The Correlation of Knowledge and Attitudes to Passive Smoking Behavior among Public Health Students of Sriwijaya University
DOI:
https://doi.org/10.26911/thejhpb.2025.10.03.07Abstract
Background: There is no safe level of cigarette smoke, but not everyone can avoid the exposure. Public health students are expected to bring changes to healthy behaviors in the community, including getting the right to have air free from cigarette smoke through various preventive efforts. Therefore, this study aims to identify the behavior of public health students at Universitas Sriwijaya as passive smokers, and its correlation with knowledge and attitudes.
Subjects and Method: This was a cross-sectional study conducted at Universitas Sriwijaya, South Sumatera, Indonesia, from February to March 2025. A sample of undergraduate students of Public Health was selected using purposive sampling. The dependent variable was smoking behavior. The independent variables were knowledge and attitude. Data were analyzed using a multiple logistic regression.
Results: Passive smoking behavior among college students was influenced by knowledge (b = 0.17; 95% CI = –0.14 to 0.47; p = 0.103) and attitude (b = 0.61; 95% CI = 0.26 to 0.96; p = 0.001). While knowledge showed a positive but not statistically significant association with passive smoking behavior, attitude showed a statistically significant positive association.
Conclusion: Passive smoking behavior among college students is influenced by knowledge and attitude. Knowledge and attitude have positive association with passive smoking behavior.
Keywords:
attitude, behavior, knowledge, passive smokers, tobaccoReferences
Ayuningtyas DA, Tuinman M, Prabandari YS, Hagedoorn M. (2021). Smoking-related social control in Indonesian single-smoker couples. Int J Behav Med. 28(4):455–465. doi:10.1007/s-12529-020-09935-z.
Ayuningtyas DA, Tuinman M, Prabandari YS, Hagedoorn M. (2021). Smoking cessation experience in Indonesia: does the non-smoking wife play a role? Front Psychol. 12:618182. doi:10.3389/fpsyg.2021.618182.
Central Statistics Agency. (2024). Persen-tase penduduk berumur 15 tahun ke atas yang merokok tembakau selama sebulan terakhir menurut provinsi (persen), 2024.
Hari AH. (2015). Peran nilai-nilai personal (personal values) terhadap sikap kon-sumen. Magistra. 27(92):35–44.
Hong S, Son Y, Lee H, Kim S, Kim HJ, Jo H, Park J, et al. (2024). Global asso-ciation of secondhand smoke expo-sure locations and smoking behaviour among adolescents in 99 countries. Acta Paediatr. 113(9):2048–2060. Do-i:10.1111/apa.17319.
Islam MM, Al-Mamun F, Almerab MM, Moonajilin MS, Mamun MA (2025). Factors influencing knowledge and attitudes towards second-hand smo-king exposure among university stu-dents: an exploratory study. Inquiry. 61:00469580251314783. doi:10.1177/00469580251314783.
Lee JY, Ahn H, Lee H (2018). Factors affecting secondhand smoke avoid-ance behavior of Vietnamese adoles-cents. Int J Environ Res Public Health. 15(8): 1632. doi:10.3390/ijerph15081632.
Listyorini PI (2023). Perilaku merokok masyarakat Indonesia berdasarkan Global Adult Tobacco Survey tahun 2021. SIKesNas. 2023:417–425.
Mahendra D, Jaya IMM, Lumban AMR. (2019). Buku ajar promosi kesehatan. Jakarta: UKI.
Ministry of Health P2PTM. (2021). Iklan layanan kesehatan Kementerian Kesehatan tentang perokok pasif.
Ministry of Health P2PTM (2023). Waspada perokok aktif sama bahayanya dengan perokok pasif.
Nor Afiah MZ, Suryani I, Rohaiza Aida HF, Muhamad Syahir Asyraf AR. (2017). Knowledge, attitude and perceptions on second hand smoke (SHS) exposure among undergraduate students contribute to avoidance of second hand smoke. Int J Public Health Clin Sci. 4(1): 53–65.
Pratiwi SD, Setyawan UA, Mafisah S, Muhammad I, Asyari CH, Zata D, Lyono A, et al. (2024). The relation-ship between the level of knowledge about the dangers of cigarettes and carbon monoxide levels of breathing. J Kesehatan. 4(2):54–63.
Putra DH. (2020). Evaluasi kawasan tanpa rokok (KTR) di Fakultas Kesehatan Masyarakat Universitas Indonesia. Indones J Occup Health Ind Med. 8(1): 2655–9129.
Rahman A, Huriah T. (2021). The smoking behavior of health workers in Asia: a literature review. Jurnal Keperawatan Indonesia. 24(2):118–130. doi:10.745-4/jki.v24i2.864.
Swarjana IK. (2021). Konsep pengetahuan, sikap, perilaku, persepsi, stres, kece-masan, nyeri, dukungan sosial, kepa-tuhan, motivasi, kepuasan, pandemi covid-19, akses layanan kesehatan. Denpasar: Undiksha Press.
Tarigan IU, Yulianti A (2019). Gambaran kesadaran masyarakat terhadap kawasan tanpa rokok di Indonesia. Jurnal Promosi Kesehatan dan Pendidikan Kesehatan Indonesia. 3(2):123–130. doi:10.22435/jpppk.v3i2.2655.
The Tobacco Atlas. (2023). Challenge pre-valence. https://tobaccoatlas.org/challenges/prevalence
Wahyuni NT, Aeni HF, Azizudin M. (2020). Hubungan kebiasaan merokok di da-lam rumah dengan kejadian pneu-monia pada anak usia 1–4 tahun. Sains Jurnal Kesehatan Banten. 7(2):108. doi:10.34310/sjkb.v7i2.388.
World Health Organization (2023). Tobacco. https://www.who.int/news-room/fact-sheets/detail/tobacco
Yousuf H, Hofstra M, Tijssen J, Leenen B, Lindemans JW, Rossum AV, Narula J, et al. (2020). Estimated worldwide mortality attributed to secondhand tobacco smoke exposure, 1990–2016. JAMA Netw Open. 3(3):e201177. doi: 10.1001/jamanetworkopen.2020.1177.
