{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:35:18Z","timestamp":1791380118831,"version":"4.3.3"},"reference-count":32,"publisher":"The Korean Academy of Family Medicine - M2PI","issue":"6","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["kjfm.or.kr"],"crossmark-restriction":true},"short-container-title":["Korean J Fam Med"],"published-print":{"date-parts":[[2023,11,20]]},"abstract":"<jats:p>Background: Although Indonesia has a considerable proportion of adolescent smokers, nationally representative studies of its determinants remain limited. The 2015 Indonesian Global School-Based Student Health Survey (GSHS) was conducted with school-age adolescents and provided information about smoking behavior. This study aimed to examine the prevalence, determinants, and correlates of tobacco use among adolescents in Indonesia using the GSHS survey.Methods: A secondary data analysis of a cross-sectional study was conducted using data from the 2015 Indonesian GSHS. Multivariate logistic regression was used to assess the determinants and correlates of tobacco use.Results: Our analysis showed that 9.1% of school-age adolescents had used tobacco products in the past 30 days. Most were 13\u201315 years (61.7%) and had attempted to stop smoking (92.4%). After adjusting for covariates, significant risk factors associated with tobacco smoking were older age groups (prevalence odds ratio [POR], 3.01\u20139.40; 95% confidence interval [CI], 1.71\u201323.1), male (POR, 13.7; 95% CI, 8.71\u201321.5), psychological distress (POR, 1.41; 95% CI, 1.05\u20131.90), smoking exposure (POR, 1.98\u20132.15; 95% CI, 1.35\u20133.42), and when both parents smoked (POR, 2.96; 95% CI, 1.78\u20134.94). In addition, tobacco use was associated with other risky behaviors, including sex with multiple partners, using drugs, drinking alcohol, and being involved in physical fights.Conclusion: Tobacco use is high among Indonesian adolescents. This prevalence highlights the need for a more stringent tobacco control policy and tailored cessation programs for adolescents by considering important modifiable determinants of tobacco use among adolescents, including risky smoking-related behaviors.<\/jats:p>","DOI":"10.4082\/kjfm.23.0010","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T21:02:40Z","timestamp":1693429360000},"page":"327-334","update-policy":"https:\/\/doi.org\/10.4082\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Tobacco Use among School-Age Adolescents in Indonesia: Findings from the 2015 Indonesia Global School-Based Student Health 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