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Faktor Risiko Kejadian Mikosis Superfisialis pada Nelayan di TPI Puger

*Muhammad Fauzi Aldi  -  Program Studi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Jember, Jawa Timur 68121, Indonesia, Indonesia
Candra Bumi  -  Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Jember,, Indonesia
Adistha Eka Noveyani  -  Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Jember,, Indonesia
Received: 24 Dec 2025; Revised: 11 Feb 2026; Accepted: 22 Feb 2026; Available online: 24 Feb 2026; Published: 24 Feb 2026.

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Abstract

Background: Superficial mycoses are a common global health problem among fishermen, particularly in tropical regions. Factors such as personal hygiene, length of employment, and obesity have been associated with superficial mycoses, while continuous exposure to high-salt seawater in fishermen’s occupational environments has been hypothesized as a potential protective factor. This study aimed to analyze the risk factors for the incidence of superficial mycoses among fishermen at the Puger Fish Auction Place (FAP) in Jember Regency.

Methods: This cross‑sectional analytic study included 97 fishermen selected through quota sampling at Puger Primary Healthcare (PHC). Data on personal hygiene and length of employment were collected using validated questionnaires; obesity status was determined by Body Mass Index (BMI); and superficial mycoses were diagnosed by clinical examination. Univariable analysis described the distribution of all variables, and bivariable analysis using the Chi‑square test assessed associations between risk factors and superficial mycoses.

Result: The prevalence of superficial mycoses was 10.3% (10/97). There were no statistically significant associations between personal hygiene (prevalence ratio/PR 1.88; 95% CI 0.42–8.33; p=0.494), length of employment (PR 0.88; 95% CI 0.81–0.95; p=0.353), or obesity (PR 0.36; 95% CI 0.10–1.30; p=0.178) and superficial mycoses.

Conclusion: In this cross-sectional study, personal hygiene, length of employment, and obesity were not significantly associated with superficial mycoses among fishermen at Puger Primary Health Care. The relatively low prevalence of infection despite high exposure to conventional risk factors suggests that occupational environmental factors may contribute to reduced susceptibility to infection.

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Keywords: Superficial mycoses ; Fishermen ; Seawater Exposure

Article Metrics:

  1. Anissa and Annisa, A. (2023) ‘Faktor-faktor yang Berhubungan dengan Keluhan Gangguan Kulit pada Nelayan’, Faletehan Health Journal, 10(1), pp. 63–69
  2. Cerqueira, F. et al. (2024) ‘A Cyclam Salt as an Antifungal Agent: Interference with Candida spp. and Cryptococcus neoformans Mechanisms of Virulence’, Antibiotics (Basel), 13(3), pp. 1–13
  3. Costa, Lopes and Morais (2024) ‘Disclosing the Antifungal Mechanisms of the Cyclam Salt H4[H2(4-CF3PhCH2)2Cyclam]Cl4 Againts Candida albicans and Candida krusei’, Internasional Journal of Moleculer Sciences, 25(10), pp. 1–12
  4. Fernita, R. and Halimah, F. (2024) ‘Identifikasi Jamur Trichophyton Pekerja Kerupuk Kulit dan Penjual Ikan Air Tawar Kota Bengkulu’, Jurnal Fatmawati Laboratory & Medical Science, 4(1), pp. 45–51
  5. Harlim, A. (2019) Buku Ajar Ilmu Kesehatan Kulit dan Kelamin. FK UKI
  6. Kesha (2024) Identifikasi Jamur Penyebab Onikomikosis pada Pedagang Ikan di Pasar Ikan Pusong Kota Lhokseumawe. Universitas Malikussaleh
  7. Kumar and Laxmi (2021) ‘Impact of Superficial Dermatophytosis on Quality of Life: A Cross-sectional Observational Study’, Indian Journal of Clinical and Experimental Dermatology, 7(3), pp. 191–196
  8. Kurniadi, R. and Aprilia, N. (2022) ‘Faktor yang Berhubungan dengan Kejadian Tinea Corporis (Kurap) di Desa Nelayan Wilayah Kerja Puskesmas Jambu Rokan Hilir’, Jurnal Kesehatan Terpadu, 1(1), pp. 79–88
  9. Nurdin, E. (2022) Mikologi. Deepublish
  10. Nurhasanah (2024) Hubungan Penggunaan Alat Pelindung Diri (APD) dan Personal Hygiene dengan Keluhan Penyakit Kulit pada Nelayan di Kelurahan Bagan Deli Kecamatan Medan Belawan. Universitas Islam Negeri Sumatera Utara
  11. Patel, N.H. et al. (2020) ‘Psychosocial and Financial Impact of Disease among Patients of Dermatophytosis, a Questionnaire Based Observational Study’, Indian Dermatology Online Journal, 11(3), pp. 373–377
  12. Petrucelli et al. (2020) ‘Epidemiology and Diagnostic Perspectives of Dermatophytoses’, Journal of Fungi, 6(4), p. 310
  13. Prayuginingsih, H. (2022) ‘Analisis Tingkat Kepuasan Nelayan terhadap Pelayanan TPI di Kecamatan Puger Kabupaten Jember’, Jurnal Mahasiswa Entepreneur (JME), 1(2), pp. 2395–2404
  14. Rodiah, S., Fifendy, M. and Indriati, G. (2022) ‘Test The Inhibition of Beringin Leaf Extract (Ficus benjamina L.) Against The Growth of Candida albicans in Vitro’, Jurnal Serambi Biologi, 7(4), pp. 318–325
  15. Sariyanti, Agustria and Herlambang (2021) ‘Identification of Dermatophyte Fungi Causing Tinea Pedis and Tinea Unguium in Malabero Coastal Communities, Bengkulu’, Microbiology Indonesia, 15(1), pp. 21–26
  16. Sharma, B. and Nonzom, S. (2021) ‘Superficial Mycoses, a Matter of Concern: Global and Indian Scenario-an Updated Analysis’, Mycoses, 64(8), pp. 890–908
  17. Siregar and Purba (2021) Faktor-faktor yang Berhubungan dengan Gangguan Kulit pada Pedagang Ikan di Pasar Tradisional Sukaramai. Unpri Press
  18. Widhiastuti, F., Handamari, D.A. and Musy, R. (2023) ‘Studi Retrospektif Kunjungan Pasien Baru Mikosis Superfisialis di Poliklinik Kulit dan Kelamin RSUD Dr. Soedono Madiun, Indonesia Januari-Desember 2021’, Cermin Dunia Kedokteran, 50(4), pp. 186–190
  19. Zara, N. and Yasir, M. (2019) ‘Pengaruh Lingkungan Fisik Rumah dan Personal Hygiene terhadap Kejadian Tinea pada Masyarakat Nelayan Kuala Kerto Barat Kecamatan Tanah Pasir’, AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 5(1), pp. 76–85
  20. Zorah, V. B. (2024) ‘Hubungan Personal Hygiene dan Obesitas terhadap Kejadian Tinea Cruris pada Pasien di Klinik Amanda Medika Tahun 2023’, Jurnal Ilmu Kesehatan Umum, 2(3), pp. 90–104
  21. Anissa and Annisa, A. (2023) ‘Faktor-faktor yang Berhubungan dengan Keluhan Gangguan Kulit pada Nelayan’, Faletehan Health Journal, 10(1), pp. 63–69
  22. Cerqueira, F. et al. (2024) ‘A Cyclam Salt as an Antifungal Agent: Interference with Candida spp. and Cryptococcus neoformans Mechanisms of Virulence’, Antibiotics (Basel), 13(3), pp. 1–13
  23. Costa, Lopes and Morais (2024) ‘Disclosing the Antifungal Mechanisms of the Cyclam Salt H4[H2(4-CF3PhCH2)2Cyclam]Cl4 Againts Candida albicans and Candida krusei’, Internasional Journal of Moleculer Sciences, 25(10), pp. 1–12
  24. Fernita, R. and Halimah, F. (2024) ‘Identifikasi Jamur Trichophyton Pekerja Kerupuk Kulit dan Penjual Ikan Air Tawar Kota Bengkulu’, Jurnal Fatmawati Laboratory & Medical Science, 4(1), pp. 45–51
  25. Harlim, A. (2019) Buku Ajar Ilmu Kesehatan Kulit dan Kelamin. FK UKI
  26. Kesha (2024) Identifikasi Jamur Penyebab Onikomikosis pada Pedagang Ikan di Pasar Ikan Pusong Kota Lhokseumawe. Universitas Malikussaleh
  27. Kumar and Laxmi (2021) ‘Impact of Superficial Dermatophytosis on Quality of Life: A Cross-sectional Observational Study’, Indian Journal of Clinical and Experimental Dermatology, 7(3), pp. 191–196
  28. Kurniadi, R. and Aprilia, N. (2022) ‘Faktor yang Berhubungan dengan Kejadian Tinea Corporis (Kurap) di Desa Nelayan Wilayah Kerja Puskesmas Jambu Rokan Hilir’, Jurnal Kesehatan Terpadu, 1(1), pp. 79–88
  29. Nurdin, E. (2022) Mikologi. Deepublish
  30. Nurhasanah (2024) Hubungan Penggunaan Alat Pelindung Diri (APD) dan Personal Hygiene dengan Keluhan Penyakit Kulit pada Nelayan di Kelurahan Bagan Deli Kecamatan Medan Belawan. Universitas Islam Negeri Sumatera Utara
  31. Patel, N.H. et al. (2020) ‘Psychosocial and Financial Impact of Disease among Patients of Dermatophytosis, a Questionnaire Based Observational Study’, Indian Dermatology Online Journal, 11(3), pp. 373–377
  32. Petrucelli et al. (2020) ‘Epidemiology and Diagnostic Perspectives of Dermatophytoses’, Journal of Fungi, 6(4), p. 310
  33. Prayuginingsih, H. (2022) ‘Analisis Tingkat Kepuasan Nelayan terhadap Pelayanan TPI di Kecamatan Puger Kabupaten Jember’, Jurnal Mahasiswa Entepreneur (JME), 1(2), pp. 2395–2404
  34. Rodiah, S., Fifendy, M. and Indriati, G. (2022) ‘Test The Inhibition of Beringin Leaf Extract (Ficus benjamina L.) Against The Growth of Candida albicans in Vitro’, Jurnal Serambi Biologi, 7(4), pp. 318–325
  35. Sariyanti, Agustria and Herlambang (2021) ‘Identification of Dermatophyte Fungi Causing Tinea Pedis and Tinea Unguium in Malabero Coastal Communities, Bengkulu’, Microbiology Indonesia, 15(1), pp. 21–26
  36. Sharma, B. and Nonzom, S. (2021) ‘Superficial Mycoses, a Matter of Concern: Global and Indian Scenario-an Updated Analysis’, Mycoses, 64(8), pp. 890–908
  37. Siregar and Purba (2021) Faktor-faktor yang Berhubungan dengan Gangguan Kulit pada Pedagang Ikan di Pasar Tradisional Sukaramai. Unpri Press
  38. Widhiastuti, F., Handamari, D.A. and Musy, R. (2023) ‘Studi Retrospektif Kunjungan Pasien Baru Mikosis Superfisialis di Poliklinik Kulit dan Kelamin RSUD Dr. Soedono Madiun, Indonesia Januari-Desember 2021’, Cermin Dunia Kedokteran, 50(4), pp. 186–190
  39. Zara, N. and Yasir, M. (2019) ‘Pengaruh Lingkungan Fisik Rumah dan Personal Hygiene terhadap Kejadian Tinea pada Masyarakat Nelayan Kuala Kerto Barat Kecamatan Tanah Pasir’, AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 5(1), pp. 76–85
  40. Zorah, V. B. (2024) ‘Hubungan Personal Hygiene dan Obesitas terhadap Kejadian Tinea Cruris pada Pasien di Klinik Amanda Medika Tahun 2023’, Jurnal Ilmu Kesehatan Umum, 2(3), pp. 90–104

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