Smoke-free home initiative in Bantul, Indonesia:
Development and preliminary evaluation

Trisnowati, Heni; Kusuma, Dian; Ahsan, Abdillah; Kurniasih, Dwi Endah; Padmawati, Retna Siwi

doi:10.18332/tpc/113357

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Other suspected factors that could have reduced the effect size are possible remaining barriers, such as risk to routine harmonious social relationships in the community [66], which over 50% of male partners in both groups mentioned. As a next step, a community-wide intervention with supportive local leaders is recommended [67].…”

Section: Discussionmentioning

confidence: 99%

Effects of a Comic Booklet Intervention Aimed at Preventing Second-Hand Smoke Exposure for Pregnant Women in Indonesia: A Randomised Controlled Trial

Inaoka,

Octawijaya,

Mamahit

et al. 2023

Healthcare

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Second-hand smoke (SHS) has adverse effects for pregnant women and foetuses. This controlled and randomized clinical trial evaluated the efficacy of a comic booklet intervention in promoting SHS avoidance among pregnant women and appropriate smoking behaviours among their male partners. We allocated 140 couples to the experimental group (EG), who received the comic booklet and a reminder sticker, and 146 couples to the control group (CG), who received usual care. The primary outcomes were women’s self-reported SHS exposure and their male partners’ smoking behaviours. Secondary outcomes included knowledge and awareness of SHS. Independent t-tests revealed that three months post-intervention, more male partners in the EG had appropriate self-reported smoking behaviours with a small effect size (Cohen’s d = 0.35, 95% CI [0.08, 0.62], p-value = 0.01). Significantly more pregnant women in the EG recognised their partners’ appropriate smoking behaviours with a nearly middle effect size (Cohen’s d = 0.43, 95% CI [0.16, 0.70], p-value ≤ 0.01). Cues to action showed a significant difference between groups with a small effect size (Cohen’s d = 0.36, 95% CI [0.09, 0.63], p-value = 0.01), as evaluated by male partners. These findings suggest that the comic booklet intervention might be effective against SHS exposure by providing several cues to action through knowledge and awareness of SHS.

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Section: Discussionmentioning

confidence: 99%

Effects of a Comic Booklet Intervention Aimed at Preventing Second-Hand Smoke Exposure for Pregnant Women in Indonesia: A Randomised Controlled Trial

Inaoka,

Octawijaya,

Mamahit

et al. 2023

Healthcare

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“…Studies in India and Nigeria showed that smoke-free workplaces are associated with a higher proportion of adults reporting a smoke-free home,[ 19 20 ] an initiative that is also currently lacking in Indonesia. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Implementation of the Smoke-Free Policy in Medan City, Indonesia

Nasution

Gurning

Siregar

et al. 2022

International Journal of Preventive Medicine

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Background: Indonesia has an estimated 61.4 million current smokers, and the smoking prevalence among adults is persistently high while that among youth is increasing. In 2014, Medan city enacted the smoke-free policy (SFP) to protect community members against the adverse effects of smoking. Our study examines the implementation of SFP in terms of compliance and challenges. Methods: We conducted a mixed-methods study. Quantitative analyses examined the compliance with six criteria including having signage, no active smoking, no selling, no advertisement, no smoke, and no ashtray at SFP facilities. They included health facilities, educational facilities, places of worship, workplaces, and indoor/outdoor public facilities. The qualitative analysis examined the challenges through in-depth interviews of six key informants. Results: We found the overall compliance of 44%, ranging from 0% at outdoor public facilities to 83% at health facilities. We found relatively higher compliance among facilities within 1-km from the provincial and city health offices compared to those outside of the buffer (but not significant at 5% level, P = 0.070). The challenges identified were lack of budget, monitoring, enforcement, and sensitization. Conclusions: The implementation of SFP in Medan city still has lower compliance and faces many challenges.

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“…In conclusion, household exposure to SHS remains a relevant risk factor and is significantly associated with lower birth weight, LBW, and smaller size at birth at population level in Indonesia. For the implementation of strategies to minimize SHS exposure, the home of non-smokers living with smokers must be taken into account through smoke-free homes policy (Trisnowati et al, 2019). Therefore, it is not only important to enact regulations, but also to consider more public health strategies to raise awareness of the adverse health effects caused by SHS exposure.…”

Section: Discussionmentioning

confidence: 99%

Second-Hand Smoke Exposure inside the House and Adverse Birth Outcomes in Indonesia: Evidence from Demographic and Health Survey 2017

Andriani

Rahmawati

Ahsan

et al. 2021

Preprint

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ObjectivesSecond-hand Smoke (SHS) during pregnancy among non-smoking women associates with mortality and morbidity risks in their infants. However, little is known about the SHS inside the house and the adverse birth outcomes. This study aims to assess the prevalence, level, and frequency of SHS exposure inside the house and investigate their associations with birth outcomes.MethodsWe use the Indonesian Demographic and Health Survey (IDHS) 2017, a large-scale nationally representative survey. Women aged 15 to 49 years who had given birth in the last five years before the study and their husbands were interviewed (n=19,935). Three dependent variables included Low Birth Weight (LBW), size at birth, and birth weight.ResultsSeventy-eight percent of mothers exposed to SHS inside home, of whom 7.2% had LBW children. Compared to non-SHS exposure mothers, those exposed to SHS were younger, had first birth before 20 years old, married, lower educated, non-worker, lived in rural, grand multipara, had pollution from cooking fuel, cook in a separate building, had higher risk of delivering lower birth weight (aOR=1.16, 95% CI: 1.02, 1.33), and smaller baby (aOR=1.51, 95%CI: 1.35, 1.69), even after the controlling for the covariates. We identified the inverted U-shaped association for SHS exposure frequency. Similar risk was also observed among mothers exposed with SHS on a daily basis compared to those who are not exposed.Conclusion for PracticeExposure to SHS inside home was significantly associated with LBW and size at birth. Given the high smoking prevalence, relevant policy and health promotion are needed.Significance StatementAdverse birth outcomes, such as low birth weight and smaller size at birth, may not be clearly explained by the second-hand smoke (SHS) exposure from a smoking husband alone. Our findings show that the prevalence of SHS inside the house in Indonesia is 78.4%. Pregnant women exposed to anyone who smokes in the household may be linked to poor birth quality, including low birth weight and smaller size at birth in their babies, after adjustment for risk factors. The effects of SHS exposure on birth outcomes are further exacerbated by daily SHS exposure.

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Smoke-free home initiative in Bantul, Indonesia: Development and preliminary evaluation

Cited by 5 publications

References 10 publications

Effects of a Comic Booklet Intervention Aimed at Preventing Second-Hand Smoke Exposure for Pregnant Women in Indonesia: A Randomised Controlled Trial

Effects of a Comic Booklet Intervention Aimed at Preventing Second-Hand Smoke Exposure for Pregnant Women in Indonesia: A Randomised Controlled Trial

Implementation of the Smoke-Free Policy in Medan City, Indonesia

Second-Hand Smoke Exposure inside the House and Adverse Birth Outcomes in Indonesia: Evidence from Demographic and Health Survey 2017

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