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Jurnal Keperawatan Indonesia
Articles
VIEWS: 420
10.7454/jki.v26i3.1075
Submitted: 2023-05-19
Published: 2023-11-29

Smoking Among Adolescents and Associated Factors in Rural Areas

Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
School of Nursing, KPJ Healthcare University College, Negeri Sembilan, Malaysia
Departement of Nursing, Universitas Muhammadiyah Yogyakarta, Yogyakarta 55183, Indonesia
adolescent peer influence rural areas smoking students

Abstract

Smoking among adolescents is the major health-related issues in Malaysia. However, information concerning recent smoking rates and how they correlate among adolescents in rural areas is still limited. This study aimed to determine the percentage of adolescent smokers among high school students, examine their level of nicotine dependence, and study the association between sociodemographic data and smoking status. A cross-sectional study was conducted at one of the high schools located in the rural area of Bandar Tun Abdul Razak, Pahang, Malaysia. A convenience sampling method was used to select the participants, as only Form 2 students were available during the data collection. In total, 113 respondents were recruited for the study. The data, which were collected using self-administered questionnaires were analyzed using chi-square analysis and Fisher’s exact test analysis. The results showed that the prevalence of adolescent smokers among high school students was quite high (25.7%). Among the adolescent smokers, 65.5% had low nicotine dependence, and 34.5% had moderate nicotine dependence. Moreover, 21.4% of them admitted that they had tried other substances or drugs in addition to cigarettes. Peer pressure was the major factor in smoking (69.0%), followed by curiosity (27.6%), and then smoking family members’ influence, stress or tension, and others (3.4% each). The only significant association (p < 0.001) was between gender and smoking status. These findings showed that the proportion of smokers among adolescents is increasing over the years; thus, effective strategies, such as peer advocacy of smoking cessation, may be needed among this population.

Keywords: adolescent, peer influence, rural areas, smoking, students

 

Abstrak

Merokok di Kalangn Remaja dan Faktor-faktor yang Memengaruhinya di Daerah Pedesaan. Merokok di kalangan remaja adalah masalah kesehatan utama di Malaysia. Namun, informasi mengenai tingkat perokok saat ini dan korelasinya di kalangan remaja di daerah pedesaan masih terbatas. Penelitian ini bertujuan untuk mengetahui persentase remaja perokok di kalangan siswa sekolah menengah atas (SMA), mengetahui tingkat ketergantungan nikotin, dan mempelajari hubungan antara data sosiodemografi dengan status merokok. Sebuah studi cross-sectional dilakukan di salah satu SMA yang terletak di daerah pedesaan Bandar Tun Abdul Razak, Pahang, Malaysia. Metode convenience sampling digunakan untuk memilih peserta, hanya siswa Form 2 yang bersedia selama pengumpulan data. Sebanyak 113 responden direkrut untuk penelitian ini. Data yang dikumpulkan menggunakan kuesioner yang dikelola secara mandiri, dan dianalisis menggunakan analisis chi-square dan analisis Fisher’s exact test. Hasil penelitian menunjukkan bahwa prevalensi perokok remaja pada siswa SMA cukup tinggi (25,7%). Di antara remaja perokok, 65,5% memiliki ketergantungan nikotin tingkat rendah, dan 34,5% memiliki ketergantungan nikotin tingkat sedang. Terlebih, 21,4% di antaranya mengaku pernah mencoba zat atau obat lain selain rokok. Tekanan dari orang terdekat (teman) merupakan faktor utama dalam merokok (69,0%), diikuti oleh rasa ingin tahu (27,6%), dan pengaruh anggota keluarga yang merokok, stres atau ketegangan, dan lain-lain (masing-masing 3,4%). Satu-satunya hubungan yang signifikan (p < 0,001) adalah antara jenis kelamin dan status merokok. Temuan ini menunjukkan bahwa proporsi perokok di kalangan remaja meningkat dari tahun ke tahun; oleh karena itu, strategi yang efektif, seperti advokasi sejawat untuk berhenti merokok, diperlukan di kalangan populasi ini.

Kata Kunci: daerah pedesaan, merokok, pengaruh teman sebaya, remaja, siswa

References

  1. Abiola, A.O., Balogun, O.S., Odukoya, O.O., Olatona, F.A., Odugbemi, T.O., Moronkola, R.K., Solanke, A.A., Akintunde, O.J., & Fatoba, O.O. (2016). Age of initiation, determinants and prevalence of cigarette smoking among teenagers in Mushin Local Government Area of Lagos State, Nigeria. Asian Pacific Journal of Cancer Prevention, 17(3), 1209–1214. doi: 10.7314/APJCP.2016.17.3.1209.
  2. Al-Naggar, R.A., & Alshaikhli, H. (2018). Smoking among Malaysian adolescents. Research Journal of Pharmaceutical, Biological and Chemical Sciences, 9(4), 990-1004.
  3. Al-Zalabani, A.H. (2015). Family context factors and the risk of smoking among male adolescents in Saudi Arabia. Asian Pacific Journal of Cancer Prevention, 16(14), 5847–5852. doi: 10.7314/APJCP.2015.16.14.5847.
  4. Anjum, M.S., Srikanth, M.K., Reddy, P.P., Monica, M., Rao, K.Y., & Sheetal, A. (2016). Reasons for smoking among the teenagers of age 14–17 years in Vikarabad Town: A cross-sectional study. Journal of Indian Association of Public Health Dentistry, 14(1), 80-83. doi: 10.4103/2319-5932.178733.s.
  5. Bobo, F.T., Thanasekaran, P., Joice, A.J.R., Yadecha, B., & Alebel, A. (2018). Susceptibility to cigarette smoking and associated factors among high school students in western Ethiopia. BMC Research Notes, 11, 626. doi: 10.1186/s13104-018-3734-6.
  6. Cremers, H.-P., Oenema, A., Mercken, L., Candel, M., & de Vries, H. (2014). Explaining socio-economic differences in intention to smoke among primary school children. BMC Public Health, 14, 191. doi: 10.1186/1471-2458-14-191.
  7. Ekawati, F.M., Novitasari, D.A., Putri, D.A.D., & Ihyauddin, Z. (2024). Rural Indonesian adolescents’ smoking behaviours during the COVID-19 pandemic: Rapid survey and cotinine test of school-attend adolescents in Gunung Kidul, Yogyakarta. Scientific Report, 14, 2208. doi: 10.1038/s41598-023-50123-2.
  8. Grapatsas, K., Tsilogianni, Z., Leivaditis, V., Dimopoulos, E., Zarogoulidis, P., Karapantzos, I., Tsiouda, T., Barbetakis, N., Paliouras, D., Chatzinikolaou, F., Trakada, G., & Skouras, V. (2017). Smoking habit of children and adolescents: An overview. Annals of Research Hospitals, 1(3), 26. doi: 10.21037/arh.2017.05.01.
  9. Institute for Public Health. (2015). National health and morbidity survey 2015 – Report on smoking status among Malaysian adults. Retrieved from: https://www.moh.gov.my/moh/resources/NHMS2015-VolumeV.pdf
  10. Institute for Public Health Malaysia (2017). National health and morbidity survey 2017: Adolescent health survey 2017, Malaysia. Retrieved from: https://iku.gov.my/images/IKU/Document/REPORT/NHMS2017/AHSReport NHMS2017.pdf
  11. Jeganathan, P.D., Hairi, N.N., Al Sadat, N.A., & Chinna, K. (2013). Smoking stage relations to peer, school and parental factors among secondary school students in Kinta, Perak. Asian Pacific Journal of Cancer Prevention, 14(6), 3483–3489. doi: 10.7314/APJCP.2013.14.6.3483.
  12. Kleinjan, M., Engels, R.C., & DiFranza, J.R. (2015). Parental smoke exposure and the development of nicotine craving in adolescent novice smokers: The roles of DRD2, DRD4, and OPRM1 genotypes. BMC Pulmonary Medicine, 15, 115. doi: 10.1186/s12890-015-0114-z.
  13. Lim, H.K., The, H.C., Lim, L.H., Lau, J.K., Kee, C.C., Ghazali, S.M., Chan, Y.Y., Sabtu, M.Y., Ismail, H., Mohd Zaki, N.A., Thomas, L.T., Lim, K.K., Sm, C., Ibrahim, N., & Yusoff, M.F.M. (2015). Smoking among secondary school students in Kota Tinggi, Johor, Malaysia—Findings from a cross-sectional study. Asian Pacific Journal of Cancer Prevention, 16(11), 4563–4570. doi: 10.7314/apjcp.2015.16.11.4563.
  14. Lim, K.H., Lim, H.L., The, C.H., Kee, C.C., Khoo, Y.Y., Ganapathy, S.S., Jane Ling, M.Y., Mohd Ghazali, S., & Tee, E.O. (2017). Smoking among school-going adolescents in selected secondary schools in Peninsular Malaysia- findings from the Malaysian Adolescent Health Risk Behaviour (MyaHRB) study. Tobacco Induced Diseases, 15, 9. doi: 10.1186/s12971-016-0108-5.
  15. Lim, K.H., The, C.H., Pan, S., Ling, M.Y., Yusoff, M.F.M., Ghazali, S.M., Kee, C.C., Lim, K.K., Chong, K.H., & Lim, H.L. (2018). Prevalence and factors associated with smoking among adults in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2015. Tobacco Induced Diseases, 16, 01. doi: 10.18332/tid/82190.
  16. Ling, M.Y.J., Hasani W.S.R., Yusoff M.F.M, Hamid, H.A., Lim, K.H., Tee, G.H., Baharom, N., Ab Majid, N.L., Lourdes, T.G.R., Rifin, H.M., & Saminathan, T.A. (2019). Cigarette smoking among secondary school-going male adolescents in Malaysia: Findings from the National Health and Morbidity Survey 2017. Asia Pacific Journal of Public Health, 31(8_suppl), 80S-87S. doi: 10.1177/1010539519874948.
  17. Patiño-Masó, J., Font-Mayolas, S., Salamó, A., Arboix, M., Sullman, M.J.M., & Gras, M.E. (2019). Predictors of intentions to use cigarettes and electronic-cigarettes among high school students. Journal of Multidisciplinary Healthcare, 12, 591–599. doi: 10.2147/JMDH.S208031.
  18. Robalino, J.D., & Macy, M. (2018). Peer effects on adolescent smoking: Are popular teens more influential? PloS ONE, 13(7), e0189360. doi: 10.1371/journal.pone.0189360.
  19. The Royal Australian College of General Practitioners. (2021). Supporting smoking cessation: A guide for health professionals. Retrieved from: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/supporting-smoking-cessation
  20. Tobacco Control Unit & FCTC Secretariat. (2016). Clinical practice guidelines: Treatment of tobacco use disorder. Retrieved from: https://www.moh.gov.my/moh/resources/Penerbitan/CPG/Respiratory/CPG_TobacoDisorder.pdf
  21. Unit Kawalan Tembakau & Sekretariat FCTC. (2017). Garis panduan: Pengendalian murid sekolah yang merokok. Retrieved from: https://fliphtml5.com/niiat/svtc/Garis_Panduan_Pengendalian_Murid_Sekolah_Yang_Merokok_%28PMSM%29/29/
  22. World Health Organization (WHO). (2020). Tobacco Free Initiative (TFI): Health effects of smoking among young people. Retrieved from: www.who.int/tobacco/research/youth/health_effects/en/

How to Cite

Mohd Mokhtar, H. H., Abdul Ghani, N. F., Jaafar, S. N. I., Ahmad, A., & Fitri Arofiati. (2023). Smoking Among Adolescents and Associated Factors in Rural Areas. Jurnal Keperawatan Indonesia, 26(3), 153–162. https://doi.org/10.7454/jki.v26i3.1075