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Latar Belakang: Sektor pertambangan merupakan sektor yang memiliki risiko yang tinggi sehingga perlu adanya implementasi K3, tak hanya untuk menjaga keselamatan dan kesehatan para pekerja namun juga untuk menjaga produktivitas kerja sehingga roda bisnis akan terus berjalan. Selain kecelakaan kerja, penyakit tidak menular juga dapat menurunkan produktivitas kerja dikarenakan absenteisme dan loss work time. Penyakit tidak menular seperti diabetes dan penyakit kardiovaskulas merupakan penyakit yang menyumbang angka kematian terbesar di seluruh dunia. Kedua penyakit tersebut dapat muncul pada seseorang yang memiliki sindrom metabolik. Di Indonesia, terdapat beberapa penelitian mengenai sindrom metabolik dengan angka prevalensi yang berbeda-beda. Penelitian ini bertujuan untuk menganalisis faktor risiko sindrom metabolik pada pekerja tambang batu bara di PT Z.
Metode: Desain dari penelitian ini menggunakan pendekatan kuantitatif dengan desain studi cross-sectional. Pengumpulan data dilakukan dengan menggunakan data sekunder dari hasil MCU karyawan. Variabel yang akan diukur dalam penelitian ini adalah faktor individu (usia, jenis kelamin, dan riwayat penyakit keluarga); faktor perilaku (aktivitas fisik, kebiasaan merokok, dan konsumsi alkohol); dan faktor (pajanan bising, pajanan panas, dan pajanan debu).
Hasil: Sebanyak 34 pekerja (9,3%) memiliki sindrom metabolik. Obesitas sentral (35,4%), kadar trigliserida tinggi (27,2%), dan hipertensi (26,4%) merupakan tiga komponen tertinggi yang dimiliki pekerja. Hasil analisis menyatakan bahwa tidak ditemukan adanya hubungan yang signifikan antara variabel faktor individu, faktor perilaku, dan faktor lingkungan dengan kejadian sindrom metabolik pada pekerja tambang batu bara di PT Z (p-value > 0,05)
Kesimpulan: Walaupun prevalensi sindrom metabolik dari penelitian ini adalah 9,3%, banyak dari pekerja yang memiliki 1-2 komponen sindrom metabolik yang mana komponen tersebut dapat mempengaruhi perkembangan komponen baru. Oleh karena itu, tetap perlu adanya program kesehatan untuk dapat menjaga ataupun menekan angka komponen dari sindrom metabolik tersebut.
Background: The mining sector is a high risk sector that needs the implementation of SHE, not only to ensure the safety and health of the workers but also to maintain work productivity so that business operations can continue. In addition to workplace incidents, non-communicable diseases can also lower work productivity by absenteism and loss work time. Non-communicable diseases such as diabetes and cardiovascular disease account for the highest number of deaths worldwide. Both of those diseases can occur in people who has metabolic syndrome. In Indonesia, there are a few studies about metabolic syndrome with varying prevalence rates. This study aims to analyze the risk factors for metabolic syndrome among coal mine workers in PT Z. Methods: This study uses a quantitative approach with a cross-sectional study design. The data collection for this study was conducted using secondary data from the results of the employees’ medical check up. The variables for this study consists of individual factors (age, sex, and family medical history); behavioral factors (physical activity, smoking habbits, and alcohol consumption); and environmental factors (noise exposure, heat exposure, and dust exposure). Results: A total of 34 workers (9,3%) have metabolic syndrome. Central obesity (35,4%), high triglyceride (27,2%), and hypertention (26,4%) are the three highest component of the metabolic syndrome that the workers have. Analysis results indicate that no significant assosiaction was found between individual, behavioral, and environmental factors and the incidence of metabolic syndrome among coal miners at PT Z (p-value > 0.05). Conclusion: Although the prevalence of metabolic syndrome in this study was 9.3%, many of the workers had 1–2 components of metabolic syndrome, which could influence the development of new components. Therefore, health programs are still needed to maintain or reduce the prevalence of these components of metabolic syndrome.
Metabolic syndrome, according to the Joint Interim Statement (JIS), is a cluster of interrelated risk factors for cardiovascular disease and type 2 diabetes, characterized by the presence of at least three out of five specific conditions: central obesity, elevated triglyceride levels, low HDL cholesterol, hypertension, and hyperglycemia. This study aims to analyze the relationship between risk factors for metabolic syndrome, including environmental factors (work location and place of residence), behavioral factors (smoking habits, physical activity, eating pattern, and sleep duration), and genetic factors (age and family history of disease), with the incidence of metabolic syndrome among mine workers at PT XY, East Kalimantan. A cross-sectional study design with a quantitative approach was employed. Primary data were collected through online questionnaires, while data on metabolic syndrome components were obtained from Medical Check-Up (MCU) results. The analysis revealed that among 105 respondents, 22 (21%) had metabolic syndrome. Among the assessed risk factors, only age was significantly associated with the incidence of metabolic syndrome (p = 0.001). Other factors, such as work location, place of residence, smoking habits, physical activity, eating pattern, sleep duration, and family history of disease, showed no significant association.
Accidents related to traffic and incidents related to vehicles are the main causes of accidents in mining areas. One of the causes is fatigue on mining truck operators. This study was conducted to describe subjective fatigue and analyze risk factors related to subjective fatigue in coal mining vehicle operators in mining and hauling area of PT Adaro Indonesia. The risk factors studied included non-work-related risk factors (age, nutritional status (BMI), neck circumference, health complaints, sleep quantity, and sleep quality) and work-related risk factors (work area, length of work, shift work, commuting time, and work environment, especially temperature, noise, vibration, and lighting). The study was conducted from February to July 2022. The data used in this study came from a questionnaire distributed online, which included a questionnaire on individual and job characteristics, the Fatigue Assessment Scale (FAS), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive analysis and inferential analysis with chi-square test and multiple logistic regression test for prediction models. The minimum sample size in this study was 436 operators, but the data that were successfully analyzed were 440 respondents. The results showed that as many as 130 operators (29.5%) experienced subjective fatigue. The results of inferential statistical analysis using the chi-square test showed that there was a significant relationship between risk factors not related to work, namely nutritional status (fat and obesity BMI), health complaints, and sleep quality on subjective fatigue in operators. The results of inferential statistical analysis also show that there is a significant relationship between work-related risk factors, namely working period, temperature, noise, vibration, and lighting, and subjective fatigue on operators. Meanwhile, the results of inferential analysis using multiple logistic regression test predictive models indicate that sleep quality is the most dominant variable associated with subjective fatigue in operators.
