Predictors of smoking exposure in non-smoking adolescents in Indonesia

Submitted: 22 September 2023
Accepted: 27 February 2024
Published: 7 March 2024
Abstract Views: 362
PDF: 153
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Exposure to secondhand smoke is one of the leading causes of death for non-smokers worldwide. The prevalence of exposure to secondhand smoke is higher among adolescents. Research on predictors of secondhand smoke exposure in adolescents is still rarely conducted in Indonesia. This study aimed to analyze the predictors of exposure to secondhand smoke among non-smoking adolescents in Indonesia. This study used data from the Global Youth Tobacco Survey (GYTS) Indonesia 2019 with a cross-sectional design. A total of 7,594 adolescents aged 13 to 15 were selected using purposive sampling. The dependent variables were exposure to secondhand smoke at home and in public. The independent variables included age, gender, smoking parents, smoking friends, and knowledge of the dangers of secondhand smoke. Data were analyzed using STATA with inferential tests, namely chi-square and logistic regression. The prevalence of adolescents exposed to secondhand smoke at home and in public was 49.57% and 71.86%, respectively. At-home exposure was significantly associated with smoking parents [AOR=3.50, 95% CI=2.97 to 4.12], smoking friends [AOR=1.50, 95% CI=1.30 to 1.73], and knowledge of the dangers of secondhand smoke [AOR=2.11, 95% CI=1.52 to 2.93]. Public exposure was associated with ages 13-15 [AOR=1.32, 95% CI=1.10 to 1.58] and older than 15 [AOR=1.77, 95% CI=1.39 to 2.25], male gender [AOR=1.31, 95% CI=1.11 to 1.53], smoking parents [AOR=1.58, 95% CI=1.36 to 1.84], smoking friends [AOR=2.16, 95% CI=1.85 to 2.53], and knowledge of secondhand smoke dangers [AOR=2.84, 95% CI=2.15 to 3.75]. Adolescents’ exposure to secondhand smoke in public spaces is higher in prevalence and has more associated factors compared to exposure at home. Exposure reductions require comprehensive actions from authorities by strictly implementing and expanding non-smoking areas covered by existing regulations. Also, family and school management should be involved in prevention efforts.

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Meles DK, Mustofa I, Wurlina W, et al. The restorative effect of red guava (Psidium guajava L.) fruit extract on pulmonary tissue of rats (Rattus norvegicus) exposed to cigarette smoke. Vet Med Int 2021;2021. DOI: https://doi.org/10.1155/2021/9931001
Artanti KD, Martini S, Mahmudah, et al. The relationship between smoking status and smoking cessation practice for health workers in Surabaya. J Public Health Africa 2023;14:2556. DOI: https://doi.org/10.4081/jphia.2023.2556
Surantini S, Palupi R, Purnomo W. Application of non-smoking area policy in non health student environments, is that effective? Syst Rev Pharm 2020;11:950-3.
WHO. Tobacco. Fact Sheets. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco
Arnott D. Second-hand smoke. New Scientist; London, UK; 2007. DOI: https://doi.org/10.1016/S0262-4079(07)63019-X
Riza Y, Budiarto W, Haksama S, et al. Determinants of participation in the implementation of non-smoking area policies for restaurant and cafe managers in Indonesia. J Public Health Africa 2023;14:2557. DOI: https://doi.org/10.4081/jphia.2023.2557
Center for Disease Control (CDC). Secondhand Smoke (SHS) facts. Smoking & Tobacco Use. 2021. Available from: https://www.cdc.gov/tobacco/secondhand-smoke/index.html
BKKBN. Stunted dan Stunting. Siaran Pers. 2021. Available from: https://www.bkkbn.go.id/berita-stunted-dan-stunting
Fagbule OF, Osuh ME. Predictors of exposure to secondhand tobacco smoke among non-smoking in-school adolescents in Ibadan, Nigeria. Popul Med 2020;2:1-9. DOI: https://doi.org/10.18332/popmed/125362
Anhar AY, Sandi NF, Arief ZK, et al. Knowledge level of non-health major students towards smoking effects in oral health. Int J Pharm Res 2020;12:2117-20. DOI: https://doi.org/10.31838/ijpr/2020.12.02.285
Ma C, Heiland EG, Li Z, et al. Global trends in the prevalence of secondhand smoke exposure among adolescents aged 12–16 years from 1999 to 2018: an analysis of repeated cross-sectional surveys. Lancet Glob Heal 2021;9:e1667-78. DOI: https://doi.org/10.1016/S2214-109X(21)00365-X
Drope J, Neil W, Schluger M. The Tobacco Atlas Sixth Edition. The American Cancer Society; Atlanta, USA; 2018.
GYTS. Lembar Informasi Indonesia 2019 (Global Youth Tobacco Survey). World Heal Organ 2020;1-2.
Kemenkes RI. Laporan Nasional Riset Kesehatan Dasar 2010. Laporan Nasional 2010.
Dwi Artanti K, Martini S, Widati S, Megatsari H. Influence of passive smoking on smoking-attributable disease. Malaysian J Med Heal Sci 2021;17:22-6.
Handayani N, Widjanarko B, Cahyo K, et al. Kawasan Tanpa Rokok Di Kota Semarang (Studi Observasional Perda Ktr). An-Nadaa J Kesehat Masy 2020;7:115. DOI: https://doi.org/10.31602/ann.v7i2.3671
Kolandai MA, Reyes JL. South East Asia Tobacco Industry Interference Index (2019). Southeast Asia Tobacco Control Alliance (SEATCA), Bangkok, Thailand; 2019.
Megatsari H, Damayanti R, Kusuma D, et al. The influence of anti-smoking messages to Indonesian youth smoking behavior: the Indonesian 2019 Global Youth Tobacco Survey (GYTS). BMC Public Health 2023;23:1-11. DOI: https://doi.org/10.1186/s12889-023-15830-5
Ling MYJ, Lim KH, Hasani WSR, et al. Exposure to secondhand smoke among school-going adolescents in Malaysia: Findings from the tobacco and e-cigarettes survey among Malaysian adolescents (TECMA). Tob Induc Dis 2020;18:1-11. DOI: https://doi.org/10.18332/tid/128622
Herawati P, Wahyudi K, Afriandi I. Determinan Paparan Asap Rokok di Dalam Rumah. Bul Penelit Kesehat 2019;47:245-52. DOI: https://doi.org/10.22435/bpk.v47i4.9
Lim KH, Ghazali SM, Lim HL, et al. Prevalence and factors related to secondhand smoke exposure among secondary school-going adolescents in Malaysia: Findings from Malaysia Global Health School Survey 2012 and 2017. Tob Induc Dis 2021;19:50. DOI: https://doi.org/10.18332/tid/136029
Jallow IK, Britton J, Langley T. Prevalence and factors associated with exposure to secondhand smoke (SHS) among young people: A cross-sectional study from the Gambia. BMJ Open 2018;8:1-8. DOI: https://doi.org/10.1136/bmjopen-2017-019524
Ziyab AH, Almari M, Al-Taiar A. Exposure to household secondhand smoke among adolescents in Kuwait: results from two school-based cross-sectional studies. Tob Induc Dis 2020;18:1-8. DOI: https://doi.org/10.18332/tid/119116
Do EK, Bradley KC, Fugate-Laus K, et al. An examination of social and environmental determinants of secondhand smoke exposure among non-smoking adolescents. Tob Prev Cessat 2021;7:1-12. DOI: https://doi.org/10.18332/tpc/131875
Hwang J, Park SW. Sex and age differences in exposure to secondhand smoke at home among Korean adolescents: a nationally representative survey. Int J Environ Res Public Health 2016;13:241. DOI: https://doi.org/10.3390/ijerph13020241
Hashemi-Aghdam MR, Shafiee G, Ebrahimi M, et al. Trend of passive smoking and associated factors in Iranian children and adolescents: the CASPIAN studies. BMC Public Health 2022;22:603. DOI: https://doi.org/10.1186/s12889-022-13045-8
Phetphum C, Noosorn N. Prevalence of secondhand smoke exposure at home and associated factors among middle school students in Northern Thailand. Tob Induc Dis 2020;18:11. DOI: https://doi.org/10.18332/tid/117733
Cham B, Mdege ND, Bauld L, et al. Exposure to second-hand smoke in public places and barriers to the implementation of smoke-free regulations in the gambia: A population-based survey. Int J Environ Res Public Health 2021;18:6263. DOI: https://doi.org/10.3390/ijerph18126263
Raute LJ, Pednekar MS, Mistry R, et al. Determinants of exposure to second-hand smoke at home and outside the home among students aged 11-17 years: Results from the Mumbai Student Tobacco Survey 2010. Indian J Cancer 2012;49:419-24. DOI: https://doi.org/10.4103/0019-509X.107750
Park MB. Living with parents who smoke predicts levels of toxicant exposure in children. Sci Rep 2020;10:11173. DOI: https://doi.org/10.1038/s41598-020-66920-y
Owusu D, Mamudu HM, John RM, et al. Never-smoking adolescents’ exposure to secondhand smoke in Africa. Am J Prev Med 2016;51:983-98. DOI: https://doi.org/10.1016/j.amepre.2016.08.040
Tsai J, Homa DM, Gentzke AS, et al. Exposure to Secondhand Smoke Among Nonsmokers — United States, 1988–2014. MMWR Morb Mortal Wkly Rep 2018;67:1342-6. DOI: https://doi.org/10.15585/mmwr.mm6748a3
Agaku IT, Singh T, Rolle I, et al. Prevalence and determinants of secondhand smoke exposure among middle and high school students. Pediatrics 2016;137:e20151985. DOI: https://doi.org/10.1542/peds.2015-1985
Ghazali SM, Huey TC, Cheong KC, et al. Prevalence and factors associated with secondhand smoke exposure among Malaysian adolescents. Tob Induc Dis 2019;17:1-8. DOI: https://doi.org/10.18332/tid/102728
Lim HL, Teh CH, Kee CC, et al. Exposure to second-hand smoke among secondary school-going adolescents: findings from the Malaysian Adolescent Health Risk Behaviour (MyAHRB) study. Proc Singapore Healthc 2019;28:19-25. DOI: https://doi.org/10.1177/2010105818789961
Mlinarić M, Schreuders M, Mons U, Kunst AE. Exposure to car smoking among youth in seven cities across the European Union. Drug Alcohol Depend 2019;204:107561. DOI: https://doi.org/10.1016/j.drugalcdep.2019.107561
Veeranki SP, Mamudu HM, Zheng S, et al. Secondhand smoke exposure among never-smoking youth in 168 countries. J Adolesc Heal 2015;56:167-73. DOI: https://doi.org/10.1016/j.jadohealth.2014.09.014
Mamudu HM, Veeranki SP, John RM, Kioko DM, Ogwell Ouma AE. Secondhand smoke exposure among nonsmoking adolescents in West Africa. Am J Public Health 2015;105:1823-30. DOI: https://doi.org/10.2105/AJPH.2015.302661
Shivalli S. Comment on “second-hand smoking among intermediate and secondary school students in Madinah, Saudi Arabia.” Biomed Res Int 2015;2015. DOI: https://doi.org/10.1155/2015/952450
Umar Kaoje A, Mohammed Ismaila A, Abdulhafiz O, et al. Secondhand cigarette smoke exposure pattern, knowledge, attitude and perception of harm amongst non-smokers in Sokoto Metropolis, Nigeria. J Environ Sci Public Heal 2021;05:281-95. DOI: https://doi.org/10.26502/jesph.96120130
Rahman M, Hasan SMM, Haque SE, et al. Secondhand smoking, knowledge/attitudes and socioeconomic status among married bangladeshi women: A cross-sectional study. Sao Paulo Med J 2019;137:13-24. DOI: https://doi.org/10.1590/1516-3180.2018.0292071218
Arikrishnan K, Sarveswaran G, Krishnamoorthy Y, Sakthivel M, Majella MG, Lakshminarayanan S. Prevalence and factors related to second hand smoking exposure, knowledge and response among adolescents in rural Puducherry. Int J Adolesc Med Health 2021;33:201-7. DOI: https://doi.org/10.1515/ijamh-2019-0014
Sun MC, Frédéric JDS. Knowledge of secondhand smoke and behaviour towards its exposure among teachers in Mauritius. Tob Prev Cessat 2020;6:1-9. DOI: https://doi.org/10.18332/tpc/120940
Ndlovu N, Kekana MP, Matlala SF, Ntuli TS. Exposure to secondhand smoke in health institutions and sources of knowledge: A cross-sectional study from the city of bulawayo, Zimbabwe. Pan Afr Med J 2020;35:1-7. DOI: https://doi.org/10.11604/pamj.2020.35.46.15341
Rao ABU, Rungta NMN, Shenoy R, et al. Exposure to second hand tobacco smoke among 12 year old adolescents in Mangalore, Karnataka - a descriptive study. Asian Pacific J Cancer Prev 2021;22:827-35. DOI: https://doi.org/10.31557/APJCP.2021.22.3.827
Ganavadiya R, Chandra Shekar BR, Suma S, et al. Effectiveness of two psychological intervention techniques for de‑addiction among patients with addiction to tobacco and alcohol – A double‑blind randomized control trial. Indian J Cancer 2018;55:382-9. DOI: https://doi.org/10.4103/ijc.IJC_650_17
Nan X, Lu H, Wu J, et al. Prevalence, knowledge and education level associated with secondhand smoke exposure among never-smoking women in Inner Mongolia, Northern China. Tob Induc Dis 2020;18:1-11. DOI: https://doi.org/10.18332/tid/119162
Lee JY, Ahn H, Lee H. Factors affecting secondhand smoke avoidance behavior of vietnamese adolescents. Int J Environ Res Public Health 2018;15:1-11. DOI: https://doi.org/10.3390/ijerph15081632

How to Cite

Sari, J. A., Efendi, F., Nimah, L., Aurizki, G. E., Aditia, R. S., Pradipta, R. O., & Abdul-Mumin, K. H. (2024). Predictors of smoking exposure in non-smoking adolescents in Indonesia. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.11861