Implementation level indicators of public facilities in Surabaya to smoke-free area regulation

Authors

DOI:

https://doi.org/10.53638/phpma.2023.v11.i1.p03

Keywords:

smoke-free area, public facilities, confirmatory factor analysis, implementation level

Abstract

Background and purpose: The regulation of smoke-free area in Surabaya was adopted since 2008 and amended in 2019. Hotel, restaurants, and cafes are smokefree dedicated area under the regulation. Therefore, it is very important to review the implementation level of smoke-free area regulations in public places such as hotels, restaurants and cafes. This study aims to analyze how strong the indicators that forms the implementation level of public facilities with smoke free area regulations in Surabaya.

Methods: This was a cross sectional survey carried out in 88 public facilities consisting of hotels and restaurants between June-August 2021. Confirmatory Factor Analysis (CFA) was carried out with the Analysis of Moment Structures (AMOS) Application to test the strength of each smoke-free area monitoring indicators that forms the implementation level of these public facilities. These indicators include: awareness of smoke-free area regulations, smoke-free area internal promotion, installation of smoke-free signs, no colaboration with tobacco industries, no violations and owning an internal policy related to smoke-free.

Results: There were three strong indicators that are strongest in shaping smoke-free area implementation level at public facilities in Surabaya, including awareness of smoke-free area regulations (CFA 4.681), smoke-free area internal promotion (CFA 2.609) and installing a smoke-free sign (CFA 1.000). Meanwhile, the other three indicators showed weak association.

Conclusion: Awareness of smoke-free area regulations, smoke-free area internal promotion and installation of smoke-free sign were the strong indicators for smokefree law (SFL) implementation. It is important to push for more internal dissemination involving cross sectors and improve other indicators.

Author Biographies

Santi Martini, Faculty of Public Health, Universitas Airlangga

Department of Epidemiology, Population Biostatistics and Health Promotion (Epidemiology Division), Research Group Tobacco Control, Faculty of Public Health, Universitas Airlangga, Surabaya

Kurnia Dwi Artanti, TCSC East Java

Tobacco Control Support Center, Indonesian Association of Public Health Experts (IAKMI) East Java

Diah Indriani, Faculty of Public Health, Universitas Airlangga

Department of Epidemiology, Population Biostatistics and Health Promotion (Population Biostatistics Division), Faculty of Public Health, Universitas Airlangga, Surabaya

References

TCSC-IAKMI. Indonesia Tobacco Atlas 2020. TCSC-IAKMI, editor. Tobacco Control Support Center-Ikatan Ahli Kesehatan Masyarakat Indonesia (TCSC-IAKMI). Jakarta: TCSC-IAKMI; 2020. 1–60 p.

Ministry of Health, Republic of Indonesia. National Basic Health Survey 2018. 2019th ed. RI K, editor. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019. 322–388 p.

IAKMI. Tobacco fact: Empirical data for tobacco control. IAKMI, editor. Jakarta: IAKMI; 2020. xiii.

WHO. Summary results of the global youth tobacco survey in selected countries of the WHO European Region [Internet]. World Health Organization. Regional Office for Europe; 2020. Available from: https://iris.who.int/handle/10665/336752?&locale-attribute=pt

Purnama BE. Understanding third hand smoke and its prevention [Internet]. 2021 [cited 2023 Mar 27]. Available from: https://mediaindonesia.com/humaniora/437864/mengenal-third-hand-smoke-dan-cara-mencegahnya

Kuo HW, Rees VW. Third-hand smoke (THS): What is it and what should we do about it. J Formos Med Assoc. 2019;118(11):1478–9.

Ministry of Health, Republic of Indonesia. Why smoking at home is dangerous? Let's check it out. [Internet]. 2021 [cited 2023 Mar 27]. Available from: https://p2ptm.kemkes.go.id/infographic-p2ptm/penyakit-paru-kronik/page/2/mengapa-merokok-di-rumah-berbahayayuk-simak

Government of Surabaya. Peraturan Daerah Kota Surabaya Nomor 2 Tahun 2019 tentang Kawasan Tanpa Rokok (The Surabaya City Regional Regulation Number 2 Year 2019 regarding The Smoke Free Area) [Internet]. Indonesia; 2019. Available from: https://jdih.surabaya.go.id/uploads/peraturan/3540_perda_02-2019.pdf

Government of Surabaya. Peraturan Walikota Nomor 110 Tahun 2021 tentang Pedoman Pelaksanaan Peraturan Daerah Kota Surabaya Nomor 2 Tahun 2019 tentang Kawasan Tanpa Rokok (Mayor Regulation Number 110 2021 regarding The Implementation Guidelines of The Surabaya City Regional Regulation Number 2 Year 2019 regarding The Smoke Free Area) [Internet]. Indonesia; 2021. Available from: https://jdih.surabaya.go.id/peraturan/4006

Hair Jr JF, Howard MC, Nitzl C. Assessing measurement model quality in PLS-SEM using confirmatory composite analysis. J Bus Res. 2020;109:101–10.

Rizal A, Jalpi A. Analisis Perilaku Masyarakat terhadap Kejadian Penyakit Degeneratif di Wilayah Kerja Puskesmas Kota Banjarmasin. Al-Ulum J Sains dan Teknol. 2022;7(2):83–92.

Notoatmodjo S. Metodologi Penelitian Kesehatan Cetakan ke-3 [Methodology of Health Research the 3rd Edition]. Vol. 3, Pt Rineka Cipta. Jakarta: Rineka cipta; 2018. 243 p.

Primasari SI, Listina F. Faktor-faktor yang Berhubungan dengan Kepatuhan dalam Penerapan Kawasan Tanpa Rokok di Lingkungan Puskesmas Candipuro Kabupaten Lampung Selatan [Factors associated with compliance in the implementation of smoke free area at Candiputro Public Health Center, South Lampung District]. J Ilmu Kesehat Indones. 2021;2(2):7.

A’yuni RA, Nasrullah N. Implementasi Peraturan Daerah tentang Kawasan Tanpa Rokok di Dinas Kesehatan Kota Yogyakarta [Implementation of the regional law regarding smoke free area at Yogyakarta Health Office]. Media Law Sharia. 2021;2(2):172–89.

Suarjana K, Astuti PAS, Artawan Eka Putra IWG, Duana MK, Mulyawan KH, Chalidyanto D, et al. Implementation of smoke-free law in Denpasar Bali: Between compliance and social norms of smoking. J Public Health Res. 2020;9(3):252.

Fadhila F, Widati S, Fatah M. Pengaruh Iklan Rokok terhadap Perilaku Merokok Remaja di Daerah Kota dan Desa Kabupaten Pamekasan [The influence of smoking advertisements towards smoking behavior of teenagers in urban and rural areas of Pamekasan District]. Med Technol Public Heal J. 2021;5(2):198–208.

Putro WG, Nisa NJ, Sundari L, Bigwanto M, Soerojo W, Jacob DB. Hubungan Keterpaparan Iklan Rokok terhadap Preferensi Merek Rokok yang Disukai Anak [The association of smoking advertisements exposures with children's preferred cigarrettes' brand]. J Ilmu Kesehat Bhakti Husada Heal Sci J. 2022;13(01):75–83.

Tinguely C, Bart A, Germond AJ. Knowledge base for an expert system used for steady state security analysis. Int J Electr Power Energy Syst. 1994;16(1):49–59.

Downloads

Published

2023-07-01

How to Cite

Christanto, D., Martini, S., Dwi Artanti, K., & Indriani, D. (2023). Implementation level indicators of public facilities in Surabaya to smoke-free area regulation. Public Health and Preventive Medicine Archive, 11(1), 25–34. https://doi.org/10.53638/phpma.2023.v11.i1.p03

Issue

Section

Articles