Paparan pestisida terhadap kejadian penyakit paru obstruktif kronis pada petani di Sumatera Utara

Purpose: This study aims to analyze and describe the risk of exposure to
pesticides (age, sex, education, smoking habits, length of service, time of
spraying, number of pesticides and personal protective equipment) related
to the incidence of COPD to farmers in Barus Jahe, Karo District. Methods:
This case control study with a total sample of 90 people, consisting of 45
cases and 45 controls. Samples were taken by simple random sampling.
Data analysis was performed using univariable tests, bivariable with
Chi-square tests and multivariable with logistic regression. Results: There
was a significant correlation between age, gender, education, employment,
personal protective equipment to the incidence of COPD, while there was
no significant association between the time of spraying, the amount of
pesticides and smoking status with the incidence of COPD. The most
influential factors on the incidence of COPD is the working period and
personal protective equipment. Conclusion: Farmers should always use
personal protective equipment and appropriate dosage of pesticide as
stated on the packaging label. Public health office also can reduce COPD
infections with early detection programs for farmers who are exposed to
pesticides every day.
Keywords: COPD; pesticides; farmer; sphirometry