Determinan Gangguan Muskuloskeletal pada Petani Tembakau di Kelurahan Antirogo Kabupaten Jember

Abstract

One of the most common occupational diseases in the world is musculoskeletal disorders. Tobacco farmers have a
higher risk of musculoskeletal disorders in the form of lower back pain than other farmers because transdermal
exposure to nicotine to tobacco farmers has an impact on intervertebral disc nutrition and increased levels of proinflammatory cytokines. The purpose of this study was to analyze the determinants of musculoskeletal disorders in
tobacco farmers in Antirogo Village, Jember Regency, which is known as the largest tobacco producing district in
East Java. This research is an analytic observational study with a cross-sectional study design. The number of samples
is 53 people based on the Slovin formula with the consecutive sampling method. Musculoskeletal disorders were
measured using the Nordic Body Map. Data analysis used was descriptive univariate analysis and bivariate analysis
using the Spearman test, Chi-Square 2x3, and Kolmogorov-Smirnov. Significant variables were re-analyzed by
multivariate through ordinal logistic regression analysis. The results showed that most of the tobacco farmers in
Antirogo Village, Jember Regency experienced musculoskeletal disorders with moderate complaints (45.3%) mostly
in the waist (33.9%), upper neck (32%), and back (30.1%). Bivariate analysis showed that the significant variables
were age (p= 0.000), years of work (p= 0.000), and work position (p= 0.008). When followed by multivariate analysis
it appears that the only significant variable was years of work (p = 0.003). It can be concluded from this study that
the determinant of musculoskeletal disorders in tobacco farmers in Antirogo Village, Jember Regency is years of
work.