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Occupational and Environmental Risk Factors for Contact Dermatitis among Industrial Workers in Karawang, Indonesia: A Cross-Sectional Study Suryani, Febria; Iting Shofwati
Scientific Journal of Dermatology and Venereology Vol. 1 No. 2 (2023): Scientific Journal of Dermatology and Venereology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjdv.v1i1.4

Abstract

Introduction: Contact dermatitis is a prevalent occupational skin disease, particularly among industrial workers exposed to various irritants and allergens. This study aimed to investigate the prevalence of contact dermatitis and identify occupational and environmental risk factors among industrial workers in Karawang, Indonesia. Methods: A cross-sectional study was conducted among 450 industrial workers in Karawang, Indonesia. Data were collected using a structured questionnaire, including demographics, occupational history, and environmental exposures. Dermatological examinations were performed to diagnose contact dermatitis. Descriptive statistics, chi-square tests, and logistic regression analysis were used to analyze the data. Results: The prevalence of contact dermatitis among the industrial workers was 22.4%. The most common type was irritant contact dermatitis (75%). Significant risk factors identified included exposure to solvents (OR = 3.2, 95% CI: 1.8-5.7), detergents (OR = 2.5, 95% CI: 1.4-4.5), and metalworking fluids (OR = 2.1, 95% CI: 1.2-3.7). Longer duration of employment (OR = 1.2, 95% CI: 1.1-1.4) and poor personal protective equipment (PPE) use (OR = 2.8, 95% CI: 1.6-4.9) were also associated with increased risk. Conclusion: Contact dermatitis is a significant occupational health problem among industrial workers in Karawang, Indonesia. Exposure to specific chemicals, longer duration of employment, and inadequate PPE use contribute to the increased risk. Implementing preventive measures, including proper PPE use, workplace hygiene, and health education programs, is crucial to reducing the burden of contact dermatitis in this population.
Impact of Integrated Care Models on Chronic Disease Management Outcomes in Underserved Communities: A Mixed-Methods Study in Surabaya, Indonesia Sarah Istiqomah; Iting Shofwati; Theresia Putri Sinaga; Lin Chia
Community Medicine and Education Journal Vol. 6 No. 1 (2025): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v6i1.695

Abstract

Integrated care models (ICMs) are increasingly promoted as a strategy to improve chronic disease management, but evidence of their effectiveness in resource-constrained settings like Surabaya, Indonesia, is limited. This study aimed to evaluate the impact of an ICM on chronic disease management outcomes in underserved communities in Surabaya. A mixed-methods study design was employed, combining a quantitative quasi-experimental component with qualitative data collection. The quantitative component compared pre- and post-intervention data on key clinical indicators (blood pressure control, HbA1c levels, medication adherence) and healthcare utilization (hospital admissions, emergency room visits) for patients with hypertension, diabetes, and cardiovascular disease enrolled in an ICM program (n= 250) versus a control group receiving standard care (n= 250). Data was analyzed using descriptive statistics, t-tests, and chi-square tests. The qualitative component involved semi-structured interviews with patients (n=30) and healthcare providers (n=15) participating in the ICM to explore their experiences and perceptions of the program's impact. Thematic analysis was used to analyze the qualitative data. The quantitative analysis revealed statistically significant improvements in several clinical indicators for the ICM group compared to the control group. Data showed a mean reduction in systolic blood pressure of 8 mmHg (p<0.001) and a decrease in HbA1c levels of 0.7% (p<0.01) in the ICM group. Hospital admissions related to chronic disease complications were also lower in the ICM group (p<0.05). Qualitative findings highlighted improved patient self-management, enhanced provider coordination, and increased patient satisfaction with the ICM. Barriers to implementation included resource constraints, logistical challenges, and the need for ongoing provider training. In conclusion, this study provides evidence that ICMs can improve chronic disease management outcomes in underserved communities in Surabaya, Indonesia. The findings support the scaling up of ICMs in similar settings, with careful consideration of resource allocation, provider training, and community engagement.
Analysis of Factors Associated with Contact Dermatitis in PT. Cosmas Indonesia Suryani, Febria; Iting Shofwati
Scientific Journal of Dermatology and Venereology Vol. 1 No. 1 (2023): Scientific Journal of Dermatology and Venereology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjdv.v1i1.193

Abstract

Introduction: Contact dermatitis is a skin disorder that is quite common, especially due to exposure to certain materials or substances due to work. PT. Cosmas Indonesia is a cosmetics manufacturing company that processes and produces various cosmetics. In the process of making these cosmetics, this company very often uses various chemicals, both in the form of strong bases and various organic solvents. Of course, this company is very susceptible to skin disorders in its workers. This study aimed to analyze the factors associated with contact dermatitis in PT. Cosmas Indonesia. Methods: Cross-sectional analytic observational study. A total of 50 research subjects participated in this study. Observation risk factor and sociodemographic data were carried out in this study. Data analysis was carried out using SPSS using univariate and bivariate. Results: The incidence of contact dermatitis occurs in workers with a longer working period than in workers who do not experience contact dermatitis. Personal hygiene that is not good is also a problem factor risks associated with contact dermatitis. Conclusion: The length of time exposure to chemical compounds and personal hygiene becomes an important factor role in the incidence of contact dermatitis in the study of PT. Cosmas Indonesia.