Geographic distribution, socioeconomic disparity, and policy determinant of smoke-free policy adoption in Indonesia
File(s)
Accepted version
Author(s)
Wahidin, Mugi
Hidayat, Muhammad Sugeng
Arasy, Ruh Amir
Amir, Vilda
Kusuma, Dian
Type
Journal Article
Abstract
Background: Indonesia has the second highest smoking prevalence among adult male in the world and smoking prevalence is increasing among youth. Objective: We evaluated the smoke-free policy (SFP), a flagship national tobacco control, by providing evidence on geographic distribution, socioeconomic disparity, and policy determinants of SFP adoption by districts in Indonesia. Methods: We employed spatial and quantitative methods. The former provided evidence on geographic distribution of the adoption and the latter provided evidence on the disparity and associations between the national and provincial SFP regulations and adoption by districts. Results: Twenty one of 34 provinces adopted SFP and 345 of 514 districts did. We found significant geographic disparity: all districts outside of Papua were up to 6.3 times more likely to adopt and up to 3 years longer in duration. We also found significant socioeconomic disparity: urban, richest, and most educated districts were 3.9 times, 9.1 times, and 2.8 times more likely to adopt, respectively. Moreover, districts within provinces that had SFP regulation were 3.2 times more likely to adopt. Lastly, the national regulations were associated with district adoption. Conclusion: In addition to geographic and socioeconomic disparity, the national and provincial regulations and policy were determinants of adoption.
Date Issued
2020-04-01
Date Acceptance
2019-09-12
Citation
International Journal of Tuberculosis and Lung Disease, 2020, 24 (4), pp.383-389
ISSN
1027-3719
Publisher
International Union Against Tuberculosis and Lung Disease
Start Page
383
End Page
389
Journal / Book Title
International Journal of Tuberculosis and Lung Disease
Volume
24
Issue
4
Copyright Statement
© 2020 The Union
Identifier
https://www.ingentaconnect.com/content/iuatld/ijtld/2020/00000024/00000004/art00007;jsessionid=x8kmnvaikd4q.x-ic-live-03
Subjects
Microbiology
1102 Cardiorespiratory Medicine and Haematology
Publication Status
Published
Coverage Spatial
United Kingdom
Article Number
IJTLD-07-19-0468
Date Publish Online
2020-04-01