FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN KESEHATAN SUBJEKTIF PADA PETANI PENGGUNA PESTISIDA DI KOTA KOTAMOBAGU

Authors

  • Hairil Akbar Institut Kesehatan dan Teknologi Graha Medika
  • Besse Rismayani Institut Kesehatan dan Teknologi Graha Medika
  • Muh Zul Azhri Rustam Universitas Graha Edukasi Makassar
  • Novia Fitriatus Syariah Institut Kesehatan dan Teknologi Graha Medika
  • Riantina Luxiarti Universitas Insan Mahardika

DOI:

https://doi.org/10.51771/mj.v6i2.2457

Keywords:

Pestisida, Petani, Keluhan kesehatan subjektif

Abstract

Pajanan pestisida merupakan salah satu masalah kesehatan kerja pada sektor pertanian yang dapat menimbulkan berbagai keluhan kesehatan subjektif pada petani. Perilaku penggunaan pestisida diduga berperan penting terhadap munculnya keluhan tersebut, namun bukti mengenai determinan perilaku penggunaan pestisida masih belum konsisten. Tujuan penelitian ini bertujuan menganalisis determinan perilaku penggunaan pestisida terhadap keluhan kesehatan subjektif pada petani di Kota Kotamobagu. Metode penelitian ini menggunakan desain cross-sectional dilakukan pada 100 petani yang dipilih menggunakan teknik cluster sampling. Variabel independen meliputi penentuan dosis pestisida, lama penyemprotan, frekuensi penyemprotan, masa kerja, dan jumlah jenis pestisida yang digunakan, sedangkan variabel dependen adalah keluhan kesehatan subjektif. Data dikumpulkan melalui wawancara menggunakan kuesioner terstruktur dan dianalisis menggunakan uji Chi-square dengan tingkat signifikansi 95%. Hasil penelitian ini menunjukkan penentuan dosis pestisida (p=0,030), lama penyemprotan (p=0,010), frekuensi penyemprotan (p=0,006), dan masa kerja (p=0,015) berhubungan signifikan dengan keluhan kesehatan subjektif. Sebaliknya, jumlah jenis pestisida yang digunakan tidak menunjukkan hubungan yang signifikan (p=0,709). Perilaku penggunaan pestisida, khususnya ketepatan dosis, lama penyemprotan, frekuensi penyemprotan, dan masa kerja, merupakan determinan penting keluhan kesehatan subjektif pada petani. Penguatan edukasi dan praktik penggunaan pestisida yang aman diperlukan untuk menurunkan risiko gangguan kesehatan.

References

Ahmad, M. B., Islam, A. U., Hassan, S., Tarfeen, N., Nisa, K. U., Nisar, K., Hassan, T., Ganiee, S. A., Bhat, A. R., & Ganai, B. A. (2026). Unraveling the toxic link between pesticides and brain cancer: a review on molecular mechanisms, signaling pathways and future research trends. The Nucleus, 69(1), 189–204. https://doi.org/https://doi.org/10.1007/s13237-024-00529-8

Ahmad, M. F., Ahmad, F. A., Alsayegh, A. A., Zeyaullah, Md., AlShahrani, A. M., Muzammil, K., Saati, A. A., Wahab, S., Elbendary, E. Y., Kambal, N., Abdelrahman, M. H., & Hussain, S. (2024). Pesticides impacts on human health and the environment with their mechanisms of action and possible countermeasures. Heliyon, 10(7), e29128. https://doi.org/https://doi.org/10.1016/j.heliyon.2024.e29128

Alwi, J., Sari, M. P., Adnyana, I. M. D. M., Rustam, M. Z. A., & et all. (2023). Metode Penelitian Epidemiologi (Pertama). Media Sains Indonesia.

Azzahra, L. (2026). Faktor yang Berhubungan Terhadap Keluhan Keracunan Pestisida pada Petani di Kelurahan Kalosi Kecamatan Alla Kabupaten Enrekang. http://repository.unhas.ac.id:443/id/eprint/40646

Bagheri, A., Emami, N., & Damalas, C. A. (2021). Farmers’ behavior towards safe pesticide handling: An analysis with the theory of planned behavior. Science of The Total Environment, 751, 141709. https://doi.org/10.1016/j.scitotenv.2020.141709

Boedeker, W., Watts, M., Clausing, P., & Marquez, E. (2020). The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review. BMC Public Health, 20(1), 1–22. https://doi.org/10.1186/s12889-020-09939-0

Boedeker, W., Watts, M., Clausing, P., & Marquez, E. (2026). Worldwide unintentional acute pesticide poisonings: reassessing the occupational and non-occupational burden. Frontier Public Health Sec. Occupational Health and Safety, (7), 1–2. https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1825899/abstract

Christyanto, M., & Mayulu, H. (2021). Pentingnya pembangunan pertanian dan pemberdayaan petani wilayah perbatasan dalam upaya mendukung ketahanan pangan nasional: Studi kasus di wilayah perbatasan Kalimantan. Journal of Tropical AgriFood, 3(1), 1. https://doi.org/10.35941/jtaf.3.1.2021.5041.1-14

Desye, B., Tesfaye, A. H., Daba, C., Alemseged, E. A., Angaw, Y., Ebrahim, A. M., Natnael, T., Hassen, S., & Woretaw, L. (2024). Pesticide safe use practice and acute health symptoms, and associated factors among farmers in developing countries: a systematic review and meta-analysis of an epidemiological evidence. BMC Public Health, 24(1), 3313. https://doi.org/https://doi.org/10.1186/s12889-024-20817-x

FAO of the United Nation, & WHO. (2023). International Code of Conduct on Pesticide Management Guidance on Use Pesticida Regulation to Prevent Suicide (FAO of the United Nation & WHO, Eds.; First Edition). WHO and FAO.

Faraj, T. Kh. (2026). Community Health Impacts of Pesticide Exposure: Pathways, Vulnerable Populations, and Public Health Responses. International Journal of Environmental Research and Public Health, 23(7), 889. https://doi.org/10.3390/ijerph23070889

Felkers, E., Kuster, C. J., Hamacher, G., Anft, T., & Kohler, M. (2026). Pesticide exposure of operators during mixing and loading a drone: towards a stratified exposure assessment. Pest Management Science, 82(8), 7218–7224. https://doi.org/https://doi.org/10.1002/ps.8574

Grace, D. (2023). Burden of foodborne disease in low-income and middle-income countries and opportunities for scaling food safety interventions. Food Security, 15(6), 1475–1488. https://doi.org/10.1007/s12571-023-01391-3

Hamka, Utami, T. N., Sillehu, S., Pelu, A. D., Djarami, J., Tukiman, S., Tunny, I. S., Tuharea, A., & Cahyawati, S. (2021). Analyzing the use of pesticides on health complaints of farmers in Waihatu Village, Indonesia. Gaceta Sanitaria, 35(S1), S23–S26. https://doi.org/https://doi.org/10.1016/j.gaceta.2020.12.007

Hernawan, D., & Artikel, S. (2026). Perilaku Petani dalam Menggunakan Pestisida secara Bijaksana Sebelum dan Sesudah Program Penyuluhan. AgroSainTa: Widyaiswara Mandiri Membangun Bangsa, 10(1), 37–47. https://doi.org/https://doi.org/10.51589/2d5wyf57

Hippert, J., Talibov, M., Morlais, F., Brugioni, M., Perrier, S., Baldi, I., Crépet, A., & Lebailly, P. (2024). Identification of pesticide mixtures to which French agricultural workers and farm-owners are exposed: Results from the Agriculture and Cancer (AGRICAN) cohort study. Science of The Total Environment, 955, 176607. https://doi.org/https://doi.org/10.1016/j.scitotenv.2024.176607

Ibrahim, I., Lating, Z., Makayaino, H., Rumaolat, W., Sely, M. D., & Sillehu, S. (2025). Paparan Pestisida Sebagai Faktor Risiko Gangguan Kesehatan pada Petani Hortikultura di Desa Waimital Kabupaten Seram Bagian Barat. Jurnal Kesehatan Lingkungan Indonesia, 24(3), 398–405. https://doi.org/10.14710/jkli.77473

Ipmawati, P. A., Rusmiati, R., Suharno, S., Irianto, T. D., Sidiq, A. V., Estim, A., & Wardoyo, S. (2025). The Effect of Pesticide Exposure on Metabolic Syndrome: An Epidemiological Analysis in an Agricultural Population. Media Kesehatan Masyarakat Indonesia, 21(3), 286–297. https://doi.org/https://doi.org/10.30597/mkmi.v21i3.46352

Issa, S. T., Takshe, A. A., Alwan, N. H., & ElBarazi, I. (2023). Editorial: Pesticides exposure and public health. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1211115

Kangavari, M., Sarvi, M., Afshari, M., & Maleki, S. (2024). Understanding determinants related to farmers’ protective measures towards pesticide exposure: A systematic review. PLOS ONE, 19(2), e0298450. https://doi.org/https://doi.org/10.1371/journal.pone.0298450

Kapeleka, J. A. (2024). Quantification of pesticide dosage and determinants of excessive pesticide use in smallholder vegetable production systems in Tanzania. Heliyon, 10(24). https://doi.org/10.1016/j.heliyon.2024.e41070

Kementerian Kesehatan RI. (2016). Pedoman Penggunaan Pestisida Secara Aman dan Sehat di Tempat Kerja Sektor Pertanian (Bagi Petugas Kesehatan) (Kementerian Kesehatan RI, Ed.; Edisi Pertama). Kementerian Kesehatan RI.

Kumar, S. N., Khan, N. H., Reda, Y., Beigh, H. H., Bastia, B., Vaibhav, K., Jain, A. K., & Raisuddin, S. (2025). Pesticide Exposure in Agricultural Workplaces and Resultant Health Effects in Women. Birth Defects Research, 117(4). https://doi.org/https://doi.org/10.1002/bdr2.2460

Kuncoro, B. A., & Pertiwi, K. D. (2026). Hubungan Paparan Pestisida dan Risiko Pencemaran Lingkungan Kerja dengan Keluhan Kesehatan pada Teknisi Pengendalian Vektor Sektor Komersial. Pro Health Jurnal Ilmiah Kesehatan, 8(1), 34–43. https://jurnal.unw.ac.id/index.php/PJ/article/view/5008/3009

Lari, S., Medithi, S., Kasa, Y. D., Pandiyan, A., & Jonnalagadda, P. (2021). Pesticide handling practices and self-reported morbidity symptoms among farmers. Archives of Environmental & Occupational Health, 76(8), 471–481. https://doi.org/https://doi.org/10.1080/19338244.2020.1828245

Martin, O., Scholze, M., Ermler, S., McPhie, J., Bopp, S. K., Kienzler, A., Parissis, N., & Kortenkamp, A. (2021). Ten years of research on synergisms and antagonisms in chemical mixtures: A systematic review and quantitative reappraisal of mixture studies. Environment International, 146, 106206. https://doi.org/https://doi.org/10.1016/j.envint.2020.106206

Martin, O. V. (2023). Synergistic effects of chemical mixtures: How frequent is rare? Current Opinion in Toxicology, 36, 100424. https://doi.org/https://doi.org/10.1016/j.cotox.2023.100424

Mdeni, N. L., Adeniji, A. O., Okoh, A. I., & Okoh, O. O. (2022). Analytical Evaluation of Carbamate and Organophosphate Pesticides in Human and Environmental Matrices: A Review. Molecules, 27(3), 618. https://doi.org/https://doi.org/10.3390/molecules27030618

Miftah Farid, M., Purnamawati, D., Ahmad Dahlan, J. K., & Selatan, T. (2026). Determinan Gangguan Kesehatan Kronis Akibat Paparan Pestisida pada Petani Indonesia: Systematic Literature Review. Jurnal Kesehatan Tropis Indonesia, 4(4), 122–128. https://doi.org/https://doi.org/10.56211/pubhealth.v5i1.1739

Moreira, A., & da Silva, M. V. (2023). Pesticide Application as a Risk Factor/Behaviour for Workers’ Health: A Systematic Review. Environments, 10(9), 160. https://doi.org/https://doi.org/10.3390/environments10090160

Muñoz-Quezada, M. T., Iglesias, V., Zúñiga-Venegas, L., Pancetti, F., Foerster, C., Landeros, N., Lucero, B., Schwantes, D., & Cortés, S. (2025). Exposure to pesticides in Chile and its relationship with carcinogenic potential: a review. Frontiers in Public Health, 13. https://doi.org/https://doi.org/10.3389/fpubh.2025.1531751

Muzaqi, L., Nur Qolby, Q., Kurniawan, I., Sakti, P., Maritsal Chakim, B., Devi Ardianingsih, A., Putri Perdana, M., Elya, I., & Dian Pertiwi, K. (2025). Analisis Risiko Pajanan Dermal Pestisida Cair pada Petani Tradisional Dengan Pendekatan DREAM (Dermal Risk Exposure Assessment Method). Pro Health Jurnal Ilmiah Kesehatan, 7(2), 1–8. https://jurnal.unw.ac.id/index.php/PJ/article/view/4008

Nagy, K., Duca, R. C., Lovas, S., Creta, M., Scheepers, P. T. J., Godderis, L., & Ádám, B. (2020). Systematic review of comparative studies assessing the toxicity of pesticide active ingredients and their product formulations. Environmental Research, 181, 108926. https://doi.org/https://doi.org/10.1016/j.envres.2019.108926

Nindya Azfarina Jamhur, Fitria Saftarina, Hesti Yuningrum, & Retno Ariza Soeprihatini Soemarwoto. (2026). Studi Literatur Pengaruh Paparan Pestisida terhadap Fungsi Paru. Populer: Jurnal Penelitian Mahasiswa, 5(2), 355–372. https://doi.org/https://doi.org/10.58192/populer.v5i2.4996

Nuraeni, N., Herdiansyah, H., Fatmah, F., Agustina, H., & Yusuf, R. (2026). Preventing Pesticide Toxicity Risk Through Self-Reported Practices in Children of Farming Communities: A Social Practice Theory Perspective. Journal of Xenobiotics, 16(3), 117. https://doi.org/https://doi.org/10.3390/jox16030117

Oltramare, C., Mediouni, Z., Shoman, Y., Hopf, N. B., Graczyk, H., & Berthet, A. (2023). Determinants of Pesticide Exposure in Occupational Studies: A Meta-Analysis. Toxics, 11(7), 623. https://doi.org/https://doi.org/10.3390/toxics11070623

Peraturan Menteri Ketenagakerjaan Tentang Rencana Strategis Kementerian Ketenagakerjaan Tahun 2025-2029, Pub. L. Nomor 9 Tahun 2025, Kementerian Ketenagakerjaan RI 1 (2025). https://ppid.kemnaker.go.id/uploads/informasi_publik/551882144.pdf

Purba, I. G., & Kusnoputranto, H. (2025). Subjective Health Complaints in Women Famers Exposed to Pesticides in Agricultural Area. Jurnal Ilmu Lingkungan, 23(1), 104–112. https://doi.org/10.14710/jil.23.1.104-112

Rumaf, F., Akbar, H., Fauzan, M. R., Rismayani, B., Tungkagi, M. Z., & Mamonto, C. (2026). Determinant of Contact Dermatitis Complaints in Rice Farmers in East Kotamobagu District. Afiasi: Jurnal Kesehatan Masyarakat, 11(1), 2442–5885. https://doi.org/https://doi.org/10.31943/afiasi.v11i1.576

Sapatullah, A. I., Hidayati, F., Azhary, M. R., & Aswin, B. (2026a). Faktor Keluhan Gangguan Kesehatan pada Petani Padi Pengguna Pestisida Desa Pudak Kecamatan Muara Kumpeh Kabupaten Muara Jambi Tahun 2026. PubHealth Jurnal Kesehatan Masyarakat, 5(1), 122–128. https://doi.org/10.56211/pubhealth.v5i1.1739

Sapatullah, A. I., Hidayati, F., Azhary, M. R., & Aswin, B. (2026b). Faktor Keluhan Gangguan Kesehatan pada Petani Padi Pengguna Pestisida Desa Pudak Kecamatan Muara Kumpeh Kabupaten Muara Jambi Tahun 2026. PubHealth Jurnal Kesehatan Masyarakat, 5(1), 122–128. https://doi.org/https://doi.org/10.56211/pubhealth.v5i1.1739

Sapbamrer, R., & Thammachai, A. (2020). Factors affecting use of personal protective equipment and pesticide safety practices: A systematic review. Environmental Research, 185, 109444. https://doi.org/https://doi.org/10.1016/j.envres.2020.109444

Shaji, S., Gowda, B., Gurusiddappa, L. H., Veeresh, S. J., Kalikeri, S., Bellari, K., & Tewari, J. (2024). Navigating the Hazards: A Review of Pesticides and Their Effects on Human Well-Being. World Journal of Environmental Biosciences, 13(2), 21–30. https://doi.org/10.51847/yl4o018DzR

Tudi, M., Li, H., Li, H., Wang, L., Lyu, J., Yang, L., Tong, S., Yu, Q. J., Ruan, H. D., Atabila, A., Phung, D. T., Sadler, R., & Connell, D. (2022). Exposure Routes and Health Risks Associated with Pesticide Application. Toxics, 10(6), 335. https://doi.org/10.3390/toxics10060335

Venugopal, D., Beerappa, R., Chauhan, D., Karunamoorthy, P., Ambikapathy, M., Mohankumar, T., Gaikwad, A., & Kondhalkar, S. (2025). Occupational health complaints and demographic features of farmers exposed to agrochemicals during agricultural activity. BMC Public Health, 25(1), 2416. https://doi.org/https://doi.org/10.1186/s12889-025-23174-5

Wicaksono, R. I., Manunel, E. S., Pawitra, A. S., Diyanah, K. C., Keman, S., Azizah, R., & Yudhastuti, R. (2023). Literature Review: Impact of Organophosphate Pesticide Exposure on Cholinesterase Enzyme Activity and Associated Risk Factors for Poisoning, 2017-2020. Jurnal Kesehatan Lingkungan, 15(4), 247–256. https://doi.org/https://doi.org/10.20473/jkl.v15i4.2023.247-256

Zhou, W., Li, M., & Achal, V. (2025). A comprehensive review on environmental and human health impacts of chemical pesticide usage. Emerging Contaminants, 11(1), 1–13. https://doi.org/10.1016/j.emcon.2024.100410

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Published

2026-08-30