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Fahruddin Kurdi
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INDONESIA
Jurnal Kesehatan Komunitas Indonesia
Published by Al-Hijrah Indonesia
ISSN : 29853435     EISSN : 25032801     DOI : https://doi.org/10.58545/jkki
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
The Jurnal Kesehatan Komunitas Indonesia (JKKI) is an open access scientific journal managed by EBSINA and published by Al-Hijrah Indonesia. JKKI focuses on public health and nursing research, epidemiology, pharmacy, reproductive health, health management, environmental health, health promotion, occupational safety, community nutrition, health policy, and others related to health in the community. JKKI welcomes original articles, review articles, and case studies on various professional health services. Health workers are subjects at JKKI, but writers outside the health subject are also welcome to be able to send articles as long as the article is within the scope of JKKI, especially its implications for public health. The Indonesian Community Health Journal (JKKI) is published in April, August and December.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 111 Documents
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Mental Health and Cognitive Outcomes in Older Adults After Disasters: Epidemiological Evidence, Determinants, Interventions, and Tiered Service Models for Policy and Education Iswanto; Asri; Priyanti, Ratna Puji; Kurdi, Fahruddin; Fitriasari, Maya
Jurnal Kesehatan Komunitas Indonesia Vol 6 No 1: April 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v6i1.701

Abstract

Background: Natural and human-made disasters disproportionately increase the risk of mental health disorders and cognitive decline among older adults through trauma exposure, displacement, social isolation, and disrupted health services. Despite expanding literature, a synthesized evidence base linking epidemiology, determinants, interventions, and scalable service models for policy and educational use remains limited. Objective: This study aims to synthesize epidemiological evidence, identify key determinants, map effective interventions, and develop policy-ready tiered service models to support mental health and cognitive recovery in older adults following disasters. Methods: This narrative review, enhanced by evidence mapping, employs a bio-psychosocial framework aligned with the Inter-Agency Standing Committee (IASC) tiered MHPSS pyramid. Literature was retrieved from scientific databases (PubMed, Scopus, Web of Science), international clinical and policy guidelines (WHO, IASC, NICE, VA/DoD), and Indonesian context-specific sources. Data were narratively synthesized across epidemiological trends, risk/protective factors, intervention efficacy, and service pathway implementation. Results: Post-disaster epidemiological burden varies widely; meta-analyses of older earthquake survivors report pooled prevalences of 19.3% for PTSD, 23.5% for depression, and 10.9% for anxiety. Indonesian evidence (North Lombok) indicates 59.9% PTSD prevalence, strongly associated with chronic comorbidities (OR 2.49). Prospective Japanese cohorts demonstrate that severe housing damage accelerates cognitive decline, an effect moderated by social connectivity. Effective interventions include Psychological First Aid (PFA), task-sharing models (e.g., PM+), trauma-focused psychotherapy, cautious pharmacotherapy, and telehealth adaptations. Implementation requires age-friendly, tiered pathways with standardized screening and referral protocols. Conclusion: Post-disaster responses must integrate geriatric-sensitive, tiered MHPSS frameworks that ensure continuity of chronic care, preserve social networks, and establish clear, age-disaggregated monitoring systems. These findings provide a structured evidence base for emergency health policy, community response planning, and public health curriculum development.

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