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Geographic distribution, socioeconomic disparity, and policy determinant of smoke-free policy adoption in Indonesia

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Title: Geographic distribution, socioeconomic disparity, and policy determinant of smoke-free policy adoption in Indonesia
Authors: Wahidin, M
Hidayat, MS
Arasy, RA
Amir, V
Kusuma, D
Item 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.
Issue Date: 1-Apr-2020
Date of Acceptance: 12-Sep-2019
URI: http://hdl.handle.net/10044/1/75206
DOI: 10.5588/ijtld.19.0468
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
Keywords: Microbiology
1102 Cardiorespiratory Medicine and Haematology
Publication Status: Published
Conference Place: United Kingdom
Article Number: IJTLD-07-19-0468
Online Publication Date: 2020-04-01
Appears in Collections:Imperial College Business School