Ihyauddin Zulfikar, Putri Dwi Astuti Dharma, Tengkawan Jeslyn, Ekawati Fitriana Murriya, Sitaresmi Mei Neni
Department of Pediatrics, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Capella Project Foundation, Jakarta, Indonesia.
Korean J Fam Med. 2023 Nov;44(6):327-334. doi: 10.4082/kjfm.23.0010. Epub 2023 Aug 31.
Although Indonesia has a considerable proportion of adolescent smokers, nationally representative studies of its determinants remain limited. The 2015 Indonesian Global School-Based Student Health Survey (GSHS) was conducted with school-age adolescents and provided information about smoking behavior. This study aimed to examine the prevalence, determinants, and correlates of tobacco use among adolescents in Indonesia using the GSHS survey.
A secondary data analysis of a cross-sectional study was conducted using data from the 2015 Indonesian GSHS. Multivariate logistic regression was used to assess the determinants and correlates of tobacco use.
Our analysis showed that 9.1% of school-age adolescents had used tobacco products in the past 30 days. Most were 13-15 years (61.7%) and had attempted to stop smoking (92.4%). After adjusting for covariates, significant risk factors associated with tobacco smoking were older age groups (prevalence odds ratio [POR], 3.01-9.40; 95% confidence interval [CI], 1.71-23.1), male (POR, 13.7; 95% CI, 8.71-21.5), psychological distress (POR, 1.41; 95% CI, 1.05-1.90), smoking exposure (POR, 1.98-2.15; 95% CI, 1.35-3.42), and when both parents smoked (POR, 2.96; 95% CI, 1.78-4.94). In addition, tobacco use was associated with other risky behaviors, including sex with multiple partners, using drugs, drinking alcohol, and being involved in physical fights.
Tobacco use is high among Indonesian adolescents. This prevalence highlights the need for a more stringent tobacco control policy and tailored cessation programs for adolescents by considering important modifiable determinants of tobacco use among adolescents, including risky smoking-related behaviors.
尽管印度尼西亚有相当比例的青少年吸烟者，但对其决定因素进行的全国代表性研究仍然有限。2015年印度尼西亚全球学校学生健康调查（GSHS）针对学龄青少年开展，并提供了吸烟行为的相关信息。本研究旨在利用GSHS调查来考察印度尼西亚青少年烟草使用的患病率、决定因素及相关因素。
采用2015年印度尼西亚GSHS的数据进行横断面研究的二次数据分析。运用多变量逻辑回归来评估烟草使用的决定因素及相关因素。
我们的分析表明，9.1%的学龄青少年在过去30天内使用过烟草制品。大多数为13 - 15岁（61.7%），且曾尝试戒烟（92.4%）。在对协变量进行调整后，与吸烟相关的显著危险因素包括年龄较大的年龄组（患病率比值比[POR]，3.01 - 9.40；95%置信区间[CI]，1.71 - 23.1）、男性（POR，13.7；95% CI，8.71 - 21.5）、心理困扰（POR，1.41；95% CI，1.05 - 1.90）、吸烟暴露（POR，1.98 - 2.15；95% CI，1.35 - 3.42）以及父母双方均吸烟（POR，2.96；95% CI，1.78 - 4.94）。此外，烟草使用还与其他危险行为相关，包括与多个性伴侣发生性行为、使用毒品、饮酒以及参与肢体冲突。
印度尼西亚青少年的烟草使用率较高。这一患病率凸显了需要制定更严格的烟草控制政策，并通过考虑青少年烟草使用的重要可改变决定因素（包括与吸烟相关的危险行为），为青少年量身定制戒烟项目。
