The Association between Peer Influence and Family Environment and Smoking Behavior among Adolescents

Akbar Anshori; Muhammad  Ra’uf; Milasari

doi:10.64141/pmhs.v2i2.42

Authors

Akbar Anshori Universitas Muhammadiyah Banjarmasin
Muhammad Ra’uf Universitas Muhammadiyah Banjarmasin
Milasari Universitas Muhammadiyah Banjarmasin

DOI:

https://doi.org/10.64141/pmhs.v2i2.42

Keywords:

Family Environment, Smoking Behavior, Adolescents, Peer Influence

Abstract

Smoking behavior among adolescents constitutes a serious public health concern due to its adverse health effects and its rapid increase among school-aged populations. Adolescents are particularly susceptible to social environmental influences, especially peer influence and the family environment, which may encourage experimentation with smoking and the development of smoking behavior. This study aimed to examine the association between peer influence and family environment and smoking behavior among adolescents at Public Senior High School 4 Banjarmasin. This study employed a quantitative design with a cross-sectional approach. The population consisted of 308 tenth-grade students, and a sample of 175 respondents was selected using simple random sampling. Data were collected using a questionnaire that had undergone validity and reliability testing. The Chi-square test results indicated a significant association between peer influence and smoking behavior (p = 0.001) as well as between family environment and smoking behavior (p = 0.002). Negative peer influence functioned as a protective factor against adolescent smoking behavior, whereas positive peer influence and a family environment with smoking family members increased the risk of smoking initiation. These findings underscore the importance of education, supervision, and active involvement of families and schools in efforts to prevent smoking behavior among adolescents

References

Ade Ismayanti, S., Auliavika Khabibah, S., Annisa Haq, T., Salsabilla, S., Athilla Rahman, R., Vanessa Hartono, T., Salzabilla, T., Wachidah, N., Yuastita Tangnalloi, T., & Yuda, A. (2024). Perilaku dan pengetahuan remaja Indonesia tentang merokok. Jurnal Farmasi Komunitas, 11(1), 79–85. https://doi.org/10.20473/jfk.v11i1.42580

Aisyiah, A., Nurani, I. A., & Husaeyni, A. (2022). Hubungan antara pola asuh orang tua dan pengaruh teman sebaya terhadap perilaku merokok pada remaja di Daerah Gang Jembar Kota Depok, Provinsi Jawa Barat. Manuju, 4(4), 928–936. https://doi.org/10.33024/mnj.v4i4.6146

Anindya Dayfi, B., Setiawaty, E., Fauzi, M., & Farilya, M. (2024). Relationship of environmental factors with smoking behavior in adolescence. HealthCare Nursing Journal, 6(1), 181–186. https://doi.org/10.35568/healthcare.v6i1.4319

Anggraini, H. E., Baringbing, E. P., & Afrina, Y. (2025). Hubungan peran keluarga dan teman sebaya dengan perilaku merokok pada remaja laki-laki kelas X di SMKN 4 Palangka Raya. Jurnal Surya Medika, 11(2), 62–70. https://doi.org/10.33084/jsm.v11i2.9680

Aristi, M. A., Hastuti, A. S. O., & Nugraha, D. A. (2024). Relationship of environmental factors with smoking behavior in students. International Journal of Health Science and Technology, 6(1), 55–61. https://doi.org/10.31101/ijhst.v6i1.3591

Cruz, J. F., Lisboa, J. L. de, Zarzar, P. M., Franca, C. da, Valença, P., Menezes, V. A. de, & Colares, V. (2020). Association between cigarette use and adolescents’ behavior. https://doi.org/10.6084/m9.figshare.12056523

Deng, S., Guo, R., Chen, G., He, N., & Wang, Q. (2022). Relationship of family environment, psychological resilience, and campus bullying with tobacco use among preadolescents. Environment & Social Psychology, 5(1). https://doi.org/10.18063/esp.v5.i1.1385

Dewi, S. K. (2022). Faktor-faktor yang mempengaruhi perilaku merokok pada remaja di Parung Panjang. Jurnal Kesehatan Masyarakat, 10(2), 249–253. https://doi.org/10.14710/jkm.v10i2.32880

Escobedo, L. G., Reddy, M., & DuRant, R. H. (1997). Relationship between cigarette smoking and health risk and problem behaviors among US adolescents. JAMA Pediatrics, 151(1), 66–71. https://doi.org/10.1001/ARCHPEDI.1997.02170380070011

Firmansyah, A. A. (2009). Hubungan antara dukungan orang tua, teman sebaya, dan iklan rokok dengan perilaku merokok pada siswa laki-laki Madrasah Aliyah Negeri 2 Boyolali. http://eprints.ums.ac.id/6417/

Mohd Fohid, N. N., & Sarnon, N. (2023, March 29). ‘Dimanakah kurangnya?’: Memahami komunikasi keluarga dalam kalangan remaja merokok. Jurnal Wacana Sarjana, 7(2), 1–7. https://spaj.ukm.my/jws/index.php/jws/article/view/527

Gentzke, A. S., Wang, T. W., Cornelius, M. E., Park-Lee, E., Ren, C., Sawdey, M. D., Cullen, K. A., Loretan, C. G., Jamal, A., & Homa, D. M. (2022). Tobacco product use and associated factors among middle and high school students — National Youth Tobacco Survey, United States, 2021. Morbidity and Mortality Weekly Report, 71(5), 1–29. https://doi.org/10.15585/mmwr.ss7105a1

Gregoire, B., Azagba, S., & Asbridge, M. (2016). Smoke-free homes, smoking susceptibility, and familial smoking among never-smoking high school students: A cross-sectional analysis. CMAJO, 4(2). https://doi.org/10.9778/CMAJO.20160010

Hakim, W., & Azizah, U. (2025). Hubungan stres akademik dan teman sebaya dengan perilaku merokok pada remaja di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto. Manuju, 7(2), 535–548. https://doi.org/10.33024/mnj.v7i2.17005

Hasanah, A. U., & Sulastri. (2011). Hubungan antara dukungan orang tua, teman sebaya, dan iklan rokok dengan perilaku merokok pada siswa laki-laki Madrasah Aliyah Negeri 2 Boyolali. Gaster, 8(1), 695–705. http://jurnal.aiska-university.ac.id/index.php/gaster/article/download/22/19

Joung, M. J., Han, M. A., Park, J., & Ryu, S. Y. (2016). Association between family and friend smoking status and adolescent smoking behavior and e-cigarette use in Korea. International Journal of Environmental Research and Public Health, 13(12), 1183. https://doi.org/10.3390/IJERPH13121183

Kim, H. H. Soo, & Chun, J. S. (2018). Analyzing multilevel factors underlying adolescent smoking behaviors: The roles of friendship network, family relations, and school environment. Journal of School Health, 88(6), 434–443. https://doi.org/10.1111/JOSH.12630

Lee, E., & Tak, Y.-R. (2005). Peer and parental influences on adolescent smoking. Journal of Korean Academy of Nursing, 35(4), 694–700. https://doi.org/10.4040/JKAN.2005.35.4.694

Leiner, M., Medina, I., Tondapu, S. R., & Handal, G. (2008). Smoking status of adolescents in two countries and the impact of the smoking status of mother, father, grandparents, and siblings. Journal of School Health, 78(3), 129–130. https://doi.org/10.1111/J.1746-1561.2007.00274.X

Malcon, M. C., Menezes, A. M. B., & Chatkin, M. (2003). Prevalence and risk factors for smoking among adolescents. Revista de Saude Publica, 37(1), 1–7. https://doi.org/10.1590/S0034-89102003000100003

Moeini, B., Poorolajal, J., & Gharlipour Gharghani, Z. (2012). Prevalence of cigarette smoking and associated risk factors among adolescents in Hamadan City, west of Iran in 2010. Journal of Research in Health Sciences, 12(1), 31–37. https://doi.org/10.34172/JRHS12621

Nurlela, H. H. P. (2024). Hubungan teman sebaya dengan perilaku merokok pada remaja laki-laki di SMP X. Journal of Holistics and Health Sciences, 6(1), 58–63. https://doi.org/10.35473/jhhs.v6i1.336

Parawansa, G., & Nasution, F. Z. (2022). Konformitas teman sebaya dengan perilaku merokok pada remaja laki-laki. Educativo Jurnal Pendidikan, 1(2), 630–636. https://doi.org/10.56248/educativo.v1i2.82

Putu Lilik Wahyuningsih, N., Luh Putu Dina Susanti, N., & Wayan Manik Parwati, N. (2023). Hubungan peran teman sebaya dan peran keluarga dengan perilaku merokok. Jurnal Ilmu Kesehatan MAKIA, 13(1), 42–47. https://doi.org/10.37413/jmakia.v13i1.231

Razaz‐Rahmati, N., Nourian, S. R., & Okoli, C. T. C. (2012). Does household structure affect adolescent smoking. Public Health Nursing, 29(3), 191–197. https://doi.org/10.1111/J.1525-1446.2011.00979.X

Sholihah, H., & Novita, A. (2021). Hubungan persepsi, pengaruh teman sebaya, dan dukungan keluarga dengan perilaku merokok remaja laki-laki. Journal of Public Health Education, 1(1), 20–29. https://doi.org/10.53801/jphe.v1i01.14

Usman, A., Bulut, S., & Kaplan, M. (2022). An investigation of family factors that predict smoking among high school adolescents. Journal of Substance Use, 1–7. https://doi.org/10.1080/14659891.2022.2144507

Yanti, Y. A. E. S., Safitri, A., Sari, A., Anggraini, D., Suryani, K., & Pranata, L. (2022). Persepsi remaja yang berhenti merokok dengan studi deskritif. Jurnal Keperawatan Florence Nightingale, 5(1), 26–30. https://doi.org/10.52774/jkfn.v5i1.90

Yunanda, H., Makaginsar, C., & Fitriyana, S. (2023). Perilaku merokok pada siswa SMA. Bandung Conference Series: Medical Science, 3(1). https://doi.org/10.29313/bcsms.v3i1.6408

Zhao, X., Prandstetter, K., Jansen, E., Hahlweg, K., Schulz, W., & Foran, H. M. (2021). Interparental relationship adjustment, parenting, and offspring’s cigarette smoking at the 10-year follow-up. Family Process, 60(2), 523–537. https://doi.org/10.1111/FAMP.12598