Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

Online
ISSN
2191-0278
See all formats and pricing
More options …
Volume 29, Issue 2

Issues

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

Mouhamad Bigwanto
  • ASEAN Institute for Health Development, Mahidol University, Salaya, Phudthamonthon, Nakorn Pathom, Thailand
  • Faculty of Health Sciences, University of Muhammadiyah Prof. DR. HAMKA, Limau II road, Kebayoran Baru, South Jakarta, Indonesia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Aroonsri Mongkolcharti
  • ASEAN Institute for Health Development, Mahidol University, Salaya, Phudthamonthon, Nakorn Pathom, Thailand
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Karl Peltzer
  • ASEAN Institute for Health Development, Mahidol University, Salaya, Phudthamonthon, Nakorn Pathom, Thailand
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Orapin Laosee
  • Corresponding author
  • ASEAN Institute for Health Development, Mahidol University, Salaya, Phudthamonthon, Nakorn Pathom, Thailand
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-09-11 | DOI: https://doi.org/10.1515/ijamh-2015-0036

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.

Keywords: adolescents; cigarette smoking; high school; Indonesia

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.PubMedGoogle Scholar

  • 2.

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

  • 3.

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

  • 4.

    Spear LP. The adolescent brain and age-related behavioral manifestations. Neurosci Biobehav Rev 2000;24:417–63.CrossrefPubMedGoogle Scholar

  • 5.

    Holm K, Kremers SP, de Vries H. Why do Danish adolescents take up smoking? Eur J Public Health 2003;13:67–74.PubMedCrossrefGoogle 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.PubMedCrossrefGoogle Scholar

  • 7.

    Giovino GA. Epidemiology of tobacco use in the United States. Oncogene 2002;21:7326–40.PubMedCrossrefGoogle Scholar

  • 8.

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

  • 9.

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

  • 10.

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

  • 11.

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

  • 12.

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

  • 13.

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

  • 15.

    Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Behav 1988;15:175–83.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.CrossrefWeb of SciencePubMedGoogle 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.CrossrefPubMedGoogle Scholar

  • 18.

    Ajzen I. The theory of planned behavior. San Diego: Academic Press, Inc., 1991.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.PubMedCrossrefGoogle Scholar

  • 20.

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

  • 21.

    Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997;12:38–48.CrossrefPubMedGoogle Scholar

  • 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.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 23.

    Smedley BD, Syme SL. Promoting health: intervention strategies from social and behavioral research. Am J Health Promot 2001;15:149–66.CrossrefGoogle Scholar

  • 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.Web of ScienceGoogle Scholar

  • 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.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 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.CrossrefPubMedGoogle Scholar

  • 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.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 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.CrossrefGoogle Scholar

  • 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.PubMedCrossrefGoogle Scholar

  • 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.PubMedWeb of ScienceCrossrefGoogle Scholar

  • 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.CrossrefWeb of ScienceGoogle Scholar

  • 32.

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

  • 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.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.CrossrefGoogle Scholar

  • 36.

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

  • 37.

    Hosmer Jr DW, Lemeshow S. Applied logistic regression, 3rd ed. New York, NY: John Wiley & Sons, 2004.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.

  • 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.Google Scholar

  • 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.Web of SciencePubMedCrossrefGoogle Scholar

  • 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.PubMedCrossrefGoogle Scholar

  • 42.

    Bandura A. Health promotion by social cognitive means. Health Edu Behav 2004;31:143–64.CrossrefGoogle Scholar

  • 43.

    Wang C, Henley N, Donovan RJ. Exploring children’s conceptions of smoking addiction. Health Educ Res 2004;19:626–34.PubMedCrossrefGoogle Scholar

About the article

Corresponding author: Orapin Laosee, ASEAN Institute for Health Development, Mahidol University, 999 Salaya, Phudthamonthon, Nakorn Pathom, 73170 Thailand, E-mail: orapin.lao@mahidol.ac.th


Received: 2015-04-24

Accepted: 2015-07-02

Published Online: 2015-09-11

Published in Print: 2017-04-01


Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150036, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0036.

Export Citation

©2015 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Marta Lima-Serrano, José Manuel Martínez-Montilla, Ana Magdalena Vargas-Martínez, José Antonio Zafra-Agea, and Joaquín Salvador Lima-Rodríguez
Gaceta Sanitaria, 2018

Comments (0)

Please log in or register to comment.
Log in