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Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers Rante Ada', Yeremia; Sumardiyono; Chahyadhi, Bachtiar; Wijayanti, Reni; Syahrotun Nisa Suratna, Farhana; Paskanita Widjanarti, Maria; Prihantina Fauzi, Rachmawati
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.11

Abstract

Background: Safety compliance is a critical component in preventing workplace accidents and ensuring employee well-being. Various factors may influence workers’ adherence to safety protocols, including individual characteristics such as education level and fatigue. The purpose of this study was to examine the relationships between education level, work fatigue, and safety compliance.Subjects and Method: This cross-sectional study involved 137 respondents, categorized by fatigue status. The dependent variable was safety compliance. Independent variables included work fatigue and education level. Instruments included the Fatigue Assessment Scale (FAS) questionnaire for fatigue. Data analysis utilized the chi-square test for fatigue and education levels. Results: The proportion of workers who comply with safety procedures varies across education levels, but the differences are not statistically significant. In contrast, workers with higher levels of fatigue were significantly more compliant with safety practices than those with lower fatigue..Conclusion: These findings highlight the complexity of behavioral responses to workplace demands and the need for targeted interventions.
Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis Widjanarti, Maria Paskanita; Sumardiyono; Wardani, Aurina Firda Kusuma
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.09

Abstract

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers. Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application. Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001). Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.
Beyond the Stigma: Leveraging Education and Empathy for Effective Tuberculosis Care Wahyuningsih, Aries; Probandari, Ari; Sumardiyono; I Wayan Gede Artawan Putra; Firmanda, Giovanni Iga
Babali Nursing Research Vol. 6 No. 3 (2025): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.63485

Abstract

Introduction: Tuberculosis (TB) remains a major global health issue, with stigma continuing to hinder effective prevention, diagnosis, and treatment. Stigma can discourage patients from seeking care, adhering to treatment, and engaging with healthcare providers. This systematic review aims to identify stigma-related issues in TB and explore practical strategies to reduce stigma.Methods: A scoping literature search was conducted for studies published between 2012 and 2024  using ProQuest, PubMed, and ScienceDirect databases. Articles were selected based on predefined inclusion and exclusion criteria, and the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) methodology was used for critical appraisal and synthesis.Results: A total of 15 articles were included in the final analysis. The findings indicate that key strategies to reduce TB stigma include health education to correct misconceptions, promoting empathy, and non-discriminatory attitudes among healthcare providers. Educational interventions raise awareness and dispel myths, while empathetic care fosters trust and reduces negative perceptions. Cultural understanding enhances communication and patient engagement. Despite these efforts, TB-related stigma remains pervasive and continues to be a barrier to effective care.Conclusion: The review concludes that current interventions are insufficient and that sustained, targeted strategies focusing on education, empathy, and cultural competence are essential to reduce stigma and improve TB outcomes. A long-term commitment to these approaches is critical to advancing TB control efforts globally.
Application of the Information-Motivation-Behavioral Skills Model to Tertiary Preventive Behavior in Osteoarthritis Nafisa, Nisrina; Rahardjo , Setyo Sri; Murti, Bhisma; Prasetya, Hanung; Sumardiyono; Novika , Revi Gama Hatta
Journal of Health Promotion and Behavior Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.02.12

Abstract

Background: Osteoarthritis (OA) is a type of degenerative disease in which chronic joint inflammation occurs that can occur in the elderly. People with osteoarthritis will feel pain and experience functional limitations. Physiotherapy helps prevent and minimize further joint damage. The success of the rehabilitation program depends on the patient's skills in doing exercises, lifestyle changes, such as maintaining weight and avoiding activities that improve the joints. This study aims to analyze the influence of the Application of the Information Motivation Behavioral Skills Model (IMB) on the tertiary preventive behavior in osteoarthritis patients. Subjects and Method: This was a cross sectional study conducted at a physiotherapy clinic in Surakarta, in January 2025. A sample of 210 osteoarthritis patients was selected using the fixed diseases sampling. The dependent variable was the tertiary preventive behavior. Independent vari­ables were information, motivation, and behavioral skill. The data were collected using question­naire and analyzed using a path analysis. Results: Tertiary preventive behaviors in OA patients increased with behavioral skills (b= 0.45; 95% CI= 0.34 to 0.55; p<0.001) and motivation (b= 0.44; 95% CI= 0.34 to 0.53; p<0.001). Behavioral skill increased with information (b= 0.47; 95% CI= 0.37 to 0.57; p<0.001) and motivation (b= 0.35; 95% CI= 0.25 to 0.46; p<0.001). The goodness of fit indices were p= 0.285; RMSEA= 0.026 (<0.050); CFI= 1.0 (≥0.90);  TLI= 0.99 (≥0.90); and SRMR= 0.01 (<0.050). Conclusion: Tertiary preventive behaviors in OA patients increases with behavioral skill and motivation. Behavioral skill increases with information and motivation.
Integrating Fire Prevention Strategies with Industrial Hygiene to Improve Workplace Safety in the textile industry PT. Panca Bintang Tunggal Utomo, Bekti; Sumardiyono; Widjanarti, Maria Paskanita; Nisa, Farhana Syahrotun; Ismayenti, Lusi; Rinawati, Seviana; Atmojo, Tutug Bolet; Rha, Warda Yussy; Gustav, Jordan Syah
Ilomata International Journal of Social Science Vol. 6 No. 4 (2025): October 2025
Publisher : Yayasan Ilomata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61194/ijss.v6i4.1836

Abstract

In addressing workplace safety within PT. Panca Bintang Tunggal, a qualitative approach was employed to explore the integration of fire prevention strategies with industrial hygiene. This research distinguishes itself from existing literature by focusing specifically on the integration of fire prevention strategies with industrial hygiene practices tailored for PT. Panca Bintang Tunggal. Previous studies often address these areas in isolation, neglecting the synergistic benefits of their integration. Data was collected through semi-structured interviews with 50 participants, including safety officers, production managers, and frontline workers. This diverse participant pool ensures a comprehensive perspective on safety practices and fire hazards prevalent in the workplace. The data analysis involved thematic coding, where responses were categorised into key themes such as risk perception, existing safety measures, and the effectiveness of current fire prevention strategies. Thematic analysis is particularly valuable in qualitative research as it helps in identifying patterns and insights that quantitative methods may overlook. The findings indicate a pressing need for integrated training programs that encompass both fire prevention and industrial hygiene practices. For example, implementing regular fire drills alongside hygiene training can reinforce the importance of safety protocols, fostering a culture of safety within the organisation. As noted by the National Fire Protection Association, organisations with comprehensive training programmes significantly reduce the incidence of workplace fires.
Activated Carbon from Coconut Shell as an Adsorbent for Refining used Cooking Oil: Karbon Aktif dari Tempurung Kelapa sebagai Adsorben Pemurnian Minyak Jelantah Nita Batdjedelik, Afia; Sumardiyono
Jurnal Kimia dan Rekayasa Vol. 4 No. 2 (2024): Jurnal Kimia dan Rekayasa Edisi Januari 2024
Publisher : Program Studi S1 Teknik Kimia, Fakultas Teknik, Universitas Setia Budi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Several previous studies have conducted detailed oil refining studies. Various adsorbent materials have selectivity in adsorbing components present in crude oil. In this study, coconut shell charcoal was used as a crude oil adsorbent. The active carbon industry in Indonesia is gaining rapid change. The reason is, the market demand that continues to increase either from inside or outside Indonesia. The increased use of activated carbon in the industry is due to increased use of activated carbon. Activated carbon is commonly applied in pharmaceutical, food, beverage, water treatment and chemistry. The purpose of this study was to determine the potential of coconut shells as activated carbon refining crude oil and to determine the characteristics of activated carbon shells after activation by phosphoric acid. The research methods in this study used literature review. The conclusion is that activated carbon from coconut shells has great potential to be used as an oil purification adsorbent. In addition, activated carbon from coconut shells after activation with phosphoric acid (H3PO4) and test on activated carbon, it is characterized by the activated carbon of coconut shells. It has ash, water, carbon content and evaporating substances. AbstrakBeberapa penelitian sebelumnya telah melakukan studi pemurnian minyak jelantah. Berbagai bahan adsorben mempunyai selektivitas dalam mengadsorbsi komponen yang terdapat pada minyak jelantah. Pada penelitian ini digunakan arang tempurung kelapa yang diaplikasikan sebagai adsorben minyak jelantah. Industri karbon aktif yang berada di Indonesia memperoleh perubahan yang dapat dikatakan pesat. Pasalnya, permintaan pasar yang terus meningkat baik dari dalam ataupun dari luar Indonesia. Karbon aktif yang meningkat kebutuhannya terjadi karena meningkatnya pemakaian karbon aktif dalam industri. Karbon aktif secara umum diaplikasikan dalam dunia farmasi, makanan, minuman, pengolahan air dan kimia. Tujuan dari penelitian ini adalah untuk mengetahui potensi tempurung kelapa sebagai karbon aktif pemurnian minyak jelantah dan mengetahui karakteristik karbon aktif tempurung kelapa sesudah diaktivasi oleh asam fosfat. Metode penelitian dalam penelitian ini menggunakan pelelitian literature review. Kesimpulan yang didapatkan yaitu karbon aktif dari tempurung kelapa memiliki potensi yang besar untuk dijadikan sebagai adsorben pemurnian minyak jelantah selain itu karbon aktif dari tempurung kelapa setelah diaktivasi dengan asam fosfat (H3PO4) dan dilakukan pengujian pada karbon aktif, didapatkan karakteristik dari karbon aktif tempurung kelapa yaitu memiliki kadar abu, kadar air, kadar karbon dan zat menguap.
Determinants of Musculoskeletal Disorders in Bamboo Woven Craftsmen in Lamongan, East Java Salsabila, Putri Fortuna; Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.08

Abstract

Backround: Musculoskeletal Disorders (MSDs) are significant debilitating conditions and refer to a variety of degenerative or inflammatory conditions affecting the joints, muscles, ligaments, cartilage, and blood vessels. This research aims to determine the influence of Musculoskeletal Disorders on bamboo woven craftsmen in Lamongan. Subject and Method: This cross-sectional research was conducted in Payaman village, Solokuro District, Lamingan Regency, East Java in October-November. A total of 200 bamboo woven craftsmen were randomly selected using a random number generator. The dependent variable in this study is Musculoskeletal Disorders (MSDs). The independent variables in this study were work stress, age, length of service, duration of work, and exercise habits. The research instruments used the Nordic Body Map questionnaire, work stress questionnaire, and interviews related to age, length of service, duration of work, and exercise habits. The data analysis method uses multiple linear regression analysis. Results: Wicker craftsmen who had high job stress had an average Musculoskeletal Disorders score 0.19 units higher than those with low job stress (b = 0.19, 95% CI = -3.79 to 4.17, p=0.925). Wicker craftsmen aged 40 years and over on average had a Musculoskeletal Disorders score 9.44 units higher than those aged less than 40 years (b = 9.44, 95% CI = 4.70 to 14.18, p<0.001). Wicker craftsmen who have worked for 5 years or more on average have a Musculoskeletal Disorders score 3.34 units higher than those who have worked for less than 5 years (b = 3.34, 95% CI = -2.77 to 9.44, p=0.282). Wicker craftsmen who have a work duration of 5 hours/day and above on average have a Musculoskeletal Disorders score 7.12 units higher than those with a work duration of less than 5 hours/day (b = 7.12, 95% CI = 3.09 to 11.15, p=0.001). Conclusion: Age ≥40 years, work duration ≥5 hours, high work stress and work period ≥5 years increase the risk of MSDs in bamboo woven craftsmen. The habit of exercising ≥30 minutes/day reduces the risk of MSDs in bamboo weaving craftsmen. Keyword: Musculoskeletal Disorder, Work Duration, Years of Work, Age, exercise habits, woven craftsmen
Correlations between Physical Activity, Work Duration, and Stress on the Risk of Musculoskeletal Disorders in Online Motorcycle Drivers in Surakarta Andriani, Isna; Sumardiyono; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.09

Abstract

Background: Motorcycle taxi drivers drive motorcycles with a static posture and there are significant deviations in angles of certain body joints that trigger susceptibility to movement system injuries, namely musculoskeletal disorders (MSDs). The study aimed to analyze the correlation between the determinants of MSDs, namely physical activity, work duration, and stress on the risk of MSDs incidents in online motorcycle taxi drivers in Surakarta.Subjects and Method: This observational analytical study with a cross-sectional study approach. A sample of 250 online motorcycle taxi drivers in Surakarta was selected using a cluster random sampling technique. The dependent variable of the study was MSDs. The independent variables of the study were physical activity, duration of work, and stress. The data collection technique was conducted through interviews by using questionnaire sheets with instruments i.e. International Physical Activity Questionnaire (IPAQ), Work Stress Scale (WSS), and Nordic Body Map (NBP). Data analysis was carried out using a multivariate STATA application with multiple binary logistic regression.Results: The risk of MSDs in online motorcycle taxi drivers in Surakarta increased with the age of older than or equal to 34 years (OR= 2.66; CI 95%= 1.54 to 4.59; p= <0.001), BMI of more than 25 (OR= 1.33; CI 95%= 0.77 to 2.27; p= 0.303), work duration of more than 4 hours per day (OR= 2.43; CI 95%= 1.24 to 4.78; p= 0.010), high stress level (OR= 1.58; CI 95%= 0.89 to 2.83; p = 0.126), and status as an active smoker (OR= 1.27; CI 95%= 0.74 to 2.19; p= 0.378). The risk of MSDs in online motorcycle taxi drivers in Surakarta decreased with active physical activity (OR= 0.36; CI 95%= 0.15 to 0.86; p = 0.021). Age, BMI, physical activity, work duration, stress, and smoking status influenced the risk of MSDs by 8.2%, and the rest were influenced by other determinants.Conclusion: There is a statistically significant correlation between age, physical activity, and duration of work on the risk of MSDs, however, there was no significant correlation between BMI, stress, and smoking status on the risk of MSDs. Keywords: Physical activity, stress, musculoskeletal disorders, motorcycle taxi drivers
Factors Associated with Dyslipidemia among Workers: A Path Analysis Indriani, Fenita; Sumardiyono; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.05.02

Abstract

Background: The results of the 2023 Indonesian Health Survey show that 39.5% of the Indonesian population aged ≥ 15 years old have abnormal total cholesterol levels. Dyslipidemia or plasma lipid abnormalities play a major role in the pathogenesis of atherosclerosis on the walls of blood vessels which is the cause of coronary heart disease (CHD) and stroke. The purpose of the study was to analyze the factors that affect dyslipidemia in workers.Subjects and Method: This study uses an analytical observational design using a cross-sectional approach. The study was conducted at the Yogyakarta Labkesmas Center in October 2024 with a total of 150 worker study subjects. The sampling technique is non-probability sampling, namely total sampling. The independent variables in this study were BMI, glucose levels, stress, and depression while the dependent variables were total cholesterol levels. Data collection was carried out using secondary data and questionnaires, the data was analyzed by path analysis.Results: Each increase of one mg/dL of glucose level (b = 0.24; CI 95%= 0.09 to 0.39; p = 0.002) and one unit of depression (b = 0.16; CI 95%= 0.01 to 0.31; p= 0.043) will be followed by an increase in total cholesterol levels. Any increase in BMI through a mediator of glucose levels and stress through a mediator of depression will be followed by an increase in total cholesterol levels.Conclusion: Total cholesterol levels increase with increased glucose levels and depression levels. Total cholesterol levels are indirectly affected by BMI through glucose level mediators and stress levels through depression mediators.  
Maintaining Occupational Health: An Analysis of Fatigue and Safety Compliance in Construction Workers Rante Ada', Yeremia; Sumardiyono; Chahyadhi, Bachtiar; Wijayanti, Reni; Syahrotun Nisa Suratna, Farhana; Paskanita Widjanarti, Maria; Prihantina Fauzi, Rachmawati
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.11

Abstract

Background: Safety compliance is a critical component in preventing workplace accidents and ensuring employee well-being. Various factors may influence workers’ adherence to safety protocols, including individual characteristics such as education level and fatigue. The purpose of this study was to examine the relationships between education level, work fatigue, and safety compliance.Subjects and Method: This cross-sectional study involved 137 respondents, categorized by fatigue status. The dependent variable was safety compliance. Independent variables included work fatigue and education level. Instruments included the Fatigue Assessment Scale (FAS) questionnaire for fatigue. Data analysis utilized the chi-square test for fatigue and education levels. Results: The proportion of workers who comply with safety procedures varies across education levels, but the differences are not statistically significant. In contrast, workers with higher levels of fatigue were significantly more compliant with safety practices than those with lower fatigue..Conclusion: These findings highlight the complexity of behavioral responses to workplace demands and the need for targeted interventions.
Co-Authors Ada', Yeremia Rante Afif Afghohani, Afif Ahmad Ahid Mudayana Amer Abdulwahab Al-aghbari, Nuha Ana Indriyati Andriani, Isna Argoto Mahayana Argyo Demartoto, Argyo Ari Probandari Aries Wahyuningsih Ariyanto Nugroho Astrika Yunita, Fresthy Azzahra, Syifa Bharata, Ardian Yoga Bhisma Murti Bimo Putranto Chafiidhiya Rochmah, Sherina Chahyadhi, Bachtiar Colti Sistiarani Fajar, Hikmah Nurul Fajariani, Ratna Fatmawati, Dyah Ayu Fitriana, Lala Budi Fitriani, Ila Giovanni Iga Firmanda Gunawan, Lucia Sincu Gustav, Jordan Syah Hanifah Haris Setyawan, Haris Hartono Hartono I Wayan Gede Artawan Putra Ilham Kuncahyo, Ilham Indriani, Fenita Kurdiman, Ade Lusi Ismayenti, Lusi Mahardika, Muiz Mahardira Dewantara Muhammad Dzakwan Muzakki, Pambayun Khairul Rijal Nafisa, Nisrina Nicolay Wening Audrey Nisa, Farhana Syahrotun Nita Batdjedelik, Afia Nita Dwi Astikasari Novika , Revi Gama Hatta Nugroho, Dian Nur Hidayati Nurjanah, Fitriyani Panjaitan, Hilda Carmitha Paskanita Widjanarti, Maria Pertiwi, Mutiara Putri Poncorini Pamungkasari, Eti Pradetha, Nabila Dean Prasetya, Hanung Prihantina Fauzi, Rachmawati Putranto, Rofi Shiddieq Putri, Rachel Alma Syevina Rachmawati Prihantina Fauzi, Rachmawati Prihantina Rahardjo , Setyo Sri Rante Ada', Yeremia Ratih Puspita Febrinasari Ratih Puspita Febrinasari Ratri, Auraningtyas Kurnia Reni Wijayanti Salsabila, Putri Fortuna Sapja Anantanyu, Sapja Setyani, Rizka Ayu Seviana Rinawati Seviana Rinawati, Seviana Soebiyanto Sri Mulyani Sukismanto, Sukismanto Sunardi Suratna, Farhana Syahrotun Nisa Syahrotun Nisa Suratna, Farhana Tri Rejeki Andayani Tutug Bolet Atmojo, Tutug Bolet Utomo, Bekti Wahyu Anjas Sari Warda Yussy Rha Wardani, Aurina Firda Kusuma Widjanarko, Naufal Tio Widjanarti, Maria Paskanita Wijanarti, Maria Paskanita Wulan Adis Aranti