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Smoking still become a risk factor for chronic and deadly diseases. In 2014, there were 5.8 billion smokers in the world, 80 percent started smoking as a teenager. In Indonesia, the average of age to initial smoking is 17,6 years. To protect adolescents from the dangers of smoking, Pictorial Health Warning (PHW) with fear appeal was imprinted on cigarette pack. As 24 June 2014, PHW has been applied in Indonesia. The research aims to describe the response of adolescent smoker in Depok City toward message with fear appeal on PHW in Indonesia.
Latar Belakang: Penggunaan rokok elektrik meningkat signifikan dalam satu dekade terakhir dan sering diklaim sebagai alternatif lebih aman dari rokok konvensional, bahkan sebagai alat bantu berhenti merokok. Namun, klaim ini belum terbukti secara konsisten, terutama pada kelompok perokok konvensional harian usia produktif di Indonesia. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara penggunaan rokok elektrik dengan keberhasilan berhenti merokok pada perokok konvensional harian usia 20–44 tahun di Indonesia.
Metode: Penelitian ini merupakan studi kuantitatif dengan desain cross-sectional menggunakan data sekunder dari Global Adult Tobacco Survey (GATS) Indonesia 2021. Analisis dilakukan pada responden berusia 20–44 tahun yang merupakan perokok konvensional harian dan pernah mencoba berhenti merokok. Variabel dependen adalah keberhasilan berhenti merokok, sedangkan variabel independen adalah penggunaan rokok elektrik. Analisis multivariabel dilakukan dengan regresi logistik berganda.
Hasil: Setelah dikontrol oleh variabel confounder (jenis kelamin, status ekonomi, status merokok keluarga dan teman, serta larangan merokok di rumah), penggunaan rokok elektrik harian berhubungan positif dan signifikan dengan keberhasilan berhenti merokok (AOR = 10,37; 95% CI = 2,14-50,33; p < 0,004), sedangkan penggunaan kadang-kadang tidak signifikan, meskipun arah hubungannya positif (AOR = 1,71; 95% CI = 0,45–6,46; p = 0,427).
Kesimpulan: Penggunaan rokok elektrik secara harian dapat menjadi alat bantu yang mendukung keberhasilan berhenti merokok jika digunakan secara konsisten. Namun, peran lingkungan dan sosial juga tetap menjadi faktor penting yang mendorong keberhasilan berhenti merokok. Penemuan ini dapat menjadi dasar dalam merancang kebijakan pengendalian tembakau dan strategi berhenti merokok berbasis bukti di Indonesia.
Background: The use of electronic cigarettes has increased significantly over the past decade and is often perceived as a safer alternative to conventional cigarettes, even as a smoking cessation aid. However, its effectiveness in Indonesia remains inconsistent, particularly among daily conventional smokers in the productive age group. This study aims to identify the association between e-cigarette use and successful smoking cessation among daily conventional smokers aged 20–44 years in Indonesia. Methods: This quantitative study employed a cross-sectional design using secondary data from the 2021 Global Adult Tobacco Survey (GATS) Indonesia. The analysis focused on respondents aged 20–44 years who were daily conventional smokers and had attempted to quit smoking. The dependent variable was successful smoking cessation, while the independent variable was e-cigarette use. Multivariable analysis was conducted using multiple logistic regression. Results: After controlling for confounding variables (gender, economic status, household and peer smoking status, and household smoking restrictions), daily e-cigarette use was positively and significantly associated with successful smoking cessation (AOR = 10.37; 95% CI = 2.14–50.33; p < 0.004), whereas occasional use was not statistically significant, although the direction of the association was positive (AOR = 1.71; 95% CI = 0.45–6.46; p = 0.427). Conclusion: Daily e-cigarette use may serve as a supportive tool for successful smoking cessation if used consistently. However, environmental and social factors also remain critical contributors to cessation success. These findings can serve as a foundation for developing evidence-based tobacco control policies and smoking cessation strategies in Indonesia.