Darwel, Darwel
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Community-based psychoeducation for disaster preparedness: Improving resilience in rural West Sumatra Renidayati, Renidayati; Astuti, Verra Widhi; Rachmadanur, N; Harahap, Nurlelasari; Darwel, Darwel
SAMATA JOURNAL OF PUBLIC HEALTH SCIENCE Volume 5, Issue 1, September-February 2026
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/sociality.v5i1.59938

Abstract

Previous disaster preparedness studies in rural, disaster-prone areas have largely prioritized structural mitigation and early warning systems, leaving a critical gap in community-based health interventions that address psychosocial readiness. This study introduces a culturally contextualized psychoeducational intervention as a public health strategy to strengthen disaster preparedness in District of X Koto, Tanah Datar Regency, West Sumatra, Indonesia. The objective was to enhance community preparedness through an intervention emphasizing psychosocial health, risk perception, and self-efficacy as core components of disaster health interventions. A participatory intervention design was implemented over nine months (March–November 2024), involving 69 community members. The intervention comprised situational analysis, group-based psychoeducational sessions, disaster simulations, and pre- and post-test assessments. Results demonstrated a substantial improvement in overall preparedness scores, increasing from a mean of 12.54 to 37.64 after the intervention. Beyond cognitive gains, participants exhibited improved emotional regulation, heightened awareness of disaster risks, and stronger behavioral intentions to engage in adaptive response actions. These outcomes align with established psychosocial health theories, underscoring the effectiveness of community-centered learning in enhancing resilience. The intervention was particularly beneficial for participants with limited formal education, indicating its inclusivity and scalability. Integrating psychoeducational health interventions into disaster preparedness frameworks may strengthen public health resilience and support sustainable disaster risk reduction in rural and urban disaster-prone settings.
The Mediation Role of Positive Social Attitudes in The Relationship Between Peer Influence and Smoking Behavior in Adolescents Edwin, Vebby Amellia; Harahap, Nurlelasari; Welly, Welly; Husna, Riyana; Darwel, Darwel; Arlinda, Sari
Journal of Health Sciences and Epidemiology Vol. 4 No. 1 (2026): April 2026
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/edtz6798

Abstract

Smoking among adolescents remains a serious public health problem because most adult smokers start the habit during their school age, while tobacco use causes more than 8 million deaths annually worldwide. Peer influence is thought to be an important factor in the smoking initiation process; however, the mechanisms by which this influence operates are not fully understood yet. This study aimed to analyze the relationship between cigarette offers from friends and smoking behavior in adolescents and to examine the mediating role of positive social attitudes toward smoking. This study used a cross-sectional design with secondary data from the 2021 Global Youth Tobacco Survey (GYTS) in Indonesia. Analysis was conducted through bivariate and multivariate logistic regression, as well as mediation analysis, after adjusting for age and sex. The results showed that cigarette offers from friends were strongly associated with smoking behavior (OR=21.7 [15.5–30.4]; p<0.001). A more favorable social attitude toward smoking was also significantly associated with smoking behavior (OR=1.20 [1.01–1.41]; p=0.036) and partially mediated the relationship, as indicated by a decrease in the OR from 21.7 to 20.4 after the mediator was included. It was concluded that peer influence operates not only directly but also through the formation of permissive social attitudes toward smoking. Prevention programs targeting peer group social norms and strengthening smoking cessation skills are recommended, and longitudinal studies are recommended to determine the direction of the relationship more clearly.