel dari masyarakat dewasa di desa tersebut yang diambil dengan teknik purposive sampling. Instrumen penelitian berupa kuesioner digunakan untuk mengukur pengetahuan, perilaku, dan tindakan responden sebelum dan sesudah penyuluhan. Hasil pre-test menunjukkan bahwa sebagian responden masih memiliki pengetahuan, perilaku, dan tindakan yang kurang baik terkait pola hidup sehat. Setelah diberikan penyuluhan, seluruh responden (100%) menunjukkan peningkatan yang baik. Analisis bivariat menggunakan paired sample t-test menunjukkan adanya perbedaan yang signifikan antara kondisi sebelum dan sesudah penyuluhan, dengan nilai p-value untuk pengetahuan, perilaku, dan tindakan masing-masing sebesar 0,001, 0,004, dan 0,001. Kesimpulannya, penyuluhan tentang pola hidup sehat terbukti efektif secara signifikan dalam meningkatkan pengetahuan, perilaku, dan tindakan masyarakat untuk mencegah batuk di Desa Sei Bejangkar.
Perception of officers in work safety protocols to achieve zero accidents at PT. Paramitha Build Means Alelga, Elsa; Susilawati, Susilawati; Arrazy, Syafran
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2102

Abstract

The high rate of occupational accidents indicates that the implementation of Occupational Safety and Health (OSH) in the construction sector still needs to be strengthened, including at the PT. Paramitha Bangun Sarana (Soci Mas) project, where worker compliance with the use of personal protective equipment (PPE) and standard operating procedures (SOPs) remains low. This study aims to describe the implementation of safety protocols and the achievement of the zero-accident program at the project site. A descriptive quantitative method was applied using a total sampling of 50 field workers. Data were collected through questionnaires and observations. Frequency distribution results show that most respondents were aged 18–33 years (82%), male (94%), and high-school graduates (82%). The level of OSH protocol perception was very good, with 94% of respondents agreeing and 6% strongly agreeing on the optimization of safety protocols. Zero-accident achievement was also high, indicated by 94% agreeing and 4% strongly agreeing with the program's application. These findings confirm that consistent application of OSH protocols, strong management support, and a solid safety culture can create a safe work environment, support the realization of zero-accident targets, and contribute to Sustainable Development Goal (SDG) 8 on decent work and economic growth.
Factors Related to Work Fatigue in Oil Palm Farmers Pohan, Arja Adi Jaya; Arrazy, Syafran; Utami, Tri Niswati
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3370

Abstract

Every year 2 million workers die due to work accidents caused by fatigue. This research aims to determine the factors related to work fatigue in oil palm farmer workers in Tanjung Medan Labuhanbatu Village. The research method used is descriptive quantitative with a cross-sectional research design. The population of workers is 104 people and the sample is 85 people. The sampling technique uses simple random sampling. The results of the analysis showed that there was a relationship between age and work fatigue (p-value = 0.000) r = 0.607, there was a relationship between length of service and work fatigue (p-value 0.000) r = 0.526, there was a relationship between length of work and work fatigue (p-value 0.010) r = 0.078, there is a relationship between workload and work fatigue (p-value 0.012) r = 0.647, there is no relationship between nutritional status and work fatigue (p-value 0.353) r = 0.049. This research concludes that there is a relationship between age, length of service, length of work, and workload on work fatigue, there is no relationship between nutritional status and work fatigue in oil palm farmers. Advice for workers is that they should pay attention to their health while working to avoid work fatigue which could pose a risk of work accidents.
Factors Causing Stunting in Toddlers Aminuddin, Aminuddin; Arrazy, Syafran; Eliska, Eliska
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3372

Abstract

Nutritional problems in toddlers are still a major problem in the population order, one of which is stunting which is still a major nutritional problem in developing countries such as Indonesia and even still a serious global problem. The purpose of the study was to determine the factors causing stunting in toddlers in the working area of the Puskesmas Terjun, Medan Marelan District. This study used analytical survey research using a case-control design. The population of cases is mothers who have toddlers <5 years old who are stunted in the working area of the Puskesmas Waterfall Medan Marelan District, which has 23 stunting cases. Sampling is done by total sampling technique. Case and control samples were taken based on a ratio of 1: 2 with a total sample of 69 respondents. The results showed that there was a relationship between birth length (p-value 0.000), exclusive breastfeeding (p-value 0.000), maternal height (p-value 0.000), and maternal education (p-value 0.001) on the incidence of stunting. There was no relationship between birth weight (p-value 0.081) and birth distance (p-value 0.085) with the incidence of stunting in toddlers. This study concludes that there is a relationship between birth length, exclusive breastfeeding, maternal height, and maternal education with the incidence of stunting in the work area of the Puskesmas Waterfall, Medan Maryland District. It is recommended that researchers conduct further research by adding direct causal variables to enrich information about the factors that cause stunting in toddlers.
Co-Authors Abdul Karim Batu Bara ABdul Karim Batubara, ABdul Karim Adinda Azima Riskiya Sibarani Adinda, Faiza Agung Aji Perdana Ahsan, Abdillah Ajib Atha Syah Putra Alelga, Elsa Alfareza, Alditia Alya Alfianti Balqis Alya Suwayya Amalia Rahmi Nasution Aminuddin Aminuddin Ananda Dwi Shafira Andi Susilowati Anindya, Nazla Anissa Rizkianti Anita Rahmiwati Anjaini, Nurul Annisya Dwi Putri BR Daulay Ansar Aprida Aulia Rizki Aprida Aulia Rizki Aprilinda M. Harahap Arini Fajriani Asrul Hamonangan Pasaribu Assyifa, Rumaisha Ayu Ardillah Ayu, Atika Azhari Akmal Tarigan Baihaqy Azro Hidayat Barus, Dila Diwani Br br Ginting, Nurkholisah Br.SK, Dea Ananda Bunga Christita Rosha Damanik, Kemala sari Dea Purnama Sari Sir Dea Deborah Siregar Delfi Yunita Lubis Desy Nuri Fajarningtiyas Diani Sari Panggabean Dias, Monica Amelia Diva Aulia Nathasya Diva Keysha Aura Silalahi Diva Nada Rizki Nuzlan Eliska Eliska Elvi Sunarsih Elvina Fadilah, Sylva Qamara Nur Fahrul Islam Fatimah Azzahra Fifi Afifah Hasibuan Fiqih Inayah Fithia Dyah Puspita Fitria Ulfah Fitriana, Ranti Grace Wangge Gurendro Putro Haeranah Ahmad Hasibuan, Seri Rahmadani Hasibuan, Talitha Azaria Hayati, Fitri Hazrin, Yosita Heny Lestary Hidayah, Widyatul Hidayat, Baihaqy Azro Hidayat, Rahmat Hotmatua Peralihan Hubban Fathani Manik Husnul Khathimah Ika Saptarini Ikes Dwi Astuti Indah Rahayu Ritonga Indah Rizqika Indri Yunita Putri Intan Andhani Iram Barida Maisya Irwansyah Ismail Israyani Israyani Joko Pambudi Jufri Naldo Kadar Ramadhan Kadillah Suherry Kencana Sari Khairunnisa Khairunnisa Laila Sari Lestari, Ninis Lily Rahmanda Lubis, Fatma Sri Ramadhan Masnaeni Ahmad Masyithah, Ruhul Melisa Melisa Mesiono Mesiono Meutia Nanda Meutia Nanda Milwiyandia Milwiyandia Mochamad Iqbal Nurmansyah Ms, Saidana Wahyudi Putra Muhammad Ancha Sitorus Muhammad Sahputra Muhammad Syukri Muhammad Syukri Albani Nasution Muizza, Mughni Muthia Faith Salsabilla Bainun Mutia Azuba Mutiara Salsabila Nahar, Syamsu Nasri Mohammed Nasution, Dinda Azria Nasution, Nur Chairani Rizki Nining Ade Ningsih Nofi Susanti Nona Adilla Syafitri Zein Noor Edi Widya Soekotjo Novianti Novianti Nurbaya Nurbaya Nurhayati Nurhayati Nurhayati Nurhayati Nuri Nabila Syahputri Nurillah Amaliah Nurna Billa Pardosi, Fadhila Azzahra Peralihan, Hotmatua Permata Amalia Mursyid Pohan, Arja Adi Jaya Purnama, Tri Bayu Putra Apriadi Siregar Putri Safira Putri, Adelia Putri, Hermalia Putri, Hikmathine Osella Radha Agri Br Ginting Radinal Mukhtar Harahap Raduwi Wahyuni Rahel Navilia Sihite Rahmadillah, Al Fiza Putri Ramadhani, Lutfiah Ramadini, Saumy Rambe, Desi Rapotan Hasibuan Raspiyahni Rika Rachmalina Rina Khairuna Nasution Rina Marina Riska, Zamharira Rizka Fadilla, Septiani Romiza Arika Romiza Arika Ruqayah Salsabila Parapat Sabila Pratiwi Salianto Salianto Salsabila Syakira Salsabila, Assyifa Azzahra Sintia, Ayunda Siregar, Putra Apriadi Siregar, Siti Romaito Siti Masitoh Sri Sundari St. Kadijah Hamid Sugiharti Sugiharti Sumiati Sumiati Suparmi Suparmi Suraya, Rani Susilawati Susilawati Syafa Rangkuti, Nur Ashilah Syafina Aisyah Syah, Dwiki Wardana Syahrani, Putri Syahrial Arif Hutagalung Syam, Abdi Mubarrak Talitha Shafiqah Batubara Tri Bayu Purnama Ulfa, Syahla Shatira Utami, Arvina Putri Utami, Tri Niswati Utami, Yulia Tri Utari, Anggita Vina Noura Wafida Tunnur Siregar WAHYUDI Wahyudi Wahyudi Wahyudi Wahyudi Wasiyem, Wasiyem Wasiyem, Wasiyem Windi Zahrani Yulia Khairina Ashar Yuliawati Anggraini Siregar Yunita Warina Zata Ismah Zuhrina Aidha