Electronic Theses and Dissertation

PROGRAM STUDI MAGISTER KESEHATAN MASYARAKAT FAKULTAS KEDOKTERAN UNIVERSITAS SYIAH KUALA

TESIS, 03 Juni 2024
Auvykaimeldyanti

Analisis Determinan Perilaku Merokok Di SMK
Kabupaten Karimun Tahun 2024
74 Halaman + 13 Tabel + 05 Gambar + 19 Lampiran


ABSTRAK
Latar Belakang: Perilaku merokok menjadi salah satu faktor resiko terjadinya penyakit tidak menular, jumlah perokok laki-laki di Indonesia tertinggi di dunia (terbesar ketiga) setelah India dan China. Berdasarkan GATS 2021, 34,5% orang dewasa (70,2 juta), 65,5% pria, dan 3,3% wanita serta meningkatnya prevalensi merokok di kalangan anak usia 10-18 tahun dari 7,2% pada 2013 menjadi 9,1% pada 2018 (Riskesdas 2018). Tujuan: untuk mengetahui determinan yang berhubungan terhadap Perilaku Merokok Di SMK Kabupaten Karimun. Metode penelitian: Penelitian kuantitatif yang bersifat deskriptif dengan desain yang digunakan adalah potong lintang (cross sectional dengan sampel (356) siswa. Sumber data primer (kuesioner). Variabel independen pada penelitian ini meliputi jenis kelamin, pengetahuan, sikap, pengaruh iklan rokok, peran teman sebaya, peran keluarga, peran guru, pengaruh media sosial dan sanksi dengan perilaku merokok. Analisis data meliputi univariat dan bivariat menggunakan chii square serta multivariat menggunakan regresi logistic ganda. Hasil: hasil univariat sebagian besar 62,9% (224) responden adalah tidak merokok. Hasil bivariat Ada hubungan antara jenis kelamin (p=0,000), pengetahuan (p=0,025), sikap (p=0,013), pengaruh media sosial (p=0,033), peran teman sebaya (p=0,000), peran keluarga (p=0,000), peran guru (p=0,000), dan persepsi sanksi (p=0,000), dengan perilaku merokok responden. Hasil multivariat variabel yang mempunyai hubungan paling bermakna dengan perilaku merokok adalah variabel jenis kelamin yaitu p = 0,000 OR = 10,387 (CI 95%). Kesimpulan: variabel yang paling berpengaruh terhadap Perilaku Merokok Di SMK Kabupaten Karimun adalah variabel jenis kelamin. Saran: Kepada pihak sekolah dan Dinas Kesehatan agar mempromosikan gerakan hidup sehat tanpa rokok sedini mungkin pada anak usia sekolah dan menyediakan layanan klinik berhenti merokok.
Kata kunci: perilaku merokok, jenis kelamin, peran teman sebaya, peran keluarga, persepsi sanksi, sikap, pengaruh media sosial

MASTER PROGRAM OF PUBLIC HEALTH MEDICINE FACULTY, UNIVERSITAS SYIAH KUALA TESIS, 03 June 2024 Auvykaimeldyanti Analysis of Determinants of Smoking Behavior in Vocational Schools Karimun Regency in 2024 74 Pages + 13 Tables + 05 Figures + 19 Attachments ABSTRACT Background: Indonesia currently has the highest number of male smokers in the world and the third largest number of smokers in the world after India and China. Based on GATS 2021, 34.5% of adults (70.2 million), 65.5% of men, and 3.3% of women and the increase in smoking prevalence among children aged 10-18 years from 7.2% in 2013 to 9.1% in 2018 (Riskesdas 2018). The purpose to determine the determinants associated with smoking behavior in Karimun Regency Vocational Schools. Methods: Descriptive quantitative research with the design used is cross sectional with a sample of (356) students. Primary data source (questionnaire). Independent variables in this study include gender, knowledge, attitudes, the influence of cigarette advertising, the role of peers, the role of family, the role of teachers, the influence of social media and sanctions with smoking behavior. Data analysis includes univariate and bivariate using chii square and multivariate using multiple logistic regression. Results: univariate results most of the 62.9% (224) respondents were non-smoking. Bivariate results There is a relationship between gender (p=0.000), knowledge (p=0.025), attitude (p=0,013), the influence of social media (p=0.033), the role of peers (p=0.000), the role of family (p=0.000), the role of teachers (p=0.000), and sanctions (p=0.000), with respondents' smoking behavior. Data analysis includes univariate and bivariate using chii square and multivariate using multiple logistic regression. Results: univariate results most of the 62.9% (224) respondents were non-smoking. Bivariate results There is a relationship between gender (p=0.000), knowledge (p=0.025), the influence of social media (p=0.033), the role of peers (p=0.000), the role of family (p=0.000), the role of teachers (p=0.000), and sanctions (p=0.000), with respondents' smoking behavior. Multivariate results of variables that have the most meaningful relationship with smoking behavior is the gender variable that is p = 0.000 OR = 10.116 (95% CI). Conclusion: the variables that have the most influence on smoking behavior in Karimun Regency vocational schools are gender variables. It is recommended that schools and health agencies promote a healthy lifestyle movement without smoking as early as possible in school-age children and provide smoking cessation clinic services. Keywords: smoking behavior, gender, role of peers, family role, perception of sanctions, attitude, influence of social media.