Persepsi dan Niat Berhenti Merokok pada Perokok Dewasa Berdasarkan Theory of Planned Behavior

Penulis

  • Difa Annas Haqie Universitas Ahmad Dahlan
  • Dimas Heriyanto Universitas Ahmad Dahlan
  • Nur Halimah Tu Saddiah Universitas Ahmad Dahlan
  • Luthfi Aditya Yudistira Carera Budi Satria Wibawa Universitas Ahmad Dahlan

DOI:

https://doi.org/10.55123/sehatmas.v4i4.6238

Kata Kunci:

Smoking, Theory of Planned Behavior (TPB), Adults

Abstrak

This study aims to understand the perceptions and intentions to quit smoking among adult smokers in the Special Region of Yogyakarta using the Theory of Planned Behavior (TPB) approach. TPB is employed to identify how attitudes toward smoking, subjective norms, and perceived behavioral control influence individuals’ intentions to quit smoking. This research uses a qualitative approach with a phenomenological design, exploring the experiences and subjective meanings of the participants. The research subjects consist of four adult smokers selected purposively. Data collection techniques involved semi-structured interviews and observations, while data analysis used triangulation methods. The results indicate two differing perspectives regarding smoking: some subjects emphasized the negative impacts such as disease risk, physical fatigue, and financial losses that motivated their intention to quit, whereas others continued smoking for reasons of relaxation, stress reduction, and social interaction. The social environment was shown to play a dual role, both weakening and strengthening the motivation to quit depending on the prevailing norms. At the individual control level, subjects were influenced by internal factors such as stress and nicotine addiction, as well as external factors like social support and smoke-free zone policies.

Unduhan

Data unduhan belum tersedia.

Referensi

Adiwijaya, Saputra., dkk. (2024). Buku ajar metode penelitian kualitatif. Palangka Raya: PT. Sonpedia Publishing Indonesia

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.

Akbar, F. M. R. (2020). Mahasiswi perokok: Studi fenomenologi tentang perempuan perokok di kampus The Smoking Students: Phenomenology study of female smokers in the campus.

Akter, S., Islam, M. R., Rahman, M. M., Rouyard, T., Nsashiyi, R. S., Hossain, F., & Nakamura, R. (2023). Evaluation of population-level tobacco control interventions and health outcomes: a systematic review and meta-analysis. JAMA network open, 6(7), e2322341-e2322341.

Amelia, S. P., Sopiah, P., & Ridwan, H. (2023). Hubungan Patologi Dan Patofisiologi Pada Individu Akibat Normalisasi Perilaku Merokok Di Indonesia. Jurnal Keperawatan Abdurrab, 7(1), 23-28.

Ardelia, A., & Sulityani, H. D. (2018). Pencarian dan Pemrosesan Informasi dalam Pengambilan Keputusan untuk Berhenti Merokok. Interaksi Online, 6(4), 526-536.

Arivaldi, Q. I. (2024). Perilaku Penggunaan Rokok Elektrik (Vape) Di Kalangan Mahasiswa Menurut Konsumsi Islam (Studi Kasus Mahasiswa Jurusan Ekonomi Syariah Angkatan 2019 IAIN Metro) (Doctoral dissertation, IAIN Metro)

Audina, S. T., Suiraoka, P., & Widarti, I. A. (2021). Gaya Hidup Merokok, Minum Kopi, Pola Istirahat Dan Tekanan Darah Pada Dewasa Muda Di Petrikora. Jurnal Ilmu Gizi: Journal of Nutrition Science, 10(4), 183-190.

Badan Pusat Statistik Provinsi Daerah Istimewa Yogyakarta. (2024, Juni 24). Persentase Merokok Pada Penduduk Umur ≥ 15 Tahun di Provinsi DI Yogyakarta. Badan Pusat Statistik Provinsi DI Yogyakarta. https://www.bps.go.id/id/statisticstable/2/MTQzNSMy /persentase-merokok-pada-penduduk-umur---15-tahun-menurut-provinsi--persen-.html?

Barutu, S. (2023). Analysis of factors influenscing smoking behavior in adolescents. Journal Health of Indonesian, 1(2), 39–43.

Barroso-Hurtado, M., Suárez-Castro, D., Martínez-Vispo, C., Becoña, E., & López-Durán, A. (2023). Perceived Stress and Smoking Cessation: The Role of Smoking Urges. International Journal of Environmental Research and Public Health, 20(2), 1257. https://doi.org/10.3390/ijerph20021257

Becker, T. D., & Rice, T. R. (2022). Youth vaping: A review and update on global epidemiology, physical and behavioral health risks, and clinical considerations. European Journal of Pediatrics, 181(2), 453–462. https://doi.org/10.1007/s00431-021-04220-x.

Candra, A., Santi, T. D., & Maidayani, M. (2023). Faktor-faktor yang berhubungan dengan derajat merokok pada laki-laki usia 26–45 tahun di Aceh Besar. Media Kesehatan Masyarakat Indonesia, 22(2), 100–104.

Ceasar RC, Braymiller JL, Kechter A, Simpson KA, Schiff SJ, Yamaguchi N, Barrington-Trimis JL. Perceiving E-Cigarettes as Safe and Safer Alternative to Cigarettes Among Young Adults. Subst Use Addctn J. 2024 Apr;45(2):181-190. doi: 10.1177/29767342231218533. Epub 2024 Jan 28. PMID: 38281133.

Chen, H., Fan, Y., Li, X., Gao, L., & Li, W. (2022). The relationship between smoker identity and smoking cessation among young smokers: The role of smoking rationalization beliefs and cultural value of Guanxi. Frontiers in Psychiatry, 13, 812982. https://doi.org/10.3389/fpsyt.2022.812982.

CNBC Indonesia. (2024, Juli 2). 10 Negara dengan Jumlah Perokok Terbanyak, Ada Indonesia. https://www.cnbcindonesia.com/lifestyle/20240702113712-33-551044/10-negara-dengan-jumlah-perokok-terbanyak-ada-indonesia.

Dai, X., Gakidou, E., & Lopez, A. D. (2022). Evolution of the global smoking epidemic over the past half century: strengthening the evidence base for policy action. Tob Control, 31(2):129-137. doi: 10.1136/tobaccocontrol-2021-056535. PMID: 35241576.

Dai, X., Gakidou, E., & Lopez, A. D. (2022). Evolution of the global smoking epidemic over the past half century: strengthening the evidence base for policy action. Tobacco control, 31(2), 129-137.

Denney JT, Sharp G, Kimbro RT. (2022 Juli) Community social environments and cigarette smoking. Population Health, 19(101167), 1-9. doi: 10.1016/j.ssmph.2022.101167. PMID: 35879966; PMCID: PMC9307492.

Garritsen, H. H., da Costa Senior, Y. Y., Rozema, A. D., Kunst, A. E., & Kuipers, M. A. (2022). Association between smoke-free legislation in hospitality venues and smoking behavior of young people: a systematic review. Nicotine and Tobacco Research, 24(6), 807-812.

GBD 2019 Risk Factors Collaborators. (2020 Oktober) Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396(10258), 1223-1249. doi: 10.1016/S0140-6736(20)30752-2. PMID: 33069327; PMCID: PMC7566194.

Harian Jogja. (2025, April 28). Jogja Berjuang Turunkan Angka Perokok Anak dan Remaja. https://jogjapolitan.harianjogja.com/read/2025/04/28/510/1211803/jogja-berjuang-turunkan-angka-perokok-anak-dan-remaja.

Husna, M. T., Ashari, D. C., Ramadhini, N. N., Dharmariana, J. R., & Theofani, E. (2020). Faktor-Faktor yang Mempengaruhi Kesiapan Berhenti Merokok pada Perokok Usia Dewasa Awal. Jurnal Ilmu Perilaku, 4(1), 74-85.

Institute for Health Metrics and Evaluation. (2025, Mei 28). Health trends in the ASEAN region. Institute for Health Metrics and Evaluation.

Jackson SE, Tattan-Birch H, East K, Cox S, Shahab L, Brown J. Trends in Harm Perceptions of E-Cigarettes vs Cigarettes Among Adults Who Smoke in England, 2014-2023. JAMA Netw Open. 2024 Feb 5;7(2):e240582. doi: 10.1001/jamanetworkopen.2024.0582. PMID: 38416490; PMCID: PMC10902732.

Katemba, Y., & Winarti, E. (2024). Analisis perilaku merokok dan dampaknya terhadap kesehatan masyarakat di wilayah kerja puskesmas: Pendekatan berdasarkan teori perubahan perilaku (Theory of Planned Behavior-TPB) dan teori kecenderungan perilaku (Theory of Reasoned Action-TRA): Literature review. Jurnal Kesehatan Terpadu (JKT), 5(2), 169–179. https://doi.org/10.31004/jkt.v5i2.28498.

Khairani, A. I., Novida, S., & Pratama, M. Y. (2019). Faktor yang Mempengaruhi Kesulitan Berhenti Merokok pada Mahasiswa Akper Kesdam I/BB Medan. Jurnal Kesmas Asclepius, 1(2), 156-165.

Kramarow, E. A., & Elgaddal, N. (2023). Current electronic cigarette use among adults aged 18 and over: United States. National Center for Health Statistic, 475.

Lareyre, O., Gourlan, M., Stoebner-Delbarre, A., & Cousson-Gélie, F. (2021). Characteristics and impact of theory of planned behavior interventions on smoking behavior: a systematic review of the literature. Preventive Medicine, 143, 106327.

Levy, D. T., Tam, J., Sanchez-Romero, L. M., Li, Y., Yuan, Z., Jeon, J., & Meza, R. (2021). Public health implications of vaping in the USA: The smoking and vaping simulation model. Population Health Metrics, 19(1), 19. https://doi.org/10.1186/s12963-021-00250-7.

Lorensia, A., Yudiarso, A., & Herwansyah, F. R. (2017). Persepsi, efektifitas dan keamanan penggunaan rokok elektrik (e-cigarette) oleh perokok aktif sebagai terapi dalam smoking cessation: mixed methods dengan pendekatan studi kuantitatif dan kualitatif. Jurnal of Tropical Pharmacy and Chemistry, 4(2), 66-78.

Nisza, N. M., Rifani, R., & Jafar, E. S. (2024). Identifikasi Faktor Penyebab Perilaku Merokok pada Mahasiswi Usia Dewasa Awal: Nur Maghfira Nisza, Rohmah Rifani, Eka Sufartianinsih Jafar. Social Philanthropic, 2(2), 25-32. Safira, R. F. (2022).

Nizamie, G. V., & Kautsar, A. (2021). Analisis faktor-faktor yang mempengaruhi konsumsi rokok di Indonesia. Kajian Ekonomi dan Keuangan, 5(2), 158–170.

Nurlina, N. (2024). Perilaku Merokok Masyarakat Dan Dampak Sosialnya Terhadap Remaja Di Kecamatan Suppa Kabupaten Pinrang (Doctoral dissertation, IAIN Parepare).

Martínez-Cao C, de la Fuente-Tomás L, Menéndez-Miranda I, Velasco Á, Zurrón-Madera P, García-Álvarez L, Sáiz PA, Garcia-Portilla MP, Bobes J. Factors associated with alcohol and tobacco consumption as a coping strategy to deal with the coronavirus disease (COVID-19) pandemic and lockdown in Spain. Addict Behav. 2021 Oct;121:107003. doi: 10.1016/j.addbeh.2021.107003. Epub 2021 Jun 3. PMID: 34111653; PMCID: PMC8172276.

Proses Pengambilan Keputusan Tetap Merokok pada Pria Dewasa Tengah (Doctoral dissertation, IAIN Kediri).

Purba, K. I., Febrianti, A., Putri, D. A., Ultami, J. N., & Nafisah, T. Y. (2025). Faktor-Faktor Yang Mempengaruhi Perilaku Merokok Pada Mahasiswa X. Jurnal Manajemen Informasi Kesehatan (Health Information Management), 10(1), 151-162.

Radar Jogja. (2024, Mei 13). Persentase Pelajar Perokok di Kota Jogja Terus Meningkat, Tahun 2024 Capai 249 Anak: Berikut Penjelasan Dinkes.https://radarjogja.jawapos.com/jogja/655548789/persentase-pelajar-perokok-di-kota-jogja-terus-meningkat-tahun-2024-capai-249-anak-berikut-penjelasan-dinkes.

Reskiaddin, L. O., & Supriyati, S. (2021). Proses perubahan perilaku berhenti merokok: studi kualitatif mengenai motif, dukungan sosial dan mekanisme coping. Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 3(1), 7.

Reitsma, M. B., Kendrick, P. J., Ababneh, E., Abbafati, C., Abbasi-Kangevari, M., Abdoli, A., ... & Gorini, G. (2021). Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet, 397(10292), 2337-2360.

Rita, Feny Fiantika., dkk. (2022). Metodologi penelitian kualitatif. Padang: PT. Global Eksekutif Teknologi.

Safira, R. F. (2022). Proses Pengambilan Keputusan Tetap Merokok pada Pria Dewasa Tengah (Doctoral dissertation, IAIN Kediri).

Sanggu, E., & Wibowo, A. T. (2023). Analisis faktor-faktor yang mempengaruhi kecenderungan merokok pada mahasiswa program studi ilmu keolahragaan Universitas Mercu Buana Yogyakarta. JSH: Journal of Sport and Health, 4(2), 100–109.

Septiani, R. (2022). Hubungan Lama Merokok dan Frekuensi Merokok dengan Kadar Hemoglobin (Hb) Pada Perokok Aktif. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 14(1).

Smith, P., Quinn-Scoggins, H., Murray, R. L., McCutchan, G., Nelson, A., Moore, G., ... & Brain, K. (2024). Barriers and facilitators to engaging in smoking cessation support among lung screening participants. Nicotine and Tobacco Research, 26(7), 870-877.

Sumiatin, T., Ningsih, W. T., Su’udi, S., & Rofiâ€TMi, A. Y. A. B. (2022). Determinants of smoking behavior in adolescents. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 9(1), 018–027. https://doi.org/10.26699/jnk.v9i1.ART.p018-027.

Sutha, D. W. (2016). Analisis lingkungan sosial terhadap perilaku merokok remaja di Kecamatan Pangarengan Kabupaten Sampang Madura. Jurnal Manajemen Kesehatan Yayasan RS. Dr. Soetomo, 2(1), 43-59.

Syam, S., Sukirman, P. M., Firmansyah, F., Suwendro, N. I., & Lestari, A. (2023). Smoking behavior among adolescents at public junior high school. Journal of Health and Nutrition Research, 2(3), 210–220. https://doi.org/10.56303/jhnresearch.v2i3.221.

Takagi D, Yokouchi N, Hashimoto H. Smoking behavior prevalence in one's personal social network and peer's popularity: A population-based study of middle-aged adults in Japan. Soc Sci Med. 2020 Sep;260:113207. doi: 10.1016/j.socscimed.2020.113207. Epub 2020 Jul 12. PMID: 32712558.

Tan, Y. L., & Dorotheo, U. (2021). The Tobacco Control Atlas: ASEAN Region, Fifth Edition. Southeast Asia Tobacco Control Alliance (SEATCA).

Tengko, R. P. M., Ndun, H. J., & Takaeb, A. E. (2025). Determinan perilaku merokok elektrik pada remaja berdasarkan Theory of Planned Behavior (TPB) di Kota Kupang. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(1), 215-226.

World Health Organization. (2023, November 15). Smoking is the leading cause of chronic obstructive pulmonary disease. https://www.who.int/news/item/15-11-2023-smoking-is-the-leading-cause-of-chronic-obstructive-pulmonary-disease.

World Health Organization. (n.d.). Tobacco control economics. Retrieved June 5, 2025, from https://www.who.int/teams/health-promotion/tobacco-control/economics.

Zakiyah, Z., Sihombing, Y. A., Kamaruddin, M. I., Salomon, G. A., & Anshari, M. (2023).

Zhao X, Dichtl FF, Foran HM. Predicting smoking behavior: intention and future self-continuity among Austrians. Psychol Health Med. 2022 Jun;27(5):1042-1051. doi: 10.1080/13548506.2020.1842898. Epub 2020 Nov 4. PMID: 33147066.

Diterbitkan

2025-10-15

Cara Mengutip

Difa Annas Haqie, Dimas Heriyanto, Saddiah, N. H. T., & Wibawa, L. A. Y. C. B. S. (2025). Persepsi dan Niat Berhenti Merokok pada Perokok Dewasa Berdasarkan Theory of Planned Behavior. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(4), 1100–1116. https://doi.org/10.55123/sehatmas.v4i4.6238

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