Document Type : Research Articles
Authors
1
Department of Economics, Faculty of Economics and Business, University of Indonesia, Depok, West Java, Indonesia.
2
Department of Public Health, Faculty of Health Sciences, Bhakti Husada Indonesia University, Kuningan, West Java, Indonesia.
3
Department of Community Medicine, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
4
Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.
5
Study Program of Hospital Administration, Faculty of Health Sciences, Bakti Tunas Husada University, Tasikmalaya, West Java, Indonesia.
6
Study Program of Public Health, Faculty of Health Sciences, Sebelas April University, Sumedang, West Java, Indonesia.
7
Study Program of Midwifery, Faculty of Health Sciences, Galuh University, Ciamis, West Java, Indonesia.
8
Study Program of Public Health, Ibn Khaldun University, Bogor, West Java, Indonesia.
9
Study Program of Agribusiness, Faculty of Agriculture, Sebelas Maret University, Surakarta, Central Java, Indonesia.
10
Study Program of Occupational Health and Safety, International University of Bali, Denpasar, Bali, Indonesia.
11
Department of Public Health, Faculty of Public Health, Andalas University, Padang, West Sumatra, Indonesia.
Abstract
Objective: This study aimed to investigate public perceptions (knowledge, attitudes, and perceived impact) of the single-stick cigarette sales ban in Indonesia, and to identify sociodemographic and behavioral factors associated with these outcomes. Methods: A cross-sectional survey study was conducted among 714 respondents in seven selected districts in Indonesia, utilizing the Knowledge, Attitude, and Perception (KAP) framework. Multivariable analyses were performed using binary logistic regression for knowledge and ordered logistic regression for attitude and perception. Robust standard errors were applied, and findings are reported as adjusted odds ratios (aORs) with 95% confidence intervals (95% CIs). Result: Most respondents (66.11%) were unaware of the regulation. Older adults (≥55) had lower knowledge (aOR = 0.47, 95% CI: 0.28–0.79), and active smokers opposed the ban (aOR = 0.35, 95% CI: 0.23–0.51). Higher education (aOR = 2.16, 95% CI: 1.00–4.63) and urban residence (aOR = 1.65, 95% CI: 1.08–2.51) correlated with supportive attitudes. Knowledge (aOR = 1.90, 95% CI: 1.25–2.87) and supportive attitudes (aOR = 2.86, 95% CI: 1.56–5.22) were the strongest predictors of perceiving the ban as effective for public health. Conclusion: The implementation of the single-stick cigarette ban in Indonesia has been ineffective, primarily due to a lack of public awareness of the regulation. Smokers and older adults demonstrate significantly limited knowledge of and acceptance toward the policy. These findings highlight the need for increased public awareness campaigns and targeted interventions to improve knowledge and compliance with the single-stick cigarette sales ban in Indonesia.
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