<![CDATA[Introduction Acute Respiratory Infection (ARI) remains one of the most common health problems among children under five years of age. One of the factors associated with the incidence of ARI is household cigarette smoke exposure. This study aimed to analyze the relationship between household cigarette smoke exposure and the incidence of ARI among toddlers in the working area of UPTD Kluet Selatan Public Health Center, South Aceh Regency. This study employed a quantitative analytical method with a cross-sectional design. The study population consisted of 169 toddlers, and a sample of 63 respondents was selected using a purposive sampling technique. Data were collected using a structured questionnaire and analyzed through univariate and bivariate analyses using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that 50 respondents (79.4%) were exposed to cigarette smoke at home, while 54 toddlers (85.7%) suffered from ARI. The bivariate analysis revealed a p-value of 0.002 (p < 0.05), indicating a statistically significant relationship between household cigarette smoke exposure and the incidence of ARI among toddlers. The study concluded that household cigarette smoke exposure is significantly associated with an increased incidence of ARI among toddlers. Therefore, community education regarding the harmful effects of smoking inside the home and the implementation of smoke-free households are recommended as preventive measures to reduce the incidence of ARI among toddlers.]]>
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