POLTEKKESDEPKES SBYPOLTEKKESDEPKES SBY

Gema Lingkungan KesehatanGema Lingkungan Kesehatan

The Troso weaving industry in Jepara, Indonesia, is a traditional craft sector that relies on synthetic dyes and manual production, thereby exposing workers to chromium (Cr) and particulate matter (PM2.5 and PM10) with potential respiratory and neurological risks. This study aimed to analyze their association with respiratory and neurological disorders among workers. A cross-sectional design was applied involving 101 weaving workers from four production sites. Environmental sampling measured Cr concentrations in wastewater and PM2.5/PM10 in the ambient air, while worker characteristics and health complaints were assessed using the ECSC-87 and Q18 questionnaire. Data were analyzed using chi-square tests and prevalence ratios. Cr concentrations in wastewater ranged from <0.010 to 0.104 mg/L, remaining below the effluent quality standard of 1.0 mg/L but confirming the continuous use of chromium-based dyes discharged without treatment. Average PM2.5 and PM10 levels were 108.75 µg/m³ and 117.75 µg/m³, both exceeding national air quality standards (55 and 75 µg/m³). Bivariate analysis showed that respiratory disorders were significantly associated with exposure duration ≥40 hours/week (PR=7.33; p=0.001) and working period >5 years (PR=20.94; p=0.001), whereas dye type, dyeing frequency, and PPE use were not significant. Neurological disorders were significantly associated with exposure duration (p=0.001), working period (p=0.001), type of dye (p=0.001), frequency of dyeing (p=0.018), and PPE use (p=0.001). Environmental monitoring confirmed elevated PM levels and chromium-based dye use, while statistical analysis showed that prolonged exposure and longer working periods associated with respiratory disorders, and neurological disorders were linked to multiple occupational factors.

This study demonstrates that workers in the Troso weaving industry are continuously exposed to chromium-containing dyes and fine particulate matter (PM2.5 and PM10), largely due to the absence of wastewater treatment, poor ventilation, and inadequate use of PPE.Neurological disorders were significantly associated with several exposure-related factors, while respiratory complaints showed weaker associations.These findings underscore the urgent need for improved occupational health and safety measures to mitigate long-term health risks in this home industry.

Berdasarkan hasil penelitian ini, beberapa saran penelitian lanjutan dapat diajukan untuk memperdalam pemahaman mengenai dampak kesehatan akibat paparan kromium dan PM pada pekerja tenun Troso. Pertama, penelitian longitudinal perlu dilakukan untuk melacak perkembangan fungsi paru-paru dan neurologis pekerja dari waktu ke waktu, sehingga dapat mengidentifikasi efek kumulatif paparan jangka panjang. Kedua, studi mendalam mengenai mekanisme biologis yang mendasari hubungan antara paparan kromium dan gangguan neurologis, termasuk analisis biomarker stres oksidatif dan inflamasi, perlu dilakukan untuk memberikan dasar ilmiah yang lebih kuat untuk intervensi kesehatan. Ketiga, penelitian intervensi yang mengevaluasi efektivitas berbagai strategi pengendalian paparan, seperti penggunaan ventilasi yang lebih baik, penggunaan alat pelindung diri (APD) yang tepat, dan penggantian bahan pewarna berbasis kromium dengan alternatif yang lebih aman, sangat diperlukan untuk memberikan rekomendasi praktis bagi industri dan pembuat kebijakan.

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