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"Gangguan fungsi paru merupakan kumpulan penyakit paru-paru yang masih menjadi permasalahan di tempat kerja. Salah satu tempat kerja dengan risiko tersebut adalah tambang batubara. Debu batubara yang merupakan objek bisnis dapat menjadi faktor risiko terjadinya gangguan fungsi paru. Tidak semua pekerja tambang batubara yang terpajan debu batubara akan mengalami penyakit gangguan fungsi paru. Hal tersebut dipengaruhi oleh beberapa faktor, salah satunya adalah faktor risiko individu. Penelitian ini bertujuan untuk mengidentifikasi literatur berkaitan dengan hubungan faktor risiko individu yang dapat mempengaruhi terjadinya penyakit gangguan fungsi paru pada pekerja tambang batubara di Indonesia. Penelitian ini menggunakan metodologi tinjauan literatur sistematis sederhana dengan menggunakan artikel jurnal yang dipublikasikan antara tahun 2012 hingga tahun 2021. Didapatkan 6 literatur yang sesuai dengan kriteria inklusi penelitian. Hasil dari penelitian ini menunjukkan adanya hubungan yang signifikan antara umur, perilaku merokok, dan penggunaan alat pelindung diri (APD) terhadap kejadian gangguan fungsi paru pada pekerja tambang batubara. Status gizi tidak menunjukkan adanya hubungan yang signifikan, tetapi dapat menjadi faktor risiko kejadian penyakit.

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Lung function disorders are a collection of lung diseases that workplaces have to face as health problems. Coal mining is one of the workplaces where lung diseases can occur. Coal dust is a risk factor for lung function disorders due to dust exposure. Not all coal mine workers who are exposed to coal dust suffer from lung function disorders. This condition is influenced by several factors, one of which is individual risk factors. This study aims to identify literature related to the association between individual risk factors that can influence the occurrence of lung function disorders in coal mine workers in Indonesia. This research used a simple systematic literature review methodology using journal articles published between 2012 and 2021. Six articles were found to meet the research inclusion criteria. The results of this study show that there is a significant association between age, smoking behavior, and the use of personal protective equipment (PPE) and the incidence of lung function disorders in coal mine workers. Nutritional status does not have a significant association, but it can be a risk factor for disease to develop."

"ABSTRAKLatar Belakang: Paparan utama pada pekerja tambang batubara adalah debu kimia yang akan menimbulkan gangguan fungsi pernapasan dengan paparan kronis menahun. PT. X mengalami trend peningkatan prevalensi penurunan fungsi paru selama tiga tahun 2013 ndash; 2015 yaitu 15.8 , 18.3 , dan 21.9 . November 2015, PT. X menerapkan kebijakkan menggunakan APD masker N-series tipe 8211 pada pekerja lapangan.Metode :Penelitian menggunakan desain potong lintang pada PT. X, Kontraktor Tambang Batubara di Kalimantan Timur dengan 300 orang dipilih secara convenient sampling. Pengambilan data primer dengan wawancara dan pengisian kuisioner penelitian, sedangkan data sekunder dari data laporan kesehatan tahunan 2015 ndash; 2016 dan data laporan bulanan HRD - HSE PT. X. Variabel yang diteliti adalah motivasi kerja, tingkat pengetahuan, kenyamanan kerja, reward/punishment, masa kerja, status kerja, supervisi pengawas, dan ketersediaan fasilitas masker. Penelitian ini juga melihat distribusi penurunan fungsi paru per 2015 - 2016.Hasil :Dijumpai 82 pekerja patuh menggunakan masker. Terdapat hubungan antara motivasi kerja p 0.02, ORa 4.80, 95 CI 1.22 ndash; 18.86 , tingkat pengetahuan.

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ABSTRACT

Background: Main hazard for the coal mining workers is chemical dust that cause declining of lung function with chronic exposure. PT. X experienced elevated trend of declining lung function of workers within past three years 2013 ndash 2015 i.e. 15.8 , 18.3 , and 21.9 . November 2015, PT. X stipulated new policy to its field workers that oblige them to use PPE mask of N series type 8211.Method This study uses cross sectional design on PT. X, a coal mining contractor in East Borneo, with 300 people chosen by convenient sampling. Primary data collection was conducted via interview and filling questionnaire secondary data collection was compiled from PT. X rsquo s MCU reports of 2015 2016 and HRD HSE monthly reports. Studied variables are work motivation, knowledge, PPE comfortability, reward punishment, working duration, working status, supervision, and availability of the PPE mask. The study also describe the declining lung function as per 2015 2016.Study Results As much as 82 of workers are comply to use PPE. There are statistically significant relation between work motivation p 0.02, ORa 4.80, 95 CI 1.22 ndash 18.86 , PPE knowledge."

"Tenaga kerja sebagai sumber daya manusia perlu diperhatikan terutama dari segi kesehatan terhadap risiko dan bahaya pekerjaan. Pengolahan kapur telah berkembang selama puluhan dekade baik dengan cara pembakaran maupun penggilingan.Tujuan dari penelitian ini, yaitu untuk mengetahui prevalensi gangguan fungsi paru dan hubungan faktor-faktor risiko dengan gangguan fungsi paru pada pekerja industri kapur. Penelitian ini dilakukan dengan metode observasi dan pendekatan studi potong-lintang. Jumlah sampel yang diperoleh, yaitu 44 orang. Variabel independen diukur melalui wawancara dan pengisian kuesioner, serta pemeriksaan fisik secara umum untuk mengetahui riwayat penyakit. Variabel dependen diukut dengan pemeriksaan uji spirometri. Analisis data dilakukan untuk mengetahui hubungan faktor-faktor risiko dengan gangguan fungsi paru, seperti umur, kebiasaan merokok, riwayat penyakit, lama kerja, dan penggunaan APD.Hasil penelitian diketahui prevalensi gangguan fungsi paru pada pekerja sbesar 36,4% dan tidak ditemukan adanya hubungan antara faktor-faktor risiko dengan gangguan fungsi paru. Pekerja dengan riwayat penyakit diharapkan mendapatkan pengobatan dan seluruh pekerja agar dapat memeriksakan kesehatannya secara rutin.

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Workers as human resources need to be paid attention, especially their health status related to the hazard and risk of working. Limestone manufacture has been burgeoning in decades whether by way of combustion or hulling.

The purpose of this research was to find out the prevalence of lung function disorder and the association between the risk factors and lung function disorder in the lime worker industry. This research was an observational method using cross-sectional study approach. The sample size was 44 people. Independent variable was measured by interviewing and filling the questioner, also general physical diagnose to find out the history of diseases. Dependent variable was measured by doing the spirometry test. Data analysis was done to find out the association between the risk factors and the lung function disorder, such as age, smoking habit, history of diseases, year of working, and using the personal protective equipment.

The result found out the prevalence of lung function disorder, 36,4% and there were no association between the risk factors with the lung function disorder. Workers who have the diseases need to get the medical treatment and all of the workers have to be examined their health."

"Penelitian ini membahas mengenai gangguan fungsi paru yang terjadi pada pekerja bengkel yang terpajan dengan uap cat untuk mengetahui gambaran gangguan fungsi paru disana. Penelitian ini adalah penelitian semi kuantitatif dengan metode cross-sectional terhadap 25 pekerja yang diukur fungsi parunya menggunakan spirometri dan diwawancara dengan menggunakan kuesioner. Hasil keseluruhan survei terhadap 25 pekerja bengkel body repair terdapat 1 orang dari bagian color matching dan 6 orang dari bagian painting yang mengalami gangguan fungsi paru.

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This study focused about lung function disorders in workers of X body repair workshop who exposed by car spray to find out the overview of lung function disorders. This study is a semi-quatitative study with cross-sectional method to the 25 workers. The lung function is assessed by spirometry and were interviewed by using quiestionnaire. The results showed that 1 worker in color matching and 6 workers in painting suffer lung function disorders."

"Debu batu kapur dihasilkan oleh kegiatan penambangan batu kapur, salah satunya adalah PM2,5. Paparan PM2,5 dapat menyebabkan penurunan fungsi paru-paru. Tujuan dari penelitian ini adalah untuk menentukan hubungan keterkaitan PM2,5 dengan penurunan fungsi paru pada pekerja. Penelitian ini menggunakan studi cross-sectional dengan teknik total sampling 30 pekerja. Instrumen dalam penelitian ini menggunakan kuesioner untuk wawancara, Dusttrak II TSI untuk mengukur konsentrasi PM2.5 dan spirometri untuk mengukur fungsi paru-paru. Berdasarkan hasil penelitian, nilai konsentrasi PM2.5 tertinggi adalah 987 μg / m3 dan terendah 14 μg / m3. Hasil analisis menggunakan Chi-square diperoleh korelasi antara penggunaan alat pelindung diri dengan gangguan fungsi paru-paru (p = 0,000). Selanjutnya, hasil menggunakan uji eksak Fisher, ada korelasi antara konsentrasi PM2,5 dan penurunan fungsi paru (p = 0,002) dan tahun kerja dengan penurunan fungsi paru (p = 0,000). Diperlukan penelitian lebih lanjut dengan menggunakan analisis risiko kesehatan lingkungan untuk memperkirakan berdasarkan asupan.

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Limestone dust is produced by limestone mining activities, one of which is PM2,5. Exposure to PM2,5 can cause a decrease in lung function. The purpose of this study was to determine the relationship of PM2.5 linkages with decreased lung function in workers. This study uses a cross-sectional study with a total sampling technique of 30 workers. The instruments in this study used questionnaires for interviews, Dusttrak II TSI to measure PM2.5 concentrations and spirometry to measure lung function. Based on the results of the study, the highest PM2.5 concentration values ​​were 987 μg / m3 and the lowest was 14 μg / m3. The results of the analysis using Chi-square obtained a correlation between the use of personal protective equipment with impaired lung function (p = 0,000). Furthermore, the results using Fisher's exact test, there is a correlation between PM2.5 concentration and decreased lung function (p = 0.002) and years of work with decreased lung function (p = 0,000). Further research is needed by using environmental health risk analysis to estimate based on intake."

"[ABSTRAKPM2,5 dapat masuk ke alveoli dan menjadi pemicu terjadinya inflamasi sehingga menyebabkan penurunan fungsi paru. Tujuan dari penelitian ini adalah untuk menganalisis secara spasial hubungan antara konsentrasi PM2,5 udara dalam rumah dengan penurunan fungsi paru pada ibu rumah tangga sekitar industri Desa Sukadanau, Kecamatan Cikarang Barat, Kabupaten Bekasi tahun 2015. Desain penelitian cross sectional modifikasi geographical epidemiology pada 125 ibu rumah tangga berusia 20-45 tahun yang akan diperiksa fungsi parunyamenggunakan spirometri serta 125 sampel PM2,5 udara dalam rumah. Hasil penelitian menunjukkan bahwa terdapat 58,4% ibu rumah tangga yang mengalami penurunan fungsi paru. Hasil analisis multivariat dapat disimpulkan bahwa ibu rumah tangga berusia 20-45 tahun yang tinggal di rumah dengan konsentrasi PM2,5 tidak memenuhi syarat berisiko 2,4 kali lebih besar mengalami penurunan fungsi paru dibandingkan ibu rumah tangga yang tinggal di dalam rumah dengankonsentrasi PM2,5 memenuhi syarat setelah dikontrol variabel ventilasi dan pajanan asap rokok. Analisis spasial menunjukkan RW 5 dan RW 8 Desa Sukadanau, Kecamatan Cikarang Barat merupakan wilayah RW dengan zona prioritas untuk dilakukan intervensi kesehatan.

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ABSTRACTFine particles more dangerous because they penetrate more deeply into the lung and may reach the alveolar region and reduce lung function. The aim of this study was to analys spatially association between indoor fine particles and lung function levels among housewife around steel industry. A cross sectional design study combine with geographical epidemiology of 125 houses that the unit analysis were 125 housewives from 20 to 45 years. The results showed that there were 58,4% housewives had decline lung function. Multivariate analysis concluded that housewives aged 20-45 years with indoor fine particles (PM2,5) inadequate 2.4 times risk higher to reduced lung function than adequate indoor fine particles after controlled by ventilation and tobacco smoke exposure. Spatial analysis concluded that RW 5 and RW 8 Sukadanau, West Cikarang were in priority zone with very high risk area.;Fine particles more dangerous because they penetrate more deeply into the lungand may reach the alveolar region and reduce lung function. The aim of this studywas to analys spatially association between indoor fine particles and lung functionlevels among housewife around steel industry. A cross sectional design studycombine with geographical epidemiology of 125 houses that the unit analysiswere 125 housewives from 20 to 45 years. The results showed that there were58,4% housewives had decline lung function. Multivariate analysis concluded thathousewives aged 20-45 years with indoor fine particles (PM2,5) inadequate 2.4times risk higher to reduced lung function than adequate indoor fine particles aftercontrolled by ventilation and tobacco smoke exposure. Spatial analysis concludedthat RW 5 and RW 8 Sukadanau, West Cikarang were in priority zone with veryhigh risk area.;Fine particles more dangerous because they penetrate more deeply into the lungand may reach the alveolar region and reduce lung function. The aim of this studywas to analys spatially association between indoor fine particles and lung functionlevels among housewife around steel industry. A cross sectional design studycombine with geographical epidemiology of 125 houses that the unit analysiswere 125 housewives from 20 to 45 years. The results showed that there were58,4% housewives had decline lung function. Multivariate analysis concluded thathousewives aged 20-45 years with indoor fine particles (PM2,5) inadequate 2.4times risk higher to reduced lung function than adequate indoor fine particles aftercontrolled by ventilation and tobacco smoke exposure. Spatial analysis concludedthat RW 5 and RW 8 Sukadanau, West Cikarang were in priority zone with veryhigh risk area.;Fine particles more dangerous because they penetrate more deeply into the lungand may reach the alveolar region and reduce lung function. The aim of this studywas to analys spatially association between indoor fine particles and lung functionlevels among housewife around steel industry. A cross sectional design studycombine with geographical epidemiology of 125 houses that the unit analysiswere 125 housewives from 20 to 45 years. The results showed that there were58,4% housewives had decline lung function. Multivariate analysis concluded thathousewives aged 20-45 years with indoor fine particles (PM2,5) inadequate 2.4times risk higher to reduced lung function than adequate indoor fine particles aftercontrolled by ventilation and tobacco smoke exposure. Spatial analysis concludedthat RW 5 and RW 8 Sukadanau, West Cikarang were in priority zone with veryhigh risk area., Fine particles more dangerous because they penetrate more deeply into the lungand may reach the alveolar region and reduce lung function. The aim of this studywas to analys spatially association between indoor fine particles and lung functionlevels among housewife around steel industry. A cross sectional design studycombine with geographical epidemiology of 125 houses that the unit analysiswere 125 housewives from 20 to 45 years. The results showed that there were58,4% housewives had decline lung function. Multivariate analysis concluded thathousewives aged 20-45 years with indoor fine particles (PM2,5) inadequate 2.4times risk higher to reduced lung function than adequate indoor fine particles aftercontrolled by ventilation and tobacco smoke exposure. Spatial analysis concludedthat RW 5 and RW 8 Sukadanau, West Cikarang were in priority zone with veryhigh risk area.]"

"Salah satu penyebab terjadinya gangguan fungsi paru yaitu pajanan debu batubara. Penelitian ini bertujuan untuk menjelaskan hubungan pajanan debu batubara dan gangguan fungsi paru pada pekerja. Metode yang digunakan desain Cross Sectional dengan sampel 72 pekerja. Gangguan fungsi paru diperoleh dari data kesehatan perusahaan. Hasil penelitian menunjukkan bahwa gangguan fungsi paru restriksi 8,3%, obstruksi 2,8%, dan kombinasi 2,8%. Analisis bivariat menunjukkan gangguan fungsi paru berhubungan dengan masa kerja (p = 0,46). Namun pajanan debu batubara, umur, dan penggunaan alat pelindung pernapasan, ada kecenderungan untuk menjadi faktor risiko terjadinya gangguan fungsi paru.

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One of the causes of lung function disorder in health problems is coal dust exposure. This study aims to describe the relationship of coal dust exposure and lung function disorder in workers. The method used cross-sectional design with a sample of 72 workers. Lung function disorder data is obtained from the company health data. The results of this research showed that the restriction of pulmonary function disorder 8.3%, obstruction 2,8%, and a combination of restriction and obstruction 2.8%. Bivariate analysis showed lung function disorder associated with year of work experience (p=0,46). However, coal dust exposure, age, and the using of respiratory protective equipment showed there is a tendency to get risk for lung fungtion disorders."

"Latar belakang penelitian: Polisi lalu lintas merupakan profesi yang mempunyai risiko sangat besar untuk terpajan zat-zat polutan yang berasal dari asap kendaraan bermotor. Jenis polutan utama pada polusi udara di luar ruangan yaitu karbon monoksida, karbon dioksida, sulfur oksida, nitrogen oksida, volatile organic compounds (VOC) seperti hidrokarbon, particulate matter dan ozon yang akan memberikan efek berupa penurunan fungsi paru. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi faal paru polisi lalu lintas yang bekerja di wilayah Jakarta Timur. Metode penelitian : Penelitian ini merupakan bagian dari penelitian besar Wilayah Jakarta, Bogor, Depok, Tangerang dan Bekasi (JABODETABEK). Penelitian dilakukan di wilayah Jakarta Timur bulan Oktober-Nopember 2012 dengan desain uji potong lintang. Pengambilan sampel menggunakan total sampling melalui kuesioner Pneumobile Project Indonesia, pemeriksaan spirometri, foto toraks PA dan pengukuran kadar CO ekspirasi dan semua subyek akan diminta untuk melakukan demonstrasi penggunaan alat pelindung diri. Hasil : Seratus tujuh puluh subjek ikut dalam penelitian ini, menunjukkan 83 orang (48,2%) berumur 41 ? 50 tahun dengan status gizi berat badan lebih 90 orang (52,9 %) , perokok aktif 91 orang (53,5 %) dan IB ringan 53 orang (31,2%). Dari Seratus tujuh puluh subjek, dengan masa tugas lebih dari 10 tahun tercatat sebanyak 132 orang (77,5%) dan 111 orang (65,3%) mempunyai kebiasaan pemakaian masker buruk, dengan photo torax normal sebanyak 163 orang (95,9%). Hasil statistk menunjukkan, penurunan nilai faal paru meliputi restriksi ringan sebesar 9,45% atau 16 orang dan obstruksi ringan sebanyak 8 orang (4,7%), serta campuran tercatat 2 orang (1,2%). Selain itu, dari keseseluruhan data yang didapat, 7 orang yang berumur 51-60 tahun dan 7 orang dengan status gizi berat lebih memiliki restriksi ringan. Dari hasil penelitian, didapatkan 11 orang dengan pemakaian masker buruk dan 12 orang subjek yang memiliki masa kerja lebih dari 10 tahun juga memiliki restriksi ringan, secara statistik ditemukan hubungan yang bermakna antara umur, indeks brikman terhadap faal paru (p<0.05). tapi tidak ditemukan hubungan yang bermakna antara status gizi, masa tugas, lama tugas, foto thoraks dan kebiasaan merokok serta pemakaian APD terhadap faal paru polisi lalu lintas (p>0.05). Kesimpulan : Penelitian ini menunjukkan bahwa tidak terdapat hubungan yang bermakna antara faal paru dengan seluruh faktor yang diteliti.

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Background: Air pollution due to road traffic is a serious health hazard and thus the traffic policemen who are continuously exposed to pollutant, may be at an increased risk. Types of main pollutants in the outdoor air pollution will significantly influence lung function. This study determined the factors that affect pulmonary function of traffic policemen working in the area of East Jakarta.

Method: This study is a part of the major research in the areas of Jakarta, Bogor, Depok, Tangerang and Bekasi (JABODETABEK). A cross sectional study was conducted among traffic policemen of East Jakarta Region in the period of October-November 2012. This study has assessed respiratory clinical symptoms using questionnaires of Pneumobile Project Indonesia, examined spirometry lung function, chest x-ray, and expiratory CO measurement.

Results: A total of 170 subjects were included in this study. Most of them aged 41 to 50 years (48.2%), were over weight (52.9%), active smokers (53.5%), had low Brinkman Index (31.2%), have worked more than 10 years (77.5%), did not use masker (65.3%), and had normal chest x ray (95.9%). Results of Spirometry examination showed mild restriction in 16 subjects (9.4%), mild obstruction in 8 subjects (4.7%) and mixed problems in 2 subjects (1.2%). This study showed that 11 policemen who did not use masker and 12 policemen with history of work more than 10 year had mild lung restriction. There are significant association between age, Brinkman Index with lung function (p<0.05), but no significant association was found between nutritional status, smoking history, working history, chest x-ray, use a masker with pulmonary function of traffic policemen (p>0.05).

Conclusion: This study showed that age and Brinkman Index significantly affected lung function, but there was no significant association found between lung function with nutritional status, history of smoking, working history, chest x-ray abnormalities, and use of masker among traffic policemen."

"Latar belakang: Stasiun pengisian bahan bakar umum SPBU semakin banyak didirikan untuk memenuhi kebutuhan bensin kendaraan bermotor yang semakin meningkat. Petugas SPBU merupakan profesi yang memiliki risiko tinggi terpajan oleh polutan berbahaya yang berasal dari emisi gas buang kendaraan bermotor dan uap bensin terutama saat melakukan pengisian bensin. Kombinasi pajanan gas buang kendaraan dan uap bensin ini diduga berperan terhadap penurunan faal paru. Metode: Penelitian ini merupakan penelitian potong lintang yang dilakukan di SPBU wilayah Jakarta Pusat dan Utara pada bulan Agustus 2017-Februari 2018. Sebanyak 97 petugas SPBU diambil pada penelitian ini menggunakan teknik consecutive sampling. Subjek penelitian tersebut mengikuti wawancara dengan kuisioner, pemeriksaan spirometri dan foto toraks. Pengukuran kadar sulfur dioksida SO2 , nitrogen dioksida NO2 , karbonmonoksida CO , ozon O3 , particulate matter 2,5 PM 2,5 dan uap bensin benzene dilakukan di lokasi penelitian. Hasil: Pada penelitian ini didapatkan hasil spirometri normal pada 56,7 subjek, kelainan berupa restriksi sebanyak 42,3 subjek, obstruksi pada 1 subjek dan tidak ada yang mengalami kelainan campuran restriksi dan obstruksi. Sebagian besar subjek 84,6 tidak mengalami keluhan respirasi, sebanyak 10,3 subjek mengalami batuk kering dan 5,1 subjek mengeluh batuk berdahak. Terdapat hubungan yang bermakna secara statistik antara arus puncak ekspirasi APE dengan masa kerja dengan nilai p 0,011 namun tidak didapatkan hubungan yang bermakna dengan parameter kapasitas vital paksa KVP , KVP, volume ekspirasi paksa pada detik pertama VEP1 , VEP1 dan rasio VEP1/KVP. Kesimpulan: Prevalens kelainan faal paru petugas SPBU pada penelitian ini sebesar 43,3 dan keluhan respirasi pada 15,4 subjek. Diperlukan penelitian lebih lanjut secara kohort mengenai faktor-faktor yang mempengaruhi faal paru pada petugas SPBU.

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Background: To satisfy growing needs of petrol consumption in big city many new petrol stations has been built. Petrol station attendant is considered to have high risk exposure to dangerous pollutant from motor vehicle emission and petrol fumes, especially while filling up petrol tanks. Combination of those exhaust and petrol fumes is suspected to cause the reduction of lung function.

Methods: This research is a cross sectional study done in petrol station in Central Jakarta and North Jakarta region between August 2017 and February 2018. A total of 97 petrol station attendants were taken in this research using consecutive sampling technique. The subjects were interviewed with questionnaires, spirometry and chest radiograph. Measurements of sulfur dioxide SO2 , nitrogen dioxide NO2 , carbon monoxide CO , ozone O3 , particulate matter 2,5 PM 2,5 and steam gasoline benzene concentrations were performed at the study sites.

Results: In this study, normal spirometry results in 56.7 of subjects, abnormalities in the form of restriction in 42.3 of subjects, obstruction in 1 of subjects and none of which experienced mixed disorders of restriction and obstruction. Most subjects 84.6 did not experience respiratory complaints, as many as 10.3 of subjects had a dry cough and 5.1 of subjects complained of cough with phlegm. There was a statistically significant association between peak expiratory flow and duration of work with a p value of 0.011 but no significant association with other parameters such as forced vital capacity FVC , FVC, forced expiratory volume in the first second FEV1 , FEV1 and the ratio of FEV1/FVC.

Conclusion: Prevalence of lung function abnormalities of petrol station attendant in this research is 43,3 and respiratory symptoms at 15,4 subject. Further cohort studies are needed on factors affecting lung function in gas station personnel."

"Pada populasi penduduk, komposisi kelompok pekerja merupakan salah satu yang terbesar. Gangguan kesehatan pada kelompok pekerja akan menurunkan produktivitasnya. Penyakit pada kelompok kerja tidak hanya terkait dengan penyakit akibat kecelakaan kerja akan tetapi juga oleh penyakit umum, seperti penurunan fungsi paru. Pekerja tambang merupakan salah satu pekerjaan yang menuntut fungsi paru yang baik, oleh karena hal inilah penilaian akan kondisi fungsi paru dan pengetahuan akan faktor determinan penurunan fungsi paru diperlukan. Tujuan penelitian ini adalah untuk mengetahui faktor determinan penurunan fungsi paru. Sampel diambil dari data pemeriksaan kesehatan berkala salah satu perusahaan tambang. Penelitian ini menggunakan design penelitian kasus-kontrol. Untuk penentuan kelompok kasus dilihat dari fungsi paru yang dikelompokkan berdasarkan kriteria pemeriksaan spirometri Global Initiative for Chronic Obstructive Lung Disease (GOLD) dengan parameter pemeriksaan %FEV1/FVC < 70% untuk gangguan obstruksi dan %FVC < 80% untuk gangguan resktriksi, sementara kelompok kontrol diambil dengan cara simple random sampling yang disesuaikan dengan jumlah sampel kelompok kasus. Variabel yang dianalisa untuk melihat hubungannya dengan fungsi paru pada penelitian ini adalah jenis kelamin, usia, lingkar pinggang, obesitas, dan jenis pekerjaan. Tidak terdapat perbedaan risiko terjadinya penurunan fungsi paru berdasarkan kelompok variabel jenis kelamin dan jenis pekerjaan (p > 0,05). Akan tetapi setelah dilakukan analisis multivariat didapatkan bahwa jenis kelamin (Adjusted OR [CI 95%]= 2,241 [1,021-4,918]), usia (Adjusted OR [CI 95%]= 1,579 [1,263-1,974]), dan lingkar pinggang (Adjusted OR [CI 95%]= 1,682 [1,309-2,162]) merupakan faktor determinan penurunan fungsi paru.

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In general population, workers are one of the major group. Illness can reduce productivities of the workers. Disease of the workers consisted not only occupational disease, but also common ones, such as lung function impairment. Mine worker is one occupation that demands a good lung function. Therefore, any assessments of lung function and knowledge of determinating factor for lung function are needed. The goal of this research is to know the determinating factors of lung function impairment. This research use case-control as research design. The samples were taken from periodic health examination data from one mine company. From 5.463 periodic health examination data, we used 1.433 samples which comprised of 733 case group samples and 733 control group samples. To determine the case group is by assessing lung function based on spirometry examination criteria of Global Initiative for Chronic Obstructive Lung Disease (GOLD) with examination parameter %FEV1/FVC < 70% for obstruction disorder and %FVC < 80% for restriction disorder. Meanwhile, the control group was taken by simple random sampling which was made suitable with the number of case group. Variables analyzed in order to determine the relation with lung function were gender, age, waist circumference, obesity, and type of job. There was no risk difference of lung function decreasing based on sex and type of job group (p > 0,05). However, after analyzed multivariately, it seemed that female gender (Adjusted OR [CI 95%]= 2,24 [1,02-4,92]), age ≥ 30 years old (p= 0,000 Adjusted OR [CI 95%]= 1,58 [1,26-1,97]), and waist circumference > 90 cm for male and for female ((p= 0,000 Adjusted OR [CI 95%]= 1,68 [1,31-2,16]) were determination factor of lung function impairment."