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All Journal Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Proceeding Mulawarman International Conference on Tropical Public Health
Syamsir Syamsir
Mulawarman University
Public Health

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Analysis Environmental Factors of Diarrhea in East Kalimantan Province Based on a Large-Scale Survey Muhammad Aidil Fitrah; Ayudhia Rachmawati; Vivi Filia Elvira; Morrin Choirunnisa Thohira; Syamsir Syamsir
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Diarrhea remains a global public health problem with high morbidity and mortality rates. Environmental conditions such as poor sanitation infrastructure and hygiene practices have the potential to increase the risk of diarrhea. Objective : This study aims to analyze the relationship between environmental factors and the incidence of diarrhea in East Kalimantan Province based on big data from the 2023 Indonesian Health Survey (SKI). Research Methods/ Implementation Methods : This study employed a cross-sectional design using secondary data from 15,854 SKI respondents. Variables included gender, education, drinking water sources, water quality and treatment, storage containers, wastewater disposal, waste management, sanitation access, and hygiene practices. Data were analyzed using Chi-square and logistic regression to determine independent environmental factors influencing diarrhea incidence. Results : The prevalence of diarrhea was 2.1%. Bivariate analysis showed a significant association between the incidence of diarrhea and education (p=0.001), drinking water source (p=0.003), physical quality of drinking water (p=0.000), raw water source (p=0.012), waste management (p=0.002), and sanitation hygiene (p=0.000). In the models of multivariable logistic regression analysis, it was found that physical quality of drinking water (AOR=2.058; p<0.001), level of education (AOR=2.008; p<0.001), and waste management (AOR=1.276; p=0.032) were the main determinants of diarrhea incidence. Conclusion/Lesson Learned : Poor drinking water quality, low levels of education, and inadequate waste management increase the risk of diarrhea in East Kalimantan. Efforts to improve water quality, environmental health education, and household-based waste management need to be strengthened to reduce the incidence of diarrhea.
Analisis Risiko Kesehatan Lingkungan Pajanan CO2 Pada Pekerja TPAS Manggar Kota Balikpapan Vivi Filia Elvira; Morrin Choirunnisa Thohira; Ayudhia Rachmawati; Muhammad Aidil Fitrah; Syamsir Syamsir; Akhmad Dzikri
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 2 (2026): Mei - Agustus 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.2.123-133.2026

Abstract

Paparan karbon dioksida (CO2) di Tempat Pemrosesan Akhir Sampah (TPAS) berpotensi menimbulkan gangguan fisiologis pada pekerja akibat akumulasi gas dari dekomposisi sampah organik. Penelitian ini bertujuan menganalisis risiko kesehatan lingkungan akibat paparan CO2 pada pekerja TPAS Manggar, Kota Balikpapan, menggunakan pendekatan Analisis Risiko Kesehatan Lingkungan (ARKL). Penelitian analitik observasional ini melibatkan 40 pekerja. Konsentrasi CO2 diukur menggunakan metode direct reading/real-time monitoring, disertai pengukuran faktor meteorologis dan respons fisiologis pekerja. Analisis risiko dilakukan melalui perhitungan Risk Quotient (RQ), sedangkan hubungan kategori intake dengan temperatur, frekuensi napas, kadar oksigen, dan denyut jantung dianalisis menggunakan uji chi-square dan independent t-test. Hasil menunjukkan konsentrasi CO2 meningkat dari 380 ppm menjadi 430 ppm pada kondisi kecepatan angin rendah (1,94 m/s), suhu 29–31°C, dan kelembaban tinggi (75–85%). Nilai RQ real-time (0,076), 10 tahun (0,426), dan 20 tahun (0,776) masih berada pada kategori aman (RQ<1), sedangkan RQ 30 tahun (1,126) menunjukkan potensi risiko kesehatan non-karsinogenik akibat paparan jangka panjang. Frekuensi napas memiliki hubungan bermakna dengan kategori intake. Paparan CO2 di TPAS Manggar berpotensi meningkatkan risiko kesehatan jangka panjang sehingga diperlukan pemantauan kualitas udara, penggunaan APD, pengaturan waktu kerja, dan edukasi kesehatan kerja.
Co-Authors Akhmad Dzikri Ayudhia Rachmawati Elvira, Vivi Filia Morrin Choirunnisa Thohira Muhammad Aidil Fitrah Vivi Filia Elvira