Description of Bilirubin Condition Checking on Alcohol Consumer in East Pohuwato Village, Pohuwato District

DESCRIPTION OF BILIRUBIN CONDITION CHECKING ON ALCOHOL CONSUMER IN EAST POHUWATO VILLAGE, POHUWATO DISTRICT Fransiskawati Polangitan1), Dede Sutriono2), and Natan Pasiga3) 1,2) Bina Mandiri University of Gorontalo 3) Puskesmas Suwawa E-mail: [email protected] ABSTRACT Based on 2014 WHO data, 61.7% of the world's population has consumed alcohol for more than 12 months which has caused around 3.3 million deaths or 5.9% of all deaths worldwide. For the 2018 RISKESDAS data in Indonesia, the first highest alcohol consumption area is North Sulawesi 16%, followed by East Nusa Tenggara 15.6, then Bali area 14%, and for Gorontalo area 11.3%. The purpose of this study was to determine the description of bilirubin levels in alcohol consumers in Pohuwato Timur Village, Pohuwato Regency including the length of time of consumption, age, types of drinks frequently consumed, frequency of alcohol consumption, and frequency of the amount of alcohol in one drink. This research uses descriptive research which is quantitative in nature. The population in the study was 55 samples with a sample size of 36 respondents who used the sampling technique, namely simple random sampling. The results showed that of the 36 respondents where the normal bilirubin levels were 14 respondents or if the percentage was 39%, while for the abnormal or high bilirubin levels there were 22 respondents or if the percentage was 61%. Based on the results obtained, it can be concluded that the results of the examination of bilirubin levels in alcohol consumers in Pohuwato Timur Village, Pohuwato Regency are more dominant with abnormal or high levels compared to normal bilirubin levels. Keywords: Alcohol, liver, bilirubin levels INTRODUCTION important role in measuring the degree of Success. implementation. health is public health. The indicators used in very much determined by the continuity assessing the health status of a community between program and sector efforts, as are the morbidity and mortality rates [9]. well as the continuity with the efforts that Illness can arise from several habits, have been implemented by the previous one of which is the habit of the government. Health development efforts community in consuming alcoholic in Indonesia need to be carried out in an beverages which are often considered integrated manner so that existing normal. Alcohol is a liquid that is clear in resources can be utilized effectively and color and contains ether in the form of efficiently [9]. liquid or liquefied through the Disease control is an effort to reduce fermentation process. Commonly the incidence, prevalence, morbidity or consumed alcohol is also known as ethyl mortality of a disease which plays an alcohol (ethanol) [11]. 28 Overview of Testing Bilirubin Levels in Alcohol Consumers in the village of East Pohuwato, Pohuwato Regency Liquor has long been recognized Data in Indonesia for the highest among the public and has become a alcohol consuming region is North common problem around the world. As Sulawesi at 16%, followed by East Nusa many as 61.7% of the population Tenggara (NTT) 15.6%, then Bali area worldwide has consumed alcohol for more 14%, and for the Gorontalo area as much than 12 months which causes as 11.3% [14]. approximately 3.3 million deaths or 5.9% Data on alcohol consumption in of all deaths worldwide [22]. Gorontalo Province for the first regency in World alcohol consumption is alcohol consumption per liter in 1 year, equivalent to 6.2 liters of pure alcohol namely Boalemo Regency at 148.52 / consumed per person aged 15 years or liter, in the second position Gorontalo over which means 13.5 grams of pure Regency at 118.77 / liter, then Bone alcohol per day. A quarter of this Bolango Regency at 98.4 / liter, after that, consumption (24.8%) unrecorded is Pohuwato Regency was 88.93 / liter, then homemade alcohol and is produced or North Gorontalo Regency was 80.58 / sold illegally outside government control. liter, and finally Gorontalo City was 16.25 Of the total recorded alcohol consumed / liter [1]. throughout the world, namely amounting According to the results of direct to 50.1% [21]. observations made by researchers on the More than 3 million people habit of consuming alcohol in the worldwide die from drinking alcohol and community in Pohuwato Timur Village, the largest number of victims occurs in Pohuwato Regency, it was found that Europe. This is due to a lack of public there were three residents who awareness about the dangers of experienced several disorders of body consuming alcohol. On average, every function after several years of consuming person in the world aged 15 or over alcohol. Where the malfunctioning of the consumes 6.2 liters of pure alcohol per body includes damage to lung function day. About 16% of drinkers in the world and the presence of symptoms of damage engage in heavy episodic drinking or often to liver function, namely having referred to as binge drinking and this is experienced symptoms of jaundice or the most dangerous for health, especially where the body and eyes are yellowish. for the liver which functions to filter the Dependence on alcohol consumption entry of foreign substances or toxins in the is very dangerous for the health of the body [20]. human body, one of which is harmful to Data from 241,000,000 people in the health of the liver. The liver is the Indonesia, the prevalence of disorders due largest and most metabolically complex to alcohol use is 0.8% and the prevalence organ in the body. The liver itself is of alcohol dependence is 0.7% in both involved in the metabolism of food men and women. When viewed from the substances, as well as most drugs and percentage, the prevalence of disorders toxins. The liver has the main task of due to alcohol use and the prevalence of neutralizing toxins in the body, making alcohol dependence is very small. the toxins that have been entering our However, if this figure is multiplied by the bodies from food or the environment able total population of Indonesia, as many as to be neutralized by the liver. There are 1,928,000 Indonesians suffer from alcohol many factors that can cause liver damage, use disorders and 1,180,900 Indonesians such as viruses, bacteria, toxicity from experience alcohol dependence [22]. drugs and chemicals and excessive alcohol consumption [6]. 29 Journal of Health, Technology, and Science (JHTS) Fransiskawati Polangitan E-ISSN: 2746-167X, Vol. 1, No. 2, December 2020 Bilirubin examination is one of the does not meet exclusion criteria that parameters of laboratory tests, where this isrespondents who are not willing to have examination functions to detect damage to their blood samples taken, respondents liver function and bile ducts. For damage cannot communicate well, alcohol to liver function, several diseases can consumers who are not in Pohuwato occur, including hemolytic anemia, liver Timur Village, Marisa District, Gorontalo cirrhosis, hepatitis, and hepatitis City, alcohol consumers who are rarely or carcinoma, where if some of these no longer consume it, and alcohol diseases occur it will be marked by consumers who are not aged 21- 60 years. increased levels of bilirubin in the body. The sample size is 36 samples determined So if the liver and bile function are in by the Slovin formula. The sampling good condition, the bilirubin levels in the technique is Simple Random Sampling. body are also normal [5]. The technique of data analysis is Based on the description and research univariate analysis and data presentation above, the researchers are interested in is the frequency distribution table [10]. conducting research on the description of checking bilirubin levels in alcohol RESEARCH RESULT consumers in Pohuwato Timur Village, This study aims to determine the Pohuwato Regency. Where the purpose of description of bilirubin levels in alcohol this study is to determine the description consumers in Pohuwato Timur Village, of bilirubin levels in alcohol consumers in Pohuwato Regency and based on East Pohuwato village with several factors respondent characteristics such as age, such as age, duration of alcohol duration of alcohol consumption, type of consumption, type of drink, alcohol alcohol drink, alcohol consumption in a consumption in a week, and the amount of week, and the amount of alcohol at one alcohol in one drink. time. Table 1. RESEARCH METHODS Distribution of Bilirubin Levels by Age This research uses descriptive research with a quantitative approach [15]and a cross sectional research design [13]. The sampling location was in Pohuwato Timur Village, Pohuwato Regency and examination of serum bilirubin samples at Bumi Panua Pohuwato Hospital. The research was carried out on 23-29 October 2020. The sample in this study was alcohol consumers in Pohuwato Timur Village, Source: Primary Data, 2020 Pohuwato Regency. The sample met the Based on table 1, it shows that the inclusion criteria, namelyrespondents are abnormal bilirubin level is higher at the willing to have blood samples taken, can age of 22-41 years, which is as much as communicate well, are alcohol consumers 50% compared to the age of 22-41 years who are in Pohuwato Timur Village, which is as much as 11%. Marisa District, Gorontalo City, alcohol consumers who up to now still frequently Table 2. consume alcohol, and alcohol consumers Distribution of Bilirubin Levels Based on who are 21-60 years old andthe sample Duration of Alcohol Consumption 30 Overview of Testing Bilirubin Levels in Alcohol Consumers in the village of East Pohuwato, Pohuwato Regency Source: Primary Data, 2020 Based on table 4, it shows that abnormal bilirubin levels are more in Source: Primary Data, 2020 alcohol consumption in a week, namely 2- Based on table 2, it shows that the 3 times as much as 47% compared to abnormal bilirubin level is higher in the 2- alcohol consumption in a week every day year consumption period, which is 55% as much as 6% and 4-5 times as much as compared to the normal bilirubin level for 8%.

Load more