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Abstrak :
Latar belakang: Tenaga kerja bongkar muat (TKBM) semen merupakan kelompok kerja yang berisiko tinggi mengalami dermatitis kontak akibat kerja (DKAK). DKAK yang terjadi pada TKBM semen di Pelabuhan Sunda Kelapa Jakarta dapat mengganggu aktivitas, cara kerja, dan produktivitas pelabuhan tersebut. Potasium dikromat, nikel sulfat, dan kobalt klorida merupakan komponen utama yang terkandung dalam semen. Tujuan: Mengetahui proporsi kepositifan hasil uji tempel potasium dikromat, nikel sulfat, dan kobalt klorida pada TKBM semen serta mengidentifikasi berbagai faktor yang berhubungan. Metode: Penelitian potong lintang ini melibatkan 72 TKBM semen dengan DKAK berdasarkan Kriteria Mathias. Uji tempel dilakukan menggunakan g-Allergen potasium dikromat 0,5%, nikel sulfat 5%, dan kobalt klorida 1%. Tingkat pajanan debu semen ditentukan menggunakan indeks pajanan dengan rumus berdasarkan metode penilaian semi kuantitatif. Kelengkapan penggunaan alat pelindung diri (APD) dan berbagai faktor lainnya juga dievaluasi. Hasil: Sebanyak 20 (27,8%), 7 (9,7%), dan 4 (5,6%) di antara 72 pekerja menunjukkan reaksi positif potasium dikromat, nikel sulfat, dan kobalt klorida secara berurutan. Terdapat hubungan bermakna antara kelengkapan penggunaan APD, riwayat atopi keluarga, dan tingkat pajanan debu semen dengan kepositifan potasium dikromat (OR 0,4, 95% IK 0,2-0,8; OR 7,7, 95% IK 2,1-27,5; OR 36,1, 95% IK 3,1-420,9, secara berurutan). Berdasarkan analisis multivariat terdapat hubungan bermakna riwayat atopi keluarga dengan kepositifan potasium dikromat (OR 4,9, 95% IK 1,2-20,2). Kesimpulan: Potasium dikromat merupakan alergen utama penyebab DKAK pada TKBM semen. Walaupun DKAK akibat nikel atau kobalt lebih jarang terjadi, namun perlu dilakukan juga upaya pencegahan terhadap kedua alergen ini. Kelengkapan penggunaan APD perlu ditingkatkan secara efektif ......Background: Occupational contact dermatitis (OCD) is one of the most common work-related illnesses among the cement-cargo workers of Sunda Kelapa Harbour Jakarta. Occupational contact dermatitis can disrupt activities, work, and productivity. Potassium dichromate, nickel sulphate, and cobalt chloride are the main components contained in cement. Objective: To assess the positivity proportion of potassium dichromate, nickel sulfate, and cobalt chloride patch test among workers with occupational contact dermatitis (OCD), as well as identifying the associated factors. Methods: This cross-sectional study included 72 workers with OCD based on Mathias Criteria. Patch test was performed using g-Allergen with 0.5% potassium dichromate, 5% nickel sulfate, and 1% cobalt chloride. Occupational cement exposure rating was determined from the exposure index using the equation based on semi-quantitative method. Personal protective equipment (PPE) usage and other risk factors were also evaluated. Results: Twenty (27.8%), 7 (9.7%), and 4 (5.6%) of 72 patch-tested workers showed positive reactions to potassium dichromate, nickel sulfate, and cobalt chloride, respectively. Bivariate analysis confirmed an association between complete use of PPE, family atopy status, occupational cement exposure rating and positivity of potassium dichromate (OR 0.4, 95% CI 0.2-0.8; OR 7.7, 95% CI 2.1-27.5; OR 36.1, 95% CI 3.1-420.9, respectively). Based on multivariate analysis, there is an association between family atopy status and positivity of potassium dichromate (OR 4.9, 95% CI 1.2-20.2). Conclusion: Potassium dichromate is a prominent allergen in cement-cargo workers. Although contact to other allergens such as nickel or cobalt is less frequent, prevention should also address these allergens. Complete PPE usage should be promoted effectively

Abstrak :
Pandemi COVID-19 telah mengganggu banyak aspek kehidupan global. Tidak hanya memengaruhi perekonomian, penganggulangan pandemic untuk memperlambat laju penyebaran virus juga memberikan dampak bagi kondisi mental masyarakat. Studi ini ditujukan untuk melihat hubungan tingkat kebijakan pembatasan sosial, kehilangan pekerjaan, dan kehilangan pendapatan selama pandemic terhadap kesehatan mental individu. Penelitian ini menggunakan data nasional yang dikumpulan oleh CISDI melalui telepon survei. Sejumlah 1031 observasi, terdiri dari individu umur 15-65 tahun yang berpartisipasi di Angkatan kerja dan bekerja sebelum pandemi, digunakan dalam penelitian ini. Berdasarkan 5 indikator negative mental health impact, dari keseluruhan sampel, 42,93% merasa lebih takut, 47.72% merasa lebih cemas, 18,33% merasa lebih tidak berdaya, 39.67% mengalami peningkatan stress kerja, dan 46,36% mengalami peningkatan stress keuangan. Hasil dari regresi logistik biner yang dilakukan meunjukkan bahwa kehilangan pekerjaan dan kehilanagn pendapatan berkaitan dengan dampak kesehatan mental yang buruk. Sedangkan pembatasan sosial tidak berasosiasi secara kuat dengan dampak kesehatan mental yang buruk. Hasil ini berimplikasi bahwa efek ekonomi terbukti dirasakan oleh responden penelitian ini, tetapi efek isolasi sulit dibuktikan di sini. Keberadaan efek isolasi dapat dijelaskan dengan variabel lain, yaitu status bekerja dari rumah dan penurunan frekuensi bertemu langsung dengan teman/kolega/saudara. ......The pandemic of COVID-19 has interrupted many aspects of life globally. Not only affecting the economy, the containment measures to slow down the spread of the virus has also impacting people’s mental well-being. This study aimed to assess the relation of social restriction policy level, job loss, and income loss during the COVID-19 pandemic to individual mental health. A national representative data collected by CISDI through a phone survey was used in this study. A total of 1031 observations aged 15-65 who participated in the labour force and worked prior to the pandemic were included in the study. Based on five negative mental health impact indicators, of all the sample, 42.39% felt more horrified, 47.72% felt more apprehensive, 18.33% felt more helpless, 39.67% increased stress from work, and 46.36% increased financial stress. The results from our binary logistic regression showed that job loss and income loss were attributed to negative mental health impacts. Meanwhile, the social restriction was not significantly associated with it. The findings imply that economic effect was evident in our sample, yet the isolation effect due to social restriction was barely proven here. Besides, the existence of isolation effects could be explained by WFH status and decreased meeting frequency with friends/colleagues/family.