Trisnowati Heni, Kusuma Dian, Ahsan Abdillah, Kurniasih Dwi E, Padmawati Retna S
Division of Health Promotion Program, Public Health Department, Universitas Respati Yogyakarta, Indonesia.
Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Tob Prev Cessat. 2019 Nov 15;5:40. doi: 10.18332/tpc/113357. eCollection 2019.
Tobacco control policies in Indonesia are still limited. This study aims to describe the process of the implementation of the smoke-free home (SFH) program in rural areas in Indonesia and to conduct a preliminary evaluation of its implementation.
The development of SFH (or ) applies the theory of diffusion of innovation with the following stages: innovation, dissemination, adoption, implementation, and evaluation. The preliminary evaluation of the SFH program used an observational method combined with a cross-sectional survey. The population of this study was all houses in Karet hamlet, in Bantul district, Yogyakarta province with 378 houses as population, from which 196 houses were selected as sample using the proportional random sampling technique. Quantitative data analysis used multiple linear regression in Stata 15.1.
SFH is a community-based tobacco control innovation program that began with a community declaration. Preliminary evaluation after one-year implementation showed that 55% and 45% of respondents were smokers and non-smokers, respectively. Among smokers, 95%, 78% and 56% reported not smoking near pregnant women, children, and non-smokers, respectively. Moreover, 52% of respondents reported having a front-door ashtray, and 46% reported guests not smoking; among non-smokers, the corresponding values were 56% and 60%.
SFH implementation has an impact on the community's smoking pattern. Awareness of smokers to protect women and children from secondhand smoke is very high. While the results are promising, more political and resource support is needed from the local and national policymakers to support SFH initiatives.
印度尼西亚的烟草控制政策仍然有限。本研究旨在描述印度尼西亚农村地区无烟家庭（SFH）项目的实施过程，并对其实施情况进行初步评估。
SFH（或 ）的发展应用了创新扩散理论，包括以下阶段：创新、传播、采用、实施和评估。SFH项目的初步评估采用了观察法与横断面调查相结合的方法。本研究的总体是日惹省班图尔区卡雷特村的所有房屋，共有378所房屋，采用比例随机抽样技术从中选取196所房屋作为样本。定量数据分析在Stata 15.1中使用多元线性回归。
SFH是一项基于社区的烟草控制创新项目，始于社区宣言。实施一年后的初步评估显示，分别有55%和45%的受访者是吸烟者和非吸烟者。在吸烟者中，分别有95%、78%和56%的人报告不在孕妇、儿童和非吸烟者附近吸烟。此外，52%的受访者报告有前门烟灰缸，46%的受访者报告客人不吸烟；在非吸烟者中，相应的比例分别为56%和60%。
SFH的实施对社区的吸烟模式有影响。吸烟者保护妇女和儿童免受二手烟危害的意识非常高。虽然结果令人鼓舞，但地方和国家政策制定者需要更多的政治和资源支持来支持SFH倡议。
