Abstract ID: 133
Affiliations:
Department of Midwifery, Faculty of Medicine, Universitas Negeri Malang, Indonesia; Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang, Indonesia; Department of Midwifery, Faculty of Health Sciences, Malahayati University, Lampung, Indonesia; Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia.
Background: Despite the low prevalence of smoking among Indonesian women, it is crucial to ascertain its distribution across various demographic and socioeconomic categories to inform targeted tobacco control initiatives and mitigate health inequities. Objective: This study aimed to examine the prevalence and predictors of smoking behavior among women in Indonesia using data from the 2021 Global Adult Tobacco Survey (GATS). Methods: This research utilized data from the 2021 GATS Indonesia, a nationally representative cross-sectional household survey. A total of 4,537 women aged 15 and above were involved. Descriptive statistics and multinomial logistic regression were utilized to estimate smoking prevalence and find relevant factors such as age, education, occupation, socioeconomic position, type of residence, and health awareness. Results: The smoking prevalence among women was 2.2%, exhibiting significant demographic and socioeconomic disparities. Women aged 45 to 64 were more likely to smoke compared to younger women (RRR = 2.63; 95% CI: 1.09 6.35). Women with educational attainment below senior high school displayed increased odds of smoking (RRR = 1.81; 95% CI: 1.02 3.20), as did those who were employed (RRR = 1.63; 95% CI: 1.07 2.49). Furthermore, lower socioeconomic level, rural residency, and diminished understanding of health concerns were correlated with a heightened propensity for smoking; however, these correlations were presented without statistical estimations. Conclusions: Although the overall frequency is low, female smoking in Indonesia is influenced by distinct socioeconomic and behavioral trends. Middle-aged, employed women with lower educational attainment, especially those residing in rural or economically disadvantaged areas with restricted health awareness, have a higher propensity for smoking. Tobacco control initiatives must concentrate on targeted health promotion and educational campaigns to reach specific at-risk populations and avert the exacerbation of tobacco-related health inequities.
Keywords: Global Health Education and Technology, female smoking behavior, tobacco use, socioeconomic disparities, Indonesian smoking prevalence, targeted tobacco control