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KMID : 1100920230440060327
Korean Journal of Family Medicine
2023 Volume.44 No. 6 p.327 ~ p.334
Tobacco Use among School-Age Adolescents in Indonesia: Findings from the 2015 Indonesia Global School-Based Student Health Survey
Zulfikar Ihyauddin

Dwi Astuti Dharma Putri
Jeslyn Tengkawan
Fitriana Murriya Ekawati
Mei Neni Sitaresmi
Abstract
Background : Although Indonesia has a considerable proportion of adolescent smokers, nationally representative studies of its determinants remain limited. The 2015 Indonesian Global School-Based Student Health Survey (GSHS) was conducted with school-age adolescents and provided information about smoking behavior. This study aimed to examine the prevalence, determinants, and correlates of tobacco use among adolescents in Indonesia using the GSHS survey.

Methods : A secondary data analysis of a cross-sectional study was conducted using data from the 2015 Indonesian GSHS. Multivariate logistic regression was used to assess the determinants and correlates of tobacco use.

Results : Our analysis showed that 9.1% of school-age adolescents had used tobacco products in the past 30 days. Most were 13?15 years (61.7%) and had attempted to stop smoking (92.4%). After adjusting for covariates, significant risk factors associated with tobacco smoking were older age groups (prevalence odds ratio [POR], 3.01?9.40; 95% confidence interval [CI], 1.71?23.1), male (POR, 13.7; 95% CI, 8.71?21.5), psychological distress (POR, 1.41; 95% CI, 1.05?1.90), smoking exposure (POR, 1.98?2.15; 95% CI, 1.35?3.42), and when both parents smoked (POR, 2.96; 95% CI, 1.78?4.94). In addition, tobacco use was associated with other risky behaviors, including sex with multiple partners, using drugs, drinking alcohol, and being involved in physical fights.

Conclusion : Tobacco use is high among Indonesian adolescents. This prevalence highlights the need for a more stringent tobacco control policy and tailored cessation programs for adolescents by considering important modifiable determinants of tobacco use among adolescents, including risky smoking-related behaviors.
KEYWORD
Smoking, Tobacco Products, Adolescent, Indonesia
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