Flood Risk and Prevention of Environment-Related Diseases: An Adaptive Settlement Sanitation Management Model in Karawang Regency
DOI:
https://doi.org/10.37276/sjss.v7i1.807Keywords:
Adaptive Model, Disease Prevention, Environmental Health, Flood Risk, Settlement SanitationAbstract
Flooding affects sanitation functioning in settlements through interactions among environmental pressures, facility conditions, community behavior, governance, and environmental quality. This study aimed to identify sanitation conditions in the context of flood risk, analyze direct and indirect structural relationships among Flood Risk, Sanitation Governance, Sanitation Conditions, Community Behavior, Environmental Health, and Disease Prevention, and formulate an adaptive model for settlement sanitation management. This study used a quantitative descriptive-analytical cross-sectional design with 320 mothers from households in Karangligar Village and Purwadana Village, Karawang Regency. Questionnaire data were analyzed using PLS-SEM in SmartPLS 4.1 through evaluation of the second-order measurement model, structural model, and a bootstrapping procedure with 5,000 subsamples. Flood Risk was significantly related to all endogenous constructs with direct relationships. Sanitation Governance showed the strongest direct relationship with Community Behavior. Sanitation Conditions and Community Behavior showed significant indirect relationships with Disease Prevention through Environmental Health. All significant indirect relationships with Disease Prevention involved Environmental Health. These findings indicate that Environmental Health consistently links flood pressure, institutional capacity, physical sanitation conditions, community behavior, and disease prevention in an adaptive model.
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Copyright (c) 2026 Firdaus Abdul Aziz, Wendi Darmawan, Muhamad Noval, Abdul Rasyid Alhanif, Irwana Irwana
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