Riwayat paparan pestisida dan kekurangan asupan zat gizi sebagai faktor risiko kejadian anemia pada ibu hamil di daerah pertanian

*Sulistyawati Sulistyawati  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Ani Margawati  -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Ali Rosidi  -  Program Studi Ilmu Gizi, Fakultas Ilmu Keperawatan dan Kesehatan, Universitas Muhammadiyah Semarang, Indonesia
Suhartono Suhartono  -  Departemen Kesehatan Lingkungan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Indonesia
Received: 11 Oct 2018; Published: 14 Jun 2019.
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Language: EN
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In Vol 7, No 2 (2019)
Statistics: 600 774
Abstract
Background: Anemia in pregnant women in Brebes Regency, Central Java in 2016 was still high at 60.7%. Brebes Regency is an area of onion farming with a high intensity of pesticide use. Objectives: This study aimed to prove the history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area. Methods: Case control study with 41 cases (anemia) and 41 controls (non-anemia) as study subjects. The subjects were selected using purposive sampling method. Pesticide exposure history included the involvement of pregnant women in agricultural activities, frequency of exposure and length of exposure was measured by interview using structured questionnaire. Anemia data were obtained by measuring hemoglobin levels. Other independent variables measured were nutritional intake (protein, iron, and vitamin C) using semi-quantitative food frequency questionnaire (SQ-FFQ) method to determine the level of nutrient adequacy in pregnant women. Data were analyzed using chi-square test and logistic regression.Result: Hemoglobin levels in the case ranged from 7.2 g/dl to 10.9 g/dl. The results of multivariate logistic regression showed that pesticide exposure history (OR= 4.9, 95% CI:1.75-13.67), level of iron adequacy (OR = 2.9, 95% CI:1.06– 8.29) and level of vitamin C adequacy (OR = 3.4, 95% CI:1.10– 10.28) as risk factors for the incidence of anemia in pregnant women in agricultural area.Conclusion: The history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area.
Keywords
anemia; agricultural area; pregnant women; pesticide exposure history; nutrient intake

Article Metrics:

  1. World Health Organization. WHA Global Nutrition Targets 2025 : Anaemia Policy Brief. Geneva; 2014.
  2. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta; 2013.
  3. Dinas Kesehatan Kabupaten Brebes. Data Anemia pada Ibu Hamil. Brebes; 2016.
  4. Darawati M. Gizi Ibu Hamil. In: Hardinsyah dan Supariasa, editor. Ilmu Gizi Teori Dan Aplikasi. 1st ed. Jakarta: Penerbit Buku Kedokteran EGC; 2017. p. 170–90.
  5. Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jawa Tengah Tahun 2016. Vol. 3511351. Semarang; 2016.
  6. Jannah N. Buku Ajar Asuhan Kebidanan : Kehamilan. Yogyakarta: Penerbit ANDI; 2012.
  7. Huang L, Purvarshi G, Wang S, Zhong L, Tang H. The Influence of Iron-deficiency Anemia during the Pregnancy on Preterm Birth and Birth Weight in South China. J Food Nutr Res. 2015;3(9):570–4.
  8. de Benoist B, McLean E, Egli I, Cogswell M. Worldwide prevalence of anaemia 1993-2005. WHO Global Database on Anemia. Geneva; 2008.
  9. Horowitz K, Ingardia C, Borgida A. Anemia in Pregnancy. Clin Lab Med. 2013;33(2):281–91.
  10. Morsy N, Alhady S. Nutritional Status And Socio-Economic Conditions Influencing Prevalence Of Anaemia In Pregnant Women. Int J Sci Technol Res. 2014;3(7):54–60.
  11. Kartini A. Riwayat Paparan Pestisida Sebagai Faktor Risiko Kejadian Stunting Pada Anak Sekolah Dasar Di Daerah Pertanian (Disertasi). Semarang: Universitas Diponegoro; 2017.
  12. Ardiwinata AN, Nursyamsi D. Residu Pestisida di Sentra Produksi Padi di Jawa Tengah. Pangan. 2012;21(1):39–58.
  13. Suhartono, Djokomoeljanto S, Hadisaputro S, Subagio HW, Kartini A, Suratman. Pajanan Pestisida Sebagai Faktor Risiko Hipotiroidisme pada Wanita Usia Subur di Daerah Pertanian. Media Med Indones. 2012;46:91–9.
  14. Diamanti-kandarakis E, Bourguignon J, Giudice LC, Hauser R, Prins GS, Soto AM, et al. Endocrine-Disrupting Chemicals : An Endocrine Society Scientific Statement. Endocr Rev. 2009;30(December):293–342.
  15. Reddy P, Kanojia J. Clinico Pathological Effects of Pesticides Exposure on Farm Workers. DAV Int J Sci. 2012;1(2):119–21.
  16. Caravati EM, McGuigan MA, MacGregor I, Dawson AH, Seifert SA, Schonwald S et al. Medical Toxicology. Third Edit. Dart RC, editor. Philadelphia, USA: Lippincott Williams & Wilkins, Wolters Kluwer Company; 2004. p. 90–7.
  17. Kurniasih SA, Setiani O, Nugraheni SA. Faktor-faktor yang Terkait Paparan Pestisida dan Hubungannya dengan Kejadian Anemia pada Petani Hortikultura di Desa Gombong Kecamatan Belik Kabupaten Pemalang Jawa Tengah. J Kesehat Lingkung Indones. 2013;12(2):132–7.
  18. Peraturan Menteri Kesehatan RI No. 75 Tahun 2013. Angka Kecukupan Gizi yang Dianjurkan bagi Bangsa Indonesia. 2013.
  19. Pertiwi G. Modul Dampak Pestisida Terhadap Kesehatan Dan Lingkungan. 2006.
  20. Del Prado-Lu JL. Pesticide Exposure, Risk Factors And Health Problems Among Cutflower Farmers : A Cross Sectional Study. J Occup Med Toxicol. 2007;8:1–8.
  21. D’Arcece LPG, Colus IM de S. Cytogenetic And Molecular Biomonitoring Of Agricultural Workers Exposed To Pesticides In Brazil. Teratog Carcinog Mutagen. 2000;20(3):161-70.
  22. Sinaga E, Lubis Z, Siagian A. Hubungan Asupan Protein dan Zat Besi dengan Status Anemia pada Ibu Hamil di Desa Naga Timbul Kecamatan Tanjung Morawa Kabupaten Deli Serdang Tahun 2014. J Gizi, Kesehat Reproduksi dan Epidemiol. 2015;1(1):1–6.
  23. Etcheverry P, Ms Hawthorne KM, Liang LK, Abrams SA, Griffin IJ. Effect of Beef and Soy Proteins on the Absorption of Non-Heme Iron and Inorganic Zinc in Children. J Am Coll Nutr. 2006;25(1):34–40.
  24. Almatsier. Prinsip Dasar Ilmu Gizi. Jakarta: PT. Gramedia Pustaka Utama; 2009.
  25. Utomo APW, Nurdiati DS, Padmawati RS. Rendahnya asupan zat besi dan kepatuhan mengonsumsi tablet besi berhubungan dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas I Kembaran , Banyumas. J Gizi dan Diet Indones. 2016;3(November):41–50.
  26. Briawan D. Anemia Masalah Gizi pada Remaja Wanita. Jakarta: EGC; 2013.
  27. Fitri YP, Briawan D, Tanziha I, Madanijah S. Tingkat Kecukupan dan Bioavailabilitas Asupan Zat Besi pada Ibu Hamil di Kota Tangerang. J MKMI. 2016;12(3):185–91.
  28. Patimah S, Hadju V, Bahar B, Abdullah Z. Pola Konsumsi dan Kadar Hemoglobin pada Ibu Hamil di Kabupaten Maros, Sulawesi Selatan. Makara Kesehat. 2011;15(1):31–6.

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