The Impact of Indonesia’s Tobacco Control Policy on Cigarette Smoking Among Indonesian Adults: A Longitudinal Study
 
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1
Tobacco Control Unit, Institut Catalan d’Oncologia, Barcelona
2
Department of Primary Care and Public Health, Imperial College London, UK
3
Department of Epidemiology and Biostatistics, Imperial College London, UK
4
Department of Health Behaviour, Environment Health and Social Medicine, Faculty of Medicine, Universitas Gadjah Mada, Indonesia
CORRESPONDING AUTHOR
Amalia Beladenta   

Tobacco Control Unit, Institut Catalan d’Oncologia, Barcelona
Publication date: 2018-06-13
 
Tob. Prev. Cessation 2018;4(Supplement):A140
KEYWORDS
ABSTRACT
Introduction:
The Indonesian government has introduced tobacco control policies corresponding to MPOWER since 2007. However, the impact of these measures on trends of cigarette smoking behaviour among Indonesian adults remains scarcely investigated. This study assessed the changes in smoking cessation and initiation among Indonesian adults and identified associated socioeconomic determinants before and after the adoption of MPOWER in Indonesia tobacco control strategy.

Methods:
A longitudinal study was conducted to analyse Indonesian adults (aged 15 years and above) data from two waves of Indonesian Family Life Survey (IFLS) in 2007 (n= 13,535 households; 44,103 individuals) and 2014 (n=16,204 households; 50,148 individuals). Regression analyses were performed to identify the socioeconomic factors associated with the change in smoking status - quit smoking and smoking initiation - occurred between 2007 and 2014.

Results:
There were 22,765 followed-up respondents identified as longitudinal sample. A significant rise in the current smoker prevalence from 30.6% in 2007 to 31.0% in 2014 (p<0.01) was observed. The proportion of smokers in 2007 who quit by 2014 was 8.0% while the proportion of non-smokers in 2007 who initiated smoking by 2014 was 6.4%. Smoking cessation between 2007 and 2014 was positively associated with education (aOR:2.14; 95%CI 1.43, 3.06 for university graduates) and wealth (aOR: 1.60; 95%CI 1.23, 2.09 for the richest group) while, conversely, those with higher education levels and wealth status had lower odds (aOR: 0.81; 95%CI 0.63, 1.02 and aOR: 0.49; 95%CI 0.41, 0.57 respectively) of initiating smoking within the period.

Conclusions:
The implementation of tobacco control measures in Indonesia was unsuccessful to reduce the cigarette use among adults between 2007 and 2014. Furthermore, the policies have unequally affected subgroups of the population. Therefore, the government is urged to formulate target-specific tobacco control efforts.

Funding:
The travel grant for the conference will be funded by La Caixa INPhINIT Fellowships programme

eISSN:2459-3087