Is Youth Smoking Related to the Density and Proximity of Outdoor Tobacco Advertising Near Schools? Evidence from Indonesia

Sri Handayani, Enny Rachmani, Kriswiharsi Kun Saptorini, Yusthin Merianti Manglapy, Nurjanah, Abdillah Ahsan and Dian Kusuma
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Sri Handayani: Public Health Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 50131, Indonesia
Enny Rachmani: Health Information Management Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 50131, Indonesia
Kriswiharsi Kun Saptorini: Health Information Management Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 50131, Indonesia
Yusthin Merianti Manglapy: Public Health Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 50131, Indonesia
Nurjanah: Public Health Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 50131, Indonesia
Abdillah Ahsan: Faculty of Economics and Business, University of Indonesia, Depok 16424, Indonesia
Dian Kusuma: Centre for Health Economics & Policy Innovation, Imperial College Business School, London SW7 2AZ, UK

IJERPH, 2021, vol. 18, issue 5, 1-8

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.

Keywords: adolescent; smoking; tobacco; advertising; built environment; Indonesia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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