Adolescent Smoking and Its Association with Poor Nutritional Outcomes in Rural Pamekasan, Indonesia
DOI:
https://doi.org/10.53754/iscs.v4i2.695Keywords:
adolescent smoking, carbon monoxide, cognitive development, lung growth, malnutrition, nutritional status, rural IndonesiaAbstract
This study investigated the relationship between active smoking and nutritional status among male adolescents aged 14-16 years in Kertagena Tengah Village, Kadur District, Pamekasan, Indonesia. A cross-sectional study design was employed, and a total of 55 adolescents were included using a total sampling technique. Smoking status was assessed using standardized questionnaires, while nutritional status was determined using anthropometric measurements, including body mass index (BMI). The study found that 76% of the adolescents were active smokers, with 69% of them being classified as undernourished. A significant relationship was observed between active smoking and poor nutritional status (p=0.018). The main contributing factors to poor nutritional status included an unbalanced diet, lack of access to nutritious food, and high smoking rates among adolescents. Smoking was found to reduce appetite and interfere with nutrient absorption, exacerbating nutritional deficiencies. The study highlights the urgent need for comprehensive public health interventions, including health education, stricter regulation of cigarette sales to minors, and community support to create a smoke-free environment. Future research should include longitudinal studies to clarify the causal link between smoking and nutritional status, broaden demographic coverage, and incorporate qualitative methods to explore the social and cultural influences on adolescent smoking.Downloads
References
Ababulgu, S. A., Dereje, N., & Girma, A. (2016). Secondhand tobacco smoke exposure among adolescents in an Ethiopian school. Healthcare in Low-Resource Settings, 4(1). https://doi.org/10.4081/hls.2016.5584
Abel, T., McQueen, D. V., Backen, K., & Currie, C. (1992). Patterns of Unhealthy Eating Behaviours in a Middle Aged Scottish Population. Scottish Medical Journal, 37(6), 170–174. https://doi.org/10.1177/003693309203700604
Adyanita Hanif Hermawati, Chalies Diah Pratiwi, & Qurrotu A’yunin Lathifah. (2023). Nikotin, Tembakau dan Rokok. Penerbit Andi.
Amiri, S. (2020). Worldwide prevalence of smoking in immigration: A global systematic review and meta-analysis. Journal of Addictive Diseases, 38(4), 567–579. https://doi.org/10.1080/10550887.2020.1800888
Atikah Proverawati & Erna Kusuma Wati. (2011). Ilmu Gizi Untuk Keperawatan dan Gizi Kesehatan. Nuha Medika.
Başaran, R., Güven, N. M., & Eke, B. C. (2019). An Overview of iQOS® as a New Heat-Not-Burn Tobacco Product and Its Potential Effects on Human Health and the Environment. Turkish Journal of Pharmaceutical Sciences, 16(3), 371–374. https://doi.org/10.4274/tjps.galenos.2018.79095
Cotton, P. (1993). Low-Tar Cigarettes Come Under Fire. JAMA: The Journal of the American Medical Association, 270(12), 1399. https://doi.org/10.1001/jama.1993.03510120011003
Dewi Sulistyoningrum, Suci Fitriana Pramudya Wardani, & Raden Roro Amanda Resti Naranadiya. (2024). Hubungan Iklan Rokok Dengan Perilaku Remaja Laki-Laki Di Kelurahan Desa Limbangan Wetan Kabupaten Brebes. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi (JRIKUF), 2(2), 102–110. https://doi.org/10.57213/jrikuf.v1i1.253
Fresquez, M. R., Pappas, R. S., & Watson, C. H. (2013). Establishment of Toxic Metal Reference Range in Tobacco from US Cigarettes. Journal of Analytical Toxicology, 37(5), 298–304. https://doi.org/10.1093/jat/bkt021
Govender, L., Pillay, K., Siwela, M., Modi, A., & Mabhaudhi, T. (2016). Food and Nutrition Insecurity in Selected Rural Communities of KwaZulu-Natal, South Africa—Linking Human Nutrition and Agriculture. International Journal of Environmental Research and Public Health, 14(1), 17. https://doi.org/10.3390/ijerph14010017
Herawati & Anita. (2021). Edukasi Bahaya Merokok Bagi Kesehatan Reproduksi Pada Remaja. Penerbit NEM.
Herlingga Nirwana HR & Agustyas Tjiptaningrum. (2024). Dampak Asap Rokok terhadap Kadar SGPT. 6(5). https://doi.org/10.37287/jppp.v6i5.3284
Jao, N. C., Papandonatos, G. D., Stanfield, J., Borba, K., & Stroud, L. R. (2024). Characterizing the use, preferences, and perceptions of flavors in cigars in pregnant women. Journal of Addictive Diseases, 42(3), 194–204. https://doi.org/10.1080/10550887.2023.2170703
Kamsu, G. T., & Ndebia, E. J. (2024). Uncovering Risks Associated with Smoking Types and Intensities in Esophageal Cancer within High-Prevalence Regions in Africa: A Comprehensive Meta-analysis. Cancer Epidemiology, Biomarkers & Prevention, 33(7), 874–883. https://doi.org/10.1158/1055-9965.EPI-23-1343
Khanna, D., Peltzer, C., Kahar, P., & Parmar, M. S. (2022). Body Mass Index (BMI): A Screening Tool Analysis. Cureus. https://doi.org/10.7759/cureus.22119
Korhonen, T., Huizink, A., Dick, D., Pulkkinen, L., Rose, R., & Kaprio, J. (2008). Role of individual, peer and family factors in the use of cannabis and other illicit drugs: A longitudinal analysis among Finnish adolescent twins. Drug and Alcohol Dependence, 97(1–2), 33–43. https://doi.org/10.1016/j.drugalcdep.2008.03.015
Kusumawardani, N., Tarigan, I., Suparmi, & Schlotheuber, A. (2018). Socio-economic, demographic and geographic correlates of cigarette smoking among Indonesian adolescents: Results from the 2013 Indonesian Basic Health Research (RISKESDAS) survey. Global Health Action, 11(sup1), 54–62. https://doi.org/10.1080/16549716.2018.1467605
Leung, C. W., Hoffnagle, E. E., Lindsay, A. C., Lofink, H. E., Hoffman, V. A., Turrell, S., Willett, W. C., & Blumenthal, S. J. (2013). A Qualitative Study of Diverse Experts’ Views about Barriers and Strategies to Improve the Diets and Health of Supplemental Nutrition Assistance Program (SNAP) Beneficiaries. Journal of the Academy of Nutrition and Dietetics, 113(1), 70–76. https://doi.org/10.1016/j.jand.2012.09.018
Luciano Machado Ferreira Tenório de Oliveira, Ana Raquel Mendes dos Santos, Breno Quintella Farah, & Raphael Mendes Ritti-Dias. (2019). Influence of parental smoking on the use of alcohol and illicit drugs among adolescents. 17(1). https://doi.org/doi: 10.31744/einstein_journal/2019AO4377
M, Mahalakshmi., S, K., K, R., Ravisankar, R., & Jinnah, L. (2023). COMPARISON OF GLOBAL YOUTH TOBACCO SURVEY (GYTS) – 4 TAMIL NADU WITH INDIA. PARIPEX INDIAN JOURNAL OF RESEARCH, 198–201. https://doi.org/10.36106/paripex/3712624
Megatsari, H., Damayanti, R., Kusuma, D., Warouw, T. S., Nadhiroh, S. R., Astutik, E., Dewi, D. M. S. K., & Sebayang, S. K. (2023). The influence of anti-smoking messages to Indonesian youth smoking behavior: The Indonesian 2019 Global Youth Tobacco Survey (GYTS). BMC Public Health, 23(1), 907. https://doi.org/10.1186/s12889-023-15830-5
Nur Windahsari, Erlisa Candrawati, & Warsono Warsono. (2017). Hubungan Faktor Lingkungan Dengan Perilaku Merokok Pada Remaja Laki-laki di Desa T Kabupaten Mojokerto. Jurnal Ilmiah Keperawatan (Nursing News), 2(3). https://doi.org/10.33366/nn.v2i3.568
Nurhalimah, Fauziah Yuliana Putri, Omi Haryati, & Dinarti. (2024). The Influence of Cigarette Advertising on Adolescent Smoking Behavior | Journal of Health and Cardiovascular Nursing. Journal of Health and Cardiovascular Nursing, 4(1), 34–41. https://doi.org/10.36082/jhcn.v4i1.1505
Olamide, O. (2024). Household Food and Nutrition Security in Nigeria. Journal of Medical Case Studies, 2(1), 1–9. https://doi.org/10.23880/jmcs-16000124
Perkins, K. A. (1992). Metabolic effects of cigarette smoking. Journal of Applied Physiology, 72(2), 401–409. https://doi.org/10.1152/jappl.1992.72.2.401
Prihatiningsih, D., Devhy, N. L. P., Purwanti, I. S., Bintari, N. W. D., & Widana, A. G. O. (2020). PENYULUHAN BAHAYA ROKOK UNTUK MENINGKATKAN KESADARAN REMAJA MENGENAI DAMPAK BURUK ROKOK BAGI KESEHATAN DI SMP TAWWAKAL DENPASAR. Jurnal Pengabdian Kesehatan, 3(1), 50–58. https://doi.org/10.31596/jpk.v3i1.67
Ravula, P., Kasala, K., Pramanik, S., & Selvaraj, A. (2024). Stunting and Underweight among Adolescent Girls of Indigenous Communities in Telangana, India: A Cross-Sectional Study. Nutrients, 16(5), 731. https://doi.org/10.3390/nu16050731
Septiono, W. (2024). Quasi-experimental study on the impact of local smoke-free policies on smoking among Indonesian adults: Evidence from repeated national health surveys. International Journal of Drug Policy, 124, 104307. https://doi.org/10.1016/j.drugpo.2023.104307
Simone St Claire, Ranti Fayokun, Alison Commar, & Kerstin Schotte. (2020). The World Health Organization’s World No Tobacco Day 2020 Campaign Exposes Tobacco and Related Industry Tactics to Manipulate Children and Young People and Hook a New Generation of Users—PMC. J Adolesc Health, 67(3). https://doi.org/doi: 10.1016/j.jadohealth.2020.06.026
Siti Ayu Sarah & Devi Angeliana. (2024). Faktor-faktor yang Berhubungan Dengan perilaku Merokok Pada Remaja DI SMAS Muhammadiyah 24 Grogol Tahun 2023. Jurnal Kesehatan Dan Kedokteran, 3(2), 24–35. https://doi.org/10.56127/juk eke.v3i2.1240
Sri Lanka Institute of Information Technology, Sri Lanka, Lakshmi, N., Dasanayake, C. D. K., Sri Lanka Institute of Information Technology, Sri Lanka, De Silva, B. S. S., & The Open University of Sri Lanka. (2023). The Most Influencing Factors for Cigarette Smoking Among Adolescents: A Systematic Review. 438–446. https://doi.org/10.54389/WRXQ6558
Stepney, R. (1981). Would a medium-nicotine, low-tar cigarette be less hazardous to health? BMJ, 283(6302), 1292–1296. https://doi.org/10.1136/bmj.283.6302.1292
Sujarwoto, S. (2020). Sleep Disturbance in Indonesia: How Much Does Smoking Contribute? Behavioral Sleep Medicine, 18(6), 760–773. https://doi.org/10.1080/15402002.2019.1682584
Tanski, S. E., & Wilson, K. M. (2012). Children and Secondhand Smoke: Clear Evidence for Action. Pediatrics, 129(1), 170–171. https://doi.org/10.1542/peds.2011-3190
Xu, Y., Gu, Z., Zhang, Y., He, M., Gerber, B. S., Sadasivam, R. S., Liu, F., & Wang, Z. (2022). Global trends in smoking cessation research from 2002 to 2021: A bibliometric and visual analysis. Preventive Medicine Reports, 30, 101991. https://doi.org/10.1016/j.pmedr.2022.101991
Zainuddin. (2020). Metodologi Penelitian Kefarmasian Edisi 2. Airlangga University Press.
Zeng, T., Liu, Y., Jiang, Y., Zhang, L., Zhang, Y., Zhao, L., Jiang, X., & Zhang, Q. (2023). Advanced Materials Design for Adsorption of Toxic Substances in Cigarette Smoke. Advanced Science, 10(22), 2301834. https://doi.org/10.1002/advs.202301834
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Moh Bahmid, Moh Bagus Qomaruddin , Zainal Fatah

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).