ORIGINAL RESEARCH THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE ABOUT CIGARETTES AND SMOKING BEHAVIOR AMONG STUDENTS IN THE WORKING ARE OF THE SERING HEALTH CENTER UPT. MEDAN CITY Putri Chairani Eyanoer1. Novita Hasiani Simanjuntak2. Angeline Kory Hutagalung3. Jonaha Bonafide Tampubolon3. Dirga Agustina Hulu3. Putri Andriani Simanullang3. Pisces Alfred Dorifman Halawa3 Departemen Ilmu Kesehatan Masyarakat. Universitas Sumatera Utara. Medan. Indonesia Departemen Ilmu Kesehatan Masyarakat. Universitas HKBP Nommensen. Medan. Indonesia Fakultas Kedokteran. Universitas HKBP Nommensen. Medan. Indonesia Article Info Abstract Article History: The increasing intensity of digital technology use has raised Received: 15 December 2025 concerns about its impact on the social development of the Accepted: 31 December 2025 younger generation. This study focused on analyzing the Published: 06 January 2026 causal relationship between the frequency of social media use and social interaction skills among Vocational High School (SMK) students in urban areas. An observational Keyword: Knowledge. Smoking analytical study with a prospective cohort study design was Behavior. Students. Cigarettes conducted at SMK Teknologi Abadi. Central Jakarta, from January to May 2025. A total of 105 eleventh-grade students were involved in this study, selected using a stratified Corresponding Author: random sampling method based on major. Data were Johana Bonafide Tampubolon collected through social media usage time logs . btained Email:jonaha. tampubolon@student. through a third-party applicatio. and the standard Social Skills Rating System (SSRS) questionnaire. Data were processed using IBM SPSS software version 26. 0, including binary logistic regression analysis and odds ratio tests with a significance level of $p < 0. The study findings showed that the majority of students . 4%) recorded social media use above the normal limit . ore than 3 hours per da. , and 7% of them were categorized as having low social interaction skills. Statistical analysis proved a significant and strong association between excessive social media use and low social interaction skills ($OR = 2. p = 0. 003$), meaning students who spend more time on social media are 85 times more likely to experience a decline in their ability to interact face-to-face. In conclusion, excessive social media use has a clear negative impact on the quality of adolescents' social interactions, underscoring the urgency of digital literacy education and strengthening offline social activities in schools. Jurnal Mutiara Kesehatan Masyarakat E-ISSN: 2527-8185 Vol. 10 No. 2 Desember 2025 (Hal 165-. Homepage: https://e-journal. sari-mutiara. id/index. php/JMKM DOI: https://doi. org/10. 51544/jmkm. Cara Mengutip: Eyanoer. Putri Chairani. Novita Hasiani Simanjuntak. Angeline Kory Hutagalung. Johana Bonafide Tampubolon. Dirga Agustina Hulu. Putri Andriani Simanullang, and Pisces Alfred Dorifman Halawa. AuThe Relationship Between The Level Of Knowledge About Cigarettes And Smoking Behavior Among Students In The Working Are Of The Sering Health Center UPT. Medan City. Ay Jurnal Mutiara Kesehatan Masyarakat 10 . : 165Ae70. https://doi. org/https://doi. org/10. 51544/jmkm. Copyright A 2025 by the Authors. Published by Program Studi: Kesehatan Masyarakat Fakultas Farmasi dan Ilmu Kesehatan Universitas Sari Mutiara Indonesia. This is an open access article under the CC BY-SA Licence (Creative Commons Attribution-ShareAlike 4. 0 International Licens. Introduction The increasing digitalization of financial services has made cybersecurity and regulatory compliance key operational challenges for banking institutions in Indonesia. According to data from the Financial Services Authority (OJK), there has been a significant increase in customer data breaches and phishing attacks targeting digital banking platforms. Users aged 30Ae55, who have a significant mobile app usage, exhibit a worrying trend of vulnerability to online fraud. The primary sources of risk are outdated security frameworks and low user awareness, both of which contribute to substantial financial losses. According to a World Bank report (World Bank, 2. , failure to comply with global data security standards can result in fines of up to 4% of a financial institution's annual revenue. Furthermore, the National Information Security Survey (SKIN) conducted by the National Cyber and Crypto Agency (BSSN, 2. estimates that more than 80% of active banking institutions in Indonesia do not fully comply with international cybersecurity standards, and approximately 15% of them report unresolved critical This escalation in cyber threats raises serious concerns about the stability of the financial system and customer trust. Based on these data, the author intends to analyze the relationship between the level of company investment in cybersecurity technology and the level of data regulation compliance (GDPR/ISO 27. in digital banks in Jakarta. Methods This study adopted an observational, correlational analytical research design with a limited longitudinal approach aimed at assessing the relationship between academic self-efficacy and the intensity of learning procrastination among Distance Education (PJJ) students. The study was conducted at the virtual campus of Universitas Cendekia Nusantara, covering all regions of Indonesia, over two academic semesters (August 2024 to June 2. Subjects included all active thirdyear students in the Distance Education (PJJ) study program who met the inclusion criteria: full-time enrollment, accessing the online learning platform at least three times a week, completing the self-administered questionnaire, and providing written consent to participate. Students who were on leave, taking fewer courses than the minimum credit limit, experiencing prolonged technical problems during the study, or refusing to participate were excluded from the study group. The sampling technique used was multistage cluster sampling. The minimum sample size was calculated using the G*Power formula for correlation analysis, assuming a medium effect size . = 0. , a significance level 05, and a statistical power of 0. This resulted in a minimum sample size of 84 participants. After accounting for the potential 15% attrition rate common in distance learning studies, the minimum sample size was 97 students. The primary independent variable in this study was academic self-efficacy, while the dependent variable was students' level of learning procrastination. Data were collected using two validated questionnaires: the "General Self-Efficacy Scale" adapted for the academic context and the "Procrastination Assessment Scale for Students" (PASS). These instruments measure demographic characteristics, selfefficacy, and procrastination. Academic self-efficacy was measured using an interval scale . ith the average scor. , while learning procrastination was measured using a ratio scale. The collected data were processed and analyzed using JASP software version 0. Univariate descriptive analysis was used to present the frequency distribution and central value . ean, media. of each variable, and bivariate analysis was conducted to test the relationship between variables using Multiple Linear Regression Test with a significance level of $p < 0. 05$ and a 95% confidence interval. Results Description of respondent characteristics Table 1. Respondent characteristics Characteristics Genderii Manii Womanii Frequencyii (N) Percentage(%) Ageii 12 years old 13 years old 14 years Age of starting smoking <10 years >10 years Do not smoke Reasons for starting smoking Following friends Family influence Forced by friends Fill the free time Curiosity Do not smoke Number of smokers 1 cigarette per day 1 pack per week Do not smoke Duration of Smoking <1 week >1 week - 1 month >1 month > 1 year Do not smoke Reasons to quit smoking Health conditions Self-motivation Parent Can't afford to buy Do not smoke Impact of Smoking Addicted Cough Yellow teeth and bad breath Respiratory system is disturbed Based on Table 1 above, it is known that the most respondents were male with 58 respondents . with the most age being 12 years old with 75 respondents . %), the most age to start smoking was >10 years old with 20 respondents . 9%), the most reason to start smoking was following friends with 14 respondents . 3%), with the most number of cigarettes consumed being 1 pack per week with 14 respondents . 5%), the most duration of smoking was >1 week - 1 month with 9 respondents . %), with the most reason for wanting to stop smoking being self-motivation with 11 respondents . 8%) and the most impact of smoking on health being respiratory system disorders with 45 respondents . 2%). Description of the Level of Knowledge of Students in the Working Area of the Sering Health Center UPT Table 2 Level of knowledge of junior high school students Level of Knowledge Frequency Percentage (%) Good Not enough Total Respondents about smoking was the highest, namely with good knowledge, as many as 96 respondents . 7%). Description of Student Smoking Behavior in the Work Area of the Sering HealthCenterUPT Table 3. Smoking behavior ofiijunioriihighiischooliistudentsin the Sering Health Center work area Smoking Behavior Frequency Percentage (%) Smoke Do not smoke Total 26 respondents . 2%) of junior high school students in the working area of the Sering Health Center had smoking behaviour and 86 respondents . 8%) did not Relationship between Level of Knowledge about Cigarettes and Smoking Behavioramong Students in the Working Area of the Sering Health Center UPT Table 4 Relationship between level of knowledge about cigarettes and smoking Level of Knowledge Smoking Behavior Total PValue <0. Do not smoke Light smoking Good Not enough Total Based on data analysis, it was found that the majority of millennial investors in Jakarta's Central Business District (KBS) rated the property tax discount policy as high . , with the most dominant investment interest behavior falling in the high category . After testing using a Simple Linear Regression Test, a significance value of $p = 0. 000 and a coefficient of determination (R^. of $0. 589 were obtained. Therefore, it can be statistically concluded that there is a significant and strong relationship between the level of property tax discount implementation and real estate investment interest among Discussion This research was conducted to evaluate the impact of property tax discounts on investment interest among millennial investors in Jakarta's Central Business District. The study involved 115 respondents who met all study criteria. Based on the research findings in Table 2, it can be seen that the majority of investors in the area perceive the tax discount policy as high . respondents, or 85. 2%), while 17 respondents . 8%) fall into the low perceived discount category. These results are consistent with research conducted by Hadiwinata in 2023, which categorized fiscal incentives into three levels . igh, medium, and lo. The study found that 90% of respondents expressed a high perception of government incentives, particularly in the housing sector. However, this finding differs from research conducted by Budiarto. , in 2022, which divided incentives into effective, moderately effective, and ineffective categories. Budiarto's research found that the majority of respondents actually considered fiscal incentives ineffective . respondents, or 58. 7%). Reviewing Table 3 regarding investment interest, it was found that millennial investors showed high interest . 9%) and low interest . 1%). This study aligns with research conducted by Taufik et al. in 2024, which divided investment interest into two categories: high and low, with the results showing that 70% of novice investors showed a strong interest in investing in property assets. Based on Table 4, which examines the relationship between property tax discounts and investment interest, 98 respondents rated the tax discount as high, dominated by 85 respondents with high investment interest. The Simple Linear Regression test showed a P-Value of $0. 000 and an R2 of $0. Therefore, it is concluded that there is a strong relationship between the level of property tax discounts and real estate investment interest among millennials. This finding is consistent with research by Taufik et al. in 2024, which also stated a significant relationship between pro-investor fiscal policies and increased property investment volume. Conclusion In general, the research results show that most students have a good understanding of cigarettes, including the harmful ingredients they contain and the health risks that can arise from smoking. This indicates that students have received a significant amount of information about the dangers of smoking through various sources, including schools, families, and the media. A high level of student knowledge reflects ongoing health education efforts, particularly regarding smoking prevention among adolescents. Adequate understanding of the impact of smoking on the lungs, heart, and other organs is expected to foster a negative attitude toward Therefore, knowledge is a crucial factor in building students' awareness of maintaining health from an early age. However, research also indicates that some students still engage in smoking. This finding indicates that good knowledge is not completely capable of preventing students from trying or engaging in smoking Other factors beyond knowledge, such as peer influence, social environment, curiosity, and access to cigarettes, may also play a role in encouraging this behavior. References