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Analisis Risiko Kesehatan Lingkungan Pajanan Boraks

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Analisis Risiko Kesehatan Lingkungan Pajanan Boraks ANALISIS RISIKO KESEHATAN LINGKUNGAN PAJANAN BORAKS PADA SISWA YANG MENGKONSUMSI BAKSO DI SDN CIRENDEU 02 CIPUTAT TAHUN 2019 SKRIPSI Oleh : Husnia Zuhra 11151010000078 PEMINATAN KESEHATAN LINGKUNGAN PROGRAM STUDI KESEHATAN MASYARAKAT FAKULTAS ILMU KESEHATAN UNIVERSITAS ISLAM NEGERI SYARIF HIDAYATULLAH JAKARTA 1441 H /2019 ANALISIS RISIKO KESEHATAN LINGKUNGAN PAJANAN BORAKS PADA SISWA YANG MENGKONSUMSI BAKSO DI SDN CIRENDEU 02 CIPUTAT TAHUN 2019 SKRIPSI Skripsi Ini Diajukan untuk Memenuhi Persyaratan Memperoleh Gelar SARJANA KESEHATAN MASYARAKAT (SKM) Oleh : Husnia Zuhra NIM 11151010000078 PEMINATAN KESEHATAN LINGKUNGAN PROGRAM STUDI KESEHATAN MASYARAKAT FAKULTAS ILMU KESEHATAN UNIVERSITAS ISLAM NEGERI SYARIF HIDAYATULLAH JAKARTA 1441 H / 2019 i FAKULTAS ILMU KESEHATAN PROGRAM STUDI KESEHATAN MASARAKAT PEMINATAN KESEHATAN LINGKUNGAN Analisis Risiko Kesehatan Lingkungan Pajanan Boraks Pada Siswa ynag Mengkonsumsi Bakso di SDN Cirendeu 02 Tahun 2019 Husnia Zuhra, NIM : 11151010000078 Xx, 186 halaman, 8 gambar, 28 tabel, 2 Diagram, 6 lampiran ABSTRAK Boraks merupakan bahan kimia yang penggunaannya dilarang sebagai bahan tambahan pangan, tetapi keberadaannya sering ditemukan dalam pangan jajan. Salah satu kasusnya ditemukan pada bakso yang dijajakan di SDN Cirendeu 02. Siswa di sekolah tersebut merupakan populasi berisiko untuk terpajan boraks. Penelitian ini bertujuan untuk mengetahui estimasi risiko pajanan boraks pada siswa di SDN Cirendeu 02 tahun 2019 sehingga dapat dilakukan upaya manajemen risiko yang tepat. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain studi ARKL (Analisis Risiko Kesehatan Lingkungan). Data penelitian ini diperoleh dari hasil wawancara dengan menggunakan kuesioner dan pengukuran konsentrasi boraks dalam bakso. Penelitian ini dilakukan terhadap 165 responden dari kelas 2 sampai kelas 6. Analisis data meliputi analisis univariat dan analisis risiko yang dilakukan dengan langkah perhitungan intake, risk quotient, dan excess cancer risk. Hasil penelitian menunjukkan bahwa konsentrasi boraks pada bakso sebesar 1,31467 mg/gr. Setelah dilakukannya perhitungan tingkat risiko non karsinogenik (RQ) didapatkan nilai > 1 pada kelas 6 untuk pajanan realtime sehingga siswa kelas 6 telah memiliki risiko untuk gangguan kesehatan non karsinogenik. Sedangkan perhitungan tingkat risiko karsinogenik pada seluruh siswa kelas 2 hingga kelas 6 didapatkan nilai ECR > E-4 dalam pajanan realtime dan lifetime sehingga siswa tersebut telah memiliki risiko untuk gangguan kesehatan karsinogenik. Manajemen risiko yang dapat dilakukan untuk mencegah responden dari gangguan kesehatan yaitu mengganti penggunaan boraks sebagai pengawet dan pengenyal dengan bahan alami yaitu ekstrak wortel dan tepung rumput laut, menyarankan orangtua siswa untuk menyediakan bekal sehat untuk anak, serta upaya pengawasan dan pembinaan terhadap keamanan pangan jajan oleh berbagai pihak seperti pihak sekolah, Dinkes setempat kepada penyedia pangan jajan. Kata Kunci : ARKL, Boraks, Siswa Sekolah Dasar Referensi: 119 (2006-2019) ii FACULTY OF HEALTH SCIENCE PUBLIC HEALTH STUDY PROGRAMS DEPARTEMENT OF ENVIRONMENTAL HEALTH Environmental Health Risk Assesment of Borax Exposure in Students Who Consume Meatball at Cirendeu 02 Ciputat Elementary School in 2019 Husnia Zuhra, NIM : 11151010000078 Xx, 186 pages, 8 pictures, 28 tables, 2 Diagrams, 7 attachments ABSTRACT Borax is a chemical that is prohibited from being used as food additives, but its presence is often found in food, one of them is meatballs that are sold at SDN Cirendeu 02. The students are at risk for Borax's exposure. The general objective of this study is to determine the estimated risk of borax exposure for students at SDN 02 Cirendeu in 2019 so that proper risk management can be done. This study is a quantitative research, using the ARKL (Environmental Health Risk Assesment) design. The data of this study were obtained from interviews through a questionnaire and measurement of borax levels in meatballs. This research is conducted on 165 respondents of the 2nd until 6th grade students. Data analysis contains of univariate analysis and risk analysis which included calculation of intake, risk quotient, and excess cancer risk. The results shows that the concentration of borax was 1.31467 mg / gr. The results of risk characterization showed that non-carcinogenic risks in realtime for class 6 because it gets RQ value > 1. As for carcinogenic risk shows that the value of ECR> E-4 both in realtime and lifetime, which means it had carcinogenic risk. Risk Management that can be done to prevent responedents form health problems by replacing the use of borax as a preservative and thickener with natural ingredients namely carrots extracts adan seaweed flour, advising parents to provide healthy food foor children bring to school, monitoring and fostering efforts for safety food by various perties such as elementary schools, local health offices to food provider. Key Word: EHRA, Borax, Student, Elementary School Student Reference: 119 (2006-2019) iii SURAT PERNYATAAN KEASLIAN Dengan ini saya menyatakan bahwa : 1. Skripsi ini adalah hasil karya saya yang diajukan untuk memenuhi salah satu persyaratan memperoleh gelar Sarjana Kesehatan Masyarakat (SKM) di Fakultas Ilmu Kesehatan Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta. 2. Semua sumber yang saya gunakan dalam penulisan ini telah saya cantumkan sesuai dengan ketentuan yang berlaku di Fakultas Ilmu Kesehatan (FIKES) Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta 3. Jika di kemudian hari terbukti bahwa karya ini bukan hasil karya asli saya atau merupakan jiplakan dari hasil karya orang lain, maka saya bersedia menerima sanksi yang berlaku di Fakultas Ilmu Kesehatan (FIKES) Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta iv PERNYATAAN PERSETUJUAN v LEMBAR PENGESAHAN vi RIWAYAT HIDUP I. Data Pribadi Nama Lengkap : Husnia Zuhra Tempat/Tanggal Lahir : Medan, 16 Mei 1998 Jenis Kelamin : Perempuan Agama : Islam Alamat : Jl. Sd. Inpres Pondok Karya, Perum Ganda Asri Blok A No 9 RT 07/ RW 03 Email : [email protected] No. Hp : 089520024354 II. Riwayat Pendidikan 1. SDN 02 Petukangan Utara Jakarta Selatan, tahun 2007-2009 2. SMPN 235 Jakarta Selatan, tahun 2010-2012 3. SMAN 5 Tangerang Selatan, tahun 2013-2015 4. UIN Syarif Hidayatullah Jakarta, Program Studi Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, tahun 2015-2019 III. Pengalaman Organisasi 1. Seksi Bidang II OSIS SMAN 5 Tangerang Selatan periode Tahun 2013- 2014 2. Wakil Ketua Teater Penta 5 SMAN 5 Tangerang Selatan periode Tahun 2014-2015 3. Anggota departemen Seni dan Olahraga Himpunan Mahasiswa Program Studi Kesehatan Masyarat UIN Jakarta periode tahun 2016-2017 4. Ketua divisi Event Organizer Karang Taruna Garuda Muda Pondok Karya periode tahun 2016-2017 vii 5. Wakil Ketua Basket Kesehatan Masyarakat UIN Jakarta periode tahun 2017-2018 6. Kepala departemen Seni dan Olahraga Himpunan Mahasiswa Program Studi Kesheatan Masyarat UIN Jakarta periode tahun 2017-2018 7. Anggota departemen Forum Silaturahmi ENVIHSA (Environmental Health Students Association) UIN Jakarta periode tahun 2017-2018 8. Ketua Divisi Acara Seminar Profesi Kesehatan Lingkungan UIN Jakarta Tahun 2018 IV. Pengalaman Bekerja 1. Praktik Belajar Lapangan di Puskesmas Bhakti Jaya pada Juni 2018- September 2018 2. Magang di Dinas Lingkungan Hidup dan Kebersihan Kota Depok Bidang Pengendalian Pencemaran dan Penaatan Lingkungan pada Januari- Februari 2019. viii KATA PENGANTAR Segala Puji dan syukur penulis ucapkan atas kehadirat Allah SWT, yang senantiasa memberikan rahmat dan karunia-Nya sehingga penulis dapat menyelesaikan penyusunan skripsi yang berjudul “Analisis Risiko Kesehatan Lingkungan Pajanan Boraks pada Siswa yang Mengkonsumsi Bakso Di SDN Cirendeu 02 Ciputat Tahun 2019”. Penyusunan penelitian ini merupakan salah satu persyaratan untuk menyelesaikan studi perkuliahan pada Program Studi Kesehatan Masyarakat Fakultas Ilmu Kesehatan Universitas Islam Negeri Syarif Hidayatullah Jakarta. Penyelesaian skripsi ini tidak terlepas dari bantuan dan dukungan berbagai pihak. Pada kesempatan ini penulis ingin menyampaikan terima kasih kepada : 1. Ibu Dr. Zilhadia, MSi, Apt, selaku Dekan Fakultas Ilmu Kesehatan UIN Syarif Hidayatullah Jakarta 2. Ibu Catur Rosidati, M.K.M, selaku Kepala Program Studi Kesehatan Masyarakat Fakultas Ilmu Kesehatan UIN Syarif Hidayatullah Jakarta dan selaku Pembimbing Akademik penulis. 3. Ibu Dr. Ela Laelasari, SKM., M.Kes selaku pembimbing yang telah banyak memberikan arahan, masukan dan saran perbaikan selama penyusunan penelitian ini serta mengijinkan untuk riset payung bersama dosen. ix 4. Ayah (Ir. Zukhrawardi Zuhdy, M.Sc) dan Ibu (alm. Hj. Zainab. SE & Munni Rosnita) yang selalu mendukung dan mendoakan selama persiapan, pelaksanaan hingga penyusunan dalam penelitian ini . 5. Kakak (Suzan Zuhra, S.Psi dan M. Ridwan, M.Kom) dan Adik (Fahira Zuhra) yang selalu mendukung, memberikan masukan dan senantiasa mendengarkan setiap keluh kesah penulis dalam melaksanakan penelitian ini . 6. Teman seperbimbingan Tika, Neng, Ila, dan Dini yang telah membantu dan menyemangati penulis dalam melaksanakan penelitian ini. 7. Selvi, Lintang, Ina, Pika, Dilla, Aini, Silvia, Elsa, Tami, Ayu, dan Hasnah yang yang telah membantu dan menyemangati penulis selama berkuliah di UIN. 8. Regy Dwitama yang telah membantu, memberikan saran dan semangat bagi peneliti hingga penelitian selesai dilaksanan. 9. Teman-teman Kesehatan Lingkungan 2015 (ENVIHSA 7) serta yang telah memberikan
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