Student Smoking Behaviour and Cigarette Advertisements Around School and Home: A study in Tebing Tinggi City

Abdi Mubarrak Syam, Muhammad Zali, Putra Apriadi Siregar, Apriliani Apriliani, Sarah Fadhila Siregar, Desty Adinda, Abdillah Ahsan, Nadira Amalia

Abstract


Backgrounds: Indonesia is the second-largest cigarette market in the world, with an increased smoking rate among young people aged 10–18 years. The latest data show that smoking is increasingly common in youth. Tobacco control will reduce public demand for tobacco products, especially if the supply of tobacco can be limited. Methods: This study, conducted in Tebing Tinggi City, North Sumatra Province, aimed to collect data on the density of cigarette sellers around schools and their impact on students' smoking behavior. The research involved 1914 students from 10 schools, examining factors such as smoking laws, age at first smoking, daily cigarette consumption, location, and advertisements. The study used a cross-sectional design, GPS coordinates, QGIS 3.0 analysis, and in-depth interviews with a Tebing Tinggi City Health Office representative. The findings will be analyzed using the JASP computer program. Results: The study shows that 8.2% of adolescents in Tebing Tinggi City have never smoked, with mixed views on the smoking law. The majority do not smoke, with varying smoking rates and exposure to cigarette advertisements. The study also found a high density of cigarette sellers in junior and senior high schools, indicating a lack of awareness about smoking. Conclusions: Most adolescents in Kota Tebing Tinggi do not smoke, with mixed views on the smoking law. They are exposed to cigarette advertisements in school and home environments, with vendors providing easy access. Increased awareness and effective law enforcement are needed to control cigarette advertising and sales.


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Adisasmito, W., Amir, V., Atin, A., Megraini, A., & Kusuma, D. (2020). Density of cigarette retailers around educational facilities in Indonesia. International Journal of Tuberculosis and Lung Disease, 24(8), 770–775. https://doi.org/10.5588/ijtld.19.0686

Astuti, P. A. S. (2019). Cigarette retailer density around schools and neighbourhoods in Bali, Indonesia: a GIS mapping. Tobacco Induced Diseases, 17(55), 1–12. https://doi.org/https://doi.org/10.18332/tid/110004

Awaluddin, M. I., Supriyati, & Fuad, A. (2019). Analisis Spasial Keterjangkauan Retailer Rokok Terhadap Perilaku Merokok Pada Siswa SMA di Kabupaten Wakatobi. BKM Journal of Community Medicine and Public Health, 35(7), 259–265.

Bar-Zeev, Y. (2023). IQOS marketing strategies at point-of-sales: a cross-sectional survey with retailers. Tobacco Control, 32(1), e198–e204. https://doi.org/http://dx.doi.org/10.1136/tobaccocontrol-2021-057083

Chido-Amajuoyi, O. G., Mantey, D. S., Clendennen, S. L., & Pérez, A. (2017). Association of tobacco advertising, promotion and sponsorship (TAPS) exposure and cigarette use among Nigerian adolescents: Implications for current practices, products and policies. BMJ Global Health, 2(3), 1–9. https://doi.org/10.1136/bmjgh-2017-000357

Dewi, D. M. S. K., Sebayang, S. K., & Lailiyah, S. (2020). Density of cigarette retailers near schools and sales to minors in Banyuwangi, Indonesia: A GIS mapping. Tobacco Induced Diseases, 18(January), 1–10. https://doi.org/10.18332/tid/115798

Dwiyani, M., Cahyo, K., Husodo, B., & Widjanarko, B. (2017). Gambaran Sikap Siswa Sma Negeri Kota Semarang Mengenai Iklan Rokok Di Kota Semarang. Jurnal Kesehatan Masyarakat Universitas Diponegoro, 5(2), 188–197. https://doi.org/10.14710/jkm.v5i2.16450

Fadhila, F., Widati, S., & Fatah, M. (2022). Perbandingan Pengaruh Iklan Rokok terhadap Perilaku Merokok Remaja di Daerah Kota dan Desa Kabupaten Pamekasan. Medical Technology and Public Health Journal, 5(2), 198–208. https://doi.org/10.33086/mtphj.v5i2.3010

Fahmi, A., Utama, D. I., & Syapitri, H. (2021). Analisis Faktor Yang Mempengaruhi Perilaku Merokok Pada Siswa Sekolah Menegah Pertama DiSMP Negeri 1 Seunagan Kabupaten Nagan Raya. Journal Of Healthcare Technology And Medicine, 7(2), 1546–1564. https://doi.org/doi.org/10.33143/jhtm.v7i2.1732

Fransiska, M., Ediana, D., & Fernanda, Y. (2021). Perilaku Merokok Pada Remaja Putra. EPIDEMICA (Journal of Public Health), 4(1).

Hari Widowati. (2019). Tiongkok dan Indonesia Mendominasi Pasar Rokok Dunia. Databoks.

IAKMI, T. (2020). Atlas Tembakau Indonesia Tahun 2020. 33.

Irmawati, I., Tambun, M., Siahaan, E., Ellysunaria, E., & Kartini, S. E. E. (2022). Determinan Perilaku Merokok Pada Siswa Laki-Laki di Sekolah Menengah Pertama Negeri 1 Lawe Alas Kec.Lawe Alas Kab.Aceh Tenggara Provinsi Aceh. Public Health Journal, 9(1), 13–21.

Kementerian Kesehatan RI. (2018). Riset Kesehatan Dasar Tahun 2018.

Kurniawan, F. (2020). Urgensi Meratifikasi Framework Convention On Tobacco Control (FCTC) Dalam Upaya Pengendalian Konsumsi Tembakau di Indonesia. Jurnal Hukum & Pembangunan, 50(2), 317–328.

Marashi-Pour, S., Cretikos, M., Lyons, C., Rose, N., Jalaludin, B., & Smith, J. (2015). The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia. Spat Spatiotemporal Epidemiol, Jan(12), 1–7. https://doi.org/10.1016/j.sste.2014.09.00

Marsh, L. (2021). Association between density and proximity of tobacco retail outlets with smoking: A systematic review of youth studies. Health & Place, 67(1), 102275. https://doi.org/https://doi.org/10.1016/j.healthplace.2019.102275

Nasution, F. (2019). Perception Of Pictorial Health Warning On Cigarette Packs, Smoking Behaviour And Want To Quit Smoking Among Students Undergraduate Of State Islamic University Of North Sumatera, Indonesia. Proceedings of the International Conference on Applied Science and Health, 1(4), 1001–1008.

Nurhayati. (2022). Exposure to Outdoor Tobacco Advertisements Near Home is Associated with Smoking among Youth in Indonesia. The Asian Pacific Journal of Cancer Prevention (APJCP), 23(7), 2179–2183. https://doi.org/10.31557/APJCP.2022.23.7.2179

Polanska, K., & Kaleta, D. (2021). Tobacco and e‐cigarettes point of sale advertising—assessing compliance with tobacco advertising, promotion and sponsorship bans in Poland. International Journal of Environmental Research and Public Health, 18(4), 1–11. https://doi.org/10.3390/ijerph18041976

Politon, C. (2021). Analisis Faktor Risiko Kejadian Filariasis Di Wilayah Kerja Puskesmas Kaleke Dan Puskesmas Baluase Kabupaten Sigi Tahun 2019. Jurnal Kesehatan Masyarakat Andalas, 14(1), 3. https://doi.org/10.24893/jkma.v14i1.534

Ribisl, K. M., Luke, D. A., Bohannon, D. L., Sorg, A. A., & Moreland-Russell, S. (2017). Reducing disparities in tobacco retailer density by banning tobacco product sales near schools. Nicotine and Tobacco Research, 19(2), 239–244. https://doi.org/10.1093/ntr/ntw185

Safitri, S. (2022). Determinan Perilaku Merokok Pengunjung Kafe Di Kecamatan Lubuk Pakam. Jurnal Preventia, 7(1), 1–10. https://doi.org/http://dx.doi.org/10.17977/um044v7i12022p28-38

Sari, H. (2017). Factors Affecting Cigarette Consumption Expenditure in Poor Households In Aceh Province. Jurnal Perspektif Ekonomi Darussalam, 3(2), 117–133. https://doi.org/https://doi.org/10.24815/jped.v3i2.8226

Sebayang, S. K. (2022). Spatial analysis of outdoor tobacco advertisement around children and adolescents in Indonesia. Global Public Health, 17(3), 420–430. https://doi.org/https://doi.org/10.1080/17441692.2020.1869800

Siregar, P. A. (2020). Promosi Kesehatan Lanjutan dalam Teori dan Aplikasi (Edisi Pert). PT. Kencana.

Siregar, S. F. (2021). The Effect of Image Message Perception on Cigarette Background and The Intention to Stop Smoking Teenagers. Communicare: Journal of Communication Studies, 8(1), 41-50. https://doi.org/https://doi.org/10.37535/101008120213

WHO. (2020a). Global Youth Tobacco Survey 2019.

WHO. (2020b). Global Youth Tobacco Survey Fact Sheet Indonesia 2019.

Widianawati, E., Agiwahyuanto, F., Wulan, W. R., Khoironi, A., & Hasan, A. (2022). Cigarette Display Regulation at Point Of Sales (POS) and its Impact on Cigarette Sales. Asian Pacific Journal of Cancer Prevention, 23(10), 3431–3435. https://doi.org/10.31557/APJCP.2022.23.10.3431

Yamamoto, T. (2022). Factors associated with smoking behaviour changes during the COVID-19 pandemic in Japan: a 6-month follow-up study. Tob Control, 1(1), 1–8. https://doi.org/doi:10.1136/tobaccocontrol-2022-057353

Yunalpi, Y., Syaeba, M., & Sunani, U. (2021). Interpretasi Media Luar Ruang Iklan Rokok Dan Pola Hidup Sehat Masyarakat Desa Saluassing. MITZAL (Demokrasi, Komunikasi Dan Budaya) : Jurnal Ilmu Pemerintahan Dan Ilmu Komunikasi, 6(1), 95. https://doi.org/10.35329/mitzal.v6i1.2079

Yunarman, S., Munandar, A., Ahsan, A., Akbarjono, A., & Kusuma, D. (2021). Opportunities and Challenges of Tobacco Control Policy at District Level in Indonesia: A Qualitative Analysis. Asian Pacific Journal of Cancer Prevention, 22(10), 3055–3060. https://doi.org/10.31557/APJCP.2021.22.10.3055




DOI: http://dx.doi.org/10.30829/contagion.v6i2.21312

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