Media Kesehatan Masyarakat Indonesia
Vol. 21 No. 3: SEPTEMBER 2025

Understanding the Impact of Pictorial Health Warnings on Smoking Behavior Among Adolescents

Pandji Winata Nurikhwan (Undergraduate Medicine Study Program, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, South Kalimantan)
Hadrianti Haji Darise Lasari (Department of Public Health, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, South Kalimantan)
Dessy Maulina (Department of Development Economics, Faculty of Economics and Business, Lambung Mangkurat University, South Kalimantan)
Mustafa Mustafa (LBH Pers, Jakarta)
Abdillah Ahsan (Department of Economics, Faculty of Economics and Business, University of Indonesia, West Java)
Anis Kamila Saleha (Department of Public Health, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, South Kalimantan)
Indra Haryanto Ali (Department of Public Health, Faculty of Medicine and Health Sciences, Lambung Mangkurat University, South Kalimantan)



Article Info

Publish Date
30 Sep 2025

Abstract

Smoking behavior remains a health challenge in Indonesian society. Riskesdas data shows an increase in smoking prevalence in adolescent groups. One of the control efforts is the implementation of PHW (Pictorial Health Warnings) on cigarette packs in accordance with Permenkes RI No. 28 of 2013. This study aims to determine the effectiveness of cigarette packs in influencing smoking intention and behavior PHW among adolescents in Tanah Bumbu Regency, Banjarbaru City and Banjarmasin City. The study used a quantitative method with a cross-sectional design. Samples were obtained through an accidental sampling technique, obtaining 315 smoking adolescents and 62 non-smoking adolescents. The instrument was a modified version of the Global Youth Tobacco Survey questionnaire. The analysis used was a linear regression test. The results further showed that 64.5% of respondents who did not smoke stated that their intention was very likely due to fear (89.03%) after seeing the warning and the image of smoking causing lung cancer, hence they did not smoke. Furthermore, there is a relationship between pictorial warnings on cigarette packaging with fear (p-value = 0.0001, r = 0.430) with a positive influence of 16.3%. In adolescent smokers, smoking pictures causing throat cancer 2 caused the most fear (71.3%) and the highest urge to quit smoking (66.48%). There is a relationship between pictorial warnings with fear (p-value = 0.0001, r = 0.195) and smoking cessation intensity (p-value = 0.0001, r = 0.728). The positive effect on fear was 3.5% and smoking cessation intensity was 52.9%.

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Journal Info

Abbrev

mkmi

Publisher

Subject

Public Health

Description

Media Kesehatan Masyarakat Indonesia accepts scientific papers in the form of research reports (original research papers) with a focus on the development of public health issues problems in Indonesia, including the developments and main problems in the field of epidemiology; Health Promotion; ...