The use of glue in shoe manufactures may cause health impacts among workers due to hazardous chemical exposure in glue such as benzene and toluene. The government has issued policies to prevent the workers from occupational illness by reducing the hazardous chemical exposure in the workplace. This study was conducted to find out health impacts due to benzenae and toluene exposure from the use of glue in the workplace of shoe manufactures in Ciomas, Bogor in 2017. Design of the study was cross sectional with variables of benzene and toluene content in indoor workspace, consentration of urinary S-PMA, and perceived health symptoms of workers. Samples of 34 respondents were obtained from 5 selected workshop. Analysis of the data was carried out descriptively. It was found that the content of benzene and toluene in glue are 0.1% and 55% respectively, indoor benzene vapor was below detection limit of the instrument (undetected), and concentration of urinary S-PMA was 0.24 µg/g creatinine. There was no benzene exposure to the workers in this study. High percentage of worker risk behavior were smoking, the use of PPE, and hand washing. Perceived symptoms of workers (more than 60%) were fatigue, headache, tingling. It is necessary to improve workplace with healthier and more conducive environment, and educate workers to use the PPE. ABSTRAKPenggunaan lem pada industri sepatu kemungkinan memberikan dampak kesehatan terhadap pekerja karena lem biasanya mengandung bahan berbahaya, seperti benzena dan toluena. Pemerintah sudah berupaya membuat kebijakan untuk mengendalikan penyakit akibat kerja, salah satunya adalah mengurangi pajanan bahan kimia berbahaya. Penelitian ini bertujuan untuk mengetahui dampak kesehatan akibat pajanan benzena dan toluena yang berasal dari penggunaan lem di tempat kerja di sentra industri sepatu Ciomas, Bogor pada tahun 2017. Desain penelitian adalah potong lintang dengan variabel kandungan benzena dan toluena di udara ruang kerja, kandungan S-PMA dalam urin, dan gangguan kesehatan yang dialami oleh pekerja. Jumlah sampel pekerja sebanyak 34 orang yang berasal dari 5 bengkel kerja. Analisis data dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa kadar benzena dan toluena dalam lem masing-masing adalah 0,1% dan 55%, kadar uap benzena di udara ruang kerja berada di bawah limit deteksi alat (tidak terdeteksi), dan rerata kandungan S-PMA dalam urin adalah 0,24 µg/g kreatinin. Tidak terjadi pajanan benzena terhadap pekerja industri sepatu di lokasi penelitian. Perilaku berisiko pekerja dengan persentase cukup tinggi adalah merokok, penggunaan APD, dan cuci tangan. Keluhan/gangguan kesehatan yang dirasakan (lebih dari 60%) adalah cepat lelah, sakit kepala, kesemutan. Perlu perbaikan lingkungan kerja yang lebih sehat dan nyaman, dan mengedukasi pekerja untuk menggunakan APD.Kata kunci: Lem sepatu, benzena, toluena, pajanan, industri sepatu rumahan

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Background<br />Type 2 diabetes mellitus (DM) is a non-communicable disease that constitutes a huge health burden, with the presence of comorbidities of DM adding to it. This study aimed to obtain the main determinants of the combined incidence of DM and its main comorbidities in adults.<br /><br />Methods<br />This was a further analysis of the Non-Communicable Disease Risk Factor Cohort Study 2011 – 2018 involving 3730 subjects. Data of diabetes-free respondents at baseline were followed up every 2 years for 6 years. Data collection was carried out through interviews and health examinations. All subjects were assayed for blood glucose and lipid parameters. Chi-square test and Cox regression were implemented for data analysis.<br /><br />Results<br />During 6 years of follow-up, DM incidence occurred in 567 (15.2%) subjects. The most common comorbidities were increased low density lipoprotein (LDL), central obesity, increased total cholesterol, obesity and hypertension. Most of the comorbidities occurred before the diagnosis of DM incidence. The determinants of the combined DM incidence–increased LDL are obesity, hypertension, and a family history of DM. The determinants of the combined DM incidence–central obesity are increased triglycerides, hypertension, male gender, and family history of DM. While the determinants of the combined DM incidence–hypertension are obesity and increased triglycerides.<br /><br />CONCLUSION<br />This study demonstrated a high burden of diabetes incidence with comorbidities among adults. Knowledge of the magnitude of the diabetes<br />comorbidity determinants emphasizes the role of non pharmacological intervention such as weight reduction and dietary modification.

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Genetic factors such as single nucleotide polymorphisms (SNPs) are thought to contribute to the increasing incidence of diabetes mellitus (DM) through insulin resistance.  SNPs in the RETN (resistin) gene encoding the resistin protein have been reported to play a role in causing abnormalities in blood glucose and lipid metabolism.  Still, studies related to this have rarely been explored in cohort population models.  This study aimed to evaluate the relationship of resistin gene SNPs to the trend of the triglyceride-glucose index (TyG) as a proxy for insulin resistance.  The data were obtained from the results of the biomedical laboratory examination among participants of a cohort study in the Kebon Kalapa subdistrict, Bogor, every odd year period between 2015-2021 and from RETN genotyping (rs3745367).  The generalized linear model (GLM) repeated measurement technique was used with the TyG index value as the dependent variable.  The results of the GLM analysis showed that although there was a significant difference in the trend of the TyG index between the observation periods [F(2,87, 1671,1)=41,10, p-value <0.001], that’s not the case for RETN gene SNP [F(5,73, 1671,1) = 1.09, p-value = 0.367]. However, the multivariate test results suggested the association of these SNPs with age and DM status [F(4, 583)=2.48, p-value = 0.043].  In conclusion, RETN gene SNPs may require interaction with other factors or genes to induce insulin resistance or act by indirect glucose–fatty acid metabolic cycle mechanisms.