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Christine Christine
Bina Nusantara University
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Journal : JURNAL PROMOSI KESEHATAN INDONESIA

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Exposure to Electronic Cigarette Advertisements on the Internet and Smoking Behavior in Adolescents Sutha, Diah Wijayanti; Zulkifli, Nathratul Ayeshah Binti; Christine, Christine; Faida, Eka Wilda; Drastyana, Serlly Frida; Novianti, Siti
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.26-34

Abstract

Background: E-cigarettes are increasingly popular among adolescents, driven by massive advertising on the internet, especially through social media. These advertisements often display modern and attractive images without including sufficient information about health risks. Social media influencers also play a role in strengthening the appeal of e-cigarettes to adolescents. The purpose of this study is to analyze the relationship between exposure to e-cigarette advertising on the internet and smoking behavior among adolescents in Indonesia.Method: This study used a cross-sectional design with an online survey conducted over three months, from March to June 2024. A total of 625 adolescents aged 14–19 years participated in this study. Respondents reported exposure to e-cigarette advertising on the internet, which was analyzed by age, gender, social media used, and smoking status. Data were analyzed using logistic regression to see the relationship between advertising exposure and smoking behavior.Result The results showed that adolescents who were more frequently exposed to e-cigarette advertising were 2.3 times more likely to try e-cigarettes than those who rarely saw these advertisements. Instagram and YouTube were the main platforms where adolescents were exposed to e-cigarette advertisements. In addition, 50% of respondents reported seeing influencers using e-cigarettes, and 40.2% of them were interested in trying them. Most e-cigarette advertisements were also found not to include clear health warnings. This study confirms that exposure to e-cigarette advertisements on social media plays a significant role in increasing smoking interest and behavior in adolescents. Therefore, stricter regulations are needed for e-cigarette marketing on the internet, including supervision of the role of influencers and the obligation to include health warnings in every advertisement. In addition, broader health education is needed to increase adolescent awareness of the risks of e-cigarettes.
Co-Authors Agustin Dwi Syalfina Al Faruq, Muhammad Ariq Albar, Husnul Fuad Andi Fatmawati Syamsu Andri Irfan Rifai Anna Veronica Pont Ardhiawan, Nicolas Raditya Azmi Harahap, Taufiq Beby Karina Fawzeea Sembiring Beraya, Fransiska Millenia A L B Christanto, Henoch Juli Darius Andana Haris Dessy Agustiany Dian Tauriana, Dian Djaja, Benny Drastyana, Serlly Frida Ellen Fajrillah Kolomboy Fanny Fanny Fitri, Geyzka Syalwa Gema Florencia, Carla Fransiska Fransiska Govanny, Jocelyn Listo Gunardi Gunardi Hamdi, Tasrif Hamid, Mey Lina Hana, Gressia Hananta, Juninho Yudistira Handayani, Susanty Hanum Sasmita Hiuredhy, Davin Kurnia Hutasoit, Apren Halomoan I Gede Agus Widyadana I Nyoman Sutapa I Wayan Supetran, I Wayan Incharisma, Maria Jamhari Jamhari Jeanny Pragantha Jimmy, So Yohanes Junaidi Junaidi Kadar Ramadhan Kartika, Ria Chandra Kristiawanto, Kristiawanto Kusumatriawan, Ardhiel Junico A L. Lisnawati Linda Santioso Luh Putu Ratna Sundari Masyfufah, Lilis Mercy Joice Kaparang, Mercy Joice Muchtaridi Muchtaridi Muda Situmorang, Iskandar Mustafa Ndama, Metrys Nizwan Zukhri Novianti, Siti Nudji, Bambang Nur Aini Nuradji, Sugeng Nurfatimah Nurfatimah Nuryanah, Siti Pangestuti, Patricia Aurelia U Patricia, Rachael Pebriani, Fathia Politon, Fellysca Politon, Fellysca V. M. Prihartanti, Niken Grah Prio Utomo Putri, Ahir Diana Respito, Andi Saputra, Darman Simbolon, Angelita Rogabe T Situmorang, Syafrizal Helmi Sri Hartini Stephen Aprius Sutresno, Stephen Aprius Subagyo, Indro Sunuh, Herlina Sutha, Diah Wijayanti Syafrizal Helmi Situmorang Tabita, Skolastika Gadis Teepapal, Tanawat Tiadoraria br. Ginting, Litka Ulya Firza, Syafira Utin, utin Kasma Wahyuni, Titin Widiastiani, Nindry Sulistya Yovie Ernanda yusbardini, yusbardini Zainul, Zainul Zainumi, Cut Meliza Zulkifli, Nathratul Ayeshah Binti