Effect of Peer Promoters on Changes in Adolescent Smoking Knowledge and Attitudes: A School-based Intervention Study

Muhammad Rachmat; Nur Arifah Arif; Sitti Andriani Anwar; Tanti Asrianti; Andi Tenri Awaru

doi:10.3889/oamjms.2021.7356

Authors

Muhammad Rachmat Department of Health Promotion and Behavior, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia https://orcid.org/0000-0003-1520-6434
Nur Arifah Arif Department of Hospital Management, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Sitti Andriani Anwar Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Tanti Asrianti Department of Epidemiology, Faculty of Public Health, Mulawarman University, Samarinda, Indonesia https://orcid.org/0000-0002-8664-643X
Andi Tenri Awaru Department of Health Promotion, Nusantara Sehat Assignment Individual Batch 1, Ministry of Health Republic of Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7356

Keywords:

Smoking, Knowledge, Attitudes, Peer promotion, Effect

Abstract

Background: Smoking is currently a trend among youths, with the public emergence of new smokers shifting to this group.

Aim:This study aims at analyzing the effect of peer promoters as communicators on the knowledge and smoking attitudes of junior high school adolescents.

Methods:The quasi-experimental and non-equivalent control group designs were used. Furthermore, the respondents included 1062 students from two junior high schools in Makassar City, Indonesia, with 473 and 589 males and females, respectively. A total of 801 respondents had paired data (pre and post-test) consisting of 334 in the intervention and 467 in the control school.Paired t-test was used to measure the difference in the pretest and post-test scores of intervention and control schools. Independent t-test was used to determine mean difference between the pretest and post-test scores between intervention and the control schools.

Results:The results showed that 18.4% (n = 1062) had smoked, with subtleties of 39.4% male and 1.5% female understudies. the knowledge score increase of 0.82 (p = 0.000) and 0.22 (p = 0.004) was observed in the intervention and control schools, respectively (n = 801). The attitude score also increased by 2.23 (p = 0.080) in the intervention and 2.51 (p = 0.000) in the control school (n = 801). Differences in the knowledge and attitude scores between both schools obtained a value of p = 0.004 and 0.766, respectively.

Conclusion: education by peer promoters increase knowledge and change adolescent smoking attitudes indicated the promotion of school-based smoking behavior prevention efforts with intensive peer approach

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