ANTI-SMOKING MESSAGES VERSUS PRO-SMOKING MESSAGES AMONG INDONESIAN ADOLESCENT SMOKERS
Background: Anti-smoking messages (ASM) is a program designed to educate the public about the dangers of tobacco use, aiming to prevent adolescents and young people from smoking cigarettes in any form and to assist smokers in giving up their smoking habit. On the contrary, pro-smoking messages (PSM) is a marketing technique to promote tobacco products.
Aims: This study was conducted to describe the exposure to ASM and PSM among Indonesian adolescent smokers (IAS).
Methods: This study analyzed secondary data from the 2019 Global Youth Tobacco Survey (GYTS) Indonesia. The outcome variable was the respondent's smoking intensity in the last 30 days. The independent variables were the exposure to ASM and PSM in the various below-the-line media.
Results: Most IAS were male (93.4%), mostly in secondary school (60.3%) and spent more than IDR 11,000 per week (71.1%). Adolescent smokers were exposed to ASM at a rate of 92.4%. Furthermore, ASM exposure happened to 60.5% of the low-intensity youth smoker group and 39.5% of the high-intensity youth smoker group. Meanwhile, 93% of adolescent smokers were exposed to PSM, with 40.8% in the high-intensity youth smoker group and 59.2% in the low-intensity youth smoker group.
Conclusion: The exposure to ASM and PSM in the adolescent smoker group was relatively the same.
Keywords: ASM, PSM, prevention, public health, tobacco control, youth
Agaku, I.T., King, B.A. and Dube, S.R. (2014) ‘Trends in exposure to pro-tobacco advertisements over the Internet, in newspapers/magazines, and at retail stores among U.S. middle and high school students, 2000–2012', Preventive Medicine, 58, pp. 45–52. Available at: https://doi.org/10.1016/j.ypmed.2013.10.012.
Andersen, S. et al. (2018) Best Practices User Guide: Health Communications in Tobacco Prevention and Control. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.
Astuti, P.A.S. and Freeman, B. (2017) ‘"It is merely a paper tiger.” Battle for increased tobacco advertising regulation in Indonesia: content analysis of news articles', BMJ Open, 7(9), p. e016975. Available at: https://doi.org/10.1136/bmjopen-2017-016975.
Asyary, A. et al. (2021) ‘Prevalence of Smoke-Free Zone Compliance among Schools in Indonesia: A Nationwide Representative Survey', Asian Pacific journal of cancer prevention: APJCP, 22(2), pp. 359–363. Available at: https://doi.org/10.31557/APJCP.2021.22.2.359.
Bayly, M., Cotter, T. and Carroll, T. (2019) ‘Examining the effectiveness of public education campaigns', in M. Scollo and M. Winstanley (eds) Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria. Available at: https://www.tobaccoinaustralia.org.au/chapter-14-social-marketing/14-4-examining-effectiveness-of-public-education-c.
Beasley, S. et al. (2020) ‘What makes an effective antismoking campaign – insights from the trenches', Public Health Research & Practice, 30(3). Available at: https://doi.org/10.17061/phrp3032021.
Dubray, J. et al. (2014) ‘The effect of MPOWER on smoking prevalence', Tobacco Control, 24(6), pp. 540–542. Available at: https://doi.org/10.1136/tobaccocontrol-2014-051834.
Efendi, F. et al. (2019) ‘Determinants of smoking behavior among young males in rural Indonesia', International Journal of Adolescent Medicine and Health, 33(5). Available at: https://doi.org/10.1515/ijamh-2019-0040.
Emory, K.T. et al. (2015) ‘Receptivity to cigarette and tobacco control messages and adolescent smoking initiation', Tobacco control. 2014/02/06 edn, 24(3), pp. 281–284. Available at: https://doi.org/10.1136/tobaccocontrol-2013-051187.
Erguder, T. et al. (2013) ‘Exposure to anti- and pro-tobacco advertising, promotions or sponsorships: Turkey, 2008', Global Health Promotion, 23(2_suppl), pp. 58–67. Available at: https://doi.org/10.1177/1757975913502369.
GCGGTC (2023) How Deadly Is Tobacco Industry Influence in Indonesia? Bangkok, pp. 15. Available at: https://globaltobaccoindex.org/country/ID.
Gentzke, A.S. et al. (2020) ‘Tobacco Product Use Among Middle and High School Students - United States, 2020', MMWR. Morbidity and mortality weekly report, 69(50), pp. 1881–1888. Available at: https://doi.org/10.15585/mmwr.mm6950a1.
Heydari, G. (2020) ‘A decade after introducing WHO Report on the Global Tobacco Epidemic, trend analysis of implementation of the WHO FCTC MPOWER in Eastern Mediterranean Region', in. Tobacco, smoking control and health educ., European Respiratory Society. Available at: https://doi.org/10.1183/13993003.congress-2020.3041.
Heydari, Gh. et al. (2013) ‘WHO MPOWER tobacco control scores in the Eastern Mediterranean countries based on the 2011 report', Eastern Mediterranean Health Journal, 19(04), pp. 314–319. Available at: https://doi.org/10.26719/2013.19.4.314.
Kemp, S. (2021) DIGITAL 2021: INDONESIA, Data Reportal. Available at: https://datareportal.com/reports/digital-2021-indonesia.
KPAI (2017) ‘Tanpa Kompromi, KPAI Minta UU Penyiaran Cantumkan Larangan Iklan Rokok', KPAI Publikasi, pp. 3–3. Available at: https://www.kpai.go.id/publikasi/tanpa-kompromi-kpai-minta-uu-penyiaran-cantumkan-larangan-iklan-rokok.
Laili, K. et al. (2022) ‘The impact of exposure to cigarette advertising and promotion on youth smoking behavior in Malang Regency (Indonesia) during the COVID- 19 Pandemic', Journal of public health in Africa, 13(Suppl 2), pp. 2409–2409. Available at: https://doi.org/10.4081/jphia.2022.2409.
Lian, T.Y. and Dorotheo, U. (2021) The Tobacco Control Atlas: ASEAN Region. 5th edn. Edited by B. Ritthiphakdee et al. Bangkok: Southeast Asia Tobacco Control Alliance (SEATCA), p. 188. Available at: https://seatca.org/dmdocuments/SEATCA ASEAN Tobacco Control Atlas_5th Ed.pdf.
Maharani, D. (2016) ‘Iklan Antirokok Terbaru Fokus Bahaya Rokok Pada Organ', Kompas.com, pp. 2–2. Available at: https://health.kompas.com/read/2016/09/02/152417023/iklan.antirokok.terbaru.fokus.bahaya.rokok.pada.organ.
Mannocci, A. et al. (2019) ‘Which are the communication styles of anti-tobacco spots that most impress adolescents?', European Journal of Public Health, 29(Supplement_4). Available at: https://doi.org/10.1093/eurpub/ckz185.114.
Megatsari, H. et al. (2019) ‘Visibility and hotspots of outdoor tobacco advertisement around educational facilities without an advertising ban: Geospatial analysis in Surabaya City, Indonesia', Tobacco prevention & cessation, 5, pp. 32–32. Available at: https://doi.org/10.18332/tpc/112462.
MKRI (2017) ‘Petition on Review of Cigarette Advertising Rejected', Constitutional Court of the Republic of Indonesia, pp. 2–2. Available at: https://en.mkri.id/news/details/2017-12-14/Petition_on_Review_of_Cigarette_Advertising_Rejected.
MOH-RI (2015) Pesan dari Korban Rokok (Ibu Ike), Youtube. Available at: https://www.youtube.com/watch?v=xFGvm3HqOt8.
MOH-RI (2019) National Result of Basic Health Research in Indonesia for the Period of 2018 (Riskesdas 2018). Jakarta: Ministry of Health of Republic of Indonesia.
Ngo, A. et al. (2017) ‘The effect of MPOWER scores on cigarette smoking prevalence and consumption', Preventive medicine. 2017/05/11 edn, 105S, pp. S10–S14. Available at: https://doi.org/10.1016/j.ypmed.2017.05.006.
Prabandari, Y.S. and Dewi, A. (2016) ‘How do Indonesian youth perceive cigarette advertising? A cross-sectional study among Indonesian high school students', Global health action, 9, pp. 30914–30914. Available at: https://doi.org/10.3402/gha.v9.30914.
Primasari, S.I. and Listina, F. (2022) ‘Faktor Faktor Yang Berhubungan dengan Kepatuhan Dalam Penerapan Kawasan Tanpa Rokok Di Lingkungan Puskesmas Candipuro Kabupaten Lampung Selatan', Jurnal Ilmu Kesehatan Indonesia (JIKSI), 2(2). Available at: https://doi.org/10.57084/jiksi.v2i2.737.
Ramadhan, L.I. (2016) ‘Iklan Antirokok Kemenkes dari Kisah Nyata di Muara Angke', Tempo.co, pp. 2–2. Available at: https://nasional.tempo.co/read/774674/iklan-antirokok-kemenkes-dari-kisah-nyata-di-muara-angke.
Rao, S. et al. (2014) ‘Anti-smoking initiatives and current smoking among 19,643 adolescents in South Asia: findings from the Global Youth Tobacco Survey', Harm reduction journal, 11, pp. 8–8. Available at: https://doi.org/10.1186/1477-7517-11-8.
Sadeghi, R., Masoudi, M.R. and Khanjani, N. (2020) ‘A Systematic Review about Educational Campaigns on Smoking Cessation', The Open Public Health Journal, 13(1), pp. 748–755. Available at: https://doi.org/10.2174/1874944502013010748.
Septiono, W. et al. (2021) ‘Self-reported exposure of Indonesian adolescents to online and offline tobacco advertising, promotion and sponsorship (TAPS)', Tobacco Control, 31(1), pp. 98–105. Available at: https://doi.org/10.1136/tobaccocontrol-2020-056080.
Shang, C. et al. (2016) ‘Global Evidence on the Association between POS Advertising Bans and Youth Smoking Participation', International journal of environmental research and public health, 13(3), p. 306. Available at: https://doi.org/10.3390/ijerph13030306.
Soerojo, W. et al. (2020) Atlas Tembakau Indonesia 2020. Jakarta, Republic of Indonesia, pp. 33–33. Available at: https://www.tcsc-indonesia.org/wp-content/uploads/2020/06/Atlas-Tembakau-Indonesia-2020.pdf.
Sutrisno, R.Y. and Melinda, F. (2021) ‘The Effects of Cigarette Advertisement and Peer Influence on Adolescent's Smoking Intention in Indonesia', Open Access Macedonian Journal of Medical Sciences, 9(T4), pp. 291–295. Available at: https://doi.org/10.3889/oamjms.2021.5809.
USDHSS (2012) Preventing Tobacco Use Among Youth and Young Adults. Atlanta, GA: Centers for Disease Control and Prevention (US), p. 80. Available at: https://www.ncbi.nlm.nih.gov/books/NBK99237/.
USDHSS (2014) The Health Consequences of Smoking”50 Years of Progress. Atlanta, GA: Centers for Disease Control and Prevention (US), p. 192. Available at: https://www.ncbi.nlm.nih.gov/books/NBK179276/.
WHO (2008) MPOWER: A Policy Package to Reverse the Tobacco Epidemic, WHO. Geneva: World Health Organization. Available at: http://www.who.int/blindness/AP2014_19_Russian.pdf?ua=1.
WHO (2021) WHO Report on the Global Tobacco Epidemic, 2021 Addressing New and Emerging Products. Geneva: World Health Organization. Available at: https://apps.who.int/iris/bitstream/handle/10665/343287/9789240032095-eng.pdf?sequence=1%26isAllowed=y.
WHO (2023) WHO Report on the Global Tobacco Epidemic, 2023: Protect People from Tobacco Smoke. Geneva: World Health Organization. Available at: https://iris.who.int/bitstream/handle/10665/372043/9789240077164-eng.pdf?sequence=1.
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