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Journal : JURNAL PROMOSI KESEHATAN INDONESIA

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 Agung Pratama, Arsa Agustin Dwi Syalfina Alfina Aisatus Saadah Ali, Amir Amanda, Ayu Carissa Ambag, Silvia Catalan Andriyana, Alma Anif Prasetyorini Arta, I Gusti Aryo Kuncoro Asharudin, Ahmad Aulia Eka Fitri Candra Kirana Azundha Rahmadani Azzrinita Zawza Firdausi Ramadhani Caesarianty, Intan Agung Pratiwi Cahyani, Mustika Bagus Christine Christine Christine Della Ananda Lutfiah Arie Dian Safara Dinda Aida Patirony Djamaludin, Rachmad Drastyana, Serlly Frida Dwi Prasetyo Dwi Qurrotu Aini Falah, Fardhan Farady Putri Aulia Firdaus, Abidatu Zahrotul Firnalia Ellen Novana Hariono, Rafky Prasetya Hassannah, Adila Hidayatullah, Aulia Sulthan Ian Rahmadhani Januarika, Satria Kadar Ramadhan Kamil, Syifa' Salma Aulia Kartika, Ria Chandra Lembayun, Dita Aulia Putri Lestari, Dania Puji Listiana Dewi Widya Ningrum Listiawan, Nadhila Magda Iftitah Khusful Laila Mahdali, Yahya Marini, Rin Masyfufah, Lilis Maylina Surya Wirawati Pribadi Mega, Adhella Eria Muhadi Muhadi, Muhadi Mukharama, Kusnul Aula Nadhila Listiawan Nikmah, Nur Hidayatul Novianti, Siti Nudji, Bambang Nur lina Nurfadilla, Destiani Irma Okky Sandi Ariyanto Pangestu, RB. Mochammad Tahta Prasetyawan, Reynaldo Prawiryanto, Ody Mustafa Pribadi, Maylina Surya Wirawati Prihartanti, Niken Grah Priscilia Nanda Yunita Putra, Yunior Bimasekti Rafidzal, Muhammad Aqila Rahmawati, Andini Yunita Rahmawati, Ayu Isnaini Rizky, M.Risya Romadhon, Mohammad Syaifullah Anam Salshabilla Fitri Sandra Dwi Oktavia Saptya, Shavira Setiawan, Mohammad Yusuf Shella Nanda Tri Rahayu Silvia Catalan Ambag Sitepu, Ariko Sulistyoadi, Sulistyoadi Susilarti Susilarti Syafanny, Lutfiah Dwi Amanda Syafira Nulia Ta’adi Ta’adi Trijulianto, Andri Waffa Kesa Andin Pujanggi Wahuningtyas, Ananda Desinta Wahyuni, Titin Widi Astuti Yanuarika, Satria Yulianita, Novi Eka Zulkifli, Nathratul Ayeshah Binti