Abstract
Objective
This research aimed to assess attitudes, subjective norms, and intentions about early smoking behavior among junior and senior high school students in Sampang, Madura, Indonesia.
Content
Teenagers’ smoking behavior is a phenomenon that needs careful examination and is easily recognized today. In Indonesia, the frequency of teenage smokers aged 10–18 years is growing every year. This age group is essential since most regular smokers start to smoke at this age. Although the Indonesian government has made preventive efforts, the prevalence of tobacco use remains high and continues to rise among younger age citizens. This research employed descriptive analysis with a cross-sectional approach. A total of 174 teenagers were chosen to participate in this study using a purposive sampling approach among junior high and high school students in Sampang District who smoke. Data were collected using questionnaires and evaluated with statistical regression tests with 95% confidence intervals (CI).
Summary
The findings revealed that attitudes, subjective norms, and intentions were linked to early smoking behavior in teenagers in the Sampang District, Madura. The results were attitude (OR=5.27, 95% CI: 4.89–5.61), subjective norm (OR=1.78, 95% CI: 1.51–2.05), PBC (OR=2.05, 95% CI: 1.66–2.40), and intention (OR=4.16, 95% CI: 3.86–4.47). Early smoking behavior in Sampang is primarily driven by the impression of poor parental disruptive behavior and a strong urge to smoke among teenagers, along with significant peer support.
Outlook
These findings can be utilized to address some of the key issues identified in order to prevent smoking in teenagers by establishing an atmosphere that avoids the stimulation in smoking behavior.
-
Competing interests: The authors declare that they have no competing interests.
References
1. Kramer, E, Ahsan, A, Rees, VW. Policy incoherence and tobacco control in Indonesia: an analysis of the national tobacco-related policy mix. Tobac Control 2021;37:53–7. https://doi.org/10.1136/tobaccocontrol-2021-056633.Search in Google Scholar PubMed
2. WHO. WHO global report on trends in prevalence of tobacco use 2000–2025, 4th ed. Geneva: World Health Organization; 2021.Search in Google Scholar
3. SEATCA. The Southeast Asia Tobacco Control Alliance (SEATCA) report, 2020. [Online]; 2020. Available from: https://seatca.org/.Search in Google Scholar
4. Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehat. RI 2018;53:1689–99.Search in Google Scholar
5. GYTS. Lembar Informasi Indonesia 2019 (global youth tobacco survey). World Health Organ 2020;1–2.Search in Google Scholar
6. UNICEF (United Nations Children’s Fund). Profil Remaja 2021. Unicef 2021;917:1–2.Search in Google Scholar
7. Amalia, B, Cadogan, SL, Prabandari, YS, Filippidis, FT. Socio-demographic inequalities in cigarette smoking in Indonesia, 2007 to 2014. Prev Med (Baltim) 2019;123:27–33. https://doi.org/10.1016/j.ypmed.2019.02.025.Search in Google Scholar PubMed
8. Friedman, AS, Buckell, J, Sindelar, JL. Patterns of youth cigarette experimentation and onset of habitual smoking. Am J Prev Med 2019;56:803–10. https://doi.org/10.1016/j.amepre.2019.02.009.Search in Google Scholar PubMed PubMed Central
9. Exner-Cortens, D, Hurlock, D, Wright, A, Carter, R, Krause, P. Preliminary evaluation of a gender-transformative healthy relationships program for adolescent boys. Psychol Men Masculinities 2020;21:168–75. https://doi.org/10.1037/men0000204.Search in Google Scholar
10. Rapee, RM, Oar, EL, Johnco, CJ, Forbes, MK, Fardouly, J, Magson, NR, et al.. Adolescent development and risk for the onset of social-emotional disorders: a review and conceptual model. Behav Res Ther 2019;123:103501. https://doi.org/10.1016/j.brat.2019.103501.Search in Google Scholar PubMed
11. Tapera, R, Mbongwe, B, Mhaka-Mutepfa, M, Lord, A, Phaladze, NA, Zetola, NM. The theory of planned behavior as a behavior change model for tobacco control strategies among adolescents in Botswana. PLoS One 2020;15:1–13. https://doi.org/10.1371/journal.pone.0233462.Search in Google Scholar PubMed PubMed Central
12. Ajzen, I. The theory of planned behavior: frequently asked questions. Hum Behav Emerg Technol 2020;2:314–24. https://doi.org/10.1002/hbe2.195.Search in Google Scholar
13. Nadar, MS, Hasan, AM, Alsaleh, M. The negative impact of chronic tobacco smoking on adult neuropsychological function: a cross-sectional study. BMC Publ Health 2021;21:1–10. https://doi.org/10.1186/s12889-021-11287-6.Search in Google Scholar PubMed PubMed Central
14. Kataoka, MC, Carvalheira, APP, Ferrari, AP, Malta, MB, de Barros Leite Carvalhaes, MA, de Lima Parada, CMG. Smoking during pregnancy and harm reduction in birth weight: a cross-sectional study. BMC Pregnancy Childbirth 2018;18:1–10. https://doi.org/10.1186/s12884-018-1694-4.Search in Google Scholar PubMed PubMed Central
15. Hall, W. Addiction classic – the 1964 US Surgeon General’s report on smoking and health. John Wiley & Sons, Ltd 2022;117:1–6. https://doi.org/10.1111/add.16007.Search in Google Scholar PubMed
16. Davey, G, Zhao, X. Turning points to becoming a tobacco smoker: smoking initiation and identity change among Chinese youth. Symbolic Interact 2020;43:308–31. https://doi.org/10.1002/symb.442.Search in Google Scholar
17. Wijayanti Sutha, D. Analisis Lingkungan Sosial Terhadap Perilaku Merokok Remaja Di Kecamatan Sampang Madura. J Chem Inf Model 2019;53:1689–99.Search in Google Scholar
18. BPS Kabupaten Sampang. Kabupaten Sampang dalam Angka 2021 (Sampang Regency in Figures 2021). Badan Pusat Statistik Sampang; 2020.Search in Google Scholar
19. Steingold, L. Using the theory of planned behaviour to predict tobacco and alcohol use in South African students. Cape Town: University of Cape Town; 2008.Search in Google Scholar
20. Bigwanto, M, Mongkolcharti, A, Peltzer, K, Laosee, O. Determinants of cigarette smoking among school adolescents on the island of Java, Indonesia. Int J Adolesc Med Health 2015;29:1–8. https://doi.org/10.1515/ijamh-2015-0036.Search in Google Scholar PubMed
21. Ajzen, I. Attitude, personality and behaviour, 2nd ed. England: Open University Press; 2005.Search in Google Scholar
22. Hopwood, CJ. Interpersonal dynamics in personality and personality disorders. Eur J Pers 2018;32:499–524. https://doi.org/10.1002/per.2155.Search in Google Scholar
23. Malinowska-Cieślik, M, Mazur, J, Nałęcz, H, Małkowska-Szkutnik, A. Social and behavioral predictors of adolescents’ positive attitude towards life and self.pdf. Int J Environ Res Publ Health 2019;16:4404. https://doi.org/10.3390/ijerph16224404.Search in Google Scholar PubMed PubMed Central
24. Thomeer, MB, Hernandez, E, Umberson, D, Thomas, PA. Influence of social connections on smoking behavior across the life course. Adv Life Course Res 2019;42:100294. https://doi.org/10.1016/j.alcr.2019.100294.Search in Google Scholar PubMed PubMed Central
25. Bosnjak, M, Ajzen, I, Schmidt, P. The theory of planned behavior_selected recent advances and applications. Eur J Psychol 2020;16:352–6. https://doi.org/10.5964/ejop.v16i3.3107.Search in Google Scholar PubMed PubMed Central
26. McEachan, RRC, Conner, M, Taylor, NJ, Lawton, RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: a meta-analysis. Health Psychol Rev 2011;5:97–144. https://doi.org/10.1080/17437199.2010.521684.Search in Google Scholar
27. Li Bai, SG, Wang, M. Understanding the antecedents of organic food purchases – the important roles of beliefs, subjective norms, and identity expressiveness.pdf. Sustainability 2019;11:3045. https://doi.org/10.3390/su11113045.Search in Google Scholar
28. La Barbera, F, Ajzen, I. Control interactions in the theory of planned behavior – rethinking the role of subjective norm.pdf. Eur J Psychol 2020;16:401–17. https://doi.org/10.5964/ejop.v16i3.2056.Search in Google Scholar PubMed PubMed Central
29. McKeganey, N, Barnard, M. Change and continuity in vaping and smoking by young people – a qualitative case study of a friendship group.pdf. Int J Environ Res Publ Health 2018;15:1008. https://doi.org/10.3390/ijerph15051008.Search in Google Scholar PubMed PubMed Central
30. Napirah, MR, Amiruddin, R, Magfirah, Nur, R, Mahfudz, Basir, M. Factors related to smoking habits of children aged 6–17 years. Enferm Clin 2020;30:22–5. https://doi.org/10.1016/j.enfcli.2019.10.034.Search in Google Scholar
31. Tirtosudiro, MA, Dhamayanti, M, Sambas, DR. Personal and environmental risk factors of smoking in male adolescent. Am J Clin Med Res 2016;4:52–5. https://doi.org/10.12691/AJCMR-4-3-4.Search in Google Scholar
32. Buitenhuis, AH, Tuinman, MA, Stadler, G, Hagedoorn, M. Daily support and negative control during a quit attempt in single-smoking couples. Health Psychol 2021;40:207–16. https://doi.org/10.1037/hea0000969.Search in Google Scholar PubMed
33. Conner, M, Grogan, S, West, R, Simms-Ellis, R, Scholtens, K, Sykes-Muskett, B, et al.. Effectiveness and cost-effectiveness of repeated implementation intention formation on adolescent smoking initiation: a cluster randomized controlled trial. J Consult Clin Psychol 2019;87:422–32. https://doi.org/10.1037/ccp0000387.Search in Google Scholar PubMed PubMed Central
34. Mohammadi, M, Ghaleiha, A, Rahnama, R. Effectiveness of a peer-led behavioral intervention program on tobacco use-related knowledge, attitude, normative beliefs, and intention to smoke among adolescents at Iranian Public High Schools. Int J Prev Med 2019;10:111. https://doi.org/10.4103/ijpvm.IJPVM_493_17.Search in Google Scholar PubMed PubMed Central
35. Yuriev, A, Dahmen, M, Paillé, P, Boiral, O, Guillaumie, L. Pro-environmental behaviors through the lens of the theory of planned behavior: a scoping review. Resour Conserv Recycl 2020;155:104660. https://doi.org/10.1016/j.resconrec.2019.104660.Search in Google Scholar
36. Ajzen, I. Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol 2002;32:665–83. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x.Search in Google Scholar
© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- ijamh-2023-frontmatter1
- Reviews
- Cyberbullying in adolescents: a literature review
- Unfolding the mystery of premenstrual syndrome (PMS): an overview
- Teenage menstrual dysfunction: an overview
- Loneliness and mental health related impacts of COVID-19: a narrative review
- Investigating the relationship between high-risk behaviors and mental health in adolescents in Rabor city, Iran
- Adolescent mental health during covid-19 pandemics: a systematic review
- Smoking behavior among junior high school students based on the theory of planned behavior in Madura, Indonesia
- Original Articles
- Relationship between fitness performance and a newly developed continuous body composition score in U.S. adolescent boys
- Characterization and prevalence of obesity among normal weight college students
- The process of capacity-building for pediatric subspecialty providers to address the needs of adolescents and young adults with chronic illness
- Transgender identity is associated with severe suicidal ideation among Finnish adolescents
- Experiences and attitudes towards mental health problems in first year German university students
Articles in the same Issue
- Frontmatter
- ijamh-2023-frontmatter1
- Reviews
- Cyberbullying in adolescents: a literature review
- Unfolding the mystery of premenstrual syndrome (PMS): an overview
- Teenage menstrual dysfunction: an overview
- Loneliness and mental health related impacts of COVID-19: a narrative review
- Investigating the relationship between high-risk behaviors and mental health in adolescents in Rabor city, Iran
- Adolescent mental health during covid-19 pandemics: a systematic review
- Smoking behavior among junior high school students based on the theory of planned behavior in Madura, Indonesia
- Original Articles
- Relationship between fitness performance and a newly developed continuous body composition score in U.S. adolescent boys
- Characterization and prevalence of obesity among normal weight college students
- The process of capacity-building for pediatric subspecialty providers to address the needs of adolescents and young adults with chronic illness
- Transgender identity is associated with severe suicidal ideation among Finnish adolescents
- Experiences and attitudes towards mental health problems in first year German university students