Is Youth Smoking Related to the Density and Proximity of Outdoor Tobacco Advertising Near Schools? Evidence from Indonesia
Open Access
- 4 March 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (5), 2556
- https://doi.org/10.3390/ijerph18052556
Abstract
Background: Smoking was among the top contributors to deaths and disability as the prevalence among male adults remains high, and that among male youth increases in Indonesia. While local studies have shown high visibility of outdoor tobacco advertising around schools, the country still has no outdoor tobacco advertising ban. Objective: To examine the association between youth smoking behavior and measures of outdoor tobacco advertising density and proximity in Indonesia. Methods: We combined two primary data sources, including outdoor tobacco advertising and smoking behavior among male youth in Semarang city. We randomly selected and interviewed 400 male students at 20 high schools in the city. In addition, we interviewed 492 male adults who lived near the schools for comparison. Results: We found significant associations between smoking use among youth (but not among adults) and measures of outdoor tobacco advertising density and proximity in Semarang city. Youth at schools with medium and high density of outdoor tobacco advertising were up to 2.16 times more likely to smoke, compared to those with low density. Similarly, youth at senior high schools with proximity to outdoor tobacco advertising were 2.8 times more likely to smoke. Also, young people at poorer-neighborhood schools with a higher density of and proximity to outdoor tobacco advertising were up to 5.16 times more likely to smoke. Conclusions: There were significant associations between smoking use among male youth (but not among male adults) and measures of outdoor tobacco advertising density and proximity in Indonesia. This highlights the need to introduce an outdoor tobacco advertising ban effectively, at least near schools.Funding Information
- Universitas Indonesia (n/a)
This publication has 20 references indexed in Scilit:
- Hotspots and Regional Variation in Smoking Prevalence Among 514 Districts in Indonesia: Analysis of Basic Health Research 2018Global Journal of Health Science, 2020
- Density of tobacco advertising around schoolsThe International Journal of Tuberculosis and Lung Disease, 2020
- Geographic distribution, socio-economic disparity and policy determinants of smoke-free policy adoption in IndonesiaThe International Journal of Tuberculosis and Lung Disease, 2020
- Monitoring Compliance and Examining Challenges of a Smoke-free Policy in Jayapura, IndonesiaJournal of Preventive Medicine & Public Health, 2019
- On the road to universal health care in Indonesia, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016The Lancet, 2018
- Association Between Receptivity to Tobacco Advertising and Progression to Tobacco Use in Youth and Young Adults in the PATH StudyJAMA Pediatrics, 2018
- Banning tobacco sales and advertisements near educational institutions may reduce students' tobacco use risk: evidence from Mumbai, IndiaTobacco Control, 2013
- Impact of tobacco advertising and promotion on increasing adolescent smoking behavioursEmergencias, 2011
- Is adolescent smoking related to the density and proximity of tobacco outlets and retail cigarette advertising near schools?Preventive Medicine, 2008
- Receptivity to Tobacco Advertising and Promotions Among Young Adolescents as a Predictor of Established Smoking in Young AdulthoodAmerican Journal of Public Health, 2007