PRISON-BASED COMMUNITY HEALTH EDUCATION ON TOBACCO-RELATED LUNG AND PREGNANCY RISKS: A DESCRIPTIVE PROGRAMME AMONG INCARCERATED MEN IN YOGYAKARTA, INDONESIA

Abstract

ABSTRAK

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. 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. 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. 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. 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.

Kata kunci: Pengendalian tembakau; Kesehatan lapas; Edukasi kesehatan; Asap rokok; Berhenti merokok.

ABSTRACT

Tobacco use and secondhand smoke exposure are major concerns in correctional settings. Educating incarcerated men on pregnancy-related harms is relevant because their smoking may affect pregnant partners and family members after release. To describe the implementation and group-level verbal findings of a prison-based health education programme on active smoking, secondhand smoke, lung health, and pregnancy-related harms. A descriptive, single-session community engagement programme was conducted on 20 April 2026 at Yogyakarta Class IIA Correctional Facility. Seventy-nine incarcerated men who smoked attended a 60-minute session (interactive lecture, brainstorming, discussion, and leaflet distribution). Understanding was assessed verbally at group level, before and after the session, across four domains, without a validated instrument or individual scoring; analysis was descriptive only. All 79 participants completed the programme. Pre-session responses reflected general awareness that smoking is harmful but limited specificity. Post-session responses were more specific, including references to chronic obstructive pulmonary disease, lung cancer, preterm birth, low birth weight, and smoking cessation. The programme was feasible within correctional constraints, and post-session responses were qualitatively more specific than pre-session responses. The group-level design precludes conclusions about individual-level effectiveness; structured, individually scored, and follow-up assessments are recommended for future programmes. 

Keywords: Tobacco control; Prison health; Health education; Secondhand smoke; Smoking cessation.

PRISON-BASED COMMUNITY HEALTH EDUCATION ON TOBACCO-RELATED LUNG AND PREGNANCY RISKS: A DESCRIPTIVE PROGRAMME AMONG INCARCERATED MEN IN YOGYAKARTA, INDONESIA