Universal Journal of Public Health Vol. 14(5), pp. 861 - 874
DOI: 10.13189/ujph.2026.140504
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Mediating Roles of Barriers and Mitigation in Community-Based Health Adaptation to Floods: A Comparative Study in Bandung and Bojonegoro

Iin Nurlinawati ^1,*, Gurendro Putro ¹, Asep Kusnali ¹, Wahyu Pudji Nugraheni ¹, Muji Sulistyowati ², Dwi Setyorini ³, Mugi Wahidin ¹, Mieska Despitasari ⁴, Amir Su'udi ⁴, Didik Budijanto ¹, Abdul Rohim Tualeka ^5
1 Research Center for Public Health and Nutrition, Health Research Organization, National Research and Innovation Agency, Indonesia
² Health Promotion & Behaviour Sciences, Department EBIOP, Faculty of Public Health, Airlangga University, Indonesia
³ Bojonegoro District Health Office, East Java Province, Indonesia
⁴ Research Center for Preclinical and Clinical Medicine, Health Research Organization, National Research and Innovation Agency, Indonesia
⁵ Department of Occupational Health and Safety, Faculty of Public Health, Airlangga University, Indonesia

ABSTRACT

This study investigates the mediating roles of barriers and mitigation strategies in community-based health adaptation to floods, comparing two contrasting Indonesian regions: urban Bandung and rural Bojonegoro. A cross-sectional survey was conducted with 201 participants (98 from Bandung and 103 from Bojonegoro) using purposive sampling. Data was collected through structured questionnaires covering five latent constructs: experience, barriers, wisdom, mitigation, and adaptation, and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with Goodness of Fit (GoF) assessment. The models demonstrated satisfactory fit (GoF = 0.495 for Bandung; 0.399 for Bojonegoro). Barriers had a significant negative impact on adaptation (β = –0.283 and –0.378), while mitigation exerted a positive effect (β = 0.583 and 0.487). Mediation analyses confirmed indirect effects through barriers and mitigation. Urban communities faced institutional and infrastructural constraints, whereas rural populations relied more on local wisdom and social solidarity as adaptive resources. Barriers and mitigation act as crucial mediating factors in shaping community-based health adaptation. Urban strategies should prioritize institutional strengthening and infrastructure, while rural interventions should build on social capital and indigenous knowledge. The findings emphasize the need for context-specific, community-centered approaches to strengthen public health resilience against climate-related floods.

KEYWORDS
Flood Adaptation, Community Health, Mediation Analysis, Indonesia

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Iin Nurlinawati , Gurendro Putro , Asep Kusnali , Wahyu Pudji Nugraheni , Muji Sulistyowati , Dwi Setyorini , Mugi Wahidin , Mieska Despitasari , Amir Su'udi , Didik Budijanto , Abdul Rohim Tualeka , "Mediating Roles of Barriers and Mitigation in Community-Based Health Adaptation to Floods: A Comparative Study in Bandung and Bojonegoro," Universal Journal of Public Health, Vol. 14, No. 5, pp. 861 - 874, 2026. DOI: 10.13189/ujph.2026.140504.

(b). APA Format:
Iin Nurlinawati , Gurendro Putro , Asep Kusnali , Wahyu Pudji Nugraheni , Muji Sulistyowati , Dwi Setyorini , Mugi Wahidin , Mieska Despitasari , Amir Su'udi , Didik Budijanto , Abdul Rohim Tualeka (2026). Mediating Roles of Barriers and Mitigation in Community-Based Health Adaptation to Floods: A Comparative Study in Bandung and Bojonegoro. Universal Journal of Public Health, 14(5), 861 - 874. DOI: 10.13189/ujph.2026.140504.