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Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Published by Universitas Airlangga
ISSN : 20853475     EISSN : 25409972     DOI : -
Core Subject : Health,
Health Professions
Arjuna Subject : -
Articles 372 Documents
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Predisposing, Enabling, and Reinforcing Factors of E-cigarette Use among Junior High School Students in Yogyakarta, Indonesia Heni Trisnowati; Yuningrum, Hesti
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.15-24

Abstract

Background: The number of e-cigarette users has increased tenfold over the past ten years. The prevalence of e-cigarette use continues to increase, especially among students. Objective: This study aims to identify factors that encourage the use of e-cigarettes among junior high school students in Yogyakarta City. Methods: This study used a cross-sectional survey approach with a sample size of 582 taken using a proportional stratified random sampling technique. Data were collected through a structured questionnaire, including respondent characteristics (gender, and age) as well as predisposing, enabling, and reinforcing factors for e-cigarette use. Data were analyzed using a chi-square test for bivariate analysis and a logistic regression test for multivariate analysis. Results: The results showed that knowledge (RP=4.06, CI 95%=1.60-10.3, p<0.05), affordability (RP=2.46, CI 95%=1.37-4.39, p<0.05), family members smoking (RP=3.14, CI 95%=1.62-6.09, p<0.05), peers smoking (RP=8.14, CI 95%=3.92-16.9, p<0.05) were associated with the use of e-cigarettes in students. Meanwhile, the availability of cigarettes is not significant with the use of e-cigarettes in students (RP=1.98, CI 95%=0.96-4.09, p>0.05). The results of multivariate analysis showed that the most influential factor in the use of e-cigarettes was peer smoking behavior. Conclusion: There is a relationship between knowledge, affordability, smoking family members, and smoking peers with the use of e-cigarettes in students. Health promotion programs on the dangers of e-cigarette use and how to avoid them should be implemented, as well as restrictions on access to e-cigarettes through the implementation of smoke-free areas in schools.
Feasibility Test of Picture Book Recognizing the Dangers of Smoking as a Media for Educating Children about The Dangers of Smoking Firda Atika Awaliya Putri; Nafikadini, Iken; Dewi Rokhmah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.56-66

Abstract

Introduction: The picture book media 'Recognizing the Threat of Smoking' as education about the dangers of smoking for children. The theme used in the picture book media is the danger of smoking, which was appropriately given to children, especially those in grades 4-6 of elementary school, with an age range of 10-12 years old. Objective: The general aim of this research was to test the feasibility of the picture book as a media for educating children about the dangers of smoking. Methods: This research was a research and development study with a qualitative approach conducted in January 2021 in Jember Regency. Data collection was done through interviews, observations, and documentation. Data analysis used Thematic Content Analysis. Results: This picture book consists of 18 pages, created through four stages: starting from the synopsis made directly by the researcher, creating a storyline also done directly by the researcher. Followed by a colleague as an illustrator for creating digital images, and a digital book is also done by the illustrator, then the final stage is printing done by the researcher. Conclusion: The material presented in the picture storybook about the dangers of smoking to children was suitable for children to read, but there were suggestions regarding the exposure of information on the health effects of smoking, which was considered insufficient. It was feared that if the health effects of smoking were only limited to a few diseases, the educational message would be less effective for children, who might think that smoking only causes minor health issues.
Intention to Quit Smoking in Active Smoking Health Students: What is the Role of Self-Efficacy? Dwi Anggraini Puspitasari; Rokhmah, Dewi; Iken Nafikadini
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.32-47

Abstract

Background: Students were agents of change, meaning they were movers, pioneers, and initiators in driving positive change. Specifically, health students were considered to have high abilities, skills, and knowledge regarding health issues and the dangers of smoking. Each student had different levels of self-efficacy.  Aims: This study aimed to analyze the relationship between self-efficacy and the intention to quit smoking among active smoker health students by involving the dimensions of self-efficacy. Additionally, the researcher described the aspects of self-efficacy dimensions possessed by active smoker health students. Methods: This research was a type of analytical survey research using a quantitative method approach. The population of this study consisted of 60 active smoker health students with the criteria of active S1 health students from the 2016-2018 cohorts. The independent variable in this study was the dimension of self-efficacy, which consisted of the level, strength, and generality dimensions. Meanwhile, the dependent variable was the intention to quit smoking. The research data were collected through interviews and data acquisition tools using questionnaires. Data analysis used univariate and bivariate analysis with the Spearman test. Results: The analysis results of the relationship between respondent characteristics and the intention to quit smoking showed no relationship between respondent characteristics (faculty p=0.609, cohort p=0.928, gender p= -0.925, and age p= -0.673) and the intention to quit smoking. Additionally, the analysis results of the relationship between self-efficacy dimensions (level dimension p=0.000, strength p=0.000, and generality p=0.009) and the intention to quit smoking showed that there was an interrelated relationship affecting the intention to quit smoking. Conclusion: From this research, it can be concluded that there was a relationship between self-efficacy and the intention to quit smoking among health students who are active smokers at the University of Jember.
Cross-Sectional Study: Can Cigarette Advertising Influence Health Faculty Students? Suhat; Yogisutanti, Gurdani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.48-55

Abstract

Background: Smoking behavior among faculty students still in a high prevalence. One of the causes of this behavior is the existence of smoking advertisements on various media, including social media. Objective: This research aims to determine smoking behavior among students and their responses to cigarette advertising. Method: This is survey research using a cross-sectional approach. Samples were taken from 69 students who had filled out a questionnaire distributed via Google Forms. Results: The research showed that the average age of respondents was 24 years from 19-44 years. As many as 68.1% were female, and unmarried (63.8%). As many as 26.1% of respondents smoked and the age at which they started smoking was approximately 17 years from the range of 14-19 years with an average of 1-12 cigarettes per day from their pocket money (68%). As many as 29% of respondents were influenced by cigarette advertising, with medium and large levels of influence each at 1.4%. As many as 62.3% of their family members smoke; the majority are fathers (46.4%) and older brothers (8.7%). The results of the research show that smoking behavior is still widely practiced by students at health faculties. Conclusion: Gender and the influence of cigarette advertising related to students' smoking behavior. It’s necessary to invigilate and stop cigarette advertisements in various accessible media. Education for students is needed, and can be included in learning courses, as well as a policy not to smoke in all academic activities, both on and off campus.
Strengthening Tobacco Consumption Control Policies: Program Integration for Social Assistance Recipients in Indonesia Kusuma Hartono, Risky; Nurhasana, Renny; Satrya, Aryana; Rizky Ningtyas, Fadhilah; Oktarina, Ratih; Candaika, Putri; Madelif Sihombing, Isranalita
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.82-92

Abstract

Background: The prohibition on using social assistance funds for purchasing cigarettes has been stipulated in the Minister of Social Affairs Decree Number 175 of 2022. However, the primary goal of this program to improve community welfare is threatened as this misuse persists. Aims: This study aims to analyze the challenges and obstacles in implementing the policy to control cigarette consumption among social assistance recipients and to identify integrated priority programs across sectors. Methods: This qualitative study employs a case study approach. Data were collected through in-depth interviews and focus group discussions with informants representing central governments, regional governments, and social assistance officers. The interviews were then analyzed using SWOT analysis to formulate strategies and identify the priority program. Results: The analysis reveals that cross-sector collaboration is a key strength for reinforcing cigarette consumption control among the recipients. This is implemented through the Family Capability Improvement Meeting (P2K2), involving healthcare workers who educate the dangers of smoking and establish Smoking Cessation Service Clinics (UBM). The proposed priority program integrates the social assistance program with UBM clinics to help recipients quit smoking. Conclusion: The study concludes that strengthening this policy requires comprehensive program integration with multi-sector involvement. This enhancement also necessitates stronger central regulatory support through the Government Regulations as derived from Health Law Number 17 of 2023. Strengthening this policy is expected to contribute to achieving the SDGs by improving community health and quality of life, and alleviating poverty through improved effectiveness of the social assistance program.
A Descriptive Content Analysis of Anti-Smoking Messages among Indonesians on Instagram Kodriati, Nurul; Fitriani, Isah; Kulsum, Zulva Ferdiana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.119-125

Abstract

Background: Many people turn to social media platforms to obtain information including information related to health. Understanding how the anti-smoking messages have been done is important to develop more structured and efficient Anti-smoking campaigns. Aims: This study aims to characterize current anti-smoking messages on Instagram in 2023 among Indonesians by employing descriptive content analysis. Methods: In March 2024, anti-smoking messages were searched on Instagram using several anti-smoking relevant hashtags such as #bahayamerokok #berhentimerokok and selected top posts for each hashtag. After eliminating duplicates, 210 Instagram posts were coded for the type of creator (individuals, company, education institution, community), message appeal (threat/fear, humor, social), and message form (picture, videos). Results: The main creator and message appeal were organizations/companies (48.1%), and threat/fear (60%) respectively. The main months of the posts being uploaded were during May or June, especially to celebrate World No Tobacco Day. The main form of the postings was in pictures (92.4%) compared to videos (7.6%). The number of likes was positively associated with the number of followers on the accounts (r=0.452, P<0.05) and the number of hashtags being used (r=0.256, P<0.05). Conclusion: Indonesian anti-smoking campaigns on social media should involve an Instagram account that has large followers to receive higher audience engagement. Routine anti-smoking messages throughout the year will ensure that the audience receives continuous education and information about the dangers of cigarette use.
Effect of Pictorial Health Warnings on Fear and Intensity Smoking Cessation Lasari, Hadrianti H.D.; Pandji Winata Nurikhwan; Maulina, Dessy; Fakhriadi, Rudi; Ahsan, Abdillah; Medyna, Ikrima; Astuti, Verinda Ghea Ayu; Firani, Dewi
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.155-162

Abstract

Background: World Health Organization (2020) states that the number of smokers aged 15 years and over in the world is 991 million people. The highest number of smokers in ASEAN is in Indonesia (46.16%). Riskesdas South Kalimantan (2018) states that the prevalence of smokers in South Kalimantan is 24.42%. The highest prevalence of smoking in South Kalimantan Province in 2018 with a frequency of every day was in Kotabaru Regency at 27.37%, Hulu Sungai Tengah at 22.03%, and Banjar Regency at 20.88%. Aims: Explain and analyze the effect of pictorial health warnings on cigarette packaging on fear and intensity of smoking cessation in Kotabaru, Hulu Sungai Tengah, and Banjar districts. Method: The study used a cross-sectional design. Accidental sampling was used with a sample of 164 Kotabaru districts, 112 Hulu Sungai Tengah samples, and 224 Banjar samples. The research instrument was a modified questionnaire from WHO STEPwise and previous research which were then tested for validity and reliability. Data analysis was univariate and bivariate analysis using linear regression analysis. Results: There was a relationship between pictorial health warnings on cigarette packaging with fear (p-value = 0.0001, r = 0.731) and smoking cessation intensity (p-value = 0.0001, r = 0.771). There is a positive influence between pictorial health warnings on cigarette packaging on fear by 53.4% and smoking cessation intensity by 59.4%. Conclusion: There is an influence between pictorial health warnings on cigarette packaging on fear and smoking cessation intensity in Kotabaru, Hulu Sungai Tengah, and Banjar districts.
Spatial Analysis and the Distribution Map of Cigarette Expenditures and Tuberculosis CNR in Indonesia in 2021-2022 Kurnia, Galuh Mega; Ersanti, Arina Mufida
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.1-14

Abstract

Background: Indonesia is in second place with the highest number of Tuberculosis (TB) cases in the world with a death rate reaching 144,000 cases per year. Smoking has become the second biggest risk factor for TB in Indonesia after poor environmental conditions and Indonesia ranks third with the highest number of smokers in the world. Objective: To analyze the relationship between cigarette expenditure and TB Case Notification Rate in 2021-2022. Method: The study design is an observational quantitative study using secondary data. Mapping was carried out using the QGIS application and spatial analysis was done using the GeoDa application's spatial regression. Results: in 2021 the majority of provinces in Indonesia are in the medium category for average per capita weekly cigarette expenditure and is in the low category for CNR TB. In 2022, most provinces in Indonesia were in the high category for average per capita per week cigarette expenditure and in the medium category for TB CNR. Papua Province needs to get more attention from the government because even though the average cigarette expenditure is low, the TB rate is high. DKI Jakarta Province needs to receive more attention because apart from its high TB rate, the average per capita cigarette expenditure is also high. There’s a relationship between cigarette expenditure and TB CNR in 2021 but not in 2022. Conclusion: There was an increasing trend in cigarette expenditure and TB CNR in Indonesia from 2021 to 2022 and a lack of consistency in the relationship between the two variables from 2021 to 2022.
Smoking Behavior in Health Students in Jayapura City Ayomi, Mina Blandina
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.76-81

Abstract

Background: The 2021 Global Adult Tobacco Survey (GATS) showed an increase in the number of adult smokers by 8.8 million, namely from 60.3 million in 2011 to 69.1 million in 2021. Although the prevalence of smoking in Indonesia has decreased from 1 8% to 1.6, Papua Province's percentage of smoking among the population aged 15 years from 2021-2023 is 24.91%, decreasing to 22.22% in 2023 to 22.3%. Aims: This research is to determine the perception of smoking among health students in Jayapura City. Method: The research used a descriptive survey with samples from 100 health students from various universities in Jayapura City, the research location, from June to September 2023. Data were collected using a questionnaire consisting of several questions. The data were analyzed univariately, displayed in table form, and narrated. Results: There were 34 respondents (34%) smoking activities and 66 respondents (66%) who did not. This type of cigarette is smoked 100% cigarettes. The number of cigarettes smoked was 4-6 cigarettes; there were 25 respondents (73.5%) and nine respondents (26.5%) 7-10 cigarettes. Twenty-nine respondents (85.3%) smoked outdoors, and five respondents (14.7%) were indoors. Length of smoking ³ three years, there were 30 respondents (88.2%), and for less <than one year, there were four respondents (11.8%). The reason for smoking was to relieve stress for 25 respondents (73.5%) and for hanging out with friends for nine respondents (26.5%). Plans to stop smoking: 27 respondents (79.5%) and 7 respondents (20.5%) did not stop smoking. Conclusion: It can be concluded, that the reason for smoking is because of stress and having many problems, but more respondents want to stop smoking. Efforts and good intentions can stop smoking among health students as agents of societal change.
Strategies of Young Fathers to Quit Smoking in the Context of Indonesian Men Rohmah, Nur; Rene Lamy, Francois
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI2 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI2.2024.67-75

Abstract

Introduction: Smoking cessation is a critical step towards improving overall health and well-being, not only for individuals but also for their families. Although young fathers who smoke may have particular difficulties while trying to stop, they can conquer their addiction with the correct techniques and assistance. Objective: This study aims to investigate the strategies used by young Indonesian fathers to give up smoking after the birth of their children. Method: We gathered thirty young fathers who were smokers at the time for semi-structured, in-depth interviews. The process of coding data from grounded theory was utilized to interpret the acquired data, even though grounded theory was not the theoretical framework used in this investigation. Results: Some informants described their efforts to change their smoking behavior, including both external and internal efforts, for both individuals who intend to quit and those who continue to smoke. Numerous additional informants mentioned external efforts. The informants have different motivations for wanting to quit smoking. According to an analysis of the interviews, there are two main sources of motivation and/or intents for quitting: internal and external cues. Conclusion: The complex experiences that young fathers have when attempting to quit smoking are influenced by some factors, including the transition to parenting, specialized support programs, and the significance of family encouragement.

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