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All Journal Nan Tongga Health And Nursing
Vebby Amelia Edwin
Poltekkes Kemenkes Padang
Health Professions Medicine & Pharmacology Nursing Public Health

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Karakteristik Individu dan Kebijakan Anti-Merokok pada Perokok Berat di Indonesia Vebby Amelia Edwin; Welly Welly; Riyana Husna; Rahimatul Uthia
Nan Tongga Health And Nursing Vol. 20 No. 2 (2025): Nan Tongga Healt And Nursing
Publisher : Universitas Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59963/nthn.v20i2.551

Abstract

Hardcore smokers represent a critical subgroup in the tobacco epidemic due to their high nicotine dependence and low motivation to quit, making them difficult to reach through conventional cessation strategies. This study aims to analyze the association between individual characteristics and anti-smoking policies with hardcore smoking behavior in Indonesia. A cross-sectional design was employed using secondary data from the Global Adult Tobacco Survey (GATS) Indonesia 2021. A total of 2,837 current smokers who met the inclusion criteria were included in the analysis. Bivariate and multivariate logistic regression were used to examine the determinants of hardcore smoking. The prevalence of hardcore smokers was 7.47%. Significant predictors of hardcore smoking included early smoking initiation before age 15 (AOR = 5.9; p < 0.001) and between ages 15–24 (AOR = 4.83; p = 0.001), employment status (AOR = 4.39; p = 0.032), poor knowledge of tobacco-related health risks (AOR = 2.51; p < 0.001), and living in households without smoke-free home policies (AOR = 2.33; p = 0.011). These findings highlight the need for integrated interventions to prevent early initiation, improve tobacco-related health literacy, and strengthen smoke-free home policies. This study provides population-based evidence to support more targeted and effective tobacco control strategies, particularly for high-risk groups.
Determinan Kesulitan Berhenti Merokok Berdasarkan Pengaruh Keluarga, Teman Sebaya, Dan Lingkungan Terhadap Paparan Rokok Pada Anak Smp Serta Sma Di Indonesia Welly Welly; Vebby Amelia Edwin; Adela Resa Putri
Nan Tongga Health And Nursing Vol. 20 No. 2 (2025): Nan Tongga Healt And Nursing
Publisher : Universitas Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59963/nthn.v20i2.559

Abstract

Difficulties in quitting smoking among adolescents represent an increasingly complex public health challenge, particularly in countries with a high prevalence of tobacco use such as Indonesia. This study aims to analyze the determinants of smoking cessation difficulty among junior and senior high school students using data from the 2019 Indonesia Global Youth Tobacco Survey (GYTS). The study employed bivariate and multivariate logistic regression analyses, incorporating survey weights, stratification, and cluster effects. The findings indicate that 79.58% of adolescent smokers experience difficulty quitting. Significant factors associated with increased likelihood of cessation difficulty include having smoking parents (OR 1.31), being offered cigarettes by peers (OR 1.32), being female (OR 2.17), older age (OR 1.68–2.07), and exposure to smoking at school (OR 1.18). Conversely, exposure to smoking at home was not significantly associated with cessation difficulty. These results emphasize the need for comprehensive adolescent smoking cessation efforts that integrate family involvement, smoke-free school environments, and social-support–based interventions. Understanding the factors that hinder adolescents’ ability to quit smoking enables the development of more effective tobacco control strategies to protect youth from long-term addiction risks.
Co-Authors Adela Resa Putri Rahimatul Uthia Riyana Husna Welly Welly