The number of youth who try smoking is increasing, and the onset is getting earlier. This study tries to answer “Who or what are the main reasons of smoking for Indonesian adolescents, especially in DI Yogyakarta?” through Theory of Triadic Influences (cultural environment, social situation, and biology/personality). Current studies have focused only on cultural environment (mass media) and social situation (family and friends) influence. The sampling was conducted through convenience sampling method to 390 adolescents from 12 junior high schools in DI Yogyakarta. The average age of the subjects is 14 years old, with male to female ratio 55.6%:44.4%. The data were collected through anonymous questionnaires consisting of seven parts. Descriptive analysis was applied to the collected data by means of Chi Square test and logistic regression. The result showed that friends’ influence was the strongest compared with mass media and family to adolescents’ smoking behavior. Among several sub-agents of mass media, it was not television but billboards that had stronger influence. Parents’ influence was not significant compared with siblings and other family members. School friends’ influence was not significant compared with friends from school and other friends. Based on the findings, the applicable proposed interventions are denormalization of cigarette consumption and systematic intervention, such as raising the tobacco price, limiting advertisement and promotion, also regulating tobacco sales.
Keywords: health psychology, smoking adolescents, social intervention, social psychology
Amriel, R.I. (2008). Psikologi kaum muda pengguna narkoba. Jakarta: Salemba Humanika.
Avenoli, S. & Merikangas, K.R. (2003). Familial influences on adolescent smoking. Addiction, 98 (Supplement 1), 1–20.
Baška, T., Warren. C.W., Bašková, M., & Jones, N.R. (2009). Prevalence of youth cigarette smoking and selected social factors in 25 European countries: findings from the Global Youth Tobacco Survey. International Journal of Public Health, 54, 439–445.
Bricker, J.B., Peterson, A.V., Sarason, I.G., Andersen, M.R., & Rajan, K.B. (2007). Changes in the influence of parents' and close friends' smoking on adolescent smoking transitions. Addictive Behaviors, 32, 740–757.
Carmody, T.P., Vieten, C., & Astin, J.A. (2007). Negative Affect, Emotional, Acceptance, and Smoking Cessation. Journal of Psychoactive Drugs, 39(4), 499-508.
Chalela, P., Velez, L.F., & Ramirez, A.G. (2007). Social Influences, and Attitudes and Beliefs Associated With Smoking Among Border Latino Youth. The Journal of School Health, 77(4), 187-195.
Christophi, C.A., Kolokotroni, O., Alpert, H.R., Warren, C.W., Jones, N.R., Demokritou, P., & Connolly, G.N. (2008). Prevalence and social environment of cigarette smoking in Cyprus youth. BMC Public Health, 8, 190-199.
Colder, C.R., Mehta, P., Balanda, K., Campbell, R.T., Mayhew, K.P., Stanton, W.R., Pentz, M.A., & Flay, B.R. (2001). Identifying trajectories of adolescent smoking: an application of latent growth mixture model. Health Psychology, 20, 127–135.
Conrad, K.M., Flay, B.R., & Hill, D. (1992). Why children start smoking cigarettes: Predictors of onset. British Journal of Addiction, 87(12), 1711-1724.
Creswell, J.W. (2009). Research design: Qualitative, quantitative, and mixed methods approaches (3rd ed.). California: SAGE.
Delva, J., Dietz, N.A., Perron, B., Sanchez, N., & Woolley, M.E. (2009). Adult awareness of a youth-focused anti-tobacco campaign: Does having children matter? Substance Use & Misuse, 44, 763–774.
Doku, D., Raisamo, S., & Wiium, N. (2012). The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth. BMC Public Health, 12, 662-671.
Engels, R.C.M.E., Scholte, R., & Meeus, W. (2002). Friends in different contexts and the onset of smoking in adolescence. In F. Vitaro & R. Engels (Chairs), Peers in multiple contexts and adjustments during adolescence. Symposium conducted at the 17th biennial meeting of the International Society for the Study of Behavioral Development (ISSBD), Ottawa, ON, Canada.
Engels, R.C.M.E., Vitaro, F., Blokland, E.D.E., Kemp, R., Scholte, R.H.J. (2004). Influence and selection processes in friendships and adolescent smoking behaviour: The role of parental smoking. Journal of Adolescence, 27, 531–544.
Ennett, S.T., Faris, R., Hipp, J., Foshee, V.A., Bauman, K.E., Hussong, A., & Cai, L. (2008). Peer smoking, other peer attributes, and adolescent cigarette smoking: A social network analysis. Prev Science, 9, 88–98.
Erguder, T., Çakir, B., Aslan, D., Warren, C.W., Jones, N.R., & Asma, S. (2008). Evaluation of the use of Global Youth Tobacco Survey (GYTS) data for developing evidence-based tobacco control policies in Turkey. BMC Public Health, 8 (Suppl 1), S4-11.
Field, A. (2009). Discovering statistics using SPSS (3rd ed.). London: SAGE.
Field, R. (2013). Drugs in perspective: Causes, assessment, family, prevention, intervention, and treatment (8th ed.). New York: McGraw-Hill.
Flay, B.R., Petraitis, J., & Hu, F.B. (1995). The theory of triadic influence: Preliminary evidence related to alcohol and tobacco use. Dalam Research Monograph No. 30: Alcohol and tobacco: From basic science to clinical practice. Washington DC: National Institute of Alcohol Abuse and Addiction.
Flay, B.R. (1999). Understanding environmental, situational and intrapersonal risk and protective factors for youth tobacco use: the Theory of Triadic Influence. Nicotine & Tobacco Research, 1, S111-Sl14.
Gordon, J., Biglan, A., & Smolkowski, K. (2008). The impact on tobacco use of branded youth anti-tobacco activities and family communications about tobacco. Prev Sci, 9, 73–87.
Grace, Shive, S.E., Tan, Y., Thomas, P., Man, V.L. (2004). Development of a Culturally appropriate smoking cessation program for Chinese-American Youth. Journal oF Adolescent Health, 35, 206–216.
Heikkinen, H., Patja, K., & Jallinoja, P. (2010). Smokers’ accounts on the health risks of smoking: Why is smoking not dangerous for me? Social Science & Medicine, 71, 877-883.
Hawari, D. (1991). Penyalahgunaan narkotika dan zat adiktif. Jakarta: Fakultas Kedokteran Universitas Indonesia.
Hikmat, M.W. 2008. Awas narkoba, para remaja waspadalah. Bandung: Grafitri.
Ikawati & Udiati, T. (2000). Sikap otoriter, demokrasi, dan permisif orangtua pada remaja pengguna dan bukan pengguna obat. Media Informasi Penelitian, 163(24), 19-31.
Irimie, S., Mireştean, I.M., Samoilă, A.C., Beldean-Galea, I., & Decanovici, A. (2010). Tobacco use among students from Romania 2004 versus 2009 GYTS data. Applied Medical Informatics, 27(4), 55-61.
Irles, D.L., Pertusa, M.G., Guijarro, A.B., & Carbonell, M.J.F. (2013). Parent and peer influence models in the onset of adolescent smoking. Health and Addictions, 13 (10), 59-66.
Johnston, V., Westphal, D.W., Earnshaw, C., & Thomas, D.P. (2012). Starting to smoke: A qualitative study of the experiences of Australian indigenous youth. BMC Public Health, 12, 963-976.
Kalat, J.W. (2007). Biological psychology (9th ed.). USA: Thomson Higher Education.
Kelly, A.B., O’flaherty, M., Connor, J.P., Homel, R., Toumbourou, J.W., Patton, G.C., & Williams, J. The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model. Drug and Alcohol Review, 30, 381–387.
Kobus, K. (2003). Peers and Adolescent smoking. Addiction, 98 (Suppl 1), 37-55.
Lakon, C.M., & Valente, T.W. (2012). Social integration in friendship networks: The synergy of network structure and peer influence in relation to cigarette smoking among high risk adolescents. Social Science & Medicine, 74, 1407-1417.
Leatherdale, S.T., Brown, S., Cameron, R., McDonald, P.W. (2005). Social modeling in the school environment, student characteristics, and smoking susceptibility: A multi-level analysis. Journal of Adolescent Health, 37, 330–336.
Lee, J., Johnson, C., Rice, J., Warren, C.W., & Chen, T. (2013). Smoking beliefs and behavior among youth in South Korea, Taiwan, and Thailand. International Journal of Behavior Med. 20(3):319-326.
Li, X., Mao, R., Stanton, B., & Zhao, Q. (2010). Parental, behavioral, and psychological factors associated with cigarette smoking among secondary school students in Nanjing, China. J. Child. Fam. Stud., 19, 308–317.
Liang, L. & Chaloupka, F.J. (2002). Differential effects of cigarette price on youth smoking intensity. Nicotine & Tobacco Research, 4, 109-114.
Liang, L., Chaloupka, F., Nichter, M., & Clayton, R. (2003). Prices, policies and youth smoking, May 2001. Addiction, 98 (Suppl 1), 105-122.
Liao, Y., Huang, Z., Huh, J., Pentz, M.A., Chou, C. (2013). Changes in friends’ and parental influences on cigarette smoking from early through late adolescence. Journal of Adolescent Health, 53, 132-138.
Listyawati. (2003). Analisis faktor-faktor meningkatnya penyalahgunaan napza. Media Informasi Penelitian, 175 (27), 55-71.
Ma, G.X., Shive, S.E., Tan, Y., Thomas, P., & Man, V. L. (2004). Development of a culturally appropriate smoking cessation program for Chinese-American Youth. Journal of Adolescent Health, 35(3), 206-216.
MacKinnon, D.P., Taborga, M.P., & Morgan-Lopez, A.A. (2002). Mediation design for tobacco prevention research. Drug and Alcohol Dependence, 68, S69-S83.
Majalah Tempo. (27 Mei-2 Juni 2013). Agar merokok dianggap sehat. Jakarta: Tempo.
Mason, M.J., Mennis, J., & Schmidt, C.D. (2011). A social operational model of urban adolescents’ tobacco and substance use: A mediational analysis (dalam proses cetak). Journal of Adolescence, 34(5):1055-63.
Mayhew, K.P., Flay, B.R. & Mott, J.A. (2000) Stages in the development of adolescent smoking. Drug and Alcohol Dependence, 59(1), S61–S82.
Nichter, M., Nichter, M., Llyod-Richardson, E., Flaherty, B., Carkoglu, A., & Taylor, N. (2006). Gendered dimensions of smoking among college students. Journal of Adolescent Research, 21, 215-243.
Novak, S.P. & Clayton, R.R. (2001). The influence of school environment and self-regulation on transitions between stages of cigarette smoking: A multilevel analysis. Health Psychology, 20(3), 196-207.
Odgen, J. (2007). Health psychology: A textbook. New York: Open University.
Oksuz, E., Mutlu, E.T., Malhan, S. (2007). Characteristics of daily and occasional smoking among youths. Public Health, 121, 349–356.
Partodiharjo, S. (2007). Kenali narkoba dan musuhi penyalahgunaannya. Jakarta: Esensi.
Pollack, H.A & Jacobson, P.D. (2003). Political economy of youth smoking regulation. Addiction, 98 (Suppl 1), 123–138.
Saam, Z., & Wahyuni, S. (2012). Psikolog keperawatan. Jakarta: Raja Grafindo Persada.
Sarafino, E.P. (1998). Health psychology: Bio psycho-social interactions. New York: John Wiley & Sons.
Shadel, W.G., Niaura, R., & Abrams, D.B. (2001). How do adolescents process smoking and antismoking advertisements? A social cognitive analysis with implication for understanding smoking initiation. Review of General Psychology, 5(4), 429-444.
Simons-Morton, B.G. (2004). The protective effect of parental expectations against early adolescent smoking initiation. Health Educ. Res, 19(5), 561-569.
Simons-Morton, B.G., Farhat, T. (2010). Recent findings on peer group influences on adolescent smoking. J Primary Prevent, 31, 191–208.
Stewart-Knox, B.J., Sittlington, J., Rugkåsa, J, Harrisson, S., Treacy, M., & Abaunza, P.A. (2005). Smoking and peer groups: Results from a longitudinal qualitative study of young people in Northern Ireland. British Journal of Social Psychology, 44, 397–414.
Sussman, S., Levy, D., Lich, K.L., Cené, C.W., Kim, M.M., Rohrbach, L.A., & Chaloupka, F.J. (2013). Comparing effects of tobacco use prevention modalities: need for complex system models. Tobacco Induced Diseases, 11, 2-15.
Tanski, S.E., Stoolmiller, M., Gerrard, M., & Sargent, J.D. (2012). Moderation of the association between media exposure and youth smoking onset: Race/ethnicity, and parent smoking. Prev Science, 13, 55–63.
Thakur, J.S., Lenka, S.R., Bhardwaj, S., & Kumar, R. (2010). Why youth smoke? An exploratory community-based study from Chandigarh Union Territory of Northern India. Indian Journal of Cancer, 47(Suppl 1), S59-S62.
Valente, T.W., Unger, J.N., & Johnson, C.A. (2004). Do popular students smoke? The association between popularity and smoking among middle school students. Journal of Adolescent Health, 37(4), 323-329.
Villanti, A., Boulay, M., Juon, H. (2011). Peer, parent and media influences on adolescent smoking by developmental stage. Addictive Behaviors, 36, 133–136.
Wakefield, M., Flay, B., Nichter, M., & Giovino, G. (2003). Role of the media in influencing trajectories of youth smoking. Addiction, 98(Suppl 1), 79–103.
Watts, A.W., Lovato, C.Y., Card, A., & Manske, S.R. (2010). Do students’ perceptions of school smoking policies influence where students smoke?: Canada’s youth smoking survey. Cancer Causes Control, 21, 2085–2092.
Wen, M., Duker, H.V., Olson, L.M. (2009). Social contexts of regular smoking in adolescence: Towards a multidimensional ecological model. Journal of Adolescence, 32, 671-692.
Wilkinson, A.V., Vandewater, E.A., Carey, F.R., & Spitz, M.R. (2013). Exposure to pro-tobacco messages and smoking status among Mexican origin youth. J Immigrant Minority Health, 16, 385-93.
Woodgate, R.L., & Kreklewetz, C.M. (2012). Youth’s narratives about family members smoking: parenting the parent- it’s not fair! BMC Public Health, 12, 965-977.
Zhang, X., Salmeron, B.J., Ross, T.J., Geng, X., Yang, Y., & Stein, E.I. (2011). Factors underlying prefrontal and insula structural alterations in smokers. NeuroImage, 54, 42-48.
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