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Kata Kunci: Hipertensi, kotinin, rokok, sopir, transportasi, urin
In 2017 Depok had a primary hypertension rate reaching 27.08% in 2017. Based on the Indonesia Basic Health Research 2018 the precentages approached the National Hypertension prevalence that is equal to (31.6%). The risk factor for hypertension that is strongly suspected by researchers is smoking behavior among drivers. It refers to an examination of the level of hypertension conducted by the Ministry of Health in 2013 on bus drivers, 234 of 314 respondents who were examined were suffering from hypertension. This study aims to provide an overview of the relationship between urinary cotinine levels caused by the smoking behavior of public transportation drivers on the symptoms of hypertension and other variables such as family history of hypertension, physical activity, Body Mass Index and alcohol consumption using a cross-sectional study design. As many as 84.4% of respondents had cotinin levels ≥200 ng / mL, 13 respondents (28.9%) experienced symptoms of hypertension. In this study no relationship was found between cotinin levels and hypertension (p value = 0.093). But there is a relationship between family history of hypertension (p value = 0.004). From this study it can be concluded that the majority of respondents have high levels of cotinin as a result of high smoking activity and the discovery of hypertension is also high.
Keywords: Hypertension, cotinine, cigarrette, driver, transportation, uri
Pajanan Pb dapat terakumulasi di dalam darah manusia sesuai lama waktu pajanan dan berdampak pada kesehatan. Tujuan Penelitian ini adalah menganalisis lama waktu pajanan terhadap kadar Pb, kadar Haemoglobin, kadar Kreatinin dan Blood Urea Nitrogen (BUN) dalam darah sehingga dapat diketahui perbedaannya dan dampak kesehatannya_ Responden dibagi 3 kelompok berdasarkan lama kerja berturut-turut 1 tahun, 5 tahun dan 10 tahun masing-masing kelompok 30 responden kemudian diambil darah vena ± 9 cc. Analisis Pb dengan alat Atomic Absorbance Spectrofotometer Graphite Furnace (AAS-GF), analisis kadar Haemoglobin menggunakan Haematology Analiser Otomatic dengan metoda Siarunethemoglobin. Kadar 1Creatinin dart BUN diukur dengan alat Autoanaliser Spectrofotometer, dengan metoda Jaffe untuk kreatinin dan metoda Kinetik UV untuk BUN. Rata-rata kadar Pb sopir dengan lama ketja 10 tahun adalah 86,747 ± 25,712; 5 tahun 65,360 ± 18,098 dart < 1 (alum : 53,107 ± 20,950 dengan peningkatan secara signiftkan sesuai larna keda (P < 0,000) kadar 14 mg/dl di temukan pada kelompok 10 tabon sebanyak 43,3 %, kelompok 5 Whim 3,3% dan kelompok 5. 1 tahun sebanyak 10 % dengan peningkatan secara signifikan sesuai lama kerja ( P <0,000). Rata-rata kadar Kreatinin sopir dengan lama kerja kelompok 10 tahun : 0,874 0,098, kelompok 5 tahtm : 0,843 ± 0,077 dan kelompok < 1 talum : 0,828 + 0,102, tidak ada perhedaan hermakna (P < 0,707). Terdapat perbedaan yang bermakna (P< 0,012) pada rata-rata kadar BUN kelompok sopir lama ketja 10 tahun, 5 tahun dan < I tahun, yaitu herturnt-turut 24,767 ± 5,036 ; 22,367 ± 3,819 dan 21,267 ± 4,727. Kesimpulan lama waktu pajanan Pb berpengaruh terhadap tinggi kadar Pb dalam darah (terakumulasi) sehingga meningkatkan angka kejadian anemia, dan meningkatkan kadar BUN dalam daralt, teiapi tidak mempengaruhi kadar kreatinin darah.
Pb exposure can be accumulated in human blood in proportion to the exposure duration and it impacts on health_ The purpose of this research was to analyze the influence of exposure duration on Pb content, hemoglobin content, creatinin content, and Blood Urea Nitrogen (BUN) in blood so as to find out its differences and its impact on health. The respondents were divided into 3 groups based on the working duration of respectively 1 year, S years. and 10 years, each consisting of 30 respondents, and then vena blood of _± .9 cc was taken. The analysis of Pb was by Atomic Absorbance Spectrophotometer Graphite Furnace (AAS--GF), whereas the analysis of Hemoglobin content used Hematology Analyzer Automatic by Sianmethemoglobin method. Creatinin and BUN contents were measured by Autocznalyzer Spectrophotometer, by using fee method for c..reatinin and UV Kinetics method for BUN. Average Pb content of drivers with a 10-year working duration was 86.747± 25.772; 5 years: 65.360 43.3% d- 18.098; and < 1 year: 53.107 ± 20.950, with a significant increase in proportion to the working duration (P <0.000). Jib content < 14 mg/d1 was found in the 10-years group of 43.3%, 5-years group of 3_3%, and < 1-year group of 10%, with a significant increase in proportion to the working duration (P<0.000). The average creatinin content of the drivers with a working duration qf 10- years group: 0.874 ± 0.098. 5-years group: 0.843 .± 0.077, and S 1-year group: 0.828 d.0.102, there is an insignificard dOerence (P<0.707). There is a significant difference (P<0.012) in the average BUN content of the drivers of 10-years, 5-years, and
Kata kunci: Perilaku mengemudi, Faktor perilaku tidak aman, anak SMA.
The number of traffic accidents is very high, especially on two-wheeled vehicles with the second most victims are adolescence. Various factors underlie this number, but behavioral factors reffered as the major factor. Behaviors that develop in adolescence can persist into adulthood, so behavior improvement is needed as early as possible. This study aims to describe factors related to risky driving behaviors in adolescents. The method used is quantitative and cross sectional. The data were collected by distributing questionnaires to high school students (n = 168). The results showed that majority of respondents have risky driving behaviors. In addition there is a relationship between the influence of friends and the influence of parents with driving behavior in adolescents. Rigorous law enforcement by the police and cooperation from parents and school are needed to reduce risky driving behavior in adolescents. Keywords : Riding behavior, unsafe behavior factors, high school students
Background: Air pollution, particularly fine particulate matter (PM2,5), is a significant environmental health issue in urban areas with dense traffic such as Depok. PM2,5 consists of extremely small particles that can reach the alveoli and cause various health problems, including pulmonary function impairment. Public transport drivers are among the most vulnerable groups as they spend most of their working hours in areas with high levels of air pollution. Objective: To determine the relationship between ambient PM2,5 exposure and pulmonary function impairment among public transport drivers at Depok Terminal, West Java in 2025. Methods: This study employed a cross-sectional design with 100 public transport drivers selected using proportionate stratified random sampling. Data were analyzed using univariate, bivariate, and multivariate methods to assess the association between PM2,5 exposure and pulmonary function impairment while controlling for covariates. Results: The study showed that the mean PM2,5 concentration was 42.19 μg/m³ (SD 10.04 μg/m³), exceeding the limit recommended by WHO. A total of 74% of respondents experienced pulmonary function impairment. Bivariate analysis indicated a significant association between PM2,5 exposure and pulmonary function impairment (p = 0.012). However, in multivariate analysis, after adjusting for age, length of employment, and smoking status, the association was not statistically significant (p = 0.642; OR = 1.018; 95% CI: 0.944–1.099). Conclusion: PM2,5 exposure was significantly associated with pulmonary function impairment in the bivariate analysis, but this association was not significant after controlling for other risk factors. Recommendation: This study suggests the need for air pollution control efforts, increased driver awareness of health risks, provision of personal protective equipment, and a review of national ambient air quality standards by the government.
