A MANAGERIAL ANALYSIS OF ECONOMIC LOSSES ATTRIBUTABLE TO SMOKING AND THE IMPLEMENTATION OF NON-SMOKING AREA POLICIES

Authors

  • Achmad R. Muttaqien Al-Maidin Mega Buana Palopo University
  • Pupin Astuti Hasanuddin University
  • Akhyar Rahmatul Rohim Mega Buana Palopo University
  • Mutia Nur Rahmah Hasanuddin University, Sulawesi Selatan,

DOI:

https://doi.org/10.24252/hmsj.v6i2.57315

Keywords:

economic loss, non smokinh area, smoking habit

Abstract

Introduction: Smoking has caused a heavy economic burden around the world. In Indonesia, in the South Sulawesi Region, smoking has become a habit. The economic losses caused by smoking have reached unreasonable limits, coupled with the increase in smoking in various regions of Indonesia, affecting the social life of the community. One of the efforts made by the Indonesian government is a policy related to Non-Smoking Areas (KTR).

Methods: This study used qualitative and quantitative methods with a sample of 400 respondents from the total population of Palopo City. The qualitative method uses rapid ethnography to directly observe the habits of the people in the KTR. The quantitative method uses a survey of economic loss and community compliance with regional regulations and smoking habits in Palopo City.

Results: The results show that the people of Palopo City are able to smoke an average of 14 cigarettes a day (1.70 USD), which is 420 cigarettes a month (51.06 USD), and are able to spend 5110 cigarettes (18637.99 USD) a year for one smoker. These costs are spent only on purchasing cigarettes and do not include the costs that must be paid by smokers to overcome health problems caused by smoking. This study also examines smokers' habits and their adherence to the KTR policy.

Conclusion: The costs incurred for smoking in Palopo City are very high. Cost estimates can be used to evaluate cigarette tax rates and other tobacco-related policies. The habit and need for smoking are one of the factors contributing to the high costs incurred each year to buy cigarettes. The smoking habit which has a high risk of health problems and poor compliance is a challenge for the government and policy enforcers to pay more attention to this problem. To enhance the effectiveness of tobacco control, the government needs to increase cigarette taxes, strengthen the enforcement of Smoke-Free Areas (KTR), and expand public education programs on the dangers of smoking.

References

Amy Y. Hafez, Mariaelena Gonzalez, Kulik, M. C., Vijayaraghavan, M., & Glantz, S. A. (2019). Uneven Access to Smoke-Free Laws and Policies and Its Effect on Health Equity in the United States: 2000–2019. AJPH Law & Ethics, 109(11), 1568–1575. https://doi.org/doi:10.2105/AJPH. 2019.305289

Asyary, A., & Veruswati, M. (2023). Smoking behavior and cigarette expenditure in a household: Evidence for smoke-free houses initiation in Indonesia. International Journal of Preventive Medicine, 14(1), 7. https://doi.org/10.4103/ijpvm.ijpvm_113_21

Bhalerao, A., Sivandzade, F., Archie, S. R., & Cucullo, L. (2019). Public Health Policies on E-Cigarettes. Current Cardiology Reports, 21(10). https://doi.org/10.1007/s11886-019-1204-y

Colston, D. C., Cho, B., Thrasher, J. F., Titus, A. R., Xie, Y., Emery, S., Elliott, M. R., & Fleischer, N. L. (2021). Anti-Smoking Media Campaigns and Disparities in Smoking Cessation in the United States, 2001-2015. American Journal of Health Promotion, 35(5), 658–668. https://doi.org/10.1177/0890117120985818

Department of Health, U., & Services, H. (2018). The Health Consequences of Smoking - 50 Years of Progress: A Report of the Surgeon General. www.cdc.gov/tobacco

Fithria, F., Adlim, M., Jannah, S. R., & Tahlil, T. (2021). Indonesian adolescents’ perspectives on smoking habits: a qualitative study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-020-10090-z

Goodchild, M., Nargis, N., & D’Espaignet, E. T. (2018). Global economic cost of smoking-attributable diseases. Tobacco Control, 27(1), 58–64. https://doi.org/10.1136/tobaccocontrol-2016-053305

Gravely, S., Craig, L. V., Cummings, K. M., Ouimet, J., Loewen, R., Martin, N., Chung-Hall, J., Driezen, P., Hitchman, S. C., McNeill, A., Hyland, A., Quah, A. C. K., O’Connor, R. J., Borland, R., Thompson, M. E., Boudreau, C., & Fong, G. T. (2021). Smokers’ cognitive and behavioural reactions during the early phase of the COVID-19 pandemic: Findings from the 2020 ITC Four Country Smoking and Vaping Survey. In PLoS ONE (Vol. 16, Issue 6 June). Public Library of Science. https://doi.org/10.1371/journal.pone.0252427

Holipah, H., Sulistomo, H. W., & Maharani, A. (2020). Tobacco smoking and risk of all-cause mortality in Indonesia. PLoS ONE, 15(12 December). https://doi.org/10.1371/journal.pone.0242558

Hutahayan, F. J. (2019). Faktor Pengaruh Kebijakan Keterbukaan Informasi Dan Kinerja Pelayanan (F. Publik. (ed.)). CV BUDI UTAMA.

Jain, Y. K., Bhardwaj, P., Joshi, N. K., Gupta, M. K., Goel, A. D., & Sharma, P. P. (2023). Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment. Addiction and Health, 15(1), 53–62. https://doi.org/10.34172/ahj.2023.1420

Kang, S. Y., Lee, S., & Cho, H. J. (2021). Prevalence and predictors of heated tobacco product use and its relationship with attempts to quit cigarette smoking among Korean adolescents. Tobacco Control, 30(2), 192–198. https://doi.org/10.1136/tobaccocontrol-2019-055114

Kaufman, M. R., Merritt, A. P., Rimbatmaja, R., & Cohen, J. E. (2015). “Excuse me, sir. Please don’t smoke here”. A qualitative study of social enforcement of smoke-free policies in Indonesia. Health Policy and Planning, 30(8), 995–1002. https://doi.org/10.1093/heapol/czu103

Koronaiou, K., Al-Lawati, J. A., Sayed, M., Alwadey, A. M., Alalawi, E. F., Almutawaa, K., Hussain, A. H. J., Al-Maidoor, W., Al-Farsi, Y. M., & Delipalla, S. (2021). Economic cost of smoking and secondhand smoke exposure in the Gulf Cooperation Council countries. Tobacco Control, 30(6), 680–686. https://doi.org/10.1136/tobaccocontrol-2020-055715

Maldonado, N., Llorente, B., Reynales-Shigematsu, L. M., Saenz-de-Miera, B., Jha, P., & Shannon, G. (2022). Tobacco Taxes as the Unsung Hero: Impact of a Tax Increase on Advancing Sustainable Development in Colombia. International Journal of Public Health, 67. https://doi.org/10.3389/ijph.2022.1604353

Mehrotra, R., Yadav, A., Sinha, D. N., Parascandola, M., John, R. M., Ayo-Yusuf, O., Nargis, N., Hatsukami, D. K., Warnakulasuriya, S., Straif, K., Siddiqi, K., & Gupta, P. C. (2019). Smokeless tobacco control in 180 countries across the globe: call to action for full implementation of WHO FCTC measures. In The Lancet Oncology (Vol. 20, Issue 4, pp. e208–e217). Lancet Publishing Group. https://doi.org/10.1016/S1470-2045(19)30084-1

Meilissa, Y., Nugroho, D., Luntungan, N. N. H. W., & Dartanto, T. (2022). The 2019 economic cost of smoking-attributable diseases in Indonesia. Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2021-056890

Nargis, N., Hussain, A. K. M. G., Asare, S., Xue, Z., Majmundar, A., Bandi, P., Islami, F., Yabroff, K. R., & Jemal, A. (2022). Economic loss attributable to cigarette smoking in the USA: an economic modelling study. The Lancet Public Health, 7(10), e834–e843. https://doi.org/10.1016/S2468-2667(22)00202-X

Pettigrew, S., Santos, J., Li, Y., Miller, M., Anderson, C., Raj, T., & Jones, A. (2023). E-cigarette-related beliefs, behaviors, and policy support among young people in China. Tobacco Induced Diseases, 21(January), 1–12. https://doi.org/10.18332/tid/156836

Philpot, S. J., Ryan, S. A., Torre, L. E., Wilcox, H. M., Jalleh, G., & Jamrozik, K. (2016). EVect of smoke-free policies on the behaviour of social smokers.

Pichon-Riviere, A., Bardach, A., Rodríguez Cairoli, F., Casarini, A., Espinola, N., Perelli, L., Reynales-Shigematsu, L. M., Llorente, B., Pinto, M., Saenz De Miera Juárez, B., Villacres, T., Peña Torres, E., Amador, N., Loza, C., Castillo-Riquelme, M., Roberti, J., Augustovski, F., Alcaraz, A., & Palacios, A. (2023). Health, economic and social burden of tobacco in Latin America and the expected gains of fully implementing taxes, plain packaging, advertising bans and smoke-free environments control measures: a modelling study. Tobacco Control, tc-2022-057618. https://doi.org/10.1136/tc-2022-057618

Reynales-Shigematsu, L. M., Wipfli, H., Samet, J., Regalado-Pineda, J., & Hernández-ávila, M. (2019). Tobacco control in Mexico: A decade of progress and challenges. Salud Publica de Mexico, 61(3), 292–302. https://doi.org/10.21149/9360

Rezaei, S., Sari, A. A., Arab, M., Majdzadeh, R., & Poorasl, A. M. (2016). Economic burden of smoking: a systematic review of direct and indirect costs. http://mjiri.iums.ac.ir

Sadarang, R. A. I. (2021). Factors associated with quitting smoking in indonesia. Journal of Preventive Medicine and Public Health, 54(2), 137–144. https://doi.org/10.3961/jpmph.20.293

Sánchez-Franco, S., Arias, L. F., Jaramillo, J., Murray, J. M., Hunter, R. F., Llorente, B., Bauld, L., Good, S., West, J., Kee, F., & Sarmiento, O. L. (2021). Cultural adaptation of two school-based smoking prevention programs in Bogotá, Colombia. Translational Behavioral Medicine, 11(8), 1567–1578. https://doi.org/10.1093/tbm/ibab019

Setyonaluri, D., Adioetomo, S. M., Barber, S., & Ahsan, A. (2018). "Implementing the maximum legally allowable tobacco Tobacco Economics in Indonesia One of a series of reports on tobacco taxation funded by the Bloomberg Philanthropies as part of the Bloomberg Initiative to Reduce Tobacco Use. www.iuatld.org

Downloads

Published

2025-05-31

How to Cite

Achmad R. Muttaqien Al-Maidin, Pupin Astuti, Akhyar Rahmatul Rohim, & Mutia Nur Rahmah. (2025). A MANAGERIAL ANALYSIS OF ECONOMIC LOSSES ATTRIBUTABLE TO SMOKING AND THE IMPLEMENTATION OF NON-SMOKING AREA POLICIES . Homes Journal: Hospital Management Studies Journal, 6(2), 51–65. https://doi.org/10.24252/hmsj.v6i2.57315