THE EFFECT OF SMOKING HABITS AND EXPOSURE TO ULTRAVIOLET LIGHT OF SENILE CATARACT OCCURENCE (A Case Study on Ophthalmology Poly of Rsd.

PROSIDING

THE IMPACTS OF REGULATIONS
ON TOBACCO CONTROL
(Review Of Health, Economic, Social

and Cultural Aspects)

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>ROSIOING INTERNATIONAT SEMINAR

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!,:-ICTSOF REGULAIIONS ONIOBACCO CONTROL
€. of Nealth, Economic, Sociatand Cu turalAspects)

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2012

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Gedune Mas Soerachman Untversiras tember


Yusi Ratn awati, 5.1(M., M,l(es.

MaLuft,s.KM., M.l(es,

:raun Trirahayu NinCrum, S.(M., M.(es.

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zulkarnain, S.KM., M.Kes.

ished byiember UniveBhV pre$

:: r.:978 602 9o3o 04

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foIen6angun Qenerasi
q4enuju Ifl son Eery restasl
Jember University Press
Jl. Karimanran 37 Jember 68121
Telp. 0331.330224, psw. 319, 320
E-maii: [email protected]
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SmokingAnd Form nB Risk B€havoorToward Hlv/Aidsln Girl

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smoking Habits And Exposure To

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'THE PRODUCTOFTOAACCO AND ITS EFFECTS ON ENVIRONMENT

2, THE HEALTH TCONOMY IMPACT OFTOSACCO
3.

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'

Of BioloEi.al

ltudy ot Famiys Knowedse

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Che@ Iriwi.liafta

Towardsmoker's mpact To The
Bp a.o
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ase,TajinanDisrrlarOtlvlaanEReeencV

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Package Byenvironment vsion

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: . 1 anti, 5)ti tlunotdo, lma Wadati,

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lfiesrated Ma*etine cofrmuni.arons (tmc)Hea rhy Behavior
wirhout robacco
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PasrengetrTo prohib rion po icy on smok ng at Tratn

Eriwitcohya, hd Mo'rufi, Etdi tsuoji
Env

ronhental Tobacco smoke (Ets)And BehaviorRisk on

Anito Dewi Moelvo n i hq tun

Govemmenr Regulation tn Cieareite tndustrv

97

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5MOKtN6lN THE REL|GtUt soctALAND CUTTURAL

ABe Smokere tn Th€ (edonegoro Vitag., Sub lenggawah, 1OE_111


oeterminant Factors OiSmoking Behavior tn Badune Reeency tn 2012
Mode Kedo Dudno, ketrtSuorjono, putu Sootyoni, Hoti Mutidwon
smoking Parcnrs And oietary tnrake ofToddters tn poor Househootd At

Madiun 118-126

Njhno Roh fro woti, Su listyoni

ciSarett€ use Among lndones

ans

127

Behalior Change Descriptioi Of Femate Smoker
Kusyoao Cdhyo, Rikd

At pubic Heath Co[e8e tn 134-143

Ytliana


Hypdio tnductble Foctorlo lN F-a) tniuen.e on Human Fat Stores: Revtew

Mast Ceel, Neutophtl, timphocvte & Alveoar Macropha8e tncrease Due Io
CiBaretreSmo[e Erposure On Mice {Mus

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ororder Bcrw.. 5mokinE worker And Non r50
q jen Mouir, r Raiee Banyuwane E.s avr

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otati

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r?

aontrortn tndones

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1S3

156

157

Sohtiot,

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Riswonda,

:1, Atyarry Rnky N, Metlno and6 r, ultuh K, silvi Atihdo,

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i.,.asrnE Excise aid Toba.co rares on Tobac.o,attrtburab

e

.)1nan, syepti Arieahi, ajno Met w, suhiydti
Andoyohihgtyos,
'': oa\.51!. t1.e.Dtan-to o. p.oaqL- . N..oad_b.

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ns

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egitmaretsam

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w ih the ctgaretre5mok.B Behavior

in

ndonesia

152 - 163

SUTTEMA 1

le ,ffi
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TOBACGO

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Erpo5urc

Io ultGviolet lisht or senile

EFFTCIS OF SMOXING HABIT5AND EXPOSURETO ULTSAVIOLET
CATARACT OCCURRENCE

(a case studv on ophlhalmolosy Polv o, R5d Dr, soebandi l€nb€4

End.hWahyukusumaninBtyas', kmaPrasetyowati)

ub c Health, UniveE ty olrember
emiology and Biostatktics PopuLation, Faculty

of

Public Heath,

UNEJ ll. Ka imantan 37lemberTelp. (0331) 13181A, 32)995.
ti@yahoo com HP: 031330403092

t-

i.dEround. Cdtdrd.l :\ d pdll-ooe(c -o-diton n shr.l- lle ens be(ome, doudy d..
ravrnrluerrerh"
!,rr r"* rr- aaor,ya.mn o,'"n! prorendelar-'d.on Ra\'c.to,3lhar
'nhpri'ed
aaru_,
{prod
rclabo r
a'p r-nriolal
ons

'\e,
$.a*..-r',oni"'po.,,"Lo"trc oletl'srL.lcr'11610'rotrarara+.arohol.rrano',
tror,.E, sor,oeconomr aesree and edu.at

onar status

i5je.tive:lheptrpo,eolt.sresea'(.*srodere'm''e15ee{qr'or.moi'Bhtrb'.d_d
h,*,ot"t tg. " oo-'o on rh" incden" o! ,e'ilp,dr"rd I d"ea'e rn op1.l-dToogy
Ldion :r dr soeband' HosotaLlember

[ar'oat, ".r ---.. wJ\ a. oo'"tuar'oral andvri' .lrdy u ins .d\e.ontrol 'tJdy
bprodch. lhe qtrp e Gres *e'e parenrs no,e'p d'a8.oseo bv oo,ror ro,-fi.r fro n
Erie carara"r ro, whLh they

*ere

as

Fmpkr {e p hnr. oidsno,ed b, oono. rol .-ffe f.on

nan, as 20

peop'e Lonkol
id.drd(t
ser, e
d, Tdnv as 60

i$pelheda'aob_.nFdnFrFanaly'.du.in8bivanaleanay.hwir.ognri'reg'e$ionles
fith a rsninonce levelor5%
l.ruh: Thp rer rh r$- L

iilt .taiuFsolp

(d = o 05).
nd tdLed d

sn'rt"nL effell on rh. d6.ao.r ra.ll..a_arad
sne\nolqslp 0,02ll"nd ulr"rolet lie\L eipo,ne {p-0.0001) whil.
dere ror 5 sn'f(anr were ,rol, ls {atr(. duratiol or
"ro[ rB "nd the
5

he srdb e( *h(h
iumb€r or.iParettes smol,ed
Eonclusion: lhere r a q sirn'l(alr

r
ol
"he( oi lh" d'.pd."
'rni'e.arara *i s.dru'e'o'
Jecllh
edlraron to pa$'ve snol,er wd.
Lr+" or",, -a -.,^ior"t etr
"nprer"nr
",po'""
\enile
rh" i...ea\ing in.id..c. olulara"l
Fededto
ords :

Hea

ieve

th development almed al !mproving human resources in

Lndonesia. This is

to

optma heahh, one throu8h five senser namely heath sense ol vision Thereiore,

6ie
,

tnakinq hobits, ulioviolet liqht expasute, senile tdtdct.

of tisht k one ol rhe key tactoE for the realizanon oroptimalheahh {Ministrvof

R€publc oi tndonesia, 2005), This is becausa about 33% less ihan the main roure of
ol Re@totior tu robo.@ contot

l9

of rf.rnrJr. nnr. id.dtri .iri

ibsorpton

3

D'o.cr o..u6 through thc

!e : ,

orsinrrrD LwtsOren nitesrhere./e 45'nillon brnd peopc _ : E
lvo d,3idthethrdol h.hare nsorth.riA\tr An rn mrted t2 p.ople be..'ne L _:
word Healih

every m nute n the wo. d, and 4 ol

th.m

trre i.onr sourheast As a, wh le

estmated that every miiure there is ore pcEon
suruey in 1993"1996 5 ght and Hearlng in

Wh-"re the lead nc causer or

ln ndonei: :

to be blnd (wHo, 2005) 5en5eH.:-

Aguniawai (2007), showed the blndne$ of r 5::

blindner ar€ carara.t

10.73%),

sau.oma (0 20%), rerracl

,:

di5ordeE l01a%), and other dl5eases associated with asinc (0 33%) Meanwhile, accordin:

to the Basc Heath Resear.h (Riskesda9 Natona in 2007, s knowtr for blindnes due to
catacd(1.3%), wh.h inneased from

1 2%

a.rord'ns to the 2001Hour.hold Heahh ruruey

calara.t is a coudln8 or ross oI transparency oi
Iurbidiryis.rused by norma metabolc disorder

the

lenses rhat can

ens prote ns {.rystalli^e).

arje

at var ous specific age

: :! 24091 The et..J,i.f.atar3. is st not clear and is asso. at.d wilh many tacto6
a,::ii,.:..:!a.f..1a..t5 sthenaruG pro.e$ ofage lvith.ont nued n.reases.ause
:1:r:.r

Lr

the

ele orher rjk

factoG rhat may ifuence the o.cu(ence of calaracts

s

nutirional nalui, nerold use on3, congenital m€taboli. disorde6, chronic exposure lo

ullravoetlghtexposure,famiyhGtoryofcataract,aLcohol,nutrtion,5moklng,dEsreeof
socio ecoiomic

aid educarional status

(Lus anawrty et

a1,2007) astudy byNanifah in 2010

known slgnilcant reationship between the varlables of smokins, exposure
rays,

to ullravolet

a.ohol con5umpuon, diabetes mellitus, and hypertenslon on th€ rcdence oi sen e

Based on a pre lm na.y survey

ofthe data obtained in patients wth cataract dur

ng

the lirn ihree months of 201r, the.e were 234 peop e have caiarad patienc who went to

poyRSDeyedrsoebandllember,oiwhich63.66%isol.asestheoLdandtheotherisanew
cse 131147, Wh
much as 263 pat

*'lexpe

e patents wlth senile

catara. vere re.!rded ln

enls ThE su$ens thal the nciden.eofsei

en.lns'nneased cases

Po

v!

RSD dr.

in RSo

dr

Soebandl

smokLng and sun

exparur. on the

Soeband lembe'

h?

L.

-tara.t

dr .lembersoebandi

n e3ch period

Am of thk {udy was io analyze the effe.l of
lncld.i.e ofs€nilo.aiarrct ln

o

R5D

tnpqxalReqdeioron taba(a.o

tot

,,nve rc!oa(h
_.

PaPu itLon

of

rhtrr use50bscr

the.:\.

5t!d

.1!Ddr socb.ndil. b.r n2011 \'\h eDo0tr:tol"ntio rriot

. !;cr(teitmentJrPol5RSDdr loebaf,dlember n2011 wh e
: 1j .tudy (ere dlagnosPd patient. sufie ng lrom sen e cataiact
::r:mr t at Pol\ RSD dr soebandlember n M'v 2011 lune 2011
: :: :is dLasno.ed wth a do.tor is not the teatnrent of 5enlle'ataracts

.
'

:,
: :i!::ndi.mberlnMaY2011'1une2011.
. ::: ',J5clnduded nPolYsRsDdr soebandilember dur n3 lhe month of
:. : : i:mp e of 6o respondenB with deta Is of 2o respoidents to a sample ol
_;rPs and 40 tontroL 5ample5samplinE svneman' random samping

'

: : _: ideoendent

virlabPs

i. th5

(ase'

studv wP'er respoident

'harader5ucs
_j Ls'noknE natui, duraton of sroknS number of igarettes smokpd'
:tatu5), and exposure to u tavio et lsht (Lons exposure) while the

:

:i,eLithe5tudy'thswasthein.ldenceof senle'ahn'r
:::.ralFis 5 usad to see the elfect olsmok i3 and erposure to u travolet

:: :,r'

LSht on

:::_::ofsen e cataract in rhe eve Po RSOdr soebandi bv'acuatingoddsratos
and
i 3 : x 2 tab e, whil. to nvest gate the influence of the ndependeni varlables
::_jart vrriab e caku ated us ns 3 mple loeittic resre* on ten |xth sign f 'an" level

-:.ncs

:

ofrespondens by

age are presented

-i nr buuon Chara.terGti.sofRaspondents

rq

110

'.r1

ll!

r:q

::!!!
e

tnp{tolR4ut a orhbth'o

rct

tl

Bi!cdontibe r, rIrnirbution oirospondcntsbyirjr ! .rown
respondeiG ased > 50 ye.E Nth a pcrcentaee or 60 o%

I

nre lwo sroups

i..ord

ne ro aB. wett

I

rhe crre group

thar rhe

n: :.

ind rhe .onro Br.np, Bir:.:

m:lorly ot ..5poident5 .se.J: 50 ye.^, ar nrany is 29.0%

n

the.ar. ercup:nd l5:1

nr but.n ofrespondentl with feoa c s€xs tiphtv,nore 15>:
ser (46.7e,!l rhere 3re s m iritcs between ihe ,

Gender d

relpondeic thanm: e

Sroupsintheca5ewhere there5pondentdeSandorefemale gendarsat 133% wh e rhe conr-J

groupwasalsomorerespondentswithfemalesexbyl5o%

D

Iab

strlbutioi ofsmoktng staturof respondentsis

e 2.0 strlbus onofSfr

as

fo

ows:

okinsHabits

l!1?l

IIEL

20

I I

40

66.7

-

ii
:iof r.!pordortrbvnit!!D,iiokng.iib' jcer':!n!'rr r'!r
:rrdthivealmoligh.bt ttherc strdfteren" ithc !o8rou0!b'llr n
.,0 .i.l iha .ontro sroup, rvh.rea! n the .rse srorp 'onri red r3l% 'f
: , .1ho snok€d wh' o n lhe .oito sroup rhere wrrt ll 7ti lrho do not tnoke

'

I -: r.idcnts

: :

::rio.dentscuncnty

'

'
:

who nnoke or equal to 43 3% of retpondenti who smoke trre up to

t

:..

nr

the.a!o ol26 9%ofrespond'nts

.ontol

are

Sroup therc were

l0

stil ln
3%

bv the duGton okmokln8can be 5een that mosr of the

had smoked fo. over 10 vea4, t s good for the akeadv quit or

n

I smoked

rhere in the.ase ol 33 5% of respondenB had smoked for over loveaE whi e

:

: :

of

lrad qult as smoke6

- i:rbution of respondents
:

n

smoking or as nnokeE whereai in the

::_::.,ho

. r : i:it

smoker

a

;r.up by lo.3%, ln.luding lhe snokers who

had smoked

for

n

the

ess than r0 veaE

r. : i :n the number of c garettes smoked during the da\] bv the r'spondeit n mind that
:'th. respoidenc smoked csarpttes in a dav bv morethan 2O'lsarettesamounted to

:
.:
i I

n the case of a Croup known as much as 26'9% of respondenB who snoked
sroup where there are
:ii8 by nore than 20 .ga.ettes per dav, and in lhe

'oniro

,

ol,espondentswho smoked cBatettes bvmorethan 20 cigarettes per dal,

Di5tbuton of r€spondents bv natus of pa$ive smohnB most re5pondents ai

:i i ,: smokeE is equaLto
: : : rup

53 3vo. But there

(

ad

lleren'e ln the two eroups both in ihe

pa$ive
and the contiolEroup, whereas in dre .ase of 26 7r: of re!po'rden1! arc

_:.:a,h

einthe.ontro sroupbv35o%ln5teadolpa*ivesookerr

Efle.t af SmokinE status on Genes5 senle cataract

:
: -i

'an

be detecteC u!

i3 :

:

r::

h's a
: roBre$on wlth a vaLup of q = o.o5 t h known that rmokinE $atus var:b '
'
value confid'n'e
o 200 with odd! rauo (oR) of 2 037 and the lower and upper
=

'--.r ic)95vo, ie 0636 and 6052. The resuts of the aialvsG showed that wai not
:: r !enili.anr, and thu5 varlab e smok ng staius did not lnlluen'e the o"urence ol
rh.

resulls or th s 5tudy

. rrr i.

in

ine wilh the research okirafr da 120r0) whl'h stated

Tsroclation between sff .k ns and the

l

r

Ll

dence of .rrara'15 Based on tha

: rbtaincd nthefeld,posiblvinrEnilcanLnatist'a resuhs of th s studv 'ould be
: ne.rrre the respondents were ietted at th.llme of the nudv are dominar'd bv
ds al FeqdotbT on

tobo

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