Track: Healthcare Systems

Abstract

The number of students who smoke cigarettes continues increase, in line with achievement industrial target of tobacco products. The aim of this study is to determine factors that cause students who do not smoke susceptible to
smoking (SS) in the future. This information will direct tobacco control prevention programs. A cross-sectional survey data from 148 schools and 379 classrooms, total 9922 eligible students in grades 7-12. Simple and multiple
logistic regression analyses were conducted to factor associated with SS among never smoking students. Descriptive statistics, and adjusted odds ratios with 95% confidence intervals were reported. There were 5863 students who do
not smoke of whom 454 SS; girls 78.25% and 58% were grade 7-9. The students who; were boys (OR=1.55, p<0.001), thought cigarettes not harmful (OR=3,79, p<0.001), current use e-cigarettes (OR=3.62, p<0.001), current
consumes shisha (OR=2.92, p<0.001), ever got free cigarette/ voucher (OR=2.46, p<0.001), thought safe to smoke only one or two years and quit (OR=2.12, p<0.001), have item of tobacco product (OR=1.8, p<0.001), exposed cigarette advertisement/ promotion at music concert (OR=1.72, p<0.001), thought smoking helps people feel more comfortable (OR=1.66, p<0.001), thought Second Hand Smoke (SHS) are not harmful (OR=1.5, p<0.001), exposed SHS in public places (OR=1.46, p<0.001), exposed to cigarettes advertisement in internet/social media (OR=1.3, p<0.015). Factors that influence students not to smoke susceptible to smoking cigarettes are students who; lack of knowledge the dangers of tobacco consumption, currently use e-cigarettes, currently consumes
shisha, exposed of cigarette advertising and promotion, and exposed to SHS in public places.

Keywords: non-smoker, susceptible to smoking, adolescent, students, Indonesia