Prison-Based Tobacco Health Education on Lung and Pregnancy-Related Harms among Incarcerated Men in Yogyakarta, Indonesia: A Community Engagement Programme
Abstract
Latar Belakang: Penggunaan tembakau dan paparan asap rokok orang lain merupakan masalah kesehatan masyarakat utama di lingkungan lembaga pemasyarakatan. Edukasi tentang bahaya kehamilan juga relevan bagi warga binaan laki-laki karena kebiasaan merokok mereka dapat memengaruhi pasangan hamil dan anggota keluarga setelah bebas. Tujuan: Mendeskripsikan pelaksanaan dan temuan verbal tingkat kelompok dari program edukasi kesehatan tembakau di lembaga pemasyarakatan mengenai merokok aktif, asap rokok orang lain, kesehatan paru, dan bahaya kehamilan. Metode: Program pengabdian masyarakat deskriptif satu sesi dilaksanakan pada 20 April 2026 di Lembaga Pemasyarakatan Kelas IIA Yogyakarta. Tujuh puluh sembilan warga binaan perokok mengikuti sesi 60 menit (ceramah interaktif, curah pendapat, diskusi, dan pembagian leaflet). Pemahaman dinilai secara verbal pada tingkat kelompok, sebelum dan sesudah sesi, pada empat domain, tanpa instrumen tervalidasi atau skor individual; analisis bersifat deskriptif. Hasil: Seluruh 79 peserta menyelesaikan program. Sebelum sesi, respons kelompok menunjukkan kesadaran umum bahwa merokok berbahaya namun kurang spesifik. Setelah sesi, respons menjadi lebih spesifik, mencakup penyakit paru obstruktif kronik, kanker paru, kelahiran prematur, berat lahir rendah, dan berhenti merokok. Simpulan: Program ini layak dilaksanakan dalam keterbatasan operasional lembaga pemasyarakatan, dan respons pasca-sesi secara kualitatif lebih spesifik dibandingkan pra-sesi. Desain tingkat kelompok tidak dapat menyimpulkan efektivitas pada tingkat individu; penilaian terstruktur, berskor individual, dan tindak lanjut disarankan untuk program mendatang.
Keywords
References
Alokan, D. S., & Kabir, Z. (2022). Tobacco use among people incarcerated in Western Europe: A systematic review and meta-analysis. Tobacco Use Insights, 15. https://doi.org/10.1177/1179173X221096641
Andriani, H., Rahmawati, N. D., Ahsan, A., & Kusuma, D. (2023). Secondhand smoke exposure inside the house and low birth weight in Indonesia: Evidence from a demographic and health survey. Population Medicine, 5, 17. https://doi.org/10.18332/popmed/168620
Brown, A., Woods-Brown, C., Angus, K., McMeekin, N., Hunt, K., & Demou, E. (2024). Recent evidence on rates and factors influencing smoking behaviours after release from smoke-free prisons: A scoping review. International Journal of Prisoner Health, 20(4), 450–465. https://doi.org/10.1108/IJOPH-10-2023-0064
Delcroix, M. H., Delcroix-Gomez, C., Marquet, P., Gauthier, T., Thomas, D., & Aubard, Y. (2023). Active or passive maternal smoking increases the risk of low birth weight or preterm delivery: Benefits of cessation and tobacco control policies. Tobacco Induced Diseases, 21, 72. https://doi.org/10.18332/tid/156854
Flor, L. S., Anderson, J. A., Ahmad, N., Aravkin, A., Carr, S., Dai, X., et al. (2024). Health effects associated with exposure to secondhand smoke: A burden of proof study. Nature Medicine, 30(1), 149–167. https://doi.org/10.1038/s41591-023-02743-4
Fu, T. T., Luo, H. X., Na, Z. J., Xia, C. L., & Fan, L. (2025). Association between prenatal environmental tobacco smoke exposure and preterm birth: A systematic review and meta-analysis. Acta Obstetricia et Gynecologica Scandinavica, 104(7), 1244–1253. https://doi.org/10.1111/aogs.15126
Karran, E. L., Grant, A. R., Lee, H., Kamper, S. J., Williams, C. M., Wiles, L. K., et al. (2023). Do health education initiatives assist socioeconomically disadvantaged populations? A systematic review and meta-analyses. BMC Public Health, 23, 453. https://doi.org/10.1186/s12889-023-15329-z
McMeekin, N., Wu, O., Boyd, K. A., Brown, A., Tweed, E. J., Best, C., et al. (2023). Implementation of a national smoke-free prison policy: An economic evaluation within the Tobacco in Prisons (TIPs) study. Tobacco Control, 32(6), 701–708. https://doi.org/10.1136/tobaccocontrol-2021-056991
Mersha, A. G., Bryant, J., Rahman, T., McGuffog, R., Maddox, R., & Kennedy, M. (2023). What are the effective components of group-based treatment programs for smoking cessation? A systematic review and meta-analysis. Nicotine & Tobacco Research, 25(9), 1525–1537. https://doi.org/10.1093/ntr/ntad068
O'Donnell, R., Bintoro, B. S., Rustandi, A. W., Farahdilla, Z. A., Sadewa, D. M. A., Padmawati, R. S., et al. (2025). COmmunities Facilitating incREasing Smoke-free Homes (CO-FRESH): Co-developing a toolkit with local stakeholders in Indonesia and Malaysia. BMJ Global Health, 10, e018102. https://doi.org/10.1136/bmjgh-2024-018102
Sourry, R. J., Hyslop, F., Butler, T. G., & Richmond, R. L. (2022). Impact of smoking bans and other smoking cessation interventions in prisons, mental health and substance use treatment settings: A systematic review of the evidence. Drug and Alcohol Review, 41(7), 1528–1542. https://doi.org/10.1111/dar.13524
Ussher, M., Fleming, J., & Brose, L. (2024). Vaping during pregnancy: A systematic review of health outcomes. BMC Pregnancy and Childbirth, 24(1), 435. https://doi.org/10.1186/s12884-024-06633-6
Weng, X., Ma, E. C., Song, C. Y., Lee, J. J., Tong, H. S. C., Lai, V. W. Y., Lam, T. H., & Wang, M. P. (2024). Experiences of quitting smoking in prisons: A qualitative study of people in custody. Tobacco Induced Diseases, 22, 43. https://doi.org/10.18332/tid/183604
World Health Organization. (2026). Tobacco and nicotine. World Health Organization.
World Health Organization Regional Office for Europe. (2022). Tobacco use in prisons. WHO Regional Office for Europe.
DOI: https://doi.org/10.31764/jce.v5i3.42010
Refbacks
- There are currently no refbacks.
5.png)
