Determinan Perilaku Merokok pada Remaja Menurut Teori Health Belief Model: Studi Literatur Tahun 2014-2025

Diyah Nur Muizzah; Luqman Effendi

doi:10.59680/ventilator.v3i4.2152

Authors

Diyah Nur Muizzah Universitas Muhammadiyah Jakarta
Luqman Effendi Universitas Muhammadiyah Jakarta

DOI:

https://doi.org/10.59680/ventilator.v3i4.2152

Keywords:

Adolescents, Behavioral Determinants, Health Belief Model, Health Promotion, Smoking Behavior

Abstract

Smoking behavior among adolescents is a serious and growing public health problem. Data from the 2023 Indonesian Health Survey (SKI) shows that 7.4% of adolescents aged 10–18 years smoke. This literature review aims to determine the determinants of smoking behavior among adolescents based on the Health Belief Model (HBM) theory, with a focus on components such as perceived vulnerability, perceived seriousness, perceived benefits, perceived barriers, cues to action, and self-efficacy. Using a literature review approach, this study identified and analyzed several academic references such as journals, books, encyclopedias, and others that discuss topics related to the determinants that influence smoking behavior among adolescents based on the Health Belief Model (HBM). The analysis conducted indicates that there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and smoking behavior among adolescents. The conclusion of this study shows that in 9 studies that applied the Health Belief Model (HBM) theory in examining smoking behavior in adolescents, all major components of HBM were proven to have a significant relationship with this behavior. This study provides an important theoretical basis for the development of effective and sustainable health promotion programs in controlling smoking behavior among adolescents.

References

Alyafei, A., & Easton-Carr, R. (2024). The Health Belief Model of behavior change.

Cai, Y., Chen, G., & Bai, P. (2025). Global, regional, and national burden of smoking-related diseases and associations with health workforce distribution, 1990–2021: Analysis from the Global Burden of Disease Study 2021. International Journal of Public Health, 70(July), 1–13. https://doi.org/10.3389/ijph.2025.1608217

Hamzah, P. K., Faisal, D. R., Kasra, K., Ilmaskal, R., Iqbal, W., Yusda, I., Rezi Fatrima, & Betasril, A. (2024). Differences in adolescents’ smoking behavior and media exposure to smoking advertisements in urban and rural Padang City. Jurnal Promkes, 12(SI2), 134–142. https://doi.org/10.20473/jpk.v12.isi2.2024.134-142

Haryati, W., Abdullah, A., & Bakhtiar. (2020). Self-efficacy dan perilaku merokok remaja perokok ketiga terbesar di dunia setelah Cina dan penelitian lain tentang self-efficacy oleh Engels usia remaja dikarakteristikan dengan rasa ingin tahu memiliki self-efficacy yang tinggi, maka akan menampilkan k. Jurnal Ilmu Keperawatan.

Kemenkes RI. (2024). Kementerian Kesehatan Republik Indonesia.

Melinda, G., Kamilah, F. Z., Amalia, B., & Adrison, V. (2025). Impact of cigarette prices and social factors on youth smoking initiation in Indonesia. 10350(40).

Miftahul Jannah, S., Usman, S., Ismail, I., Saputra, I., & Marthoenis, M. (2025). Determinants of smoking cessation efforts among adolescent males using the Health Belief Model (HBM) approach in Pidie. International Journal of Public Health, 2(2), 99–111. https://doi.org/10.62951/ijph.v2i2.443

Nadya Oktacarolina, S. S. (2019). Hubungan self-efficacy dengan perilaku merokok pada remaja di SMPN 29 Samarinda. Borneo Student Research, 1(1), 225–231.

Nisriina, Z. N. (2024). Active smokers health belief model health belief model pada perokok aktif. Jurnal Kesehatan Masyarakat Mulawarman (JKMM), 6(1), 01–08.

Prabawati, L. P., Nurhidayah, S., Ilmu, M., Publik, A., & Mada, U. G. (2024). Problematika rokok di Indonesia: Pemetaan masalah dan prediksi kebijakan pengendalian konsumsi rokok kalangan remaja dilematis bagi pemerintah. Jurnal Paradigma, 5(1).

Pribadi, E. T., & Devy, S. R. (2020). Application of the Health Belief Model on the intention to stop smoking behavior among young adult women. Journal of Public Health Research, 9(2), 1817. https://doi.org/10.4081/jphr.2020.1817

Purnamasari, V. D., Merokok, P., & Merokok, T. B. (2023). Persepsi hambatan pada tindakan berhenti merokok pada remaja sekolah menengah atas dengan menggunakan teori health belief model. 77–87. https://doi.org/10.31596/jkm.v11i1.1339

Ramadhani, T., Usna Aulia, W. A. P. (2024). Bahaya merokok pada remaja. Jurnal Ilmiah Kedokteran Dan Kesehatan (KLINIK), 3(1). https://doi.org/10.55606/klinik.v3i1.2285

Sitinjak, N. (2023). Hubungan cues to action dengan perilaku merokok remaja di Kelurahan Bangsal Kota Kediri. Jurnal STIKES Baptis.

Sitti Hasna Wati, Bahtiar, & D. A. A. (2018). Dampak merokok terhadap kehidupan sosial remaja (Studi di Desa Mabodo Kecamatan Kontunaga Kabupaten Muna). 3(2), 503–509.

Surati Ningsih, N., Novi Indah Aderita, T. Y. (2023). Relationship between attitude and self-efficiency with. Jurnal Penelitian Keperawatan, 9(1), 114–121. https://doi.org/10.32660/jpk.v9i1.647

Tantri, A., Fajar, N. A., & Utama, F. (2018). Hubungan persepsi terhadap peringatan bahaya merokok pada kemasan rokok dengan perilaku merokok pada remaja laki-laki di Kota Palembang. 9(1), 74–82. https://doi.org/10.26553/jikm.2018.9.1.74-82

World Health Organization (WHO). (2024). World Health Organization.

Zulfikar Ihyauddin, Dwi Astuti Dharma Putri, Jeslyn Tengkawan, Fitriana Murriya Ekawati, M. N. S. (2023). Tobacco use among school-age adolescents in Indonesia: Findings from the 2015 Indonesia Global School-Based Student Health Survey. 44(6), 327–334. https://doi.org/10.4082/kjfm.23.0010