Background : Most of children population was passive smoker it is caused by Family smoking habit at home. Cigarette smoke can leave chemicals or residue on clothing, ceilings, sofa curtains, and other places in the home. One of the effects that can occur as a result of smoking is respiratory tract infections (ISPA), which are the main cause of illness in children.Aims: This study aims to determine the relationship between smoking behavior and the incidence of acute respiratory infections in children at Jailolo Regional General Hospital, West Halmahera Regency. Methods : This study used a descriptive design with a cross-sectional approach. The study population consisted of all pediatric patients who visited the pediatric clinic at Jailolo Regional General Hospital whose parents had a history of smoking. A total of 107 respondents were selected using total sampling technique. The Brinkman Index was used to measure the degree of smoking behavior. Data analysis was performed using bivariate analysis with the Chi-Square test. Results : It is known that 77 children (72%) who visited the Jailolo Regional General Hospital Pediatric Clinic suffered from ARI, while only 30 children (28%) did not suffer from ARI. Furthermore, 27 respondents (25.2%) had parents who smoked lightly, while 40 respondents (37.4%) had parents who smoked moderately and heavily, respectively. The results of the Chi-Square test showed a significant relationship (p = 0.000). Conclusion : .This study found a significant association between smoking and the incidence of ARI in children
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