Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation

Background: For more than ten years, Indonesia has health law, one of which states that local governments are mandated to establish Smoke Free Area (SFA). The results of 2018 National Basic Health Research shows tobacco consumption is still quite high and increasing compared to the results of 2007 a...

Full description

Bibliographic Details
Main Authors: Martini, Santi, Artanti, Kurnia Dwi, Hargono, Arief, Widati, Sri, Ahsan, Abdillah, Prabandari, R.A. Yayi Suryo
Format: Article
Language:English
Published: Springer 2022
Subjects:
Online Access:https://repository.ugm.ac.id/278700/1/Prabandari_KKMK.pdf
_version_ 1797037332861288448
author Martini, Santi
Artanti, Kurnia Dwi
Hargono, Arief
Widati, Sri
Ahsan, Abdillah
Prabandari, R.A. Yayi Suryo
author_facet Martini, Santi
Artanti, Kurnia Dwi
Hargono, Arief
Widati, Sri
Ahsan, Abdillah
Prabandari, R.A. Yayi Suryo
author_sort Martini, Santi
collection UGM
description Background: For more than ten years, Indonesia has health law, one of which states that local governments are mandated to establish Smoke Free Area (SFA). The results of 2018 National Basic Health Research shows tobacco consumption is still quite high and increasing compared to the results of 2007 and 2013 National Basic Health Research. The burden of disease in Indonesia is increasing every year. Methods: This study aims to describe SFA regulation and analyze the relationship between the percentage of smokers and the prevalence of smoking attributable morbidity. Data from the 2018 Basic Health Research in Indonesia with the number of units of analysis were 514 districts and cities level. The design of the study was cross-sectional study. The variables analyzed were the percentage of smokers, the prevalence of diabetes, hypertension, upper respiratory tract infections (URTI), pneumonia, lung tuberculosis, asthma, and mental emotional disorders. Geographical mapping of the distribution of District/City with Smoking-Free Areas was made using QGIS 3·16. Results: Around 72% of districts/cities in Indonesia already had local regulations of SFA after more than ten years implementation of the regulation of the health law. There was a significant relationship between the high percent- age of smokers and the high prevalence of diabetes (p value: 0·000, PR: 1·342, 95%CI 1·135 to 1·587), hypertension (p value: 0·000, PR 1·631, 95%CI 1·252 to 2·124), and lung tuberculosis (p value: 0·008, PR 1·219, 95%CI 1·049 to 1·417) at the District/City level. However, there was no significant association between URTI, pneumonia, asthma, and mental emotional disorders. Conclusion: The percentage of smokers in an area was associated with diabetes, hypertension, and lung tuberculosis. The implementation of Smoke Free Area should be evaluated.
first_indexed 2024-03-14T00:01:52Z
format Article
id oai:generic.eprints.org:278700
institution Universiti Gadjah Mada
language English
last_indexed 2024-03-14T00:01:52Z
publishDate 2022
publisher Springer
record_format dspace
spelling oai:generic.eprints.org:2787002023-11-02T00:52:44Z https://repository.ugm.ac.id/278700/ Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation Martini, Santi Artanti, Kurnia Dwi Hargono, Arief Widati, Sri Ahsan, Abdillah Prabandari, R.A. Yayi Suryo Clinical Sciences Background: For more than ten years, Indonesia has health law, one of which states that local governments are mandated to establish Smoke Free Area (SFA). The results of 2018 National Basic Health Research shows tobacco consumption is still quite high and increasing compared to the results of 2007 and 2013 National Basic Health Research. The burden of disease in Indonesia is increasing every year. Methods: This study aims to describe SFA regulation and analyze the relationship between the percentage of smokers and the prevalence of smoking attributable morbidity. Data from the 2018 Basic Health Research in Indonesia with the number of units of analysis were 514 districts and cities level. The design of the study was cross-sectional study. The variables analyzed were the percentage of smokers, the prevalence of diabetes, hypertension, upper respiratory tract infections (URTI), pneumonia, lung tuberculosis, asthma, and mental emotional disorders. Geographical mapping of the distribution of District/City with Smoking-Free Areas was made using QGIS 3·16. Results: Around 72% of districts/cities in Indonesia already had local regulations of SFA after more than ten years implementation of the regulation of the health law. There was a significant relationship between the high percent- age of smokers and the high prevalence of diabetes (p value: 0·000, PR: 1·342, 95%CI 1·135 to 1·587), hypertension (p value: 0·000, PR 1·631, 95%CI 1·252 to 2·124), and lung tuberculosis (p value: 0·008, PR 1·219, 95%CI 1·049 to 1·417) at the District/City level. However, there was no significant association between URTI, pneumonia, asthma, and mental emotional disorders. Conclusion: The percentage of smokers in an area was associated with diabetes, hypertension, and lung tuberculosis. The implementation of Smoke Free Area should be evaluated. Springer 2022-11-28 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/278700/1/Prabandari_KKMK.pdf Martini, Santi and Artanti, Kurnia Dwi and Hargono, Arief and Widati, Sri and Ahsan, Abdillah and Prabandari, R.A. Yayi Suryo (2022) Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation. BMC Public Health, 2022 (22). pp. 1-8. ISSN 1471-2458 https://bmcpublichealth.biomedcentral.com/ https://doi.org/10.1186/s12889-022-14435-8
spellingShingle Clinical Sciences
Martini, Santi
Artanti, Kurnia Dwi
Hargono, Arief
Widati, Sri
Ahsan, Abdillah
Prabandari, R.A. Yayi Suryo
Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title_full Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title_fullStr Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title_full_unstemmed Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title_short Association between percentage of smokers and prevalence of smoking attributable morbidity in Indonesia: one decade after implementation of smoke-free area regulation
title_sort association between percentage of smokers and prevalence of smoking attributable morbidity in indonesia one decade after implementation of smoke free area regulation
topic Clinical Sciences
url https://repository.ugm.ac.id/278700/1/Prabandari_KKMK.pdf
work_keys_str_mv AT martinisanti associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation
AT artantikurniadwi associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation
AT hargonoarief associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation
AT widatisri associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation
AT ahsanabdillah associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation
AT prabandarirayayisuryo associationbetweenpercentageofsmokersandprevalenceofsmokingattributablemorbidityinindonesiaonedecadeafterimplementationofsmokefreearearegulation