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Abstrak :
Ruang lingkup dan cara penelitian: Pada tahun 2004 telah dilakukan penelitian oleh peneliti terdahulu tentang dampak buruk dari debu kayu terhadap kesehatan dan telah dilakukan intervensi terhadap dampak tersebut. Dalarn penelitian ini dilakukan penelitian kros-seksional dengan anaiisis perbedaan proporsi serta populasi yang sama yang pen-nah dilakukan Lahun 2004 yaitu sebanyak 135 orang pekelja dengan rentang usia 18-60 ormg. Data didapatkan dari wawancara, pemeriksaan fisik serta pengukuran fungsi paru pada Januari 2008, juga dilakukan pemeriksaan debu lingkzmgan kemja baik total rnaupun respirabel. Analisa bivaxiat digunakan untuk menilai hubungan semua faktor risiko tersebut dengan timbulnya asma kerja. Hasil dan Kesimpulan: Dari Populasi penelitian, prcvalensi asma 21 orang (15.5%) yang terdiri dari asma kerja I3 orang (9.6%) dan 8 orang (5.9%) asma memburuk akibat kcrja. Setelah dilakukan analisa multivaxiat, dikctahui faktor risiko maupun yang berpenganih terhadap terjadinya asma kezja yaitu riwayat atopi (P = 0.170, OR suaian 3.044 dan CI 95% 0.622-14.91 I), riwayat asma (P = 0188, OR suaian 2.570 dan CI 95% 0.631-10.469), bila dibandingkan dengan hasil penelitian tahun 2004, terlihat adanya pcnurunan prevalensi asma. Dengan dcmikian dapat disimpulkan bahwa intervensi yang dianjurkan oleh peneliti terdahulu telah dilaksanakan dengan baik.

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Scope and methodology: At 2004 had done the Activation by the formelybacurate, about bad effect of the Wood dust to healthy and had done intervention for that effect in this acuration done the cross sectional with proportionally acuration with the same population which done at 2004 namely as much as 135 person workers between I8 up to 60 years old. The data gets from interview, Physical examinations, and lung function test during at January 2008,the circumference work had done checked too,measuring if dust at working environment had been conducted, either against total dust or respirable. Bivariate analysis was used to examine the association among all risk factors and work-related asthma. Result and conclusion: From the actuation of population, prevalensi asthma 21 person(l5.5%). Were divided into occupational asthma 13 person (9.6%), and work aggravated asthma 8 person (5.9%).After conducting multivariate analyses- logistic regression,1isk factors which related to work-related asthma, were atopic historical (P = 0.i70, OR 3.044 and CI 95% 0.622-14.91 I), and asthma historical (P = 0.I88, OR 2.570 and CI 95% 0.631-l0.469). If compared with the acuration result at 2004, was view the asthma prevalence subtractions. Therefore, be concluding that intervention as formerly acuter protrude had done well.

Abstrak :
Tujuan: Untuk mengetahui prevalens gangguan obstruksi saluran napas dan asma kerja, hubungan gangguan obstruksi saluran napas dan asma kerja dengan pajanan debu biji padi, dan faktor-faktor yang berhubungan seperti usia, jenis kelamin, masa kerja, lama kerja, kebiasaan merokok, indeks massa tubuh, tingkat pendidikan, ISBB, kelembaban udara, kadar debu dan kebiasaan berolah raga pada petani dengan riwayat batuk berdahak. Metode: Penelitian ini menggunakan disain penelitian cross sectional. Pcngumpulan data dilakukan dengan menggunakan kuesioner, pengamatan langsung, pemeriksaan fisik, pemeriksaan spirometri menggunakan alat spirometer, arus puncak ekspirasi (APE) mcnggunakan peak flowmeter dan pengukuran kadar debu menggunakan stationerer dust sampler di lapangan. Data yang diperoleh kemudian dianalisis dengan menggunakan SPSS 11.5. Terhadap semua variabel dilakukan nji bivariat, kemudian variabel yang mempunyai nilai p < 0.25 dilakukan uji multivariat. Hasil: Prevaiens gangguan obstruksi saluran napas adalah 2,6%. Tidak ditemukan prevalens asma kerja. Pada analisis bivariat, tidak ditemukan adanya hubungan yang bemakna antara faktor usia, jenis kelamin, masa kerja, lama kerja, kebiasaan merokok, indeks massa tubuh, tingkat pendidikan, ISBB, kelembaban udara, kadar debu dan kcbiasaan berolah raga, dengan gangguan obstruksi saluran napas dan asma kerja. Hasil pengukuran kadar debu, berkisar < 3mg/m3, sedangkan indeks APE berkisar 3,38 dan l0,5. Analisis multivariat tidak dilakukan karena hanya terdapat satu faktor risiko yang memenuhj syarat yaitu kebiasaan berolah raga. Kesimpulan: Prevalens gangguan obstruksi saluran napas adalah 2.6%. Tidak ditemukan prevalens asma kerja, serta tidak terdapat hubungan yang bemakna antara pajanan debu biji padi, dan faktor-faktor risiko yang berhubungan dengan gangguan obstruksi saluran napas dan asma kerja. ......Objectives: The aim of this study, was to know the prevalence of obstructive pulmonary disease and work-related asthma and relation between it with dust exposure from grain and the other related factors likes age, sex, length of employment, work period, smoking habits, body mass index, level of education, wet and buld globe temperature (WBGT), humidity, level of dust from grain and exercise habits among rice farmers with phlegm-cough history in Samarang village. Method: The study design was a cross-sectional study which data was collected by using questionnaire, field observation, meastutement of workplace environment and physical examination. Interview and their questionnaire were used to collect data about demography, health and smoking habits. Spirometry test was done to diagnose obstructive pulmonary disease and peak-Flowmeter test to diagnose work-related asthma. All variable were bivariate tested by using Chi-square test or Fischer test. The variables which have p value < 0.25 were included into multivariate analysis by using binary logistic regression. Result: It was found that prevalence of obstructive pulmonary disease was 2.6%. Bivariate analysis shows that no significant relationship between related factors like age, sex, length of employment, work period, smoking habits, body mass index, level of education, wet and buld globe temperature (WBGT), humidity, level of dust from grain and exercise habits with obstructive pulmonary disease and work-related asthma. The range level of dust from grain was < 3 mg/m3 with peak flowmeter index was 3.38 and l0.5. Multivariate analysis was not done because only one factor like exercise habits have p value < 0.25. Conclusion: There is no significant relationship between obstructive pulmonary disease and work-related asthma with dust exposure from grain and the other related factors. Prevalence of obstructive pulmonary disease was 2.6%