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Determinants of cigarette smoking among school adolescents on the island of Java, Indonesia

  • Mouhamad Bigwanto , Aroonsri Mongkolcharti , Karl Peltzer and Orapin Laosee EMAIL logo
Published/Copyright: September 11, 2015

Abstract

Background:

The Integrated Model of Change has successfully explained the behavior change process. Cigarette smoking is a social phenomenon, which needs to be understood for devising effective preventive strategies.

Objectives:

The study aims to apply the Integrated Model of Change to determine predictive factors of cigarette smoking behavior among school adolescents in Indonesia.

Methods:

A school-based cross-sectional study was designed to collect data in Banten, Indonesia. A total of 698 students from eight high schools were recruited by multi-stage cluster sampling. The association between cigarette smoking and the independent variables was examined by multiple logistic regressions.

Results:

The majority of respondents (86.4%) were between the ages of 15 and 17 years (Mean=16.4 years; SD=1.01). Approximately half (48.8%) of the students ever tried a cigarette while 29.6% were current smokers. Curiosity was reported as the main reason for experimenting with cigarettes (32%). The significant factors regarding current cigarette smoking were attitude [adjusted odds ratio (AOR)=2.68], social norms (AOR=12.80), self-efficacy (AOR=15.85), and accessibility (AOR=4.39).

Conclusion:

The study revealed social influence and self-efficacy that were strongly associated with cigarette smoking can help authorities in guiding possible intervention programs for school adolescents.


Corresponding author: Orapin Laosee, ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phudthamonthon, Nakorn Pathom, 73170 Thailand, E-mail:

Acknowledgments

We would like to express our gratitude to the Indonesian Endowment Fund for Education, Ministry of Finance Republic of Indonesia for the financial support provided for this research.

References

1. Warren CW, Riley L, Asma S, Eriksen MP, Green L, et al. Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull World Health Organ 2000;78:868–76.Search in Google Scholar

2. World Health Organization. Tobacco 2013 [updated July 2013]. Available at: http://www.who.int/mediacentre/factsheets/fs339/en/.Search in Google Scholar

3. Eriksen M, Mackay JL, Ross H. The tobacco atlas 2012, 4th ed. USA: Bookhouse Group, 2012.Search in Google Scholar

4. Spear LP. The adolescent brain and age-related behavioral manifestations. Neurosci Biobehav Rev 2000;24:417–63.10.1016/S0149-7634(00)00014-2Search in Google Scholar

5. Holm K, Kremers SP, de Vries H. Why do Danish adolescents take up smoking? Eur J Public Health 2003;13:67–74.10.1093/eurpub/13.1.67Search in Google Scholar

6. Elders MJ, Perry CL, Eriksen MP, Giovino GA. The report of the Surgeon General: preventing tobacco use among young people. Am J Public Health 1994;84:543–7.10.2105/AJPH.84.4.543Search in Google Scholar

7. Giovino GA. Epidemiology of tobacco use in the United States. Oncogene 2002;21:7326–40.10.1038/sj.onc.1205808Search in Google Scholar

8. Ministry of Health. National report of basic health research 2010. Jakarta: National Health Research and Development, 2010.Search in Google Scholar

9. World Health Organization. WHO report on the global tobacco epidemic, 2008: the MPOWER package. Brazil: World Health Organization, 2008.Search in Google Scholar

10. Lian TY, Dorotheo U. The ASEAN Tobacco Control Atlas, 1st ed. Bangkok, Thailand: Southeast Asia Tobacco Control Alliance (SEATCA), 2013.Search in Google Scholar

11. Ministry of Health. National report of basic health research 2007. Jakarta: National Health Research and Development, 2008.Search in Google Scholar

12. Ministry of Health. National report of basic health research 2013. Jakarta: National Health Research and Development, 2013.Search in Google Scholar

13. Central Bureau of Statistics, Republic of Indonesia. National Socio-Economic Survey (Susenas) 2003.Search in Google Scholar

14. Achadi A, Kosen S, Djutaharta T, Ahsan A, Munira SL, et al. The tobacco source book. Jakarta: Ministry of Health Republic of Indonesia, 2004.Search in Google Scholar

15. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Behav 1988;15:175–83.10.1177/109019818801500203Search in Google Scholar

16. Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health 2010;31:399–418.10.1146/annurev.publhealth.012809.103604Search in Google Scholar

17. Vries HD, Mudde A, Leijs I, Charlton A, Vartiainen E, et al. The European Smoking prevention Framework Approach (EFSA): an example of integral prevention. Health Educ Res 2003;18:611–26.10.1093/her/cyg031Search in Google Scholar

18. Ajzen I. The theory of planned behavior. San Diego: Academic Press, Inc., 1991.10.1016/0749-5978(91)90020-TSearch in Google Scholar

19. Vries HD, Mesters I, van’t Riet J, Willems K, Reubsaet A. Motives of Belgian adolescents for using sunscreen: the role of action plans. Cancer Epidemiol Biomarkers Prev 2006;15:1360–6.10.1158/1055-9965.EPI-05-0877Search in Google Scholar PubMed

20. Bandura A, McClelland DC. Social learning theory. New York: General Learning Press, 1977.Search in Google Scholar

21. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997;12:38–48.10.4278/0890-1171-12.1.38Search in Google Scholar PubMed

22. Broekhuizen K, van Poppel MN, Koppes LL, Brug J, van Mechelen W. A tailored lifestyle intervention to reduce the cardiovascular disease risk of individuals with Familial Hypercholesterolemia (FH): design of the PRO-FIT randomised controlled trial. BMC Public Health 2010;10:69.10.1186/1471-2458-10-69Search in Google Scholar PubMed PubMed Central

23. Smedley BD, Syme SL. Promoting health: intervention strategies from social and behavioral research. Am J Health Promot 2001;15:149–66.10.4278/0890-1171-15.3.149Search in Google Scholar PubMed

24. Al-Sadat N, Misau A, Zarihah Z, Maznah D, Su TT. Adolescent tobacco use and health in Southeast Asia. Asia-Pac J Public Health 2010;22:175S–80S.10.1177/1010539510372835Search in Google Scholar PubMed

25. Knops-Dullens T, de Vries N, de Vries H. Reasons for non-attendance in cervical cancer screening programmes: an application of the Integrated Model for Behavioural Change. Eur J Cancer Prev 2007;16:436–45.10.1097/01.cej.0000236250.71113.7cSearch in Google Scholar PubMed

26. Vries HD, Mesters I, Steeg HVD, Honing C. The general public’s information needs and perceptions regarding hereditary cancer: an application of the Integrated Change Model. Patient Educ Couns 2005;56:154–65.10.1016/j.pec.2004.01.002Search in Google Scholar PubMed

27. Ayo-Yusuf OA, Reddy PS, Van Den Borne BW. Longitudinal association of adolescents’ sense of coherence with tooth-brushing using an integrated behaviour change model. Community Dent Oral Epidemiol 2009;37:68–77.10.1111/j.1600-0528.2008.00444.xSearch in Google Scholar PubMed

28. MacFadyen L, Hastings G, MacKintosh AM. Cross sectional study of young people’s awareness of and involvement with tobacco marketing. Br Med J 2001;322:513–7.10.1136/bmj.322.7285.513Search in Google Scholar PubMed PubMed Central

29. DiFranza JR, Wellman RJ, Sargent JD, Weitzman M, Hipple BJ, et al. Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality. Pediatrics 2006;117:e1237–48.10.1542/peds.2005-1817Search in Google Scholar PubMed

30. Huang HL, Hsu CC, Peng WD, Yen YY, Chen T, et al. Analysis of influential factors associated with the smoking behavior of aboriginal schoolchildren in remote Taiwanese mountainous areas. J Sch Health 2012;82:318–27.10.1111/j.1746-1561.2012.00705.xSearch in Google Scholar PubMed

31. Johnston V, Thomas DP. Smoking behaviours in a remote Australian Indigenous community: the influence of family and other factors. Soc Sci Med 2008;67:1708–16.10.1016/j.socscimed.2008.09.016Search in Google Scholar PubMed

32. Martini S, Sulistyowati M. The determinants of smoking behavior among teenagers in East Java Province, Indonesia. 2005 Contract No.: 32.Search in Google Scholar

33. Hiemstra M, Otten R, Engels RC. Smoking onset and the time-varying effects of self-efficacy, environmental smoking, and smoking-specific parenting by using discrete-time survival analysis. J Behav Med 2012;35:240–51.10.1007/s10865-011-9355-3Search in Google Scholar PubMed PubMed Central

34. Warren CW, R JN, Armando P, James C, Jean-Pierre B, et al. Global Youth Tobacco Surveillance, 2000–2007. MMWR. Surveill Summ 2008;57:1–25.Search in Google Scholar

35. Colman AM, Morris CE, Preston CC. Comparing rating scales of different lengths: equivalence of scores from 5-point and 7-point scales. Psychol Rep 1997;80:355–62.10.2466/pr0.1997.80.2.355Search in Google Scholar

36. Ghiselli EE. The measurement of occupational aptitude. Univer Calif Pub Psychol 1955;8:101–216.Search in Google Scholar

37. Hosmer Jr DW, Lemeshow S. Applied logistic regression, 3rd ed. New York, NY: John Wiley & Sons, 2004.10.1002/0470011815.b2a10029Search in Google Scholar

38. Framework Convention Tobacco Control, World Health Organization. Parties to the WHO Framework Convention on Tobacco Control 2013 [October 15, 2013]. Available at: http://www.who.int.Search in Google Scholar

39. Ng N, Weinehall L, Öhman A. ‘If I don’t smoke, I’m not a real man’ – Indonesian teenage boys’ views about smoking. Health Educ Res 2007;22:794–804.10.1093/her/cyl104Search in Google Scholar PubMed

40. Bidstrup PE, Frederiksen K, Siersma V, Mortensen EL, Ross L, et al. Social-cognitive and school factors in initiation of smoking among adolescents: a prospective cohort study. Cancer Epidemiol Biomarkers Prev 2009;18:384–92.10.1158/1055-9965.EPI-08-0584Search in Google Scholar PubMed

41. Naing NN, Ahmad Z, Musa R, Hamid FR, Ghazali H, et al. Factors related to smoking habits of male adolescents. Tob Induc Dis 2004;2:133–40.10.1186/1617-9625-2-3-133Search in Google Scholar PubMed PubMed Central

42. Bandura A. Health promotion by social cognitive means. Health Edu Behav 2004;31:143–64.10.1177/1090198104263660Search in Google Scholar PubMed

43. Wang C, Henley N, Donovan RJ. Exploring children’s conceptions of smoking addiction. Health Educ Res 2004;19:626–34.10.1093/her/cyg087Search in Google Scholar PubMed

Received: 2015-4-24
Accepted: 2015-7-2
Published Online: 2015-9-11
Published in Print: 2017-4-1

©2015 Walter de Gruyter GmbH, Berlin/Boston

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