DOI: 10.12688/f1000research.147006.4 ISSN: 2046-1402

Predictors Of Tobacco Smoking Initiation Among Indonesian Teenagers: The 2019 Global Youth Tobacco Survey

Hani Salsabila Deva, Ferry Efendi, Candra Panji Asmoro, Ronal Surya Aditya, Lisa McKenna, Abdullah Saleh Alruwaili
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Introduction We examined the predictors of tobacco smoking initiation considering factors such as age, gender, pocket money, exposure to smoke in public outdoor places, anti-tobacco media, smoking parents, smoking teachers, and smoking friends among adolescents in Indonesia. Methods This cross-sectional study used secondary data 2019 Indonesia Global Youth Tobacco Survey (GYTS) involving students grades 7–12. The GYTS questionnaire was used to assess tobacco related initiation and related factors, which served as the variables analyzed in this study. The analysis used descriptive, chi-square and logistic regression with the STATA application version 15. Results In total, 9,655 adolescent respondents participated in this study. Multivariate analysis showed that smoking initiation was more likely among teenagers aged 13–15 years (AOR: 1.34, 95% CI: 1.08–1.66), those older than 15 years (AOR: 1.65, 95% CI: 1.25–2.17), males (AOR: 13.99, 95% CI: 11.11–17.63), those exposed to cigarette smoke in public places (AOR: 2.00, 95% CI: 1.74–2.29), those who had never seen anti-tobacco messages in mass media (AOR: 1.23, 95% CI: 1.02–1.48), those with smoking parents (AOR: 1.26, 95% CI: 1.08–1.46), those who saw teachers smoking at school (AOR: 1.42, 95% CI: 1.18–1.71), and those who accepted cigarette offers from friends (AOR: 15.11, 95% CI: 10.33–22.11). Conclusion The initiation of tobacco smoking among teenagers in Indonesia can be predicted by various factors such as age, gender, exposure to smoke in outdoor public places, exposure to anti-tobacco media, and influence of parents, teachers, and friends.

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