Who Successfully Quits Smoking in Indonesia? A Survival Analysis of GATS 2021
Keywords:
education, gender, smoking cessation, tobaccoAbstract
Tobacco use is a major health burden in Indonesia, especially among men, while the use of cessation aids remains low. Although more individuals are attempting to quit, factors influencing successful cessation are not fully understood. This cross-sectional study analyzed data from the 2021 Global Adult Tobacco Survey (GATS) Indonesia. A total of 1,111 respondents aged ≥15 years who had ever smoked were included. Kaplan-Meier survival curves and Cox proportional hazard models assessed demographic and behavioral predictors of smoking cessation. Among respondents, 68.9% had quit smoking for at least 12 months. Women were more likely to quit than men (aHR = 4.23; 95% CI: 2.64–6.75). Education level was positively associated with cessation: medium (aHR = 1.79) and high (aHR = 2.17) education levels had higher quit rates than low education. Only students showed significantly higher cessation rates among employment groups (aHR = 6.19). Exposure to e-cigarettes was linked to lower cessation likelihood, although frequency of use was not significant. Female gender and higher education are key factors in successful smoking cessation. Programs should address social disparities and offer targeted support for less-educated and socially disadvantaged populations.
References
Andersen, A. J., Hecker, I., Wallez, S., Witteveen, A., Lora, A., Mittendorfer-Rutz, E., Corrao, G., Walter, H., Haro, M., & Sijbrandij, M. (2023). Are we equally at risk of changing smoking behavior during a public health crisis? Impact of educational level on smoking from the TEMPO cohort. BMC Public Health. https://hal.science/hal-04168195v1
Cao, P., Jeon, J., Tam, J., Fleischer, N. L., Levy, D. T., Holford, T. R., & Meza, R. (2023). Smoking Disparities by Level of Educational Attainment and Birth Cohort in the U.S. American Journal of Preventive Medicine, 64(4), S22–S31. https://doi.org/10.1016/j.amepre.2022.06.021
Centers for Disease Control and Prevention (CDC);, & World Health Organization (WHO). (2023). Global Adult Tobacco Survey (GATS): Survey Tools. GTSS Academy. https://www.gtssacademy.org/survey-tools/gats/
Dieleman, L. A., van Peet, P. G., & M Vos, H. M. (2021). Gender differences within the barriers to smoking cessation and the preferences for interventions in primary care a qualitative study using focus groups in The Hague, The Netherlands. BMJ Open, 11(042623), 1–9. https://doi.org/10.1136/bmjopen-2020-042623
Jayakumar, N., Chaiton, M., Zhang, B., Selby, P., & Schwartz, R. (2020). Sex Differences in Use of Smoking Cessation Services and Resources: A Real-World Study. Tobacco Use Insights, 13, 1–8. https://doi.org/10.1177/1179173X20901500
Nabil, A. S., Pramiyanti, A., & Wulandari, A. (2024, novembro 30). Stigma Sosial pada Perempuan Perokok di Solok Sumatera Barat. Sang Pencerah: Jurnal Ilmiah Universitas Muhammadiyah Buton. https://www.jurnal-umbuton.ac.id/index.php/Pencerah/article/view/6157/3013
Ruokolainen, O., Härkänen, T., Lahti, J., Haukkala, A., Heliövaara, M., & Rahkonen, O. (2021). Association between educational level and smoking cessation in an 11-year follow-up study of a national health survey. Scandinavian Journal of Public Health, 49(8), 960. https://doi.org/10.1177/1403494821993721
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
Zhuang, Y. L., Gamst, A. C., Cummins, S. E., Wolfson, T., & Zhu, S. H. (2015). Comparison of Smoking Cessation Between Education Groups: Findings From 2 US National Surveys Over 2 Decades. American Journal of Public Health, 105(2), 379. https://doi.org/10.2105/AJPH.2014.302222
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