Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Vol. 20, No. 5

Associated Factors in Willingness to Shift Tobacco Expenditure Into National Health Insurance Premium Among Subsidized Members

Wahidin, Mugi (Unknown)
Mikrajab, Muhammad Agus (Unknown)
Agustiya, Rozana Ika (Unknown)
Azteria, Veza (Unknown)



Article Info

Publish Date
31 Jul 2025

Abstract

In Indonesia, subsidized members are the largest group in the National Health Insurance program. Hence, it is essential to understand their ability to pay (ATP) based on tobacco expenditure. This study aimed to determine the ATP of subsidized members based on tobacco expenditure and factors associated with their willingness to pay (WTP). This cross-sectional study used secondary data from the National Institute of Health Research and Development. The population included all subsidized members; 19,918 were sampled for ATP, and 14,560 were WTP. The independent t-test, ANOVA, and logistic regression were performed. Results showed that ATP from tobacco expenditure ranged from USD 4 to 4.8, higher than the minimum monthly payment, and WTP ranged from USD 0.1 to 1.2. About 73.6% of respondents preferred to pay less than USD 0.3 as an additional payment, while 3.5% were willing to pay more than USD 1. The ATP was higher than the monthly payment and WTP, but only a few were willing to be non-subsidized members. Factors associated with WTP were sex, age, education level, family member, occupation, expenditure, and history of health facility utilization, implying the subsidized members should be reviewed, especially among smokers.

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Journal Info

Abbrev

publication:kesmas

Publisher

Subject

Health Professions Public Health

Description

The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, ...