CD Tesis
Hubungan Paparan Pestisida Dengan Gangguan Neuropsikiatri Pada Petani Hortikultura Di Kecamatan Bukit Raya Pekanbaru
Indonesian agricultural sector always using of pesticides especially in horticultural farmers in Bukit Raya Pekanbaru district. However, the use of pesticides has a negative impact on the environment and health. One of the impacts on health is neuropsychiatric disorders such as cognitive disorders, anxiety and depression. Based on these conditions, this study aims to: determine the characteristics of farmers, pesticide exposure factors and existing conditions of the research location, analyze differences in CHE levels measured in the first month and the third month, analyze differences in Moca-Ina scores, Hamilton Anxiety Scale (HAM-A) and Hamilton Depression Scale (HAM-D) measurements in the first and third months, analyzing the relationship between CHE levels and Moca-Ina scores, HAM-A and HAM-D and analyzing the relationship between characteristics and risk factors for pesticide exposure with Moca-Ina scores , HAM-A and HAM-D. This research have benefits, including providing information and knowledge about the impact of exposure to pesticides on health problems, especially psychiatric disorders.
This study was an analytic observational study, using a cohort approach, using primary data, namely direct data collection in the field by filling out questionnaires, neuropsychiatric examinations and examination of blood cholinesterase levels in farmers. The research sample used a consecutive sampling technique with inclusion and exclusion criteria. The sample size is 32 people by adding 10 % to avoid dropout. The data analysis used was univariate, bivariate and multivariate using the SPSS version 24 application.
The results of the analysis show that gender, age, education level, smoking history increase the risk of experiencing the effects of exposure to pesticides. Other risk factors are the average working period as a farmer of 8 years, the duration of each spraying is 51 minutes and the frequency of spraying is 3 times. All farmers don't fully wear PPE when applying pesticides. The existing condition of the research location is assessed from environmental aspects where the farm is located in the middle of a settlement so that it risks contaminating the surrounding area, the pesticides that are often used are of a dangerous class, farmers have not implemented a sustainable farming system. Based on the economic aspect, farmers' income is around 2.75 million, this is related to the expensive prices of fertilizers, pesticides and land rental costs. Based on the social aspect, the level of knowledge of farmers is good (69 %) but it is not applied in daily practice. There were significant differences in CHE levels
xv
(p=0.006), Moca-Ina scores (p=0.000), HAM-A (p=0.000) and HAM-D (p=0.000) during 3 months of exposure to pesticides. There is no significant relationship between the first CHE level and the first value of Moca-Ina (p=0.781), HAM-A (p=0.881) and HAM-D (p=0.605) and there is no significant relationship between the second CHE level and the second Moca-Ina (p=0.562), HAM-A (p=0.422) and HAM-D (p=0.869). The results of the multivariate analysis of smoking history score (p=0.021), working period (p=0.009), and spraying duration (p=0.006) are related to the Moca-Ina score on the delayed recall point. These three variables are able to explain the results of the delayed recall of 39.7 %.
Tidak tersedia versi lain