JKEP (Jurnal Keperawata. Vol 9. No. May 2024. ISSN: 2354-6042 (Prin. ISSN: 2354-6050 . Parental Influence on Smoking Behavior in Teenagers Nurhalimah*. Fauziah Yuliana Putri. Omi Haryati. Endang Banon. Ela Nurlaela Poltekkes Kemenkes Jakarta i. Indonesia *email: Nurhalimah1865@gmail. Article history Posted. Aug 05th, 2023 Reviewed. Apr 29th, 2024 Received. May 28th, 2024 Copyright A 2024 Authors This work is licensed under a Creative Commons Attribution-ShareAlike 4. International License. ABSTRACT Adolescence is a problematic and difficult period because it often gives rise to several problems that are difficult to overcome, such as drug and cigarette dependence. The proportion of smoking among teenagers aged less than 15 years is greater than among those aged above because teenagers tend to have a greater curiosity, so they are more likely to smoke than Parents are one of the factors causing smoking behavior in teenagers, because parents are figures for their children, so if parents smoke, teenagers tend to imitate their parents' Parents who smoke significantly increase teenagers' tendency to smoke by 1. times compared to teenagers whose parents are not smokers. Smoking has a huge negative impact on teenagers. Knowing how much influence parents have on adolescent smoking This research uses quantitative methods, and analytical descriptive design with a cross-sectional approach. The research population was teenagers with smoking behavior, totaling 83 respondents. The sampling technique uses purposive sampling. The questionnaire used was created by researchers from modifications from various sources. There is a significant relationship between parental influence and smoking behavior in adolescents. With an OR of 2,824, this means that parents have a 2,824 times chance of causing smoking behavior in teenagers. There is a need to educate parents not to smoke at home and in front of their Keywords: Smoke. Parent. Teenager ABSTRAK Masa remaja merupakan masa bermasalah dan sulit, karena sering menimbulkan beberapa masalah yang sulit untuk diatasi, seperti ketergantungan obat serta rokok. Proporsi merokok pada remaja usia kurang dari l5 tahun lebih besar dibandingkan yang berusia diatasnya, remaja cenderung memiliki rasa ingin tahu yang besar, sehingga mereka lebih mungkin merokok dibandingkan dewasa. Orang tua merupakan salah satu faktor penyebab perilaku merokok pada remaja, karena orang tua merupkan figure bagi anaknya, sehingga jika orang tua merokok, maka remaja cenderung meniru perilaku orang tuanya. Orang tua yang JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 perokok secara significan meningkatkan kecenderungan remaja untuk merokok sebesar 1,397 kali dibandingkan remaja yang orang tuanya bukan perokok. Merokok memberikan dampak yang negative yang sangat besar bagi remaja. Mengetahui seberapa besar pengaruh orang tua terhadap perilaku merokok remaja. Penelitian ini menggunakan metode kuantitatif, rancangan deskriftif analitik dengan pendekatan cross-sectional. Populasi penelitan adalah remaja dengan perilaku merokok, berjumlah 83 responden. Teknik pengambilan sampel menggunakan purposive sampling. Kuesioner yang digunakan dibuat oleh peneliti dari hasil modifikasi dari berbagai sumber. penelitian terdapat hubungan yang signifikan antara pengaruh orang tua dengan perilaku merokok pada remaja. Dengan OR 2. 824, artinya orang tua berpeluang 2. kali menimbulkan perilaku merokok pada remaja. Perlunya edukasi pada orang tua untuk tidak merokok di rumah dan di hadapan anak-anak mereka. Kata Kunci. Merokok. Orang tua. Remaja INTRODUCTION throughout 2018-2022 in DKI Jakarta Adolescent development is characterized Province, there was a decrease in the incidence of smoking among people aged Ou changes are 15 years by 9. 52% from 30. 77% in 2018 to Cognitive characterized by adolescents who prefer the 52% in 2022. assessment of their peers and argue or deny when they do not agree with other people's Meanwhile, in the affective aspect, teenagers tend to be irritable, feel happy easily, controlling themselves. These changes often give rise to several problems that are difficult to overcome, such as drug and (Meikawati Parents parents are figures for their children. If a parent is a heavy smoker, then their child will tend to (Komasari, 2. This is in line with Fransiska Firdaus . which concluded that 53. 8% of teenagers imitated their parents' smoking Prajayanti, 2. This research also concluded that Currently, there is an increase in smoking behavior from young people to adults was normal and they (Purwanti et al. , 2. Basic Health because they saw their parents smoking Research Data (Riskesda. for 2018 states so they and almost all parents don't know that their in Indonesia there was an increase in the children also smoke. Parental behavior can number of smokers aged 10-18 years by directly influence the formation of their On the other hand, according to the children's personalities. Parents act as role Central Statistics Agency (BPS, 2. , models so that their used to this behavior. JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 behavior will influence their children's addictive effect. This addiction can make For example, if one of the smokers depressed for a long time and parents has smoking behavior, the child even prolonged stress if they don't smoke may also imitate what his father does. (Ablelo. Kusuma, and Rosdiana, 2. Hj. (Etrawati, 2. However, some parents Muhasidah . said that smoking is prohibit their considered a health and mental disorder. Smoking is also considered an activity that prohibition made by parents is useless if it has a comforting effect on its users, this is is not in line with the parents' behavior because cigarettes contain antidepressant (Etrawati, 2. substances which can a comforting effect opinion was expressed by Muhasidah . who said that parents' behavior in responding to teenagers who smoke can influence smoking behavior in If parents act firmly to forbid their teenage children from smoking, then The huge impact of smoking on physical and mental health, especially for teenagers who are exposed to parental behavior, has to research "The Influence of Parents on Teenage Smoking Behavior. the teenagers will try to regulate themselves so they don't smoke. Research conducted by Munir . concluded the same thing that there was a significant positive correlation between parental influence and smoking behavior in adolescent boys in the low . %), medium . %), and high . %) percentage categories. as lung cancer and infertility. Apart from psychological impact, because substances contained in cigarettes can cause effects such as reducing the ability to This quantitative approach, with a descriptive analytical design using a cross-sectional Aims to obtain parental influence This research was conducted in April 2023 at Smoking causes physiological effects such METHOD Apart from that, the toxins contained in cigarettes can also have an SMP Negeri 65 Jakarta. The population is all students at SMP Negeri 65 Jakarta, totaling 157 students. The inclusion criteria for this study were that students at SMP Negeri 65 Jakarta, aged 12-15 years, had smoking behavior of more than 1 and less than 15 cigarettes per day. The sampling technique uses purposive Based on calculations, the JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 sample size is 75 samples, plus 10% and Confidentialit. Researchers dropout to 83 respondents. The research implement the principle of Respect for self-identity Privacy and Confidentiality, this research uses a Google form that uses the initials influence, peer influence, and the influence of respondents so of cigarette advertising. The validity and reliability test of all items was declared Researchers also guarantee the confidentiality of all information <0. This normality test uses the one- provided by respondents. Respect for justice and inclusiveness (Respect for Justice Kolmogorov-Smirnov statistical technique and is declared non- Inclusivenes. normally distributed. Bivariate analysis respondents receive the same treatment and uses chi-square data justice without distinction of ethnicity, race, while multivariate analysis uses the Ethics and ethnicity. Researchers also did not multiple logistic regression test. reduce or exaggerate the information provided by respondents. As well as taking This into account the benefits and losses considering the basic principles of research incurred (Balancing Harm and Benefit. , ethics, including Respect Human provide research benefits for the wider informed consent This research has passed the sheets, and respondents filling out this ethical test issued by the Jakarta i Ministry of Health Polytechnic Health Team Dignity, explanation sheets, and carried out to Respecting the privacy and confidentiality of research subjects (Respect for Privacy RESULTS AND DISCUSSION Below we present the results and discussion of the research as follows: Table 1. 1 Frequency Distribution of Respondent Characteristics Sex Variable Men Woman Based on table 1. 1, it is known that the majority of teenagers who smoke are male, amounting to 84. JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 Table 1. 2 Distribution of the Relationship between Gender Factors and Smoking Behavior in Adolescents Variable Sex pValue Men Women ,6%) ,4%) ,6%) ,4%) % CI) Smoking Behavior Light (%) Heavy (%) 0,006 . Based on table 1. 2, shows that the majority . 4%), while some female teenagers have of male teenagers have heavy smoking light smoking behavior, namely smoking less than 5 cigarettes per day, 84. than 10 cigarettes per day, 43 respondents Table 1. 3 Distribution of the Relationship between Parental Influence and Smoking Behavior in Adolescents Variable Parental Influence No Effect Effect pValue . % c. Smoking Behavior Light (%) Heavy (%) . ,5%) . ,3%) . ,7%) . From Table 1. 3 it can be concluded that the obtained = 2. 824, this means that parents . have an influence of 2. 824 on heavy caused by smoking behavior in adolescents. adolescents is influence from their parents. The results of the Chi-Square test showed p-value = DISCUSSION 037, and it was concluded that there was Smoking behavior is the activity or act of a significant relationship between parental smoking a roll of tobacco wrapped in burnt paper, and then exhaling the cigarette From the results of the analysis smoke out of the body, which can be inhaled of the closeness of the relationship. OR was by other people around the JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 Smoking has a bad impact on the teenagers to want to continue repeating smoker and the people around him. The their smoking behavior. temperature of the burning tip of a cigarette can reach 9000C, while the temperature is 3000C for the tip of the cigarette tucked between the smoker's lips (Wahyudi, 2. Smoking is a behavior that is dangerous for health, but many people still do it. Many people smoke when they are teenagers. Several studies confirm that most smokers start smoking between the ages of 11 and 13 years and 85% to 95% before the age of 18 years (Riskesdas, 2. Smoking not only has a bad impact on health but also has an impact on a person's social, economic, and psychological relationships. From a health perspective, smoking can increase the risk of developing various diseases, such as heart disease, blood vessel disorders, lung cancer, oral cavity cancer, high blood pressure, bronchitis, impotence, pregnancy disorders, and fetal defects (Emilia and Ova. The social aspect of smoking have negative effects passive smokers because the risks borne by passive smokers are more dangerous than Economic aspect, (Sarafino, wasteful activity in the form of "burning money" (Emilia and Ova, 2. The psychological impact of smoking behavior is that it influences thoughts, feelings, and addiction which is difficult to stop, causing The results of this study indicate that influence adolescent smoking habits. The results of this research are by Aulia's . Baamang Hilir. East Kotawaringin. Diyanto . in Ketintang Village. Surabaya City, which concluded that the majority of respondents were influenced by smoking from smoking The results of Novi's research . concluded that the experience of teenagers who live with parents who have a smoking habit is that they are 1,397 times more likely to become smokers. Kwok et al's research in Hong Kong concluded that the smoking behavior of close friends and The same thing was also stated by Joung, et al that the smoking behavior of family members influences the smoking behavior of teenagers in Korea. Harakeh, et al in smoking behavior found smoking habits had a direct influence on children's smoking behavior. The results of this study also concluded that parental knowledge and the quality of the parentchild children's smoking behavior. Parental smoking habits have a strong JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 behavior (Jamison et al. , 2010. Xi et al. This is in line with the opinion Nearly 70% of respondents had expressed by Hj. Muhasidah . said that parents who smoked. Students whose parents' behavior in responding to teenagers parents smoke, either father, mother, who smoke can influence smoking behavior or both are more likely to smoke than in teenagers. If parents act firmly to forbid students whose parents do not smoke at all. their teenage children from smoking, then Because teenagers with family members who smoke, especially parents, will give themselves so they don't smoke. try to young people easy access to cigarettes. Having family members who smoke also Gigih Prasetyo's research . concluded poses a huge risk for young people to start that one of the findings about teenage smoking (Kaya & Unalan, 2. Smoking smokers was that they came from unhappy also has a strong psychological impact on households, where parents did not pay much young people, namely creating the view attention to their children and imposed harsh that smoking is normal behavior that is physical laws on the family. Children acceptable within society's social norms. educated with an authoritarian parenting style are more likely to become The results of Rachmat's research are smokers compared to teenagers who come different from other studies which state that from a happy household environment. there is no significant relationship between parents' smoking behavior and children's smoking behavior, meaning that there is no difference in smoking behavior between teenagers whose parents are smokers and non-smokers. opinion was expressed by Etrawati . that, as role models, parents should provide the best example for their children, including prohibiting smoking for teenagers. Parents are obliged to apply and enforce these rules not only for their children but also for Parents who are inconsistent in implementing and implementing these rules will not create teenagers who are free from This research also states that authoritarian parents do not open up opportunities for discussion, and building closeness with their children becomes alienated from the Teenagers will build closeness home environment which will A bad environment outside the will greatly influence JKEP (Jurnal Keperawata. Vol. 9 No. 1 Mei 2024 hlm 83-92 Because parents are an example, if concluded the same thing that, teenage a teenager's parent is a heavy smoker, then smokers are children who come from their children will likely follow that unhappy households. If parents who are Widiansyah's . teenage figures have smoking behavior and do not pay attention to their children, then it does not rule out the possibility of the child following suit. his parents' behavior. In addition, smoking behavior is more common in those living with single parents compared to intact families. Teenagers will behave more quickly as smokers if their fathers smoke, this is seen in AKNOWLEDGEMENT This research was possible because of assistance from various parties. On this occasion, we would like to express our thanks to: Director of the Jakarta i Ministry of Health Polytechnic for providing researchers with the opportunity to carry out this research. Colleagues who have helped carry out teenage girls. this research. Teenagers who are raised by happy families will create teenagers who feel love without Students who jointly conducted this having to look for love and happiness from other activities. One compensation for REFERENCES