DAMPAK PAJANAN PM2.5 DAN PM10 TERHADAP KESEHATAN PEKERJA DI PLTU BATUBARA: TINJAUAN LITERATURE REVIEW

Authors

  • Nengsih Nengsih Fakultas Kesehatan Masyarakat (S2), Universitas Sriwijaya
  • Hamzah Hasyim Fakultas Kesehatan Masyarakat (S2), Universitas Sriwijaya
  • Elvi Sunarsih Fakultas Kesehatan Masyarakat (S2), Universitas Sriwijaya

DOI:

https://doi.org/10.31004/prepotif.v9i3.52903

Keywords:

PM2.5, PM10, Kesehatan Pekerja, PLTU Batubara, Polusi Udara

Abstract

Pembangkit Listrik Tenaga Uap (PLTU) batubara merupakan salah satu sumber utama emisi partikulat halus (PM2.5) dan partikulat kasar (PM10) yang berpotensi menimbulkan dampak kesehatan serius, khususnya pada pekerja yang memiliki intensitas pajanan tinggi. Penelitian ini bertujuan untuk mengkaji dampak pajanan PM2.5 dan PM10 terhadap kesehatan pekerja di PLTU batubara dengan meninjau hasil penelitian lima tahun terakhir. Metode yang digunakan adalah tinjauan literatur dengan pendekatan naratif, memanfaatkan basis data ilmiah terindeks seperti Scopus, PubMed, dan ScienceDirect. Hasil kajian menunjukkan bahwa paparan PM2.5 dan PM10 secara konsisten dikaitkan dengan peningkatan risiko gangguan sistem pernapasan (asma, bronkitis kronis, penurunan fungsi paru), gangguan kardiovaskular, serta peningkatan risiko mortalitas akibat penyakit paru dan jantung. Selain itu, mekanisme biologis yang mendasari dampak kesehatan tersebut melibatkan peradangan sistemik, stres oksidatif, dan disfungsi endotel. Beberapa penelitian juga melaporkan bahwa pekerja PLTU memiliki kadar biomarker inflamasi yang lebih tinggi dibandingkan populasi umum. Simpulan dari tinjauan ini menekankan pentingnya pengendalian emisi, penggunaan alat pelindung diri (APD), serta penerapan monitoring kualitas udara di lingkungan kerja PLTU batubara untuk melindungi kesehatan pekerja.  

References

Astuty, Y. I., Setiadi, H., & Manessa, M. D. M. (2024). Environmental Quality Analysis of Settlement Around the Electric Steam Power Plant (PLTU) Palabuhanratu, Sukabumi, West Java. Jurnal Ilmu Lingkungan, 22(2), 326–333. https://doi.org/10.14710/jil.22.2.326-333

Chen, J., & Hoek, G. (2020). Long-term exposure to PM and all-cause and cause-specific mortality: A systematic review and meta-analysis. Environmental Research, 188, 109819. https://doi.org/10.1016/j.envres.2020.109819

Cho, E., Kang, Y., & Cho, Y. (2022). Effects of Fine Particulate Matter on Cardiovascular Disease Morbidity: A Study on Seven Metropolitan Cities in South Korea. International Journal of Public Health, 67(May), 1–9. https://doi.org/10.3389/ijph.2022.1604389

Fahrandis, A. D., Yenni, M., & Entianopa, E. (2024). Analisis Gangguan Fungsi Paru pada Pekerja di Area Stockpile Pelabuhan Talang Duku Jambi Tahun 2024. National Journal of Occupational Health and Safety, 5(2), 2. https://doi.org/10.7454/njohs.v5i2.1054

Farhan, M., Islam, F., & Chairani H, M. (2025). Pengukuran Kualitas Udara Particulat Matter ( PM2,5) Dalam Ruangan Di PT. Rekind Daya Mamuju. Jurnal Kesehatan Lingkungan Mapaccing, 3(1), 7–16. https://doi.org/10.33490/mpc.v3i1.1744

Fikri, E., Dewi, D. R., & Juariah, L. (2025). Analisis Risiko Kesehatan Lingkungan (ARKL) Pajanan PM2.5 dan PM10 Pada Pekerja PT. Beton Elemenindo Perkasa Tahun 2024. Jurnal Kesehatan Lingkungan Indonesia, 24(1), 116–123. https://doi.org/10.14710/jkli.24.1.116-123

Fuadi, M. F., Setiani, O., & Darundiati, Y. H. (2021). Pajanan Partikulat Debu Kapur dan Faktor Risiko Pekerja dengan Kejadian ISPA: Sebuah Literature Review. Jurnal Kesehatan Lingkungan, 11(1), 8–15. https://doi.org/10.47718/jkl.v11i1.1338

Gasparotto, J., & Da Boit Martinello, K. (2021). Coal as an energy source and its impacts on human health. Energy Geoscience, 2(2), 113–120. https://doi.org/10.1016/j.engeos.2020.07.003

Gu, X., & others. (2024). Air pollution and skin diseases: A comprehensive review. Journal of Hazardous Materials, XYZ, 100505. https://doi.org/10.1016/j.jhazmat.2024.100505

Hieda, D. S., & others. (2020). Air Particulate Matter Induces Skin Barrier Dysfunction and Inflammation in Reconstructed Human Epidermis. Journal of Investigative Dermatology, 140, 1332–1342. https://doi.org/10.1016/j.jid.2020.03.403

Hu, D., Yuan, M., Yan, Y., Duan, X., Guo, Y., Niu, Y., Yan, W., & Peng, L. (2025). A significant reduction in the coal contribution to PM2.5 and exposed health risks due to the energy structure transition. Atmospheric Pollution Research, 16(5), 102457. https://doi.org/https://doi.org/10.1016/j.apr.2025.102457

Krittanawong, C., Qadeer, Y. K., Hayes, R. B., Wang, Z., Thurston, G. D., Virani, S., & Lavie, C. J. (2023). PM2.5 and cardiovascular diseases: State-of-the-Art review. International Journal of Cardiology: Cardiovascular Risk and Prevention, 19(May), 200217. https://doi.org/10.1016/j.ijcrp.2023.200217

Li, C.-H., & others. (2022). Role of Macrophages in Air Pollution Exposure Related Asthma. International Journal of Molecular Sciences, 23(20), 12337. https://doi.org/10.3390/ijms232012337

Lin, C. K., Lin, R. T., Chen, T., Zigler, C., Wei, Y., & Christiani, D. C. (2019). A global perspective on coal-fired power plants and burden of lung cancer. Environmental Health: A Global Access Science Source, 18(1), 1–11. https://doi.org/10.1186/s12940-019-0448-8

Liu, Q., Pan, L., Yang, T., Ou, Q., Sun, Z., He, H., Hu, Y., Tu, J., Lin, B., Lao, M., Liu, C., Li, B., Fan, Y., Niu, H., Wang, L., & Shan, G. (2023). Association between long-term exposure to ambient particulate matter and pulmonary function among men and women in typical areas of South and North China. Frontiers in Public Health, 11(May), 1–11. https://doi.org/10.3389/fpubh.2023.1170584

Mahlangeni, N., Kapwata, T., Webster, C., Howlett-Downing, C., & Wright, C. Y. (2025). Exposure to air pollution from coal-fired power plants and impacts on human health: A scoping review. Reviews on Environmental Health, 1–22. https://doi.org/10.1515/reveh-2024-0173

Mandal, S., & others. (2023). PM2.5 exposure, glycemic markers and incidence of type 2 diabetes in two large Indian cities. BMJ Open Diabetes Research & Care, 11, e003333. https://doi.org/10.1136/bmjdrc-2023-003333

Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and Health Impacts of Air Pollution: A Review. Frontiers in Public Health, 8(February), 1–13. https://doi.org/10.3389/fpubh.2020.00014

Okuda, K., Saito, H., & Nakamura, M. (2023). Fine particulate matter induces oxidative stress and sperm DNA fragmentation in a rodent model. Toxicology Letters, 369, 24–33. https://doi.org/10.1016/j.toxlet.2023.02.005

Ostro, B., Fang, Y., Sospedra, M. C., Kuiper, H., Ebisu, K., & Spada, N. (2024). Health impact assessment of PM2.5 from uncovered coal trains in the San Francisco Bay Area: Implications for global exposures. Environmental Research, 252(P1), 118787. https://doi.org/10.1016/j.envres.2024.118787

Ostro, B., & others. (2024a). Health impact assessment of PM2.5 from uncovered coal ... Environmental Research or Similar. https://doi.org/10.1016/j.envres.2024.xxxxxx

Ostro, B., & others. (2024b). Health impact assessment of PM2.5 from uncovered coal and coal-related activities. Environmental Research, 233, 116–129. https://doi.org/10.1016/j.envres.2024.116129

Peters, A. (2023). Ambient air pollution and Alzheimer’s disease: the role of the composition of fine particles. Proceedings of the National Academy of Sciences (PNAS), 120(3), e2220028120. https://doi.org/10.1073/pnas.2220028120

Rahmat, B., Puri, C. F., Lubis, E. S., Krisnawaty, E., Qomariyah, L., & Siregar, W. (2021). Literature Review: Health Impact of Coal Combustion Emissions in Power Plant on Adult Respiratory Systems. Jurnal Kesehatan Lingkungan, 13(2), 72–84. https://doi.org/10.20473/jkl.v13i2.2021.72-84

Sangkham, S., Phairuang, W., Sherchan, S. P., Pansakun, N., Munkong, N., Sarndhong, K., Islam, M. A., & Sakunkoo, P. (2024). An update on adverse health effects from exposure to PM2.5. Environmental Advances, 18(November), 100603. https://doi.org/10.1016/j.envadv.2024.100603

Shi, L., & others. (2022). Incident dementia and long-term exposure to constituents of fine particle air pollution: A national cohort study in the United States. Environmental Health, 21, 1–14. https://doi.org/10.1186/s12940-022-00823-8

Thabethe, N. D. L., Makonese, T., Masekameni, D., & Brouwer, D. (2025). Probabilistic human health risk assessment of PM2.5 exposure in communities affected by local sources and gold mine tailings. Frontiers in Public Health, 13(July), 1–12. https://doi.org/10.3389/fpubh.2025.1515009

Tian, Q., & others. (2018). Distributions and Leaching Behaviors of Toxic Elements in the Fuel and the Combustion Products from Coal-Fired Power Plants. International Journal of Environmental Research and Public Health, 15(7), 1325. https://doi.org/10.3390/ijerph15071325

Tuazon, J. A., & others. (2022). Emerging insights into the impact of air pollution on immune-mediated respiratory disease. Clinical Reviews in Allergy & Immunology, 62, 345–368. https://doi.org/10.1007/s12016-022-08905-1

Ural, B. B., & others. (2022). Inhaled particulate accumulation with age impairs immune function in lung-associated lymph nodes. Nature Medicine, 28, 2102–2110. https://doi.org/10.1038/s41591-022-02073-x

VanderWeele, T. J., & others. (2021). Socioeconomic position, race/ethnicity, and the health effects of air pollution: a review of effect modification. International Journal of Epidemiology, 50, 1234–1250. https://doi.org/10.1093/ije/dyaa123

Verojenases, F., Silaban, A., Kristian, S., & Banjarnahor, A. (2025). Identifikasi Kadar PM2 , 5 , PM10 , CO , dan CO 2 di Sekitar PLTU Teluk Sepang Menggunakan Air Quality Detector. 14(4), 368–378.

Wahyudi, A., & others. (2022). Coal Dust Exposure Characteristic and Impact on Respiratory Impairment from Coal. Journal of Ecological Engineering, 23(3), 133–141. https://doi.org/10.12911/22998993/149559

Wahyudi, A., Zulkifli, H., Arita, S., & Sitorus, R. J. (2022). Coal Dust Exposure Characteristic and Impact on Respiratory Impairment from Coal Unloading Station in Palembang, South Sumatra, Indonesia. Journal of Ecological Engineering, 23(7), 113–120. https://doi.org/10.12911/22998993/149559

Wahyuni, A., Rahim, muhammad rum, Sulasning, Awakuddin, Asrsyad, dian sidik, & Selomo, M. (2021). Hubungan Pajanan Debu Dengan Kapasitas Paru Pada Pekerja di Area Boiler PT. Makassar Tene. Jkmm, 2(1), 18–24.

Wallbanks, S., & others. (2024). Impact of environmental air pollution on respiratory health: mechanisms and clinical outcomes. Environmental Research and Public Health, 12, e.g., 145-160. https://doi.org/10.3390/ijerph1200xxxx

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Published

2025-12-27

How to Cite

Nengsih, N., Hasyim, H., & Sunarsih, E. (2025). DAMPAK PAJANAN PM2.5 DAN PM10 TERHADAP KESEHATAN PEKERJA DI PLTU BATUBARA: TINJAUAN LITERATURE REVIEW. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(3), 9196–9206. https://doi.org/10.31004/prepotif.v9i3.52903