Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
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All Journal The Indonesian Journal of Community and Occupational Medicine
Levina Chandra Khoe
Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Health Professions Medicine & Pharmacology

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Overview of Glycemic Control in Workers with Diabetes at An Occupational Clinic in Jakarta Edwin Halim; Em Yunir; Amilya Agustina; Astrid Sulistomo; Levina Chandra Khoe
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 1 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i1.72.17-23

Abstract

Introduction: Based on Indonesia’s population data in 2018 and International Diabetes Federation in 2019, an estimated 1 in every 10 Indonesian workers have type 2 diabetes mellitus (T2DM). Diabetes is a chronic illness with costly implications, especially in working population. Workers with diabetes experience 12% reduction in productivity adjusted life years (PALY) and additional $USD 467 monthly average healthcare cost. This study aims to determine glycaemic control in workers with diabetes.Methods: Cross-sectional study utilizing laboratory medical records from 2015-2021 in an occupational clinic in Jakarta’s Central Business District is performed. Data collected through accessing in-clinic laboratory and client lists’ electronic medical records, is paired with their respective anthropometric parameters stored in paper archives. Criteria of Fasting Blood Glucose (FBG), lipid profile, HbA1c and Body Mass Index (BMI) are based on PERKENI 2019. Inclusion criteria are workers with prior history of T2DM who underwent HbA1c examination.Results: 2,796 employees who underwent HbA1c examination were found; 65.8% normal, 29.6% pre-diabetic, and 4.6% exceeded T2DM cut-off. Amongst 2,796 employees, 1,322 had their FBG examined; 62% normal, 33.1% had increased fasting glucose and 5% exceeded T2DM cut-off; another 1,316 also had their lipid profile examined, in which 80.5% had dyslipidaemia. From 2015-2021, 160 employees had a history of T2DM, of which 86 had matching laboratory medical records, with 42 of those undergoing HbA1c examination. Of 42 respondents with diabetes who underwent HbA1c examinations, 54.8% had sub-optimal glycaemic control. FBG is the only risk factor significantly correlated to optimal glycaemic control (p <0.05).Conclusion: Health programs and policies in the workplace enacted by management and health institutions who offer medical services may play a vital role in the improvement of prevention and intervention of diabetes amongst workers.
Associations of Chronotype and Job Stressors with Anxiety, Depression, and Stress among Shift Workers in Oil and Gas Company Fitria Nurbaeti; Feranindhya Agiananda; Levina Chandra Khoe; Dewi Sumaryani Soemarko; Imron Khazim
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 1 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i1.155.1-10

Abstract

Background: Oil and gas companies often require employees to work abnormal working hours, namely long shift hours and changing work environment conditions. Understanding how chronotypes, which refer to an individual’s biological preferences for choosing sleep and wake times (starting activities) and job stressors impact anxiety, depression, and distress levels among shift workers in oil and gas companies can aid in developing more effective risk management, health, and wellness programs for the workforce.Objective: This study aims to determine the relationship between chronotype and work stress with anxiety, depression, and stress in oil and gas companies.Methods: A cross-sectional study was conducted in an oil and gas company in Indonesia. Data was collected in 2024 using online questionnaires and interviews. Chronotype was measured using the Morningness Eveningness Questionnaire (MEQ) in Indonesian Version, job stressors were identified using the Stress Diagnostic Survey (SDS), and distress levels were obtained from the Depression Anxiety Stress Scale 21 (DASS 21). Results: Based on the results of data analysis, it was found that the chronotype type for workers in oil and gas companies is morning type as much as 57.4% and midnight type as much as 42.6%. From the results of the analysis, no relationship was found between chronotype and work stressors with stress levels. Chronotype type and work stressors are not related to the level of anxiety, depression and stress in the worker population in this study. The level of anxiety, depression and stress in workers was 20.5% and the prevalence of work stressors in workers experiencing moderate stress levels in the form of role inequality 54.9%, role conflict 52.5%, qualitative overload 52.5%, career development 50%, and responsibility for others 54.1%. While the most quantitative overload stressors were at the mild stress level 54.9%.Conclusion: The majority of respondents were morning type, and their job stressors were at moderate levels. The chronotype and job stressors did not have relationships with the level of distress. Other factors related to the incidence of anxiety, depression and stress levels in this study were age, length of service and type of work.
Co-Authors Amilya Agustina Astrid Sulistomo Dewi Sumaryani Soemarko Edwin Halim Em Yunir, Em Feranindhya Agiananda Fitria Nurbaeti Imron Khazim