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Understanding the Impact of Pictorial Health Warnings on Smoking Behavior Among Adolescents

Media Kesehatan Masyarakat Indonesia · Vol. 21 No. 3 (2025) · pp. 200–208

DOI
10.30597/mkmi.v21i3.44773
ISSN
2356-4067, 0216-2482
Published
2025-09-30
Publisher
Faculty of Public Health, Hasanuddin University, Makassar
Language
en
License
creativecommons.org/licenses/by-nc-sa/4.0/

Abstract

Smoking behavior remains a health challenge in Indonesian society. Riskesdas data shows an increase in smoking prevalence in adolescent groups. One of the control efforts is the implementation of PHW (Pictorial Health Warnings) on cigarette packs in accordance with Permenkes RI No. 28 of 2013. This study aims to determine the effectiveness of cigarette packs in influencing smoking intention and behavior PHW among adolescents in Tanah Bumbu Regency, Banjarbaru City and Banjarmasin City. The study used a quantitative method with a cross-sectional design. Samples were obtained through an accidental sampling technique, obtaining 315 smoking adolescents and 62 non-smoking adolescents. The instrument was a modified version of the Global Youth Tobacco Survey questionnaire. The analysis used was a linear regression test. The results further showed that 64.5% of respondents who did not smoke stated that their intention was very likely due to fear (89.03%) after seeing the warning and the image of smoking causing lung cancer, hence they did not smoke. Furthermore, there is a relationship between pictorial warnings on cigarette packaging with fear (p-value = 0.0001, r = 0.430) with a positive influence of 16.3%. In adolescent smokers, smoking pictures causing throat cancer 2 caused the most fear (71.3%) and the highest urge to quit smoking (66.48%). There is a relationship between pictorial warnings with fear (p-value = 0.0001, r = 0.195) and smoking cessation intensity (p-value = 0.0001, r = 0.728). The positive effect on fear was 3.5% and smoking cessation intensity was 52.9%.

Keywords

Collaboration network of the authors

28 authors · 103 co-authorship links · 4 across different organisations

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Institut Seni Budaya Indonesia Aceh
  • Institut Agama Islam Negeri Kendari
  • IAIN Kudus
  • Universitas Halu Oleo
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Hadrianti HD LasariAffiliation unknown2
Hasan BasriInstitut Agama Islam Negeri Kendari1
Moh In’amiIAIN Kudus1
Handrawan HandrawanUniversitas Halu Oleo1
Herman HermanAffiliation unknown1
Assyari AbdullahAffiliation unknown1
Jayus JayusAffiliation unknown1
Alfi YasminaAffiliation unknown1
Novianti Adi RohmannaAffiliation unknown1
Nur Amalia MuslimahAffiliation unknown1
Devia LestariAffiliation unknown1
Siti MaulidahAffiliation unknown1
Muhammad Hashfi AbdurrahmanAffiliation unknown1
Hartati. .Affiliation unknown1
Nur Fadhilah RahimAffiliation unknown1
WahyuniAffiliation unknown1
Septia Widyana SondaAffiliation unknown1
Nurul HibahAffiliation unknown1
Halimatus SakdiahAffiliation unknown1
Ananda SurachmanAffiliation unknown1
Annisa AinurrahmahAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unhas.ac.id/index.php/mkmi/oai, first harvested 5 Nov 2026, last seen 5 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en">Understanding the Impact of Pictorial Health Warnings on Smoking Behavior Among Adolescents</dc:title>
	<dc:creator xml:lang="en">Nurikhwan, Pandji Winata</dc:creator>
	<dc:creator xml:lang="en">Lasari, Hadrianti Haji Darise</dc:creator>
	<dc:creator xml:lang="en">Maulina, Dessy</dc:creator>
	<dc:creator xml:lang="en">Mustafa, Mustafa</dc:creator>
	<dc:creator xml:lang="en">Ahsan, Abdillah</dc:creator>
	<dc:creator xml:lang="en">Saleha, Anis Kamila</dc:creator>
	<dc:creator xml:lang="en">Ali, Indra Haryanto</dc:creator>
	<dc:subject xml:lang="en">Pictorial Health Warnings</dc:subject>
	<dc:subject xml:lang="en">Smoking Behavior</dc:subject>
	<dc:subject xml:lang="en">Dolescents</dc:subject>
	<dc:subject xml:lang="en">Smoking Cessation Intention</dc:subject>
	<dc:description xml:lang="en">Smoking behavior remains a health challenge in Indonesian society. Riskesdas data shows an increase in smoking prevalence in adolescent groups. One of the control efforts is the implementation of PHW (Pictorial Health Warnings) on cigarette packs in accordance with Permenkes RI No. 28 of 2013. This study aims to determine the effectiveness of cigarette packs in influencing smoking intention and behavior PHW among adolescents in Tanah Bumbu Regency, Banjarbaru City and Banjarmasin City. The study used a quantitative method with a cross-sectional design. Samples were obtained through an accidental sampling technique, obtaining 315 smoking adolescents and 62 non-smoking adolescents. The instrument was a modified version of the Global Youth Tobacco Survey questionnaire. The analysis used was a linear regression test. The results further showed that 64.5% of respondents who did not smoke stated that their intention was very likely due to fear (89.03%) after seeing the warning and the image of smoking causing lung cancer, hence they did not smoke. Furthermore, there is a relationship between pictorial warnings on cigarette packaging with fear (p-value = 0.0001, r = 0.430) with a positive influence of 16.3%. In adolescent smokers, smoking pictures causing throat cancer 2 caused the most fear (71.3%) and the highest urge to quit smoking (66.48%). There is a relationship between pictorial warnings with fear (p-value = 0.0001, r = 0.195) and smoking cessation intensity (p-value = 0.0001, r = 0.728). The positive effect on fear was 3.5% and smoking cessation intensity was 52.9%.</dc:description>
	<dc:publisher xml:lang="en">Faculty of Public Health, Hasanuddin University, Makassar</dc:publisher>
	<dc:date>2025-09-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unhas.ac.id/index.php/mkmi/article/view/44773</dc:identifier>
	<dc:identifier>10.30597/mkmi.v21i3.44773</dc:identifier>
	<dc:source xml:lang="en">Media Kesehatan Masyarakat Indonesia; Vol. 21 No. 3: SEPTEMBER 2025; 200-208</dc:source>
	<dc:source>2356-4067</dc:source>
	<dc:source>0216-2482</dc:source>
	<dc:source>10.30597/mkmi.v21i3</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://journal.unhas.ac.id/index.php/mkmi/article/view/44773/13585</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 by author</dc:rights>
	<dc:rights xml:lang="en">https://creativecommons.org/licenses/by-nc-sa/4.0/</dc:rights>
</oai_dc:dc>