Counseling Effect on Smoking Cessation Behavior in Junior High School Students

Amsal Amsal, Kadar Ramadhan, Nurfatimah Nurfatimah, Ahmad Ramadhan, Aminuddin Aminuddin, Fahmi Hafid

Abstract

The prevalence of smoking habits among children and adolescents has increased quantitative and qualitative, which further elevates the risk of diseases. Furthermore, the 2014 Global Youth Tobacco Survey (GYTS) (data showed the intention to quit smoking by 88.2% of students, although only 24% received assistance in affiliated programs; hence support is required from the immediate environment. Therefore, the purpose of this research, was to determine the effect of counseling in the success of smoking cessation in junior high school students. The research design used was a prospective cohort. The subjects of this research include all junior high school students with the smoking habit, of which 40 participants were selected. These respondents were provided with smoking cessation counseling for six sessions (4 months). Survival analysis was used to evaluate the data collected. After the six counseling sessions, the cessation success and failure rates were 75% and 25%, respectively. Smoking cessation was related to nicotine addiction (p<0.001; Adj.HR 25.2;95% CI 4.9-129.9) and activeness in counseling (p=0.001; Adj.HR 12.8; 95% CI 2.8-57.9). This research is expected to help students with the smoking habit terminate the practice, subsequently reducing the prevalence in Poso Regency.

References

1. Schayck, O. C. P. Van, Williams, S., Barchilon, V., Baxter, N., Jawad, M., Katsaounou, P. A., Kirenga, B. J., Panaitescu, C., Tsiligianni, I. G., Zwar, N., & Ostrem, A. Erratum: Treating Tobacco Dependence: Guidance for Primary Care on Life-Saving Interventions. Position statement of the IPCRG. NPJ Primary Care Respiratory Medicine. 2017;27(52). Available at: https://doi.org/10.1038/s41533-017-0048-4

2. WHO. Global Youth Tobacco Survey (GYTS): Indonesia report, 2014. India: SEARO Library, World Health Organization Regional Office for South-East Asia; 2015 . Available at: https://apps.who.int/iris/bitstream/handle/10665/205148/B5209.pdf?sequence=1 &isAllowed=y

3. Lian, T. Y., & Dorotheo, U. The Tobacco Control Atlas: ASEAN Region. [Third Edition]. Thailand: Southeast Asia Tobacco Control Alliance (SEATCA); 2016.

4. Kemenkes RI. Riset Kesehatan Dasar (Riskesdas) dalam Angka Provinsi Sulawesi Tengah Tahun 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2013.

5. Ramadhan, K. Ciggerete Smoking Behaviour Among Junior High School Students in Poso District. Proceeding International Health Seminar: Comprehensive Management of Disaster Risk Control in Indonesia. Padang: Padang Health Polytechnic, Cooperation with Health Organization (PPNI, IBI, HAKLI, PERSAGI, PPGI); 2016:101–106.

6. Muliani, Lewa, A. F., Tasnim, & Ramadhan, K. Health Risk Factors As a Predictor Student Learning Achievement of Junior and Senior High School Urban and Rural Areas in Central Sulawesi Province. International Journal of Medical Science and Clinical Invention. 2019;6(1): 4263-4271.

7. Saputra, A. M., Sary, N. M. Konseling Model Transteoritik dalam Perubahan Perilaku Merokok pada Remaja. Jurnal Kesmas: National Public Health Journal. 2013;8(4), 152–157.

8. Niaura, R. Nonpharmacologic Therapy for Smoking Cessation: Characteristics and Efficacy of Current Approaches. The American Journal of Medicine. 2008;121(4A):11-19.

9. Yürekli, A. A., Dewi, F. S. T., Beyer, J. de, Cornelia, A. H., & Hohnen, J. New Ways of Helping Poor Smokers to Quit in Central Java, Indonesia. [Health, Nitrition, and Population Family Discussin Paper]. Washington, DC: The International Bank for Reconstruction and Development/The World Bank; 2004.

10. Devhy, N. L. P., Yundari, N. A. A. I. D. H., Purwanti, I. S., & Prihartiningsih, D. Gambaran Kesadaran Perokok untuk Mengikuti Konseling di Klinik Berhenti Merokok di Kota Denpasar. Jurnal Kesehatan Indonesia. 2019;9(3):129–134.

11. Kalsum, U., Yamin, M. N., & Rasyid, E. Strategi dan Model Komunikasi Konseling Klinik Berhenti Merokok. Journal of Health Studies. 2020; 4(2): 1–11.

12. Prihatiningsih, D., Purwanti, I. S., Luh, N., & Devhy, P. Experience in Implementing the Smoking. Bali Medical Journal. 2019;6(2): 192–197.

13. Sinulingga, S. R. (2018). Metode Konseling dalam Membantu Mengurangi Kencanduan Rokok pada Karyawan Politeknik Kesehatan Kemenkes Pangkalpinang. Jurnal Kesehatan. 2018;9(1): 7–11.

14. Harvey, J., & Chadi, N. (2016). Strategies to Promote Smoking Cessation among Adolescents. Paediatrics & Child Health. 2016;21(4): 201–204.

15. Joly, B., Perriot, J., D’Athis, P., Chazard, E., Brousse, G., & Quantin, C. Success Rates in Smoking Cessation: Psychological Preparation Plays a Critical Role and Interacts with Other Factors Such as Psychoactive Substances. PLoS ONE. 2017;12(10):1–13.

16. Iqbal, S., Barolia, R., Ladak, L., & Petrucka, P. Smoking Cessation Interventions in South Asian Countries: Protocol for Scoping Review. BMJ Open. 2021;11(2):1-6.

17. Fai, S. C., Yen, G. K., & Malik, N. (2016). Quit Rates at 6 Months in a Pharmacist Led Smoking Cessation Service in Malaysia. Canadian Pharmacists Journal (CPJ)/Revue Des Pharmaciens Du Canada (RPC). 2016;149(5):303–312.

18. Yasin, S. M., Retneswari, M., Moy, F. M., Taib, K. M., & Ismail, N. Predictors of Sustained Six Months Quitting Success: Efforts of Smoking Cessation in Low Intensity Smoke Free Workplaces. Annals of the Academy of Medicine, Singapore. 2013;42(8):401–407.

19. Mitra Asa Pratama. Smokerlyzer. iMAP; 2014. Available at: https://imap.co.id/smokerlyzer/

20. Rigotti, N. A. (2002). Treatment of Tobacco Use and Dependence. New England Journal of Medicine. 2002;346(7);506–512.

21. Hymowitz, N., Cummings, K., Hyland, A., Lynn, W., Pechacek, T., & Hartwell, T. Predictors of Smoking Cessation in a Cohort of Adult Smokers Followed for Five Years. Tobacco Control. 1997;6(2):57–62.

22. Monsó, E., Campbell, J., Tønnesen, P., Gustavsson, G., & Morera, J. Sociodemographic Predictors of Success in Smoking Intervention. Tobacco Control. 2001;10(2): 165–169.

23. Bhattacharyya, D., Rai, S., & Neog, L. Therapy for Cessation of Smoking. Medical Journal Armed Forces India. 2008;64(3):254–259.

24. Sadikin, Z. D., Louisa, M. (2008). Quit Smoking Program. Majalah Kedokteran Indonesia. 2008;58:130-137.

25. Rosita, R., Linna Suswardany, D., & Abidin, Z. Penentu Keberhasilan Berhenti Merokok pada Mahasiswa. Jurnal Kemas. 2012;8(1):1–9.

26. García-Rodríguez, O., Secades-Villa, R., Flórez-Salamanca, L., Okuda, M., Liu, S.-M., & Blanco, C. Probability and predictors of relapse to smoking: Results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Drug and Alcohol Dependence. 2013;132(3):479–485.

27. Lancaster, T., & Stead, L. F. ndividual Behavioural Counselling for Smoking Cessation. Cochrane Library: Database of Systematic Reviews. 2017. Available at: https://doi.org/10.1002/14651858.CD001292.pub3

28. Rios, L. E., & Freire, M. do C. M. Opinion of Adolescent School Smokers about Smoking Cessation Counseling and Treatment in Health Services: A Cross-Sectional Study, Goiás, Brazil, 2018. Epidemiologia e Serviços de Saúde. 2020;29(4):1-10.

29. Alboksmaty, A., Agaku, I. T., Odani, S., & Filippidis, F. T. Prevalence and Determinants of Cigarette Smoking Relapse among US Adult Smokers: a Longitudinal Study. BMJ Open. 2019;9(11):1–8.

30. Ebbert, J., Burke, M. V, & Hays, J. T. Varenicline for Smoking Cessation: a Narrative Review of Efficacy, Adverse Effects, Use in at Risk Populations, and Adherence. Patient Preference and Adherence. 2016;10:435–441.

Authors

Amsal Amsal
Kadar Ramadhan
kadarlaure@gmail.com (Primary Contact)
Nurfatimah Nurfatimah
Ahmad Ramadhan
Aminuddin Aminuddin
Fahmi Hafid
Amsal, A., Ramadhan, K., Nurfatimah, N., Ramadhan, A., Aminuddin, A., & Hafid, F. (2021). Counseling Effect on Smoking Cessation Behavior in Junior High School Students. Media Kesehatan Masyarakat Indonesia, 17(1), 9-16. https://doi.org/10.30597/mkmi.v17i1.13018

Article Details