TAPS Ban and Media Literacy to Protect Youth from Tobacco Industry Inducement

Tobacco Advertising, Promotion, and Sponsorship Ban Smoking Media Literacy

Authors

  • Nurjanah Nurjanah
    nurjanah@dsn.dinus.ac.id
    Faculty of Health Science, Universitas Dian Nuswantoro, Semarang, Central Java Indonesia 50131, Indonesia
  • Anung Sugihantono Politeknik Kesehatan Kementerian Kesehatan, Semarang, Central Java, Indonesia 50268, Indonesia
  • Bagoes Widjanarko Faculty of Public Health, Universitas Diponegoro, Semarang, Central Jave, Indonesia 50275, Indonesia
  • Novia Handayani Faculty of Public Health, Universitas Diponegoro, Semarang, Central Jave, Indonesia 50275, Indonesia
  • Syamsulhuda Budi Musthofa Faculty of Public Health, Universitas Diponegoro, Semarang, Central Jave, Indonesia 50275, Indonesia
  • Sheila Indah Puspitaningtyas Faculty of Public Health, Universitas Diponegoro, Semarang, Central Jave, Indonesia 50275, Indonesia
  • Anastasia Wulandari Indonesian Society on Health Promotion and Education of Central Java, Indonesia 50131, Indonesia
  • Nur Fadhilah Indonesian Society on Health Promotion and Education of Central Java, Indonesia 50131, Indonesia
  • Nuniek Nizmah Fajriyah Faculty of Health Science, Universitas Muhammadiyah Pekalongan Pekajangan, Pekalongan, Central Java, Indonesia 51173, Indonesia
  • Yulian Wahyu Permadi Faculty of Health Science, Universitas Muhammadiyah Pekalongan Pekajangan, Pekalongan, Central Java, Indonesia 51173, Indonesia
  • Ratih Subekti Midwifery Study Program, Politeknik Banjarnegara, Banjarnegara, Central Java, Indonesia 53482, Indonesia
  • Amir Faozan Indonesian Society on Health Promotion and Education of Banjarnegara, Central Java, Indonesia 53482, Indonesia
August 4, 2025

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Background: The Indonesia Health Survey 2023 indicates that around 70 million people in the country smoke, with 7.2% aged 10 to 18, and Central Java province reports one of the highest child prevalence rates in Indonesia at 9.6%. Tobacco Advertising, Promotion, and Sponsorship (TAPS) influence intention to smoke, and on the other hand, Smoking Media Literacy (SML) can be a shield for youth to protect them from tobacco industry inducement. Methods: This study aims to evaluate the impact of TAPS exposure and SML on smoking intention. This cross-sectional study includes 1,014 students from ten junior high schools, eleven high schools, and five universities located in the three primary municipalities of Central Java Province. A stratified sampling method was used to choose the participants, and data was collected through a self-administered questionnaire. Results: The students were most frequently exposed to TAPS through outdoor media such as billboards and banners, followed by displays at points of sale and online platforms like social media and websites. The logistic regression found that Higher media literacy is associated with a decreased likelihood of intending to smoke, with (OR 0.60). Conversely, exposure to tobacco advertising, promotion, and sponsorship (TAPS) increases intending to smoke by approximately 55% (OR 1.55). The intention to smoke is the most potent predictor of whether an individual has ever smoked (OR 9.91). Conclusion: The low media literacy increases vulnerability to tobacco marketing, while exposure to tobacco advertising and promotion significantly heightens the likelihood of intending to smoke. The strong association between smoking intention and highlights the critical importance of early preventative measures. Targeted strategies such as media literacy education and a total TAPS ban are essential to curb the rising trend of tobacco use among Indonesian youth.

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