A Meta-Analysis of Risk Factors of Length of Exposure, Smoking Habits, Use of Personal Protection Equipment (PPE), and Exposure to Welding Fumes in Welding Workers with Abnormal Pulmonary Function (A Perspective of Sustainable Public Health)
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Introduction: About 11 million workers are welders worldwide, and more than 110 million workers are exposed to welding-related jobs. As many as 75.6% of welding workers in Pontianak, West Kalimantan, Indonesia, suffer from abnormal pulmonary function due to exposure to welding fumes. This study analyzed some risk factors and their sensitivity of abnormal pulmonary function in welding workers. Methods: This study is a meta-analysis article. Data sources were obtained from articles published online on Google Scholar, Science Direct, Pubmed, and Springerfrom 2010 to 2020. A total of 15 articles were selected for meta-analysis using JASP version 0.9.2 software. Results and Discussion: Results showed pooled prevalence ratio (PR) values of long-exposure variables of 1.954 (95% CI = 0.31– 1.03), smoking habits of 2.159 (95% CI = 0.33–1.22), USE of PPE 1.491 (95% CI = -0.50–1.30) and exposure to welding fumes 2.271 (95% CI = 0.52–1.12) in welding workers with abnormal pulmonary function. Conclusion: Exposure to welding fumes and smoking habits are the highest risk factors causing abnormal pulmonary function in welding workers. For workers, it is expected to reduce or stop smoking and always use PPE at work. For industry, control efforts are required by rotating work, conducting periodic worker medical examinations, providing exhaust with blowers in the workspace, and reinforcing the use of PPE at work.
Maulana Y. Analisis Kekuatan Tarik Baja ST37 Pasca Pengelasan dengan Variasi Media Pendingin Menggunakan SMAW. J Tek Mesin UNISKA. 2016;2(1):1–8. https://ojs.uniska-bjm.ac.id/index.php/JZR/article/view/545/472
Wahyudi R, Nurdin N, Saifuddin S. Analisa Pengaruh Jenis Elektroda pada Pengelasan SMAW Penyambungan Baja Karbon Rendah dengan Baja Karbon Sedang terhadap Tensile Strenght. J Weld Technol. 2019;1(2):43–47. http://e-jurnal.pnl.ac.id/Welding_Technology/article/view/1645/1420
International Agency Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Lyon: International Agency Research on Cancer; 2018. 1–320 p. https://publications.iarc.fr/Book-And-Report-Series/Iarc-Monographs-On-The-Identification-Of-Carcinogenic-Hazards-To-Humans/Welding-Molybdenum-Trioxide-And-Indium-Tin-Oxide-2018
Suhardi B, Citrawati A, Astuti RD. Ergonomi Partisipatori Implementasi Bidang Kesehatan dan Keselamatan Kerja. Yogyakarta: Deepublish; 2021. https://books.google.co.id/books?id=G9oWEAAAQBAJ
Basuki M, Santosa PI, Alfiah T. Penilaian Risiko Lingkungan (Environmental Risk Assessment) pada Pekerjaan Reparasi Kapal di Perusahaan Galangan Kapal. Prosiding Seminar Nasional Aplikasi Sains dan Teknologi. 2016;1:567-570. https://ejournal.akprind.ac.id/index.php/prosidingsnast/article/view/1624
Erdem JS, Arnoldussen YJ, Tajik S, Ellingsen DG, Zienolddiny S. Effects of Mild Steel Welding Fume Particles on Pulmonary Epithelial Inflammation and Endothelial Activation. Toxicol Ind Health. 2020;36(12):995–1001. https://doi.org/10.1177%2F0748233720962685
Mehrifar Y, Zeverdegani SK, Rismanchian M. Chemical Pollutants in the Respiratory Zone of Welders: Determination of Concentrations and Hazard Analysis. Work. 2020;67(3):591–598. https://doi.org/10.3233/wor-203272
Teklay A. Physiological Effect of Chromium Exposure: A Review. Int J Food Sci Nutr Diet. 2016;S7(1):1–11. http://dx.doi.org/10.19070/2326-3350-SI07001
Sivapirakasam SP, Mohan S, Kumar MCS, Paul TA, Surianarayanan M. Control of Exposure to Hexavalent Chromium Concentration in Shielded Metal Arc Welding Fumes by Nano-Coating of Electrodes. Int J Occup Environ Health. 2017;23(2):128–142. https://doi.org/10.1080/10773525.2018.1436014
Qolik A, Yoto Y, Basuki B, Sunomo S, Wahono W. Bahaya Asap dan Radiasi Sinar Las Terhadap Pekerja Las di Sektor Informal. J Tek Mesin dan Pembelajaran. 2018;1(1):1-4. http://dx.doi.org/10.17977/um054v1i1p1-4
Bakri SFZ, Hariri A, Ismail M, Abdullah S, Kassim NI. Evaluation of Respiratory Symptoms, Spirometric Lung Patterns, and Metal Fume Concentrations among Welders in Indoor Air-Conditioned building at Malaysia. Int J Integr Eng. 2018;10(5):109–121. https://publisher.uthm.edu.my/ojs/index.php/ijie/article/view/3038
Ambarani AY, Tualeka AR. Hazard Identification and Risk Assessment (HIRA) pada Proses Fabrikasi Plate Tanki 42-T-501a PT Pertamina (Persero) RU VI Balongan. Indones J Occup Saf Heal. 2017;5(2):192-203. http://dx.doi.org/10.20473/ijosh.v5i2.2016.192-203
Mehrifar Y, Zamanian Z, Pirami H. Respiratory Exposure to Toxic Gases and Metal Fumes Produced by Welding Processes and Pulmonary Function Tests. Int J Occup Environ Med. 2019;10(1):40–49. https://dx.doi.org/10.15171%2Fijoem.2019.1540
Slamet, Kamilla L. Faktor-Faktor yang Berhubungan dengan Gangguan Fungsi Paru pada Pekerja Pengelasan di Kota Pontianak. J Lab Khatulistiwa. 2017;1(1):89–83. https://doi.org/10.30602/jlk.v1i1.100
Riccelli MG, Goldoni M, Poli D, Mozzoni P, Cavallo D, Corradi M. Welding Fumes, a Risk Factor for Lung Diseases. Int J Environ Res Public Health. 2020;17(7):2552. https://doi.org/10.3390/ijerph17072552
Bakhtiar A, Tantri RIE. Faal Paru Dinamis. J Respirasi. 2017;3(3):89-96. http://dx.doi.org/10.20473/jr.v3-I.3.2017.89-96
Handari MC, Sugiharto, Pawenang ET. Karakteristik Pekerja dengan Kejadian Gangguan Fungsi Paru pada Pekerja Dipo Lokomotif. Higeia J Public Heal Res Dev. 2018;1(3):84–94. https://journal.unnes.ac.id/sju/index.php/higeia/article/view/17542
Roach LL. The Relationship of Welding Fume Exposure, Smoking, and Pulmonary Function in Welders. Work Heal Saf. 2018;66(1):34–40. https://journals.sagepub.com/doi/abs/10.1177/2165079917723927
Rahmani A, Golbabaei F, Dehghan SF, Mazlomi A, Akbarzadeh A. Assessment of the Effect of Welding Fumes on Welders' Cognitive Failure and Health-related Quality of Life. Int J Occup Saf Ergon. 2016;22(3):426–432. https://doi.org/10.1080/10803548.2016.1164499
Dev M, Bhardwaj A. Respiratory Symptoms and Spirometric Abnormalities Among Welders in the Welding Workplace of the Indian Unorganized Sector. Work. 2021;69(3):885–894. https://doi.org/10.3233/wor-213521
Pasaribu MAC. Hubungan Paparan Debu Las dengan Gangguan Faal Paru pada Pekerja Pengelasan di Kelurahan Mesjid Kecamatan Medan Kota. Skripsi. Medan: Universitas Sumatera Utara; 2017. http://repositori.usu.ac.id/
Ithnin A, Zubir A, Awang N, Sulaiman NNM. Respiratory Health Status of Workers that Exposed to Welding Fumes at Lumut Shipyard. Pakistan J Biol Sci. 2019;22(3):143–147. https://doi.org/10.3923/pjbs.2019.143.147
Ghani N, Tariq F, Hassan S. Respiratory and Physical Ailments Correlated with Occupational Exposure among Welders in Pakistan. J Pak Med Assoc. 2017;67(12):1910–1913. https://pubmed.ncbi.nlm.nih.gov/29256540/
Deviandhoko, Wahyuningsih NE, Nurjazuli. Faktor-Faktor yang Berhubungan dengan Gangguan Fungsi Paru pada Pekerja Pengelasan di Kota Pontianak. J Lab Khatulistiwa. 2012;11(2):123-129. https://doi.org/10.14710/jkli.11.2.123%20-%20129
Putra ND. Faktor-Faktor yang Berhubungan dengan Kapasitas Vital Paru pada Pekerja Bengkel Las di Kelurahan Cirendeu. Skripsi. Jakarta: Universitas Islam Negeri Syarif Hidayatullah; 2014. https://repository.uinjkt.ac.id/
Sukawati E, Setiani O, Nurjazuli. A Study on Pulmonary Function Disorders among Welders at Sub District of Mertoyudan in the District of Magelang. J Kesehat Lingkung Indones. 2014;13(2):45–50. https://doi.org/10.14710/jkli.13.2.45%20-%2050
Febrianto AA, Sujoso ADP, Hartanti RI. Hubungan antara Karakteristik Individu, Paparan Debu Asap Las (Welding Fume) dan Gas Karbon Monoksida (CO) dengan Gangguan Faal Paru pada Pekerja Bengkel Las (Studi di Kelurahan Ngagel Kecamatan Wonokromo Surabaya). Pustaka Kesehat. 2015;3(3):515–521. https://jurnal.unej.ac.id/index.php/JPK/article/view/4007
Aziz NA, Jalaludin J. Exposure to PM10 and Lung Function among Welders of Metal Working Factory in Selangor. Heal Environ J. 2014;5(1):113–125. https://doi.org/10.7763/jocet.2014.v2.102
Hariri A, Paiman NA, Leman AM, Yusof MZM. Pulmonary Function Status among Welders in Malaysian's Automotive Industries. J Clean Energy Technol. 2014;2(2):108–111. http://www.jocet.org/papers/102-E008.pdf
Koh DH, Kim JI, Kim KH, Yoo SW. Welding Fume Exposure and Chronic Obstructive Pulmonary Disease in Welders. Occup Med (Chic Ill). 2015;65(1):72–77. https://pubmed.ncbi.nlm.nih.gov/25324483/
Nurkhaleda B, Jayanti S, Suroto. Faktor-Faktor yang Berhubungan dengan Kapasitas Fungsi Paru pada Pekerja Pengelasan di PT.X Kota Semarang Tahun 2016. J Kesehat Masy. 2016;4(3):313-322. https://ejournal3.undip.ac.id/index.php/jkm/article/view/12908
Desy R, Sulistyorini L. The Analysis of Exposure Welding Fumes with Impaired Lung Faal Workers Welding PT. PAL Indonesia (Persero). J Kesehat Lingkung. 2017;9(2):154-162. http://dx.doi.org/10.20473/jkl.v9i2.2017.154-162
Prasetyo DR. Faktor-Faktor yang Berhubungan dengan Kapasitas Vital Paru Pada Pekerja Bengkel Las di Pisangan Ciputat Tahun 2010. Skripsi. Jakarta: Universitas Islam Negeri Syarif Hidayatullah Jakarta; 2010. 1–82 p. http://repository.uinjkt.ac.id/dspace/handle/123456789/1021
President of Republic Indonesia. Government Regulations of Republic Indonesia No. 13 Year 2003 about Employment. Jakarta: Ministry of the State Secretariat; 2019
Fasanmi KT. Respiratory Symptoms, Ventilatory Function and Health-Related Quality of Life of Arc-Welders in Ile-Ife, a South Western City in Nigeria. Ann Pulm Res Med. 2020;1(1):1001. http://www.remedypublications.com/annals-of-pulmonary-respiratory-medicine-abstract.php?aid=5963
Asrori A, Nurhayati N, Mutholib A, Ellinasari TF. Gambaran Kadar Asam Urat pada Pekerja Bengkel Las di Kecamatan Sukarami Palembang Tahun 2019. J Anal Kesehat. 2020;8(2):63-71. https://ejurnal.poltekkes-tjk.ac.id/index.php/JANALISKES/article/download/1865/1079
Gawre VV, Chaudhari SP, Doiphode R, Gore C V, Khedkar SK. Preliminary Study of Spirometric Evaluation of Lung Functions in Arc Welding Workers. IJCAP. 2017;4(4):508–511. https://www.ijcap.org/article-details/5173
Cetintepe SP, Iritas SB, Gunduzoz M, Alaguney ME, Wilson D, Bal C, et al. Relation Between Lung Dysfunction and Blood Cadmium and Lead Levels Among Welders. Expo Heal. 2019;11(1):13–19. https://link.springer.com/article/10.1007/s12403-017-0262-x
Alateeq AEO, Daoud BH, El-Gamal FM, Foda NMT, Mehana SM. Respiratory Disorders, Pulmonary Functions and Radiological Abnormalities among Workers Exposed to Welding Fumes. Egypt J Occup Med. 2021;45(3):217-232. https://dx.doi.org/10.21608/ejom.2021.193278
Hamatui N, Naidoo RN, Kgabi N. Respiratory Health Effects of Occupational Exposure to Charcoal Dust in Namibia. Int J Occup Environ Health. 2016;22(3):240–248. http://dx.doi.org/10.1080/10773525.2016.1214795
Reed RM, Dransfield MT, Eberlein M, Miller M, Netzer G, Pavlovich M, et al. Gender Differences in First and Secondhand Smoke Exposure, Spirometric Lung Function and Cardiometabolic Health in the Old order Amish: A Novel Population Without Female Smoking. PLoS One. 2017;12(3):1–12. https://doi.org/10.1371/journal.pone.0174354
Bastian M. Internal Factors Related to Pulmonary Function Status of Workers at UD X. Indones J Occup Saf Heal. 2019;8(2):215-223. http://dx.doi.org/10.20473/ijosh.v8i2.2019.215-223
Skoczyńska A, Gruszczyński L, Wojakowska A, Ścieszka M, Turczyn B, Schmidt E. Association between the Type of Workplace and Lung Function in Copper Miners. Biomed Res Int. 2016;2016(5928572):1-15. https://doi.org/10.1155/2016/592857
Pouryaghoub G, Nazem E. Effects of Simultaneous Exposure to Smoking and Welding Fume on Pulmonary Function Tests in Spot Welders. Tanaffos. 2021;20(1):64–70. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355928/
Tagurum YO, Gwomson MD, Yakubu PM, Igbita JA, Chingle MP, Chirdan OO. Awareness of Occupational Hazards and Utilization of PPE amongst Welders in Jos Metropolis, Nigeria. Int J Res Med Sci. 2018;6(7):2227-2233. https://dx.doi.org/10.18203/2320-6012.ijrms20182808
Husaini, Setyaningrum R, Saputra M. Factor Related with Occupational Disease on Welders. J MKMI. 2017;13(1):73-79. http://eprints.ulm.ac.id/5603/1/12.pdf
Hamzah NA, Mohd Tamrin SB, Ismail NH. Metal Dust Exposure and Lung Function Deterioration among Steel Workers: an Exposure-Response Relationship. Int J Occup Environ Health. 2016;22(3):224–232. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102237/
Obarhoro OI, Chinyere RN, Blessed N, Ibe SNI, Iwuala CC, Ede AO, et al. Compliance in the Use of Personal Protective Equipment by Welders in Delta State, Nigeria. Int J Res Rev. 2020;7(1):21-26. https://www.ijrrjournal.com/IJRR_Vol.7_Issue.1_Jan2020/IJRR005.pdf
Dalimunthe KT, Mithami DB. Hubungan Pengetahuan, Sikap, dan Tindakan Terhadap Pemakaian Alat Pelindung Diri (APD) pada Pekerja Las Besi di Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Tahun 2018. J Stikna. 2018;2(2):47–54.
https://www.jurnalstikna.com/index.php/js/article/view/24
Aritonang NJ, Raha S, Salim A, Sinaga M. Analisa Faktor-Faktor yang Memengaruhi Perilaku Karyawan Kilang Papan dalam Penggunaan Alat Pelindung Diri di PT Hidup Baru Kota Binjai Tahun 2014. J Ilm PANNMED. 2016;11(1):47–50. http://ojs.poltekkes-medan.ac.id/pannmed/article/view/70/61
Gaol YARL, Siahaan PBC. Determinan yang Berhubungan dengan Keluhan akibat Tidak Menggunakan APD pada Pekerja Bengkel Las Medan. J Heal Sci Physiother. 2020;2(1):61–67. https://doi.org/10.35893/jhsp.v2i1.35
Aprinita NK, Cahyo K, Indraswari R. Faktor – Faktor yang Berhubungan dengan Perilaku Penggunaan Alat Pelindung Diri (APD) pada Karyawan Pabrik Rokok Praoe Lajar di Semarang. J Kesehat Masy. 2017;5(5):1054–1062. https://ejournal3.undip.ac.id/index.php/jkm/article/view/19235/0
Hariri A, Mohamad NN, Paiman NA, Ahmad ZAM, Zainal BSF. Heavy Metals Found in the Breathing Zone, Toenails and Lung Function of Welders Working in an Air-Conditioned Welding Workplace. Int J Occup Saf Ergon. 2018;24(4):646–651. http://dx.doi.org/10.1080/10803548.2017.1368950
Imron MS. Gambaran Proteinuria pada Pekerja Bengkel Las di Pasar Cinde Kecamatan 24 Ilir Palembang Tahun 2017. Palembang: Politeknik Kesehatan Palembang; 2017. https://repository.poltekkespalembang.ac.id/items/show/483
Grahn K, Gustavsson P, Andersson T, Lindén A, Hemmingsson T, Selander J, et al. Occupational Exposure to Particles and Increased Risk of Developing Chronic Obstructive Pulmonary Disease (COPD): A population-based cohort study in Stockholm, Sweden. Environ Res. 2021;200(111739):1-9. https://doi.org/10.1016/j.envres.2021.111739
Rangkooy HA, Fouladi Dehaghi B, Ibrarahimi Ghavamabadi L, Marghzari L, Khodabakhshnejad F. An Investigation of Respiratory Symptoms and Spirometry Parameters of Welders in a Steel Industry. Jundishapur J Heal Sci. 2016;8(4):6–10. https://dx.doi.org/10.17795/jjhs-37097
Mariani R, Pelucchi S, Paolini V, Belingheri M, di Gennaro F, Faverio P, et al. Prolonged Exposure to Welding Fumes as a Novel cause of Systemic Iron Overload. Liver Int. 2021;41(7):1600–1607. https://dx.doi.org/10.1111%2Fliv.14874
Li XL, Zhao X, Liu J, Ni Y, Guo XX, Liu T, et al. Research on the Short-Term Effects of Welding Fumes on Workers' Lung Function: a Panel Study. Chin Ind Hyg Occup Dis. 2021;39(6):469–471. http://doi.org/10.3760/cma.j.cn121094-20210329-00168
Retnawati H, Apino E, Kartianom, Djidu H, Anazifa RD. Pengantar Meta Analisis. Pengantar Analisis Meta. Yogyakarta: Parama Publishing; 2018.
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