Skip to main content Skip to main navigation menu Skip to site footer

Smoking as a health problem: A priority-setting study in a tobacco industry dependent village


Background and purpose: Indonesia is one of the most cigarette-friendly countries. The tobacco industry has gained economic dependence both nationally and domestically. Baureno Village in Indonesia has more than half of its population relied their life on the tobacco industry for long time. This study analysed how this high tobacco dependent community considered the smoking behaviour as one of prioritized health problems.

Methods: This priority-setting study was conducted in quantitative and qualitative phases sequently. The quantitative data on smoking behaviour were collected on 251 households as the samples. This study captured the twelve healthy family indicators issued by The Indonesia Ministry of Health. Further, this data were brought into two different focus group discussions with community leaders and primary healthcare workers to understand how this community considered smoking as a health problem. Their prespective on prioritized health problem was revealed by performing a priority-setting analysis.

Results: Smoking behaviour in cigarette producing areas is the impact of the economic dependence created by the tobacco industry. Ease of access and weak supervision of cigarette distribution in producing cigarette region caused smoking behaviour to be common place in this community group. Community considered smoking as a bottom priority of health problems, while health workers considered smoking as the second priority out of four identified health problems.

Conclusion:. Community and health workers have a different prioritized health problems. Education to community should be enhanced to increase their awareness on the health impacts of tobacco smoking.


  1. Daly M, Delaney L, Baumeister RF. Self-control, future orientation, smoking, and the impact of Dutch tobacco control measures. Addict Behav Reports. 2015;1:89–96.
  2. Weitkunat R, Lee PN, Baker G, Sponsiello-Wang Z, González-Zuloeta Ladd AM, Lüdicke F. A novel approach to assess the population health impact of introducing a Modified Risk Tobacco Product. Regul Toxicol Pharmacol. 2015;72(1):87–93.
  3. English LML, Hsia J, Malarcher A. Tobacco advertising, promotion, and sponsorship (TAPS) exposure, anti-TAPS policies, and students’ smoking behavior in Botswana and South Africa. Prev Med (Baltim). 2016;91:S28–34.
  4. Glenn NM, Lapalme J, McCready G, Frohlich KL. Young adults’ experiences of neighbourhood smoking-related norms and practices: A qualitative study exploring place-based social inequalities in smoking. Soc Sci Med. 2017;189(2017):17–24.
  5. Zhang D, Hu Z, Orton S. Socio-economic and Psychosocial Determinants of Smoking and Passive Smoking in Older Adults. Biomed …. 2013;26(6):453–67.
  6. Yang T, Barnett R, Rockett IRH, Yang XY, Wu D, Zheng W, et al. The impact of regional economic reliance on the tobacco industry on current smoking in China. Heal Place. 2015;33(2015):159–71.
  7. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Laporan Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia. Jakarta; 2018.
  8. Ribisl KM, D’Angelo H, Feld AL, Schleicher NC, Golden SD, Luke DA, et al. Disparities in tobacco marketing and product availability at the point of sale: Results of a national study. Prev Med (Baltim). 2017;105(2017):381–8.
  9. Elton-Marshall T, Wijesingha R, Kennedy RD, Hammond D. Disparities in knowledge about the health effects of smoking among adolescents following the release of new pictorial health warning labels. Prev Med (Baltim). 2017;(November):0–1.
  10. Lin W, Sloan F. Risk perceptions and smoking decisions of adult Chinese men à¬. J Health Econ. 2015;39:60–73.
  11. Llewelyn R, Musianto L. Analisis Cost-Benefit Terhadap Industri Rokok di Indonesia. 2000;2(2):68–85.
  12. Salti N, Brouwer E. Social Science & Medicine The health , fi nancial and distributional consequences of increases in the tobacco excise tax among smokers in Lebanon. 2016;170.
  13. Gentry S, Craig J, Holland R, Notley C. Smoking cessation for substance misusers : A systematic review of qualitative studies on participant and provider beliefs and perceptions. Drug Alcohol Depend. 2017;180(June):178–92.
  14. Jarman H. Trade policy governance: What health policymakers and advocates need to know. Health Policy (New York). 2017;121(11):1105–12.
  15. Rosita R, Suswardany DL, Abidin Z. Penentu Keberhasilan Berhenti Merokok pada Mahasiswa. J Kesehat Masy. 2012;8(1):1–9.

How to Cite

Putri, N. K. (2019). Smoking as a health problem: A priority-setting study in a tobacco industry dependent village. Public Health and Preventive Medicine Archive, 7(2), 135–139.




Search Panel

Nuzulul Kusuma Putri
Google Scholar
Phpma Journal