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


  • 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




Smoking, Knowledge, Attitudes, Peer promotion, Effect


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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How to Cite

Rachmat M, Arif NA, Anwar SA, Asrianti T, Awaru AT. Effect of Peer Promoters on Changes in Adolescent Smoking Knowledge and Attitudes: A School-based Intervention Study. Open Access Maced J Med Sci [Internet]. 2021 Nov. 10 [cited 2024 Feb. 23];9(E):1169-74. Available from: https://oamjms.eu/index.php/mjms/article/view/7356



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