Nur Endah Wahyuningsih
Magister Kesehatan Lingkungan Program Pascasarjana Universitas Diponegoro

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Hubungan Riwayat Pajanan Pestisida Dengan Kejadian Gangguan Fungsi Hati (Studi pada Wanita Usia Subur di Kecamatan Kersana Kabupaten Brebes)

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 1 (2012)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background: Women in Kecamatan Kersana Kabupaten Brebes also involved in farming activities using pesticides. Long term of pesticides exposure was able to cause many kinds of health disorder, including liver disfunction. Liver disfunction on women in childbearing-age would make bad impacts not only to themselves but also to their fetus when they were pregnant. Former research indicated that liver disfunction came as a result of pesticides exposure. Health Profiles of Kabupaten Brebes in 2007 and 2008 recorded increasing rate of liver disfunction. The objective of this research was to analize the assossiation between pesticides exposure and liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes. Method : This was an explanatory research with cross sectional approach. This research took sample of 86 women in childbearing-age from four villages which were chosen purposively. Questionare, tool of blood sampling and laboratory testing, and sheet of laboratory result were used as instruments in this research. Data were collected by laboratory testing to blood samples and interviewing childbearing-age women. Result : All childbearing-age women had normal cholinesterase enzyme level, but 50% of them had cholinesterase enzyme below mean level. Envolvement of childbearing-age women in farming activities was 74,4%. Based on cholinesterase enzyme level and envolvement in farming activities, it was concluded that 33 childbearing-age women (38,4%) had pesticides exposure. Occurence of childbearing-age women to have liver disfunction was 23,3%. There was no assossiation between pesticides exposure and liver disfunction on women in childbearing-age (p=0,538). Pesticides exposure, together with other risk factors, also indicated no assossiation to liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes (p=0,651). Keywords : women in childbearing-age, pesticides exposure, liver disfunction

Hubungan Riwayat Paparan Pestisida Dengan Profil Darah Pada Wanita Usia Subur di Daerah Pertanian Cabai Dan Bawang Merah

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 1 (2012)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Background : Pesticides use is known to cause serious health impact ob human, one of them is abnormalities of blood profile. District of Brebes is one of the largest consumers of pesticides in Indonesia which correlate with its high production on chili and shallot. Most women of childbearing age in this area ara involved in farming which make them having great risk to have abnormalities of blood profile. The study conducted to search relation between pesticides exposure and blood profile on women child bearing age in agriculture area. Method : This was a cross-sectional study involving 80 women of childbearing age lived in agriculture area. Result : Involvement in agricultural activities (p=0,023, RP=1,52, 95%CI =1,00 to 2,29), pesticides exposure (p=0,007, RP=1,98, 95%CI=1,00 to 3,89), looking for pest (p=0,004, RP=1,52, 95% CI=1,12 to 2,04), harvesting (p=0,001, RP=1,69, 95% CI =0,19 to 2,39), releasing shallot from the stem (p=0,008, RP=1,44); 95%CI = 1.13 to 1,84) associated with increased of monocytes differential count. The result of logistic regression analysis showed pesticides exposure associated with increased of monocytes differential count (p=0,004, RP=7,50, 95% CI=1,92 to 29,29). Conclusion of the findings showed relation between pesticides exposure and increased of monocytes differential count. The finding of this study can be used for information dissemination and pesticide reduction programs in agriculture area.   Keywords: women of childbearing age, pesticide, chili, shallot and blood profile

Studi Kondisi Lingkungan Rumah dan Perilaku Masyarakat Sebagai Faktor Risiko Kejadian Filariasis di Kecamatan Buaran dan Tirto Kabupaten Pekalongan

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 1 (2012)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background: Filariasis is contagious disease that caused by microfilaria and fillaria parasite and it transmitted by mosquito bite. Indonesia is endemic fillariasis with high cases of  Filariasis (Mf rate) 3,2%. Buaran and Tirto district In 2010, is  endemic filariasis area, with microfilariasis cases as 1,9% and 2,3%. The microfilaria will infected the limfatic and evoke filariasis limfatic. Aim: To describe and to find out the relationships between: environmental and behaviour risk with the filariasis cases. Methode: This research used case control design with 52 cases and  control. Risk factor that include  is crowded house, existence of disch, water plant, marsh, rice field, dampoess, gaste at ventilation,  livestock in a home, habit to use certain,  to use use remedy agains grists, to stay out of the house in the night. Analisis mothede with univariat, bivariat and multivariate technique. Result: The result of the research showed that crowded house (OR=3,364), existence of gauze at ventilation (OR=3,600), existence livestock in home (OR=2,644),  habit using mosquito spraying/coil (OR=2,956), habit of staying outside the house in the night (OR=3,576),  is meaningful be fillariasis infection. The result of multivariate analysis found that the most potent variable that influent filariasis was existence crowded house, existence of gaste at ventilation, existence livestock in a home, habit of using anti mosquito drug , habit to stay out of the house in the night. Conclusion: That crowded house, existence of gaste at ventilation, existence livestock in a home,  habit to use remedy agains grists, habit to stay out of the house in the night is risk factor that the most dominant for fillariasis infection. Key Words : environmental, behavioral, fillariasis, Pekalongan regency