Tobacco Consumption Among Young Population in Rural Indonesia: Prevalence and Associated Factors

Authors

  • Diyan Ermawan Effendi Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia https://orcid.org/0000-0002-3930-7021
  • Arief Priyo Nugroho Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia
  • Sri Handayani Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia
  • Risqa Novita Research Center for Pharmaceutical Ingredients and Traditional Medicine, National Research and Innovation Agency, Jakarta,Indonesia
  • Sidiq Purwoko Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia
  • Zulfa Auliyati Agustina Health Development Policy Agency, Ministry of Health, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.10011

Keywords:

Tobacco, Prevalence, Rural, Youth, Indonesia

Abstract

Introduction: Tobacco consumption among youths is increasing in Indonesia and other middle-income countries. In rural areas, its prevalence is even higher compared to urban settings. Understanding the extent and associated factors of tobacco consumption within this population is essential to inform the formulation of appropriate prevention and control strategies.

Aims: This study aims at analyzing the prevalence and associated factors of tobacco consumption among the young population living in rural Indonesia.

Methods: Data were obtained from Indonesia Family Life Survey wave 5 (IFLS-5). A total of 2,786 responses from respondents aged 15-24 years and living in rural areas were taken into analysis. Binary logistic regression was used to examine the association between tobacco consumption with the predictors.

Results: The prevalence of tobacco consumption among youths in rural Indonesia was 26.5%. Binary logistic regression discovered that factors significantly associated with tobacco consumption among young population were aged 20-24 years (AOR = 4.760, 95% CI: 3.557-6.368), less educated (AOR = 5.988, 95% CI: 3.193-11.229), being married (AOR = 2.484, 95% CI: 1.631- 3.782), and having smoking parent (AOR = 1.346, 95% CI: 1.016-1.783). Young males had a much higher tobacco use prevalence (57.1%). Whereas females had significant negative association with tobacco consumption (AOR = 0.001, 95% CI: 0.000-0.002).

Conclusion: A large portion of youth in rural Indonesia were identified to have tobacco-use behavior. Appropriate prevention and control strategies are needed to address the population groups identified in this study. Policymakers should anticipate challenges that may occur resulting from geographical and cultural differences. 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Yanbaeva DG, Dentener MA, Creutzberg EC, Wesseling G, Wouters EF. Systemic effects of smoking. Chest. 2007;131(5):1557-66. https://doi.org/10.1378/chest.06-2179 PMid:17494805 DOI: https://doi.org/10.1378/chest.06-2179

Holipah H, Sulistomo HW, Maharani A. Tobacco smoking and risk of all-cause mortality in Indonesia. PLoS One. 2020;15(12):e0242558. https://doi.org/10.1371/journal.pone.0242558 PMid:33259522 DOI: https://doi.org/10.1371/journal.pone.0242558

Sreeramareddy CT, Pradhan PM, Mir IA, Sin S. Smoking and smokeless tobacco use in nine South and Southeast Asian countries: Prevalence estimates and social determinants from demographic and Health Surveys. Popul Health Metr. 2014;12(1):22. https://doi.org/10.1186/s12963-014-0022-0 PMid:25183954 DOI: https://doi.org/10.1186/s12963-014-0022-0

Kosen S, Thabrany H, Kusumawardani N, Martini S. Health and Economic Cost of Tobacco in Indonesia: Review of Evidence Series. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2017.

Fithria F, Adlim M, Jannah SR, Tahlil T. Indonesian adolescents’ perspectives on smoking habits: A qualitative study. BMC Public Health. 2021;21(1):82. https://doi.org/10.1186/s12889-020-10090-z PMid:33413232 DOI: https://doi.org/10.1186/s12889-020-10090-z

Effendi D, Nugroho AP, Nantabah ZK, Laksono AD, Handayani L. Determinants of tobacco use among adolescents and young adults in Indonesia: An analysis of IFLS-5 data. Indian J For Med Toxicol. 2021;15(3):2765-73. https://doi.org/10.37506/ijfmt.v15i3.15726 DOI: https://doi.org/10.37506/ijfmt.v15i3.15726

World Health Organization. Global Youth Tobacco Survey (GYTS): Indonesia Report 2014. Geneva: World Health Organization; 2015. p. 24.

Ministry of Health of Indonesia. Primary Health Survey 2018. Jakarta: Balitbangkes Press; 2019.

Oyewole BK, Animasahun VJ, Chapman HJ. Tobacco use in Nigerian youth: A systematic review. PLoS One. 2018;13(5):e0196362. https://doi.org/10.1371/journal.pone.0196362 PMid:29723203 DOI: https://doi.org/10.1371/journal.pone.0196362

Grover S, Anand T, Kishore J, Tripathy JP, Sinha DN. Tobacco use among the youth in india: Evidence from global adult tobacco survey-2 (2016-2017). Tobacco Use Insights. 2020;13:1179173X2092739. https://doi.org/10.1177/1179173X20927397 PMid:33013161 DOI: https://doi.org/10.1177/1179173X20927397

Sargent JD, Gabrielli J, Budney A, Soneji S, Wills TA. Adolescent smoking experimentation as a predictor of daily cigarette smoking. Drug and Alcohol Depend. 2017;175:55-9. https://doi.org/10.1016/j.drugalcdep.2017.01.038 PMid:28391086 DOI: https://doi.org/10.1016/j.drugalcdep.2017.01.038

Warsito T. Attaining the demographic bonus in Indonesia. J Pajak Keuangan Negara. 2019;1(1):134-9. https://doi.org/10.31092/jpkn.v1i1.611 DOI: https://doi.org/10.31092/jpkn.v1i1.611

Kusumawardani N, Tarigan I, Suparmi, Schlotheuber A. Socio-economic, demographic and geographic correlates of cigarette smoking among Indonesian adolescents: Results from the 2013 Indonesian basic health research (RISKESDAS) survey. Glob Health Action. 2018;11(Suppl 1):54-62. https://doi.org/10.1080/16549716.2018.1467605 PMid:29855228 DOI: https://doi.org/10.1080/16549716.2018.1467605

Wilonoyudho S, Rijanta R, Keban YT, Setiawan B. Urbanization and regional imbalances in Indonesia. Indones J Geogr. 2017;49(2):125-32. https://doi.org/10.22146/ijg.13039 DOI: https://doi.org/10.22146/ijg.13039

Nababan HY, Hasan M, Mathias T, Dhital R, Rahman A, Anwar I. Trends and inequities in use of maternal health care services in Indonesia, 1986-2012. Int J Womens Health. 2018;10:11-24. https://doi.org/10.2147/IJWH.S144828 PMid:29343991 DOI: https://doi.org/10.2147/IJWH.S144828

Effendi DE, Deceased LH, Nugroho A, Hariastuti I. Adolescent pregnancy prevention in rural Indonesia: A participatory action research. Rural Remote Health. 2021;16;21(3):6639. https://doi.org/10.22605/RRH6639 PMid:34525836 DOI: https://doi.org/10.22605/RRH6639

Ramsey MW, Chen-Sankey JC, Reese-Smith J, Choi K. Association between marital status and cigarette smoking: Variation by race and ethnicity. Prev Med. 2019;119:48-51. https://doi.org/10.1016/j.ypmed.2018.12.010 PMid:30576684 DOI: https://doi.org/10.1016/j.ypmed.2018.12.010

Hussain M, Walker C, Moon G. Smoking and religion: untangling associations using english survey data. J Relig Health. 2019;58(6):2263-76. https://doi.org/10.1007/s10943-017-0434-9 PMid:28667475 DOI: https://doi.org/10.1007/s10943-017-0434-9

Van Oort FV, Van Der Ende J, Crijnen AA, Verhulst FC, Mackenbach JP, Joung IM. Determinants of daily smoking in Turkish young adults in the Netherlands. BMC Public Health. 2006;6(1):294. https://doi.org/10.1186/1471-2458-6-294 DOI: https://doi.org/10.1186/1471-2458-6-294

Choquet H, Yin J, Jorgenson E. Cigarette smoking behaviors and the importance of ethnicity and genetic ancestry. Transl Psychiatry. 2021;11(1):120. https://doi.org/10.1038/s41398-021-01244-7 PMid:33633108 DOI: https://doi.org/10.1038/s41398-021-01244-7

McCrabb S, Twyman L, Palazzi K, Guillaumier A, Paul C, Bonevski B. A cross-sectional survey of internet use among a highly socially disadvantaged population of tobacco smokers. Addict Sci Clin Pract. 2019;14(1):38. https://doi.org/10.1186/s13722-019-0168-y PMid:31610808 DOI: https://doi.org/10.1186/s13722-019-0168-y

Strauss J, Witoelar F, Sikoki B. The Fifth Wave of the Indonesia Family Life Survey: Overview and Field Report: Volume 1. Santa Monica, California, USA: RAND; 2016. https://doi.org/10.7249/wr1143.1 DOI: https://doi.org/10.7249/WR1143.1

Bird Y, Staines-Orozco H, Moraros J. Adolescents’ smoking experiences, family structure, parental smoking and socio-economic status in Ciudad Juárez, Mexico. Int J Equity Health. 2016;15(1):29. https://doi.org/10.1186/s12939-016-0323-y PMid:26897609 DOI: https://doi.org/10.1186/s12939-016-0323-y

Khanal V, Adhikari M, Karki S. Social determinants of tobacco consumption among nepalese men: Findings from nepal demographic and health survey 2011. Harm Reduct J. 2013;10(1):40. https://doi.org/10.1186/1477-7517-10-40 PMid:24359118 DOI: https://doi.org/10.1186/1477-7517-10-40

Efendi F, Aidah FN, Has EM, Lindayani L, Reisenhofer S. Determinants of smoking behavior among young males in rural Indonesia. Int J Adolesc Med Health. 2021;33(5):13-8. https://doi.org/10.1515/ijamh-2019-0040 PMid:34649306 DOI: https://doi.org/10.1515/ijamh-2019-0040

Duko B, Melese Y, Ebrahim J. Determinants of cigarette smoking among adolescents in Ethiopia: A cross-sectional study. Tob Induc Dis. 2019;17:39. https://doi.org/10.18332/tid/110800 PMid:31582951 DOI: https://doi.org/10.18332/tid/110800

Ng N, Weinehall L, Ohman A. If I don’t smoke, I’m not a real man-Indonesian teenage boys’ views about smoking. Health Educ Res. 2006;22(6):794-804. https://doi.org/10.1093/her/cyl104 PMid:16987943 DOI: https://doi.org/10.1093/her/cyl104

Lim KH, Lim HL, Teh CH, Kee CC, Khoo YY, Ganapathy SS, et al. Smoking among school-going adolescents in selected secondary schools in Peninsular Malaysia-findings from the Malaysian adolescent health risk behaviour (MyaHRB) study. Tob Induc Dis. 2017;15(1):9. https://doi.org/10.1186/s12971-016-0108-5 PMid:28163668 DOI: https://doi.org/10.1186/s12971-016-0108-5

Sarkar A, Roy D, Nongpiur A. A population-based study on tobacco consumption in urban slums: Prevalence, pattern, and determinants. J Family Med Prim Care. 2019;8(3):892-8. https://doi.org/10.4103/jfmpc.jfmpc_42_19 PMid:31041220 DOI: https://doi.org/10.4103/jfmpc.jfmpc_42_19

Khademi N, Babanejad M, Najafi F, Nikbakht MR, Hamzeh B, Mohammadi N. Tobacco use and its relationship with health complaints among employees of kermanshah province, Iran. Int J Prev Med. 2016;7:71. https://doi.org/10.4103/2008-7802.181757 PMid:27226894 DOI: https://doi.org/10.4103/2008-7802.181757

Luo B, Wan L, Liang L, Li T. The effects of educational campaigns and smoking bans in public places on smokers’ intention to quit smoking: Findings from 17 cities in China. Biomed Res Int. 2015;2015:853418. https://doi.org/10.1155/2015/853418 PMid:26064959 DOI: https://doi.org/10.1155/2015/853418

Armstrong GW, Veronese G, George PF, Montroni I, Ugolini G. Assessment of tobacco habits, attitudes, and education among medical students in the United States and Italy: A cross-sectional survey. J Prev Med Public Health. 2017;50(3):177-87. https://doi.org/10.3961/jpmph.15.061 PMid:28605889 DOI: https://doi.org/10.3961/jpmph.15.061

Effendi DE. The Development of Indonesian Health Literacy Measure for Tuberculosis [Master Thesis]. Australia: The Australian National University; 2017.

Szklo AS, De Souza MC, Szklo M, De Almeida LM. Smokers in Brazil: Who are they? Tob Control. 2016;25(5):564-70. https://doi.org/10.1136/tobaccocontrol-2015-052324 PMid:26292700 DOI: https://doi.org/10.1136/tobaccocontrol-2015-052324

Zhang G, Zhan J, Fu H. Trends in Smoking prevalence and intensity between 2010 and 2018: Implications for tobacco control in China. Int J Environ Res Public Health. 2022;19(2):670. https://doi.org/10.3390/ijerph19020670 PMid:35055491 DOI: https://doi.org/10.3390/ijerph19020670

Al-Naggar RA, Jawad AA, Bobryshev YV. Prevalence of cigarette smoking and associated factors among secondary school teachers in Malaysia. Asian Pac J Cancer Prev. 2012;13(11):5539-43. https://doi.org/10.7314/apjcp.2012.13.11.5539 PMid:23317214 DOI: https://doi.org/10.7314/APJCP.2012.13.11.5539

Kim S. Smoking Prevalence and the Association between Smoking and Sociodemographic Factors Using the Korea National Health and Nutrition Examination Survey Data, 2008 to 2010. Tob Use Insights. 2012;5:S9841. https://doi.org/10.4137/TUI.S9841 DOI: https://doi.org/10.4137/TUI.S9841

Abd Al-Badri HJ, Ali MA, Ali AA, Sahib AJ. Socio-economic determinants of smoking among Iraqi adults: Data from non-communicable risk factor STEPS survey 2015. PLoS One. 2017;12(9):84989. https://doi.org/10.1371/journal.pone.0184989 PMid:28957349 DOI: https://doi.org/10.1371/journal.pone.0184989

Nunziata L, Toffolutti V. Thou Shalt not Smoke: Religion and smoking in a natural experiment of history. SSM Popul Health. 2019;8:100412. https://doi.org/10.1016/j.ssmph.2019.100412 PMid:31338409 DOI: https://doi.org/10.1016/j.ssmph.2019.100412

Petersen AB, Thompson LM, Dadi GB, Tolcha A, Cataldo JK. An exploratory study of knowledge, attitudes, and beliefs related to tobacco use and secondhand smoke among women in Aleta Wondo, Ethiopia 11 medical and health sciences 1117 public health and health services. BMC Womens Health. 2018;18(1):154. https://doi.org/10.1186/s12905-018-0640-y PMid:30249233 DOI: https://doi.org/10.1186/s12905-018-0640-y

Widyaningrum N, Yu J. Tobacco use among the adult muslim population in Indonesia: A preliminary study on religion, cultural, and socioeconomic factors. J Drug Issues. 2018;48(4):676-88. Available from: http://journals.sagepub.com/doi/10.1177/0022042618789491 [Last accessed on 2022 Apr 14]. DOI: https://doi.org/10.1177/0022042618789491

Joung MJ, Han MA, Park J, Ryu SY. Association between family and friend smoking status and adolescent smoking behavior and E-cigarette use in Korea. Int J Environ Res Public Health. 2016;13(12):1183. https://doi.org/10.3390/ijerph13121183 PMid:27898019 DOI: https://doi.org/10.3390/ijerph13121183

Utami N. The impact of parent’s smoking behavior on adolescent smoking behavior in Indonesia. Media Kesehatan Masyarakat Indonesia. 2020;16(3):327-35. https://journal.unhas.ac.id/index.php/mkmi/article/view/9801 DOI: https://doi.org/10.30597/mkmi.v16i3.9801

Wibowo M, Sofiana L, Ayu SM, Gustina E, Khoeriyah I. Adolescent smoking behaviour in the city of Yogyakarta, Indonesia. Int J Community Med Public Health. 2019;6(12):5064. https://doi.org/10.18203/2394-6040.ijcmph20195445 DOI: https://doi.org/10.18203/2394-6040.ijcmph20195445

Woodgate RL, Kreklewetz CM. Youths narratives about family members smoking: Parenting the parent-its not fair! BMC Public Health. 2012;12(1):965. https://doi.org/10.1186/1471-2458-12-965 PMid:23140551 DOI: https://doi.org/10.1186/1471-2458-12-965

Downloads

Published

2022-06-14

How to Cite

1.
Effendi DE, Nugroho AP, Handayani S, Novita R, Purwoko S, Agustina ZA. Tobacco Consumption Among Young Population in Rural Indonesia: Prevalence and Associated Factors. Open Access Maced J Med Sci [Internet]. 2022 Jun. 14 [cited 2024 Nov. 21];10(E):1178-83. Available from: https://oamjms.eu/index.php/mjms/article/view/10011

Issue

Section

Public Health Epidemiology

Categories