{"title":"Knowledge, Attitudes, and Perceived Impact of the Single-Stick Cigarette Ban: A Cross-Sectional Study in Indonesia.","authors":"Abdillah Ahsan, Fitri Kurnia Rahim, Indah Suci Widyahening, Depi Yulyanti, Witri Dewi Mentari, Yudita Ingga Hindiarti, Humaira Anggie Nauli, Ernoiz Antriyandarti, Made Adhyatma Prawira Natha Kusuma, Maulida Gadis Utami, Yuyu Buono Ayuning Pertiwi, Ella Kurnia, Anisa Salsabila","doi":"10.31557/APJCP.2026.27.9.3185","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate public perceptions (knowledge, attitudes, and perceived impact) of the single-stick cigarette sales ban in Indonesia, and to identify sociodemographic and behavioral factors associated with these outcomes.</p><p><strong>Methods: </strong>A cross-sectional survey study was conducted among 714 respondents in seven selected districts in Indonesia, utilizing the Knowledge, Attitude, and Perception (KAP) framework. Multivariable analyses were performed using binary logistic regression for knowledge and ordered logistic regression for attitude and perception. Robust standard errors were applied, and findings are reported as adjusted odds ratios (aORs) with 95% confidence intervals (95% CIs).</p><p><strong>Result: </strong>Most respondents (66.11%) were unaware of the regulation. Older adults (≥55) had lower knowledge (aOR = 0.47, 95% CI: 0.28-0.79), and active smokers opposed the ban (aOR = 0.35, 95% CI: 0.23-0.51). Higher education (aOR = 2.16, 95% CI: 1.00-4.63) and urban residence (aOR = 1.65, 95% CI: 1.08-2.51) correlated with supportive attitudes. Knowledge (aOR = 1.90, 95% CI: 1.25-2.87) and supportive attitudes (aOR = 2.86, 95% CI: 1.56-5.22) were the strongest predictors of perceiving the ban as effective for public health.</p><p><strong>Conclusion: </strong>The implementation of the single-stick cigarette ban in Indonesia has been ineffective, primarily due to a lack of public awareness of the regulation. Smokers and older adults demonstrate significantly limited knowledge of and acceptance toward the policy. These findings highlight the need for increased public awareness campaigns and targeted interventions to improve knowledge and compliance with the single-stick cigarette sales ban in Indonesia.</p>","PeriodicalId":55451,"journal":{"name":"Asian Pacific Journal of Cancer Prevention","volume":"27 9","pages":"3185-3191"},"PeriodicalIF":0.0000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Pacific Journal of Cancer Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31557/APJCP.2026.27.9.3185","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to investigate public perceptions (knowledge, attitudes, and perceived impact) of the single-stick cigarette sales ban in Indonesia, and to identify sociodemographic and behavioral factors associated with these outcomes.
Methods: A cross-sectional survey study was conducted among 714 respondents in seven selected districts in Indonesia, utilizing the Knowledge, Attitude, and Perception (KAP) framework. Multivariable analyses were performed using binary logistic regression for knowledge and ordered logistic regression for attitude and perception. Robust standard errors were applied, and findings are reported as adjusted odds ratios (aORs) with 95% confidence intervals (95% CIs).
Result: Most respondents (66.11%) were unaware of the regulation. Older adults (≥55) had lower knowledge (aOR = 0.47, 95% CI: 0.28-0.79), and active smokers opposed the ban (aOR = 0.35, 95% CI: 0.23-0.51). Higher education (aOR = 2.16, 95% CI: 1.00-4.63) and urban residence (aOR = 1.65, 95% CI: 1.08-2.51) correlated with supportive attitudes. Knowledge (aOR = 1.90, 95% CI: 1.25-2.87) and supportive attitudes (aOR = 2.86, 95% CI: 1.56-5.22) were the strongest predictors of perceiving the ban as effective for public health.
Conclusion: The implementation of the single-stick cigarette ban in Indonesia has been ineffective, primarily due to a lack of public awareness of the regulation. Smokers and older adults demonstrate significantly limited knowledge of and acceptance toward the policy. These findings highlight the need for increased public awareness campaigns and targeted interventions to improve knowledge and compliance with the single-stick cigarette sales ban in Indonesia.
期刊介绍:
Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation.
The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally.
The APJCP publishes original research results under the following categories:
-Epidemiology, detection and screening.
-Cellular research and bio-markers.
-Identification of bio-targets and agents with novel mechanisms of action.
-Optimal clinical use of existing anti-cancer agents, including combination therapies.
-Radiation and surgery.
-Palliative care.
-Patient adherence, quality of life, satisfaction.
-Health economic evaluations.