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All Journal JURNAL PROMOSI KESEHATAN INDONESIA JURNAL ILKES (Jurnal Ilmu Kesehatan) Poltekita : Jurnal Ilmu Kesehatan Poltekita: Jurnal Pengabdian Masyarakat Banua: Jurnal Kesehatan Lingkungan Sanitasi: Jurnal Kesehatan Lingkungan Jurnal Pengabdian Masyarakat Svasta Harena
Christine Christine
Poltekkes Kemenkes Palu
Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : JURNAL PROMOSI KESEHATAN INDONESIA

 1 
Exposure to Electronic Cigarette Advertisements on the Internet and Smoking Behavior in Adolescents Diah Wijayanti Sutha; Nathratul Ayeshah Binti Zulkifli; Christine Christine; Eka Wilda Faida; Serlly Frida Drastyana; Siti Novianti
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 Abd Farid Lewa Ade Irma Yulianti Gunawan Adhyanti Adinda Adinda Agusrianto Aminuddin Aminudin Aminudin Amsal Andi Bungawati Andi Fatmawati Andi Respito Anna Veronica Pont Ansar Ansar Ansar Ansar Asrawaty Asrawaty Asri Widyayanti Azizah Saleh Azwar Azwar Azwar Azwar Baiq Emy Candriasih, Putu Christina Entoh Condeng, Baharuddin Dafrosia Darmi Manggasa Dedi Mahyudin Syam Dessy Agustiany Diah Ayu Hartini Dian Kurniasari Dian Mega Listiawati Diana N. Sinurat Diana Nurhayati Sinurat Djadid Subchan Djunaedil Syukur Sulaeman Dwi Erma Kusumawati Dwi Kartika Dwi Yogyo Suswinarto Eka S. Riyanto Eka S. Riyanto Eka Wilda Faida Ekasari Dewi Pertiwi Elfyrah Faisal Ellen Erlina Erlina Evie, Sova Fahmi Hafid Faisal, Elvyrah Fajrillah Kolomboy Fellysca V. M. Politon Fellysca Veronica Margareth Politon Fellysca Veronica Margareth Politon Fellysca Veronica Margareth Politon Fellysca Veronica Margareth Politon Firdaus Hi Jahja Kunoli Gusman Hadina, Hadina Hadriani Hamsiah Hamsiah Hamsiah Hamsiah Hanum Sasmita Hardin Hardin Hasbunsyah Hasbunsyah Hasdrini Hasdrini Hasdrini Hasnawati Hasnawati Hasni Hasni Hastuti Usman Herlina Susanto Sunuh I Wayan Supetran Indro Subagyo Irawati Tampuyak Irsanty Collein Junaidi Junaidi Kadar Ramadhan Lili Suryani Linda Linda Linda Linda Lindanur Sipatu Lisda Widianti Longgupa Lisnawati Mardani Mangun Mardiani Mangun Masda Masda Masda Masda Masudin Masudin Masudin Masudin Mercy Joice Kaparang Moammar Safari Monica Cecilia Parobe Mooammar Safari Muhammad Yani Muliani Nasrul Nathratul Ayeshah Binti Zulkifli Ndama, Metrys Ni Made Ridla Nilasanti Nirva Rantesigi Nitro Galenso Novarianti Novarianti Nurarifah Nurarifah Nurfatimah Nurfatimah Nurindah Nurindah Nurindah Nurindah Nurjaya Olkamien J. Longulo Pangaribuan, Helena Raoda Raoda Raoda Rina Tampake Ros Arianty Ros Aryanti Rugayah Said Rusneni Salman Salman Salman Saman Selvi Alfrida Mangundap Serlly Frida Drastyana Sigit M. Nuzul Silfia, Niluh Nita Siti Hadijah Batjo Siti Novianti Sitti Aminah Sony Bernike Magdalena Sitorus Sri M. Hasan Sri Musriniawati Hasan Sri Restu Tempali Sri Sutiwi Sri Yanti Kusika Sudarman H Melangka, Yulianus Sukmawati Sukmawati Sumarni Sumarni Sumiaty Sumiaty Supriadi Supriadi Abd Malik Sutha, Diah Wijayanti Syamsul Arifin Taqwin Taqwin Tjitrowati Djaafar Tondong, Henrietta Imelda Wery Aslinda Wijianto Yasmin H Yasmin H Yasmin H Zainul