Abstrakt: |
The continuous use of pesticides impacts short-term health with numerous harmful chronic effects. The harmful effects of pesticides could affect reproduction in women of childbearing age and female farmers, including infertility, low birth weight, preeclampsia, eclampsia, and abortion. This study is observational analytical research with a case-control approach with 38 cases and 38 controls. Data were analyzed using the Chi-square test for bivariate analysis and multiple logistic regression test for multivariate analysis. There were significant associations between the incidence of spontaneous abortion and the following: the intensity of exposure (p = 0.001; odds ratio (OR) 12.60), mixing of pesticides (p = 0.004; OR 3.69), use of personal protective equipment (p = 0.001; OR 7.25), parity (p = 0.001; OR 2.763), and time intervals between births (p = 0.002; OR 4.12). The results of the multivariate test using multiple logistic regression to determine the risk factor model showed a significant relationship between the incidence of spontaneous abortion with the intensity of exposure, pesticide mixing, personal protective equipment, parity, and birth distance for the exposure intensity variable were OR at 57.78, 3.73, 20.06; 28.48 and 3.98, respectively. In conclusion, female farmers should avoid working directly with pesticides during pregnancy and must use personal protective equipment if they have to participate in agricultural activities. [ABSTRACT FROM AUTHOR] |