The Influence of Risk Perception, Smoking Fatwa Knowledge, and Smoking Behavior on the Intention to Quit Smoking in Adolescents
DOI:
https://doi.org/10.29244/jcs.10.2.394-414Keywords:
family background, risk perception, smoking behavior, smoking cessation intention, smoking fatwa knowledgeAbstract
Background: The percentage of adolescent smokers is increasing; however, survey results indicate that many adolescent smokers express a desire to quit.
Purpose: This study aims to analyze the effects of risk perception, smoking fatwa knowledge, and smoking behavior on the intention to quit smoking.
Method: This cross-sectional study involved 100 Muslim adolescents aged 13-18 years who had actively smoked within the past three months. Risk perception was measured across five dimensions: functional, financial, physical, psychological, and social. Knowledge of the smoking fatwa refers to the fatwa issued by the Indonesian Ulema Council (MUI).
Findings: The results showed that the highest perceived risk was functional risk, while the lowest was social risk. Only 32% of participants were aware of the fatwa issued by the MUI. On average, participants smoked 6.3 cigarettes per day, and 81% were classified as light daily smokers. Knowledge of the fatwa and the number of cigarettes smoked daily did not affect the intention to quit smoking. Perceived social risk had a positive effect on smoking cessation intention.
Conclusions: Based on the results of the study, the factors influencing adolescents' intention to quit smoking include age, father's age, father's education, father's smoking status, social perceptions, and smoking-related expenditure.
Research implications: The findings suggest the need for a holistic approach that targets adolescents at the individual, family, and community levels. Preventive, curative, repressive, and persuasive strategies are essential to promote smoking cessation intentions and reduce smoking behavior among adolescents.
References
Aderita, N. I., Ningsih, S., & Yuliyanti, T. (2023). Hubungan antara sikap, norma subjektif, dan persepsi terhadap intensi berhenti merokok pada remaja putra sekolah menengah atas. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(3), 751-760. https://doi.org/10.32583/pskm.v13i3.585
Afina, S., & Retnaningsih, R. (2018). The influence of students’ knowledge and attitude toward functional foods consumption behavior. Journal of Consumer Sciences, 3(1), 1-14. https://doi.org/10.29244/jcs.3.1.1-14
Ajzen, I. (2005). Attitudes, personality, and behavior (2nd ed.). Open University Press.
Akmal, D., Widjanarko, B., & Nugraha, P. (2017). Sikap mempengaruhi niat berhenti merokok pada remaja SMA di Kota Bima. Jurnal Promosi Kesehatan Indonesia, 12(1), 78-91. https://doi.org/10.14710/jpki.12.1.78-91
Alifiana, W., Manenti, D. A., Cahyani, I., Rafsanjani, N. M., Sopian, S. M., & Hakim, A. L. (2023). Analisa perilaku merokok pada usia produktif terhadap kesehatan di wilayah kerja Puskesmas Cilodong: Analysis of Smoking Behavior in the Productive Age on Health in the Cilodong Community Health Center Work Area. Journal of Public Health Education, 2(3), 83-90. https://doi.org/10.53801/jphe.v2i3.122
Al Mutanafisa, T. (2021). The effect of sales promotion and knowledge on impulsive buying of online platform consumers. Journal of Consumer Sciences, 6(1), 77-91. https://doi.org/10.29244/jcs.6.1.77-91
Amida, O. V., & Sitorus, J. R. H. (2020). Penerapan regresi logistik biner multilevel dalam analisis pengaruh karakteristik individu, rumah tangga, dan wilayah terhadap status kemiskinan balita di Kepulauan Maluku dan Pulau Papua. Seminar Nasional Official Statistics, 2020(1), 967–977.
Annisa, A. S., Tahlil, T., & Safuni, N. (2023). Perilaku merokok dengan pengetahuan agama tentang merokok siswa. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 7(3), 45–52. https://jim.usk.ac.id/FKep/article/view/24056
Aprilla, N., Yahya, E., & Ririn, R. (2019). Hubungan antara perilaku merokok pada orang tua dengan kejadian ISPA pada balita di desa pulau Jambu wilayah kerja Puskesmas Kuok tahun 2019. Jurnal Ners, 3(1), 112-117. https://doi.org/10.31004/jn.v3i1.492
Aryanpur, M., Masjedi, M. R., Mortaz, E., Hosseini, M., Jamaati, H., Tabarsi, P., & Mozafarian, A. (2016). Intention to quit smoking and associated factors in smokers newly diagnosed with pulmonary tuberculosis. Tanaffos, 15(1), 17–24.
Atmodjo, J. T., Soemanto, R., & Murti, B. (2018). Determinants of Successful Smoking Cessation in Surakarta. Journal of Health Promotion and Behavior, 2(4), 332–344. https://doi.org/10.26911/thejhpb.2017.02.04.05
Boeree, C. G. (2006). Erik Erikson: Personality Theories. Psychology Department Shippensburg University.
Boulos, D. N., Loffredo, C. A., El Setouhy, M., Abdel-Aziz, F., Israel, E., & Mohamed, M. K. (2009). Nondaily, light daily, and moderate-to-heavy cigarette smokers in a rural area of Egypt: a population-based survey. Nicotine & Tobacco Research, 11(2), 134-138. https://doi.org/10.1093/ntr/ntp016
Byron, M. J., Cohen, J. E., Gittelsohn, J., Frattaroli, S., Nuryunawati, R., & Jernigan, D. H. (2015). Influence of religious organisations’ statements on compliance with a smoke-free law in Bogor, Indonesia: a qualitative study. BMJ open, 5(12), e008111. http://dx.doi.org/10.1136/bmjopen-2015-008111
Cahyo, K., Wigati, P. A., & Shaluhiyah, Z. (2012). Rokok, pola pemasaran dan perilaku merokok siswa SMA/sederajat di Kota Semarang. Media Kesehatan Masyarakat Indonesia, 11(1), 75-85. https://doi.org/10.14710/mkmi.11.1.75-85
Candra, W., Harini, G. A., & Sumitra, N. (2017). Psikologi: Landasan keilmuan praktik keperawatan jiwa. Andi.
Chinwong, D., Mookmanee, N., Chongpornchai, J., & Chinwong, S. (2018). A comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. Journal of addiction, 2018, 1-8. https://doi.org/10.1155/2018/8081670
Cooper, T. V., Taylor, T., Murray, A., DeBon, M. W., Vander Weg, M. W., Klesges, R. C., & Talcott, G. W. (2010). Differences between intermittent and light daily smokers in a population of US military recruits. Nicotine & Tobacco Research, 12(5), 465-473. https://doi.org/10.1093/ntr/ntq025
Dawood, O. T., Rashan, M. A. A., Hassali, M. A., & Saleem, F. (2016). Knowledge and perception about health risks of cigarette smoking among Iraqi smokers. Journal of pharmacy & bioallied sciences, 8(2), 146. https://doi.org/ 10.4103/0975-7406.171738
Dhumal, G. G., Pednekar, M. S., Gupta, P. C., Sansone, G. C., Quah, A. C. K., Bansal-Travers, M., & Fong, G. T. (2014). Quit history, intentions to quit, and reasons for considering quitting among tobacco users in India: Findings from the Wave 1 TCP India Survey. Indian Journal of Cancer, 51(0 1), S39-S45. https://doi.org/ 10.4103/0019-509X.147467
Driezen, P., Abdullah, A. S., Quah, A. C., Nargis, N., & Fong, G. T. (2016). Determinants of intentions to quit smoking among adult smokers in Bangladesh: findings from the International Tobacco Control (ITC) Bangladesh wave 2 survey. Global health research and policy, 1(1), 1-12. https://doi.org/10.1186/s41256-016-0012-9
Fadillah, N. A., Fakhriyah, F., Pujianti, N., Sari, A. R., Hildawati, N., & Fitria, F. (2023). Pengaruh perilaku merokok, konsumsi buah dan sayur terhadap kejadian hipertensi (Studi Cross Sectional pada Masyarakat di Wilayah Kerja Puskesmas Aluh-Aluh Kabupaten Banjar). An-Nadaa: Jurnal Kesehatan Masyarakat (e-Journal), 10(2), 139-145. http://dx.doi.org/10.31602/ann.v10i2.10373
Feng, G., Jiang, Y., Li, Q., Yong, H. H., Elton-Marshall, T., Yang, J., ... & Fong, G. T. (2010). Individual-level factors associated with intentions to quit smoking among adult smokers in six cities of China: findings from the ITC China Survey. Tobacco control, 19(2), i6-i11. http://dx.doi.org/10.1136/tc.2010.037093
Guillaumier, A., Bonevski, B., Paul, C., D’este, C., Twyman, L., Palazzi, K., & Oldmeadow, C. (2016). Self-exempting beliefs and intention to quit smoking within a socially disadvantaged australian sample of smokers. International Journal of Environmental Research and Public Health, 13(1), 118. https://doi.org/10.3390/ijerph13010118
Global Adult Tobacco Survey. (2021). Global Adult Tobacco Survey: Fact sheet Indonesia. https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/indonesia/indonesia-national-2021-factsheet.pdf?sfvrsn=53eac4fd_1
Global Youth Tobacco Survey. (2019). Global Youth Tobacco Survey: Lembar informasi Indonesia. https://www.who.int/docs/default-source/searo/indonesia/indonesia-gyts-2019-factsheet-(ages-13-15)-(final)-indonesian-final.pdf?sfvrsn=b99e597b_2
Hussain, M., Walker, C., & Moon, G. (2019). Smoking and religion: untangling associations using English survey data. Journal of religion and health, 58, 2263-2276. https://doi.org/10.1007/s10943-017-0434-9
Indonesian Ulema Council (MUI). (2009). Fatwa decision of the 3rd Ijtima’ of the Fatwa Commission of Indonesian Ulema Council on the law of smoking. Padang, Indonesia. (in Indonesian)
Jabnabillah, F., & Margina, N. (2022). Analisis korelasi pearson dalam menentukan hubungan antara motivasi belajar dengan kemandirian belajar pada pembelajaran daring. Jurnal Sintak, 1(1), 14-18. Retrieved from https://journal.iteba.ac.id/index.php/jurnalsintak/article/view/23
Juliansyah, E., & Rizal, A. (2018). Faktor umur, pendidikan, dan pengetahuan dengan perilaku merokok di wilayah kerja Puskesmas Sungai Durian, Kabupaten Sintang. VISIKES: Jurnal Kesehatan Masyarakat, 17(01), 92-107. https://doi.org/10.33633/visikes.v17i01.1853
Kaswara, R., Gustina, E., Asiani, G., & Wati, D. E. (2023). Analisis perilaku kesehatan ibu yang berpengaruh dengan kejadian stunting di wilayah kerja Puskesmas Pemulutan Kabupaten Ogan Ilir Tahun 2023. Avicenna: Jurnal Ilmiah, 18(2), 347-361. https://doi.org/10.36085/avicenna.v18i2.5563
Larasati, E. R., Saraswati, W., Setiawan, H. U., Rahma, S. S., Gianina, A., Estherline, C. A., ... & Nugraheni, G. (2018). Motivasi berhenti merokok pada perokok dewasa muda berdasarkan transtheoretical Model (TTM). Jurnal Farmasi dan Ilmu Kefarmasian Indonesia, 5(2), 85-92
Lin, W., Martinez, S. A., Ding, K., & Beebe, L. A. (2021). Knowledge and perceptions of tobacco-related harm associated with intention to quit among cigarette smokers, e-cigarette users, and dual users: findings from the US Population Assessment of Tobacco and Health (PATH) Wave 1. Substance use & misuse, 56(4), 464-470. https://doi.org/10.1080/10826084.2021.1879145
Lin, W., & Sloan, F. (2015). Risk perceptions and smoking decisions of adult Chinese men. Journal of health economics, 39, 60-73. https://doi.org/10.1016/j.jhealeco.2014.11.006
Lund, M. (2015). Social inequality in cigarette consumption, cigarette dependence, and intention to quit among Norwegian smokers. BioMed Research International, 2015. https://doi.org/10.1155/2015/835080
Madewell, Z. J. (2018). The belief that secondhand smoke causes serious illness among Chinese smokers: Smoking cessation and intention to quit. Tobacco Prevention & Cessation, 4, 5. https://doi.org/10.18332/tpc/82813
Mahon, D., & Cowan, C. (2004). Irish consumers’ perception of food safety risk in minced beef. British Food Journal, 106(4), 301-312. https://doi.org/10.1108/00070700410529564
Majlis Tarjih dan Tajdid Pimpinan Pusat Muhammadiyah. (2010). Fatwa Majlis Tarjih dan Tajdid Pimpinan Pusat Muhammadiyah No. 6/SM/MTT/III/2010 tentang hukum haram merokok. https://idr.uin-antasari.ac.id/4550/9/LAMPIRAN.pdf
Mathur, S., & Singh, N. (2015). Characteristics of smokers with intentions to quit, with a focus on occupational status, race/ethnicity, and cognitive behavior. moment, 6(12), 13. Retrieved from https://riviste.unimi.it/index.php/ebph/article/download/17870/15672/53451
McGee, C. E., Trigwell, J., Fairclough, S. J., Murphy, R. C., Porcellato, L., Ussher, M., & Foweather, L. (2015). Influence of family and friend smoking on intentions to smoke and smoking-related attitudes and refusal self-efficacy among 9–10 year old children from deprived neighbourhoods: a cross-sectional study. BMC public health, 15(1), 1-11. https://doi.org/10.1186/s12889-015-1513-z
Ministry of Health of the Republic of Indonesia. (2019). Pengertian perokok aktif dan pasif. Kemenkes RI. (in Indonesian)
Ministry of Health of the Republic of Indonesia. (2023). Survei Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia. (in Indonesian)
Mulyani, T. S. I. (2015). Dinamika perilaku merokok pada remaja. [tesis]. Sekolah Pascasarjana Universitas Muhammadiyah Surakarta: Program Magister Psikologi.
Murriky, A., Allam, E., Alotaibi, H., Alnamasy, R., Alnufiee, A., AlAmro, A., & Al-hammadi, A. (2025). The relationship between nicotine dependence and willingness to quit smoking: A cross-sectional study. Preventive Medicine Reports, 103066. 10.1016/j.pmedr.2025.103066
Myung, S. K., Seo, H. G., Cheong, Y. S., Park, S., Myung, S. K., Seo, H. G., Cheong, Y. S., Park, S., Lee, W. B., & Fong, G. T. (2012). Association of sociodemographic factors, smoking-related beliefs, and smoking restrictions with intention to quit smoking in Korean adults: findings from the ITC Korea Survey. Journal of Epidemiology, 22(1), 21-27. https://doi.org/10.2188/jea.JE20110026
Napitupulu, E. I., Widjanarko, B., & Husodo, B. T. (2020). Keinginan Berhenti Merokok pada Pelajar Perokok di Smk Swasta Kota Semarang. Media Kesehatan Masyarakat Indonesia, 19(3), 184-188. https://doi.org/10.14710/mkmi.19.3.184-188.
Norman, P., & Conner, M. (2005). Predicting health behaviour: A social cognition approach. Open University Press.
Nugroho, A., Najib, M., & Simanjuntak, M. (2018). Factors affecting consumer interest in electronic money usage with Theory of Planned Behavior (TPB). Journal of Consumer Sciences, 3(1), 15-27. https://doi.org/10.29244/jcs.3.1.15-27
Nurfaradila, A. (2021). Pengaruh pesan kesehatan pada kemasan rokok terhadap minat berhenti merokok remaja di Jakarta Utara. KALBISOCIO Jurnal Bisnis dan Komunikasi, 8(1), 28-35. http://ojs.kalbis.ac.id/index.php/kalbisocio/article/view/158
Octarina, E., Hartoyo, H., & Beik, I. S. (2019). Customer purchase intention on sharia mutual fund products: a tpb approach. Journal of Consumer Sciences, 4(1), 37-47. https://doi.org/10.29244/jcs.4.1.37-47
[PP] Republik Indonesia. (2012). Peraturan Pemerintah Nomor 109 Tahun 2012 tentang Pengamanan Bahan yang Mengandung Zat Adiktif Berupa Produk Tembakau Bagi Kesehatan. Lembaran Negara Republik Indonesia Tahun 2012 Nomor 278. Jakarta.
Parashar, M., Singh, M., Agarwalla, R., Panda, M., & Pathak, R. (2017). Predictors of intention to quit tobacco among construction site workers in Delhi, India. Indian journal of psychiatry, 59(2), 208. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_368_16
Peter, J. P., & Olson, J. C. (2012). Perilaku Konsumen dan Strategi Pemasaran Terjemahan, Edisi Kesembilan Jilid 2. Jakarta: Erlangga.
Prasetyo, D. Y., & Indrawati, E. S. (2016). Hubungan antara persepsi terhadap bahaya rokok dengan intensi berhenti merokokpada anggota komunitas inter club Indonesia Regional Magelang. Jurnal Empati, 5(3), 453-457. https://doi.org/10.14710/empati.2016.15372
Ramdani, A. M., & Novianti, S. (2023). Analisis faktor-faktor yang berhubungan dengan perubahan perilaku merokok pada mahasiswa universitas siliwangi di masa pandemi covid-19. Jurnal Kesehatan Komunitas Indonesia, 19(1), 61-66. https://doi.org/10.37058/jkki.v19i1.6852
Reskiaddin, L. O., & Supriyati, S. (2021). Proses perubahan perilaku berhenti merokok: studi kualitatif mengenai motif, dukungan sosial dan mekanisme coping. Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 3(1), 7. https://doi.org/10.47034/ppk.v3i1.4142
Rosita, R., Suswardany, D. L., & Abidin, Z. (2012). Penentu keberhasilan berhenti merokok pada mahasiswa. KEMAS: Jurnal Kesehatan Masyarakat, 8(1), 1-9. https://doi.org/10.15294/kemas.v8i1.2252
Sadarang, R. A. I. (2021). Factors associated with quitting smoking in Indonesia. Journal of Preventive Medicine and Public Health, 54(2), 137. 10.3961/jpmph.20.293
Salzberger, T., & Cano, S. (2017). The Perception Risk Instrument (PRI). Consumer Perception of Product Risks and Benefits, 201-219.
Savoy, E., Reitzel, L. R., Scheuermann, T. S., Agarwal, M., Mathur, C., Choi, W. S., & Ahluwalia, J. S. (2014). Risk perception and intention to quit among a tri-ethnic sample of nondaily, light daily, and moderate/heavy daily smokers. Addictive behaviors, 39(10), 1398-1403. https://doi.org/10.1016/j.addbeh.2014.05.002
Schiffman, L. G., & Kanuk, L. L. (2010). Consumer Behavior 10th ed. USA: Prentica Hall International.
Schnoll, R. A., Subramanian, S., Martinez, E., & Engstrom, P. F. (2011). Correlates of continued tobacco use and intention to quit smoking among Russian cancer patients. International journal of behavioral medicine, 18, 325-332. https://doi.org/10.1007/s12529-010-9131-8
Sholihat, S., & Djamaludin, M. D. (2017). The influence of knowledge, perception, and attitude toward the usage of online transportation base application among housewives. Journal of Consumer Sciences, 2(2), 15-25. https://doi.org/10.29244/jcs.2.2.15-25
Siahpush, M., Farazi, P. A., Maloney, S. I., Dinkel, D., Nguyen, M. N., & Singh, G. K. (2018). Socioeconomic status and cigarette expenditure among US households: results from 2010 to 2015 Consumer Expenditure Survey. BMJ open, 8(6), 1-8. http://dx.doi.org/10.1136/bmjopen-2017-020571
Sibarani, R., & Perbawaningsih, Y. (2018). Persuasi, perilaku merokok, dan preferensi anak muda terhadap pesan kampanye berhenti merokok. Jurnal ASPIKOM, 3(5), 986-1001. http://dx.doi.org/10.24329/aspikom.v3i5.336
Silalahi, N., & Fransiska, S. (2019). Analisis Kebiasaan Merokok Terhadap Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Patumbak. Jurnal Penelitian Kesmasy, 1(2), 83-90
Somantri, U. W. (2020). Hubungan tingkat pengetahuan, jenis kelamin dan persepsi gambar kemasan rokok dengan perilaku merokok. Jurnal Kesehatan, 11(1), 69-76. https://doi.org/10.38165/jk.v11i1.200
Song, A. V., & Ling, P. M. (2011). Social smoking among young adults: investigation of intentions and attempts to quit. American journal of public health, 101(7), 1291-1296.
Soulakova, J. N., Li, J., & Crockett, L. J. (2017). Race/ethnicity and intention to quit cigarette smoking. Preventive medicine reports, 5, 160-165. https://doi.org/10.1016/j.pmedr.2016.12.008
Sugiyono. (2019). Metode Penelitian Dan Pengembangan Research Dan Development. Bandung: Alfabeta
Suwarningsih, S., Mujahidah, Z., & Firdaus, F. J. P. (2023). Usia, Jenis Kelamin dan Tingkat Stres Berpengaruh terhadap Perilaku Merokok pada Mahasiswa. Jurnal Keperawatan dan Kebidanan Nasional, 1(2), 12-22. https://doi.org/10.47313/jkkn.v1i2.3157
Sylvestre, M. P., Chagnon, M., Wellman, R. J., Dugas, E. N., & O’Loughlin, J. (2018). Sex differences in attaining cigarette smoking and nicotine dependence milestones among novice smokers. American journal of epidemiology, 187(8), 1670-1677. https://doi.org/10.1093/aje/kwy045
Thomeer, M. B., Hernandez, E., Umberson, D., & Thomas, P. A. (2019). Influence of social connections on smoking behavior across the life course. Advances in life course research, 42, 1-9. https://doi.org/10.1016/j.alcr.2019.100294
Tsoh, J. Y., Tong, E. K., Gildengorin, G., Nguyen, T. T., Modayil, M. V., Wong, C., & McPhee, S. J. (2011). Individual and family factors associated with intention to quit among male Vietnamese American smokers: implications for intervention development. Addictive behaviors, 36(4), 294-301. https://doi.org/10.1016/j.addbeh.2010.11.009
Wang, Q., Shen, J. J., Sotero, M., Li, C. A., & Hou, Z. (2018). Income, occupation and education: Are they related to smoking behaviors in China? PLOS ONE, 13(2), 1–17. doi: 10.1371/journal.pone.0192571.
Winoto, Y. G., Cahyo, K., & Indraswari, R. (2018). Faktor-faktor yang mempengaruhi niat berhenti merokok pada siswa perokok smp x di Kota Semarang. Jurnal Kesehatan Masyarakat (Undip), 6(5), 814-821. https://doi.org/10.14710/jkm.v6i5.22143
Yanti, D. E., Aprilia, A., Jaya, A., Pratama, R. Y., & Candesa, N. B. (2021). Hubungan Pekerjaan dengan Perilaku Merokok di Wilayah Kerja Puskesmas Bumi Emas Lampung Timur. Jurnal Dunia Kesmas, 10(1), 51-55. https://doi.org/10.33024/jdk.v10i1.3240
Yong, H. H., Hamann, S. L., Borland, R., Fong, G. T., Omar, M., & ITC-SEA project team. (2009). Adult smokers' perception of the role of religion and religious leadership on smoking and association with quitting: A comparison between Thai Buddhists and Malaysian Muslims. Social Science & Medicine, 69(7), 1025-1031. https://doi.org/10.1016/j.socscimed.2009.07.042
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