Tobacco control attitudes and perception of smoke-free area (KTR) implementation on health and non-health students in Universitas Mulawarman
Lies Permana(1*), Annisa Nurrachmawati(2), Nur Rohmah(3), Rina Tri Agustini(4), Masithah Masithah(5), Khumairotul Zahro(6)
(1) Department of Health Promotion, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(2) Department of Health Promotion, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(3) Department of Health Promotion, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(4) Department of Health Promotion, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(5) Department of Biostatistics and Demography, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(6) Department of Health Promotion, Faculty of Public Health, Universitas Mulawarman, Samarinda, Indonesia
(*) Corresponding Author
Abstract
Introduction: In accordance with Samarinda Mayor Regulation No. 51 of 2012, the Faculty of Public Health at Universitas Mulawarman (Unmul) has enforced a Smoke-Free Area (KTR) policy since 2016. However, this implementation remains largely restricted to health-related faculties, leaving other areas of the university without consistent tobacco control measures. The lack of continuous health promotion initiatives has contributed to persistent smoking habits among students across the wider campus. This study aims to compare the perceptions of students from health and non-health faculties regarding tobacco control and evaluate their views on the current implementation of the KTR policy.
Methods: This research employed a quantitative, cross-sectional survey design. Data was collected online between March and April 2024 using the Global Health Professional Student Survey (GHPSS). Utilizing purposive sampling, the study gathered 215 respondents, consisting of 123 health students and 92 non-health students. Data were analyzed using the Mann-Whitney test.
Results: The results reveal a statistically significant difference in perceptions regarding tobacco regulation (P-value = 0.0001). Students in non-health fields tended to have a negative attitude toward tobacco control (65.7%), whereas health students demonstrated a positive perspective (67.6%). Furthermore, there was a significant difference in perceived KTR implementation (P-value = 0.000); only 22% of health students reported observing smoking on campus, compared to 83.7% of non-health students. Notably, among non-health students, those with positive attitudes toward tobacco control showed strong support for the KTR policy (87.3%), with 15.2% favoring strict sanctions for policy violations.
Conclusion: The findings underscore the urgent need to expand the KTR policy to all faculties at Universitas Mulawarman. It is critical to develop targeted advocacy and educational programs that address the specific needs of the entire academic community to ensure effective and comprehensive smoke-free campus implementation.
Keywords
Full Text:
PDFReferences
- Ickes MJ, Wiggins AT, Rayens MK, et al. Student Tobacco Use Behaviors on College Campuses by Strength of Tobacco Campus Policies. American Journal of Health Promotion 2020; 34: 747–753. DOI: 10.1177/0890117120904015
- Yang JS, Cuomo RE, Purushothaman V, et al. Campus Smoking Policies and Smoking-Related Twitter Posts Originating from California Public Universities: Retrospective Study. JMIR Form Res; 5. Epub ahead of print 1 December 2021. DOI: 10.2196/33331.
- Alfayrazi MM, Azwar E, Abdullah A, et al. Persepsi Mahasiswa FKM Unmuha Terhadap Kawasan Tanpa Rokok (KTR) Di Lingkungan Kampus Universitas Muhammadiyah Aceh Tahun 2022. Journal Pusat Studi Pendidikan Rakyat; 2. DOI: 10.51178/jpspr.v2i4.979
- Ilham M, Muriman LOY, Wahyuddin, et al. Need Assessment Kawasan Tanpa Rokok Di Fakultas Kesehatan Masyarakat Universitas Dayanu Ikhsanuddin Baubau. Jurnal Akademika 2022; 19: 5–11.
- Yuliza I, Sabrian F. Persepsi Civitas Akademika Tentang Penerapan Kawasan Tanpa Rokok Di Fakultas Keperawatan Universitas Riau. Jurnal Ners Indonesia; 10.
- Fitri TA, Suryoputro A, Nandini N. Tobacco-Free Areas Implementation at University X. Journal of Public Health for Tropical and Coastal Region (JPHTCR); 6, https://ejournal2.undip.ac.id/index.php/jphtr/article/view/16877 (2023, accessed 25 November 2024) DOI: 10.14710/jphtcr.v6i1.16877.
- Cauchi D, Mamo J. Smoking health professional student: An attitudinal challenge for health promotion? Int J Environ Res Public Health 2012; 9: 2550–2561. DOI: 10.3390/ijerph9072550.
- Martínez C, Méndez C, Sánchez M, et al. Actitudes de los estudiantes de una universidad de ciencias de la salud sobre la extensión de las políticas de espacios sin humo en los campus universitarios de Barcelona (España). Gac Sanit 2017; 31: 132–138. DOI: 10.1016/j.gaceta.2016.08.009.
- Veeranki SP, Mamudu HM, Anderson JL, et al. Worldwide never-smoking youth susceptibility to smoking. Journal of Adolescent Health 2014; 54: 144–150. DOI: 10.1016/j.jadohealth.2013.07.036.
- Centre for Disease Control and Prevention. Tobacco-Free Policies on the Rise across Us Colleges and Universities. https://www.cdc.gov/media/releases/2018/s0621-tobacco-free-policies-colleges-universities.html.
- Sendall MC, Le Lievre C, McCosker LK, et al. Going smoke-free: University staff and students’ qualitative views about smoking on campus during the implementation of a smoke-free policy. PLoS One; 15. Epub ahead of print 1 August 2020. DOI: 10.1371/journal.pone.0236989.
- Sendall MC, Fox L, Wraith D. University staff and students’ attitudes towards a completely smoke-free campus: Shifting social norms and organisational culture for health promotion. Int J Environ Res Public Health; 18. Epub ahead of print 1 July 2021. DOI: 10.3390/ijerph18137104.
- Kendrich I, Sinaga BYM. Knowledge, Attitude, And Behavior Toward Smoking Among Medical Students In Universitas Sumatera Utara. Indonesian Journal of Public Health 2023; 18: 1–10. DOI: 10.20473/ijph.v18i1.2023.1-10.
- Juranić B, Rakošec Ž, Jakab J, et al. Prevalence, habits and personal attitudes towards smoking among health care professionals. Journal of Occupational Medicine and Toxicology; 12. Epub ahead of print 26 July 2017. DOI: 10.1186/s12995-017-0166-5.
- Dono J. Smoking Cessation Among Emerging Adults: Integrating and Expanding on Social Norms as Barriers and Facilitators of Behaviour Change. The University of Adelaide, 2020. DOI: 10.20473/ijph.v18i1.2023.1-10.
- Lin M, Chu M, Li X, et al. Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen. Front Public Health; 11. Epub ahead of print 2023. DOI: 10.3389/fpubh.2023.1093264.
- Suarjana K, Mulyawan KH, Duana MK, et al. Social Norms and Potency of Local Wisdom as A Social Enforcement of Smoking Behavior. Kemas 2022; 17: 342–353. DOI: 10.15294/kemas.v17i3.26807.
- Eka Binarti D, Diba F. Perilaku Mahasiswa Dan Implementasi Program Kawasan Tanpa Rokok (KTR) di Universitas Syiah Kuala. Jurnal Ilmiah Mahasiswa; IV, https://jim.usk.ac.id/FKep/issue/view/449 (2019, accessed 15 May 2024).
- Andreeva TI, Ananjeva GA, Daminova NA, et al. Smoke-Free Universities Help Students Avoid Establishing Smoking by Means of Facilitating Quitting. Health Promot Perspect 2016; 5: 241–249. DOI: 10.15171/hpp.2015.029.
- Surantini S, Palupi R, Purnomo W. Application Of Non-Smoking Area Policy in Non Health Student Environments, Is That Effective? 2020. DOI: 10.31838/srp.2020.3.145.
Article Metrics
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Journal of Community Empowerment for Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Journal of Community Empowerment for Health (JCOEMPH) Indexed by:
Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
Jl. Farmako, Sekip Utara, Yogyakarta 55281, Indonesia
Sekretariat Bersama Jurnal Room, 2nd floor above IKM canteen
📧 jcoemph.fk@ugm.ac.id
© 2025 Journal of Community Empowerment for Health




