Determinan Perilaku Merokok Remaja SMA Sederajat di Kecamatan Lowokwaru Kota Malang

Authors

DOI:

https://doi.org/10.30872/jkmm.v5i1.10504

Keywords:

determinan, perilaku merokok, remaja

Abstract

Hampir 9 dari 10 orang dewasa yang merokok pertama kali pada usia 18 tahun. 1600 remaja merokok pertama kalinya setiap hari di U.S (CDC, 2022) Perilaku merokok yang tidak dicegah tentunya akan berdampak pada kesehatan, ekonomi, kejadian stunting, bahkan lingkungan. Penelitian bertujuan untuk mengidentifikasi determinan perilaku merokok di kecamatan Lowokwaru kota Malang. Metode penelitian adalah metode kuantitatif dengan desain studi cross-sectional yang dilaksanakan pada bulan Januari 2023. Data dikumpulkan melalui website Tobacco Retailer Assessment and Questionnaire dengan sampel berjumlah 330 siswa yang diperoleh acak dari 3 sekolah berbeda. Analisis data menggunakan uji chi-square dan regresi logistik berganda. Hasil penelitian menyatakan bahwa pengetahuan dan sikap, akses ketersediaan rokok, serta paparan rokok orang tua di rumah berhubungan signifikan terhadap perilaku merokok remaja. Sedangkan, hasil multivariat membuktikan bahwa akses ketersediaan rokok ialah faktor yang paling berpengaruh terhadap perilaku merokok. Diharapkan pemerintah melalui Kementrian Keuangan dapat menaikkan harga rokok dengan konsisten dan segera membuat kebijakan larangan menjual rokok eceran. Di samping itu, instansi kesehatan dapat membuat upaya promosi kesehatan untuk remaja dan melakukan pengawasan kawasan tanpa rokok yang komprehensif di sekolah

Author Biographies

  • Nadzifa Azhar Muslim, State University of Malang
    Departemen Ilmu Kesehatan Masyarakat
  • Sapto Adi, State University of Malang
    Departemen Ilmu Keolahragaan
  • Suci Puspita Ratih, State University of Malang
    Departemen Ilmu Kesehatan Masyarakat
  • Nurnaningsih Herya Ulfa, State University of Malang
    Departemen Ilmu Kesehatan Masyarakat

References

Alsubaie, A. S. R. (2020). Prevalence and Determinants of Smoking Behavior among Male School Adolescents in Saudi Arabia. International Journal of Adolescent Medicine and Health, 32(4). https://doi.org/10.1515/IJAMH-2017-0180/MACHINEREADABLECITATION/RIS

Alves, J., Perelman, J., Soto-Rojas, V., Richter, M., Rimpelä, A., Loureiro, I., Federico, B., Kuipers, M. A. G., Kunst, A. E., & Lorant, V. (2017). The role of parental smoking on adolescent smoking and its social patterning: a cross-sectional survey in six European cities. Journal of Public Health (Oxford, England), 39(2), 339–346. https://doi.org/10.1093/PUBMED/FDW040

Atlas, W. (2022). WHO Tobacco Atlas. https://tobaccoatlas.org/

Ayu, N., Sari, M. E., Komang, N., & Resiyanthi, A. (2020). Hubungan Perilaku Merokok Orang Tua dengan Kejadian Stunting. Jurnal Ilmu Keperawatan Anak, 3(2), 24–30. https://doi.org/10.32584/JIKA.V3I2.773

Azagba, S., Kennedy, R. D., & Baskerville, N. B. (2016). Smoke-free school policy and exposure to secondhand smoke: A Quasi-Experimental Analysis. Nicotine and Tobacco Research, 18(2), 170–176. https://doi.org/10.1093/ntr/ntv077

Bafunno, D., Catino, A., Lamorgese, V., Longo, V., Montrone, M., Pesola, F., Pizzutilo, P., Petrillo, P., Varesano, N., Zacheo, A., Del Bene, G., Lapadula, V., Mastrandrea, A., Ricci, D., Di Lauro, A., Cassiano, S., & Galetta, D. (2021). Smoking Prevalence, Knowledge and Perceptions on Tobacco Control Among Healthcare Professionals: A Survey in an Italian Cancer Center. Journal of Community Health, 46(3), 597–602. https://doi.org/10.1007/S10900-020-00907-8/TABLES/2

BPS Jawa Timur. (2022). Statistik Kesejahteraan Rakyat Provinsi Jawa Timur 2021.

Cahn, W. Z., Drope, J., Hamill, S., Islami, F., Liber, A., Nargis, N., & Stoklosa, M. (2018). The Tobacco Atlas. In Choice Reviews Online (Vol. 50, Issue 05). https://doi.org/10.5860/choice.50-2422

Dartanto, T., Nasrudin, R., Hasibuan, J., & Nurhasana, R. (2018). Tingkat Prevalensi Merokok pada Anak di Indonesia : Efek Harga dan Efek Teman Sebaya. PKJS UI, 1–5.

Elbands, E. S. (2020). Faktor-Faktor yang Berhubungan dengan Perilaku Merokok Pada Siswa Kelas X dan XI Di SMAN 1 Mesuji. Jurnal Ilmu Kesehatan, VII(1), 118–122. http://ejournal.bsi.ac.id/ejurnal/index.php/jk

Fransiska, M., & Firdaus, P. A. (2019). Faktor yang berhubungan dengan Perilaku Merokok pada Remaja Putra SMA X Kecamatan Payakumbuh. Jurnal Kesehatan, 10(1), 11. https://doi.org/10.35730/jk.v10i1.367

Hartono, A. Z., Oktora, S. I., Politeknik, S., & Stis, I. (2021). Determinants of Male Adolescents Smoking Behavior in Indonesia using Negative Binomial Regression. Indonesian Journal of Statistics and Its Applications, 5(1), 182–194. https://doi.org/10.29244/IJSA.V5I1P182-194

IAKMI. (2020). Fakta Tembaku INDONESIA 2020 Data Empirik untuk Pengendalian Tembakau. In Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI).

Ihsan Awaluddin, M., & Fuad, A. (2019). Analisis spasial keterjangkauan retailer rokok terhadap perilaku merokok siswa SMA di Kabupaten Wakatobi. Berita Kedokteran Masyarakat, 35(7).

Jannah, M., & Yamin, R. (2021). Determinan Perilaku Merokok Pada Remaja Sekolah Menengah Atas (Sma) Di Kota Palopo. Jurnal Kesehatan, 14(1), 6–12. https://doi.org/10.32763/JUKE.V14I1.276

Jatmika, S. E. D., Maulana, M., Kuntoro, & Martini, S. (2018). Buku Ajar Pengendalian Tembakau. Penerbit K-Media.

Kahar, P., Misra, R., & Patel, T. G. (2016). Sociodemographic Correlates of Tobacco Consumption in Rural Gujarat, India. BioMed Research International, 2016. https://doi.org/10.1155/2016/5856740

Kemenkes RI. (2019). Profil Kesehatan Indonesia Tahun 2019. In Kementrian Kesehatan Repoblik Indonesia (Vol. 42, Issue 4).

Khalifatulloh, B., & Irawan, B. (2022). Meta-Analysis: Effect of School-Based Health Promotion Strategy on Smoking Habits in Adolescents. Journal of Health Promotion and Behavior, 7(2), 131–141. https://doi.org/10.26911/thejhpb.2021.07.02.05

Kim, S. Y., Jang, M., Yoo, S., JeKarl, J., Chung, J. Y., & Cho, S. Il. (2020). School-based tobacco control and smoking in adolescents: Evidence from multilevel analyses. International Journal of Environmental Research and Public Health, 17(10). https://doi.org/10.3390/ijerph17103422

Manafe, M. W. N., Lerrick, Y. F., & Effendy, B. S. (2019). Determinan Tingkatan Perilaku Merokok Remaja Kota Kupang Determinants of Youth Smoking Behavior in Kupang City. Journal Inovasi Kebijakan, IV(2), 51–59. http://www.jurnalinovkebijakan.com/

Maretalinia, M., Juliansyah, E., Suyitno, S., Yulianto, A., & Suryani, D. (2021). Association of Smoking Related to Knowledge, Attitude, and Practice (KAP) with Tobacco Use in Community Health Center Working Area of Sungai Durian, Sintang Regency, West Kalimantan Province. Buletin Penelitian Sistem Kesehatan, 24(1), 38–45. https://doi.org/10.22435/hsr.v24i1.3544

Meilissa, Y., Nugroho, D., Luntungan, N., & Dartarto, T. (2021). The 2019 Health Care Cost of Smoking in Indonesia. Center for Indonesia’s Strategic Development Initiatives, 11–12.

Mélard, N., Grard, A., Robert, P. O., Kuipers, M. A. G., Schreuders, M., Rimpelä, A. H., Leão, T., Hoffmann, L., Richter, M., Kunst, A. E., & Lorant, V. (2020). School tobacco policies and adolescent smoking in six European cities in 2013 and 2016: A school-level longitudinal study. Preventive Medicine, 138(October 2019). https://doi.org/10.1016/j.ypmed.2020.106142

Mirnawati, Nurfitriani, Zulfiarini, F. ., & Cahyati, W. . (2018). Perilaku merokok pada remaja umur 13-14 tahun. Higeia Journal of Public Health Research and Development, 2(3), 396–405. http://journal.unnes.ac.id/sju/index.php/higeia

Notoatmojo, P. D. S. (2014). Ilmu Perilaku Kesehatan.

Novelle Turnip, C., Tirto Husodo, B., & Widjanarko, B. (2020). Determinan Perilaku Merokok pada Remaja Putra di Pondok Pesantren. MEDIA KESEHATAN MASYARAKAT INDONESIA, 19(3), 213–218. https://doi.org/10.14710/MKMI.19.3.213-218

Nurhasana, R., Ratih, S. P., Dartanto, T., Moeis, F. R., Hartono, R. K., Satrya, A., & Thabrany, H. (2020). Public support for cigarette price increase in Indonesia. Tobacco Control BMJ, 31(3), 483–486. https://doi.org/10.1136/tobaccocontrol-2019-055554

Rahmatina, Rahmat, M. I., & Ahsan, A. (2020). Islam dan Kesehatan Masyarakat: Studi Kasus Konsumsi Rokok di Indonesia. UI Publishing.

Ratih, S. P., Wisesa, A. M., & Puspitasari, S. T. (2021). Monitoring Kepatuhan dan Pengembangan Upaya Penegakkan Kawasan Tanpa Rokok yang Efektif di Kota dan Kabupaten Malang. Universitas Negeri Malang.

SEATCA. (2021). SEATCA Tobacco Tax Index: Implementation of WHO Framework Convention on Tobacco Control Article 6 in ASEAN Countries. 1–28.

Sitti, O. :, Wati, H., & Anggraini, D. (2018). Dampak Merokok Terhadap Kehidupan Sosial Remaja (Studi di Desa Mabodo Kecamatan Kontunaga Kabupaten Muna). Neo Societal, 503–509.

TCSC-IAKMI. (2020). Atlas Tembakau Indonesia Tahun 2020. In Tobacco Control Support Center-Ikatan Ahli Kesehatan Masyarakat Indonesia (TCSC-IAKMI) (Issue June). http://www.tcsc-indonesia.org/wp-content/uploads/2020/06/Atlas-Tembakau-Indonesia-2020.pdf

Tezera, N., & Endalamaw, A. (2019). Current Cigarette Smoking and Its Predictors among School-Going Adolescents in East Africa: A Systematic Review and Meta-Analysis. International Journal of Pediatrics (United Kingdom), 2019. https://doi.org/10.1155/2019/4769820

Utami, N. (2020). Pengaruh Kebiasaan Merokok Orang Tua terhadap Perilaku Merokok Remaja di Indonesia. Media Kesehatan Masyarakat Indonesia, 16(3), 327–335. https://doi.org/10.30597/mkmi.v16i3.9801

Wahyudi. (2018). Survey Perilaku Merokok Pada Remaja SMA di Malang. Jurnal Keperawatan Muhammadiyah, 3(1), 108–114.

WHO. (2020a). Global Youth Tobacco Survey. 1–12.

WHO. (2020b). The Tobacco Atlas Perspectives From the WHO South-East Asia Region.

Wibowo, M., Sofiana, L., Ayu, S. M., Gustina, E., & Khoeriyah, I. (2019). Adolescent smoking behaviour determinants in the city of Yogyakarta, Indonesia. International Journal Of Community Medicine And Public Health, 6(12), 5064. https://doi.org/10.18203/2394-6040.ijcmph20195445

World Health Organisation. (2019). WHO global report on trends in prevalence of tobacco use 2000-2025 (Third Edition). In World Health Organisation.

Xu, X., Chen, C., Abdullah, A. S., Liu, L., Sharma, M., Li, Y., & Zhao, Y. (2016). Smoking related attitudes, motives, and behaviors of male secondary school students in an urban setting of China. SpringerPlus, 5(1). https://doi.org/10.1186/S40064-016-3694-Z

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Published

2023-08-31

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Vol.5 No.1 Juli (2023) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)

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