ObjectivesTo assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia.DesignThis was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU.SettingThe study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100).ParticipantsFrom 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants.Primary outcomes and measuresProportion of POSBINDU visitors getting the hypertension screening and risk factors’ assessment, and barriers of POSBINDU implementation.ResultsOut of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia.ConclusionsThis study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols).

Background: Stunting is a chronic condition that describes stunted growth due to long-term malnutrition. Stunting can be influenced by the lack of nutrition, low birth weight exclusive breastfeeding, duration of exclusive breastfeeding. Objective: to analyze the effect of age, height, and history of exclusive breastfeeding on stunting using multiple logistic regression tests and the presentation of the regression equation model followed by the probability of stunting in toddlers. Methods: The study population was toddlers who had medical record data at the public health center "X" in Banyuanyar Surakarta in October 2019. By using a consecutive sampling technique, a sample of 30 children was obtained. Results: age, height, and history of exclusive breastfeeding together affected stunting (F = 25,676, p = 0,000), with a joint effect of 71.9%. Age, height, and history of exclusive breastfeeding individually also affected stunting, respectively age (t = 3,656, p = 0.001), height (t = -4,499, p = 0,000), and history of breastfeeding exclusive (t = 3.207, p = 0.004). Conclusion: exclusive breastfeeding for toddlers can improve nutritional status, thereby reducing the chances of toddlers experiencing stunting.

Noise exposure is often found in the industrial environment that exposed workers at risk for increasing blood pressure. This study aimed at investigating the association between noise level, duration of noise exposure, age, use of earplugs, and body mass index with blood pressure on textile industry workers. An observational study with the cross-sectional design conducted during August to October 2016. The study population was 180 textile industry workers in Surakarta selected by consecutive sampling method. Statistical analysis used was multiple logistic regression. Results showed that variables associated with systolic blood pressure were the use of earplugs (OR=12.7), noise level (OR=7.2), body mass index (OR=5.3), age (OR=4.4) and duration of noise exposure (OR=3.5). Variables associated with diastolic blood pressure were the use of earplugs (OR=6.9), age (OR=6.6), noise level (OR=6.1), body mass index (OR=4.4), and duration of noise exposure (OR=3.1). In clonclusion, the risk factors for blood pressure increased among industrial workers are the use of earplug, noise level, body mass index, age and duration of noise exposure. Key words: Blood pressure, textile industry workers Asosiasi antara Faktor Risiko dan Tekanan Darah pada Pekerja Industri Tekstil AbstrakPaparan kebisingan yang mengekspos pekerja sering ditemukan di lingkungan industri sehingga berisiko terjadi peningkatan tekanan darah. Penelitian ini bertujuan mengetahui hubungan tingkat kebisingan, durasi paparan kebisingan, usia, penggunaan sumbat telinga, dan indeks massa tubuh dengan tekanan darah pada pekerja industri tekstil. Penelitian ini menggunakan jenis observasional dengan desain cross-sectional yang dilakukan pada bulan Agustus-Oktober 2016. Populasi penelitian adalah pekerja industri tekstil di Surakarta. Terpilih 180 orang pekerja dengan menggunakan metode sampling konsekutif. Analisis statistik yang digunakan adalah regresi logistik berganda. Variabel yang berhubungan dengan tekanan darah sistole adalah penggunaan sumbat telinga (OR=12,7), tingkat kebisingan (OR=7,2), indeks massa tubuh (OR=5,3), usia (OR=4,4), dan durasi paparan kebisingan (OR=3,5). Variabel yang terkait dengan tekanan darah diastole adalah penggunaan sumbat telinga (OR=6,9), usia (OR=6,6), tingkat kebisingan (OR=6,1), indeks massa tubuh (OR=4,4), dan durasi paparan kebisingan (OR=3,1). Simpulan, faktor risiko peningkatan tekanan darah di kalangan pekerja industri tekstil adalah penggunaan sumbat telinga, tingkat kebisingan, indeks massa tubuh, usia, dan durasi paparan kebisingan. Kata kunci: Pekerja industri tekstil, tekanan darahCorrespondence: Sumardiyono, S.K

Latar Belakang: Kebisingan lingkungan kerja merupakan stresor penyebab stres kerja pada tenaga kerja. Stres kerja menyebabkan kenaikan tekanan darah yang menjadi penyebab hipertensi.Tujuan: Penelitian ini bertujuan menganalisis pengaruh tidak langsung antara kebisingan terhadap tekanan darah melalui variabel mediator stres kerja.Metode: Penelitian dilakukan secara observasional analitik melalui pendekatan cross-sectional, pada populasi pekerja perempuan yang terpapar kebisingan lingkungan kerja di industri tekstil. Jumlah subjek penelitian sebanyak 139 orang yang diambil secara random. Uji statistik menggunakan model analisis jalur yang dihitung menggunakan software AMOS versi 22.Hasil: Rerata skor variabel stres kerja = 22,1 point, tekanan darah sistolik = 131,7 mmHg dan diastolik = 88,1 mmHg. Pada model analisis jalur dihasilkan ada hubungan langsung antara kebisingan dengan stres kerja (kenaikan 1 point kebisingan meningkatkan 0,5 point skor stres kerja), dan ada hubungan tidak langsung antara kebisingan dengan tekanan darah melalui variabel mediator stres kerja (kenaikan kebisingan 1 point secara tidak langsung meningkatkan tekanan darah, masing-masing adalah sistolik sebesar 1,8 point dan diastolik sebesar 0,8 point).Kesimpulan: Ada hubungan positif secara tidak langsung antara kebisingan dengan tekanan darah sistolik dan diastolik melalui stres kerja sebagai variabel mediator.

This study was conducted in a limestone processing site in Gunungkidul Regency, Yogyakarta, with One group pretest-posttest design. The study was initiated by OSH training for social supports done by competent health cadres. There were 8 social supports from fellow workers (peer support) and 29 social supports from family members (family support). These social supports assisted workers for 4 weeks. Data was collected by using three scales i.e. Scale of OSH knowledge (8 items, Coefficient Alpha Cronbach Reliability 0.800), attitude towards OSH scale (10 items, Reliability 0.917) and Practice of OSH Scale (10 items, Reliability 0.804). Data was collected before and after role assistance by social supports. Data analysis was done by the Wilcoxon sign rank test (alpha: 0.05). The results showed that there was an increase in the average knowledge of OSH from 5.83 to 6.93 (p<0.05), attitudes towards OSH from 26.23 to 30.76 (p<0.05), and OSH implementation from 25.00 to 28.83 (p< 0.05). It was proven that the involvement of social supports from peer as well as family could increase knowledge, attitude and OSH practice of limestone processing workers. To increase the accuracy of the study result, it is advisable that the further study use a control group.

Dermatitis kontak iritan (DKI) dapat diderita oleh semua orang dari berbagai golongan umur, ras dan jenis kelamin. Jumlah penderita DKI diperkirakan cukup banyak terutama yang berhubungan dengan pekerjaan (DKI akibat kerja), namun dikatakan angkanya secara tepat sulit diketahui. Hal ini disebabkan antara lain oleh banyaknya penderita dengan kelainan ringan tidak datang berobat, atau bahkan tidak mengeluh. Tujuan penelitian ini adalah untuk menganalisis pengaruh paparan zat pewarna batik terhadap kejadian dermatitis kontak iritan pada pekerja batik di Surakarta. Penelitian menggunakan jenis observasional analitik dengan desain cross sectional. Populasi penelitian adalah pekerja batik di industri batik “Mahkota” dan “Merak Manis” di Surakarta. Teknik pengambilan sampel menggunakan consecutive sampling. Jumlah sampel 40 orang dengan kriteria masa kerja mimimal 1 tahun dan umur minimal 20 tahun. Pengambilan data penelitian dilakukan pada tanggal 4 Mei 2018. Alat ukur yang digunakan dalam penelitian ini adalah kuesioner dermatitis kontak iritan dan checklist. Variabel umur, masa kerja, dan pemakaian alat pelindung tangan digunakan kuesioner lembar isian data. Analisis data menggunakan Chi Square Test dengan perhitungan menggunakan software SPSS versi 23, pada taraf signifikansi 5%. Faktor-faktor yang berhubungan dengan dermatitis kontak iritan pada pekerja batik adalah paparan zat pewarna (p=0,007), pemakaian alat pelindung diri (p=0,024), masa kerja (p=0,044), umur (X2=0,048), dan jenis kelamin (p=0,112). Kesimpulan penelitian ini adalah ada hubungan paparan zat pewarna batik terhadap kejadian dermatitis kontak iritan pada pekerja batik di Surakarta secara signifikan (X 2 = 7,376; p = 0,007; OR = 6,78; CI95%: 1,59 – 28,86).

<p><em>Introduction: Obesity is a state of excessive accumulation of fat in the body, which is a risk factor for cardiovascular disease. Obesity can be measured using anthropometric methods measuring waist circumference and hip circumference. This study aims to find the relationship between the size of waist circumference and hip circumference to blood pressure in prolanis participants in the working area of Kedawung I Public Health Center, Sragen Regency.</em></p><p><strong><em>Method:</em></strong><em> This study was an observational analytic study using a cross sectional design. The subjects were prolanis participant patient with a history of hypertension in the Kedawung I Community Health Center in Sragen in July 2017. Sampling was done by simple random sampling. The number of subject were 60 persons.</em></p><p><strong><em>Results:</em></strong><em> There were significant relationship between waist circumference and systolic/ diastolic blood pressure with weak strength (r = 0.304; p = 0.018 and r = 0.337; p = 0.008) and significant relationship between hip circumference with systolic/diastolic blood pressure with weak strength (r = 0.263; p = 0.042 and r = 0.306; p = 0.017).</em></p><p><strong><em>Conclusion:</em></strong><em> the increasing size of waist and hip circumference may increase blood pressure in prolanis participants.</em></p><em><br /></em>

Noise is a stressor for hearing loss among workers. Unfortunately, hearing loss also affect worker’s quality of life. This study aimed to investigate the correlation between hearing loss and quality of life among workers in textile industry. The study design was a cross-sectional survey.  The study population were 200 workers exposed to the noisy textile industry. The data were analyzed using Spearman's rank correlation coefficient. The findings showed a significant relationship between hearing loss and the quality of life of the workers (rs=-0.698; p=0.000). The dimensions of quality of life associated with hearing loss were the Physical Functioning (rs=-0.493; p=0.000), Role-Physical (rs=-0.501; p=0.000), Bodily Pain (rs=-0.516; p=0.000), General Health (rs=-0.497; p=0.000), Vitality (rs=-0.527; p=0.000), Social Functioning (rs=-0.521; p=0.000), Role-Emotional (rs=-0.521; p=0.000), and Mental Health (rs=-0.517; p=0.000). This study concludes that hearing loss decreases the quality of life among workers exposed to the noise of the textile industry.