
Impact of Perceived Vulnerability and Benefits on Adolescent Smoking Cessation Motivation
DOI:
https://doi.org/10.58545/jrcnp.v3i1.404Abstract
Background: Most smoking among adolescents aged 15-19 years is associated with a psychosocial crisis, as they are still searching for their identity. Factors such as perceived vulnerability and perceived benefits can lead adolescents to start smoking. Purpose: The purpose of this study was to determine the relationship between perceived vulnerability and perceived benefits and motivation for smoking cessation among adolescents. Methods: The research design uses an analytical observational design with a cross-sectional approach. The research sample consisted of adolescent smokers selected using a cluster random sampling technique, resulting in 136 participants. Data for variables were collected using the Perceived Vulnerability to Disease (PVD), Perceived Risks and Benefits Questionnaire (PRBQ), and Smoking Cessation Motivation Questionnaire (Q-MAT), which were modified by the researchers and tested for validity and reliability. The research data were analyzed using the Spearman Rank Test. Results: The results showed that 97.8% of participants had a positive perceived vulnerability, 97.1% had a positive perceived benefit, and 71.3% had a high motivation for smoking cessation. There was a significant relationship between perceived vulnerability and perceived benefits with motivation for smoking cessation, with a significant p-value of 0.000 and correlation values of +0.478 and +0.643. Conclusions: Adolescents' motivation to quit smoking is shaped by their awareness of health risks and the benefits of quitting, such as improved well-being and financial savings. Nursing-based interventions, including counseling, support groups, and school health campaigns, play a crucial role in reinforcing this motivation and ensuring long-term cessation.
Keywords:
Adolescent, Benefits, Motivation, Smokers, VulnerabilityDownloads
References
Akter, S., Rahman, M. M., Rouyard, T., Aktar, S., Nsashiyi, R. S., & Nakamura, R. (2024). A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour. Nature Human Behaviour, 8(December). https://doi.org/10.1038/s41562-024-02002-7
Alebshehy, R., Asif, Z., & Boeckmann, M. (2023). Policies regulating retail environment to reduce tobacco availability: A scoping review. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.975065
Anggreani, G. N., Nurhayati, F., & Prianggi, H. (2022). The Relationship between Health Belief Model Applications with Smoking Quitting Behavior: A Meta-Analysis. Journal of Health Promotion and Behavior, 7(3), 170–181. https://doi.org/10.26911/thejhpb.2022.07.03.01
Asbath, A., Jiao, D., Irianti, E., Werdyaningsih, E., & Desiana, D. (2024). The Effect of Anti-Smoking Campaigns on Smoking Behavior Among Youth: Case Studies in Middle Schools. Journal of World Future Medicine, Health and Nursing, 2(3), 389–401. https://doi.org/10.70177/health.v2i3.892
Badrooh, A., Mozaffari, N., Barikani, A., & Dadkhah, B. (2020). The Effect of Individual and Group Education Done by Nurses on Smoking Dependency and Smoking Cessation Motivation in Patients with Coronary Artery Disease. Journal of Health and Care, 21(2), 99–107. https://doi.org/10.29252/jhc.21.2.99
Banaji, M. R., Fiske, S. T., & Massey, D. S. (2021). Systemic racism: individuals and interactions, institutions and society. Cognitive Research: Principles and Implications, 6(1). https://doi.org/10.1186/s41235-021-00349-3
Buczkowski, K., Dachtera-Frąckiewicz, M., Luszkiewicz, D., Klucz, K., Sawicka-Powierza, J., & Marcinowicz, L. (2021). Reasons for and scenarios associated with failure to cease smoking: Results from a qualitative study among polish smokers who had unsuccessfully attempted to quit. Patient Preference and Adherence, 15, 2071–2084. https://doi.org/10.2147/PPA.S320798
Bil Husna, A., Nurmala, I., & Salsabila, N. P. (2024). Innovative Strategies to Prevent Childhood Smoking Epidemic: Systematic Review. Jurnal Promkes, 12(SI2), 203–213. https://doi.org/10.20473/jpk.v12.isi2.2024.203-213
CDC. (2020). Smoking Cessation: A Report of the Surgeon General. Journal of Urology, 204(2), 383–384. https://doi.org/10.1097/JU.0000000000001114
Ciranka, S., & van den Bos, W. (2019). Social influence in adolescent decision-making: A formal framework. Frontiers in Psychology, 10(AUG). https://doi.org/10.3389/fpsyg.2019.01915
Dadras, O. (2024). Predictor of smoking cessation among school-going adolescents in Indonesia: a secondary analysis based on the transtheoretical model of behavioral change. Frontiers in Psychiatry, 15(March), 1–10. https://doi.org/10.3389/fpsyt.2024.1374731
Deva, H. S., Efendi, F., Asmoro, C. P., Aditya, R. S., McKenna, L., & Alruwaili, A. S. (2024). Predictors Of Tobacco Smoking Initiation Among Indonesian Teenagers: The 2019 Global Youth Tobacco Survey. F1000Research, 13, 410. https://doi.org/10.12688/f1000research.147006.1
Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument. Personality and Individual Differences, 47(6), 541–546. https://doi.org/10.1016/j.paid.2009.05.001
Fatani, B. Z., Al-Yahyawi, H., Raggam, A. A., Al-Ahdal, M., Alzyoud, S., & Hassan, A. N. (2022). Perceived stress and willingness to quit smoking among patients with depressive and anxiety disorders seeking treatment. Health Science Reports, 5(2). https://doi.org/10.1002/hsr2.503
Fithria, F., Adlim, M., Jannah, S. R., & Tahlil, T. (2021). Indonesian adolescents’ perspectives on smoking habits: a qualitative study. BMC Public Health, 21(1), 1–8. https://doi.org/https://doi.org/10.1186/s12889-020-10090-z
Gallucci, G., Tartarone, A., Lerose, R., Lalinga, A. V., & Capobianco, A. M. (2020). Cardiovascular risk of smoking and benefits of smoking cessation. Journal of Thoracic Disease, 12(7), 3866–3876. https://doi.org/10.21037/jtd.2020.02.47
Kemenkes RI. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS) (Key Results of Basic Health Research). 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201
Kong, G., Laestadius, L., Vassey, J., Majmundar, A., Stroup, A. M., Meissner, H. I., Taleb, Z. Ben, Cruz, T. B., Emery, S. L., & Romer, D. (2024). Tobacco promotion restriction policies on social media. Tobacco Control, 33(3), 398–403. https://doi.org/10.1136/tc-2022-057348
Lin, B., Liu, X., Lu, W., Wu, X., Li, Y., Zhang, Z., Fu, R., Zhang, L., & Xiong, J. (2023). Prevalence and associated factors of smoking among chinese adolescents: a school-based cross-sectional study. BMC Public Health, 23(1), 1–9. https://doi.org/10.1186/s12889-023-15565-3
Lin, M., Chu, M., Li, X., Ma, H., Fang, Z., Mao, L., Wang, P., Chen, T., & Chiang, Y. C. (2023). Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1093264
Martins, R. S., Junaid, M. U., Khan, M. S., Aziz, N., Fazal, Z. Z., Umoodi, M., Shah, F., & Khan, J. A. (2021). Factors motivating smoking cessation: a cross-sectional study in a lower-middle-income country. BMC Public Health, 21(1), 1–11. https://doi.org/10.1186/s12889-021-11477-2
Maspero, S., Delle, S., Kraus, L., Pogarell, O., Hoch, E., Bachner, J., & Lochbühler, K. (2024). Short-term effectiveness of the national German quitline for smoking cessation: results of a randomized controlled trial. BMC Public Health, 24(1), 1–12. https://doi.org/10.1186/s12889-024-18104-w
Mia, M. T., Talukder, M. M. A., Ali, M. M., & Ismael, M. (2021). Effects of Graphic Health Warning on Tobacco Packs: A Cross-Sectional Study among Low Socioeconomic Group in Bangladesh. Journal of Smoking Cessation, 2021. https://doi.org/10.1155/2021/1354885
Nagawa, C. S., Wang, B., Davis, M., Pbert, L., Cutrona, S. L., Lemon, S. C., & Sadasivam, R. S. (2022). Examining pathways between family or peer factors and smoking cessation in a nationally representative US sample of adults with mental health conditions who smoke: a structural equation analysis. BMC Public Health, 22(1), 1–10. https://doi.org/10.1186/s12889-022-13979-z
Napirah, M. R., Vidyanto, V., Hotary, D. F., & Erwani, E. (2022). Health Belief Model of Smoking Behavior Model as Effort on Tobacco Control Policy within Students in Public Junior High School (SMP Negeri 1) Palu. Open Access Macedonian Journal of Medical Sciences, 10(E), 1860–1864. https://doi.org/10.3889/oamjms.2022.8269
Nawi, A. M., Ismail, R., Ibrahim, F., Hassan, M. R., Manaf, M. R. A., Amit, N., Ibrahim, N., & Shafurdin, N. S. (2021). Risk and protective factors of drug abuse among adolescents: a systematic review. BMC Public Health, 21(1), 1–15. https://doi.org/10.1186/s12889-021-11906-2
Notley, C., Gentry, S., Livingstone-Banks, J., Bauld, L., Perera, R., & Hartmann-Boyce, J. (2019). Incentives for smoking cessation. Cochrane Database of Systematic Reviews, 2019(7). https://doi.org/10.1002/14651858.CD004307.pub6
Oh, H., & Boo, S. (2023). A cross-sectional study on factors affecting the intention to quit smoking among female call centre employees. Nursing Open, 10(8), 5711–5719. https://doi.org/10.1002/nop2.1821
Okorare, O., Evbayekha, E. O., Adabale, O. K., Daniel, E., Ubokudum, D., Olusiji, S. A., & Antia, A. U. (2023). Smoking Cessation and Benefits to Cardiovascular Health: A Review of Literature. Cureus, 15(3). https://doi.org/10.7759/cureus.35966
Olando, Y., Kuria, M. W., Mathai, M., & Huffman, M. D. (2020). Barriers and facilitators to cessation among tobacco users with concomitant mental illness attending group behavioral tobacco cessation: A qualitative study. Tobacco Prevention and Cessation, 6, 1–10. https://doi.org/10.18332/tpc/125354
Pa, R. B. (2023). Digital Media to Empower Adolescents in Smoking Prevention : A Literature Review. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 9(1), 67–84.
Piddin, A. P., Rahayuwati, L., & Sari, E. A. (2020). Perception and motivation to quit smoking based on teenager’s smoking behaviour. Asian Community Health Nursing Research, 2(1), 20. https://doi.org/10.29253/achnr.2020.22042
Pourtau, L., Martin, E., Menvielle, G., El Khoury-Lesueur, F., & Melchior, M. (2019). To smoke or not to smoke? A qualitative study among young adults. Preventive Medicine Reports, 15(April 2018), 100927. https://doi.org/10.1016/j.pmedr.2019.100927
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), 121–124. https://doi.org/10.4081/jphr.2020.1817
Shrestha, S., Pokhrel, S., Subedi, S., Paudel, H., Viswakarma, R. C., Poudel, D., Bhattarai, S. L., Bhandari, P., & Kuikel, S. (2022). Perception of Cigarette Graphic Health Warnings and Its Impact on Smoking Behavior: A Cross-Sectional Study among Current Smokers of Western Part of Nepal. Journal of Smoking Cessation, 2022. https://doi.org/10.1155/2022/5787856
Siersbaek, R., Kavanagh, P., Ford, J., Burke, S., & Parker, S. (2024). How and why do financial incentives contribute to helping people stop smoking? A realist review. BMC Public Health, 24(1), 1–16. https://doi.org/10.1186/s12889-024-17967-3
Susanto, A., Hartono, Nurhaeni, I., & Tri Kartono, D. (2022). Stages of Early Adolescent Smoking Behavior Development in Tegal City, Indonesia: A Qualitative Study. The 3rd International Conference on Vocational Innovation and Applied Sciences (ICVIAS) 2021, 2022, 1–8.
Sweet, L., Brasky, T. M., Cooper, S., Doogan, N., Hinton, A., Klein, E. G., Nagaraja, H., Quisenberry, A., Xi, W., & Wewers, M. E. (2019). Quitting behaviors among dual cigarette and e-cigarette users and cigarette smokers enrolled in the Tobacco user adult cohort. Nicotine and Tobacco Research, 21(3), 278–284. https://doi.org/10.1093/ntr/nty222
Tsikrika, S., Dai, S., Dilektasli, A., Katsaounou, P., & Dagli, E. (2023). Challenges and perspectives of tobacco cessation in special groups of patients and populations. Breathe, 19(2). https://doi.org/10.1183/20734735.0224-2022
van Dijk, W., Oosterman, M., Jansen, I., de Vente, W., & Huizink, A. (2021). Stress- and smoke free pregnancy study protocol: a randomized controlled trial of a personalized eHealth intervention including heart rate variability-biofeedback to support pregnant women quit smoking via stress reduction. BMC Public Health, 21(1), 1–14. https://doi.org/10.1186/s12889-021-10910-w
Weinberger, A. H., Mazure, C. M., & McKee, S. A. (2010). Perceived risks and benefits of quitting smoking in non-treatment seekers. Addiction Research and Theory, 18(4), 456–463. https://doi.org/10.3109/16066350903145072
WHO. (2018). Who global report on trends in prevalence of tobacco smoking 2000-2025, second edition. https://www.who.int/publications/i/item/9789240039322
WHO. (2019). Lembar Informasi Indonesia 2019 (Global Youth Tobacco Survey). World Health Organization, 1–2. https://www.who.int/indonesia/news/events/world-no-tobacco-day-2020
WHO. (2023). WHO report on the global tobacco epidemic, 2023. In World Health Organization. https://www.who.int/publications/i/item/9789240077164
World Health Organization. (2024). World health statistics 2024 Monitoring health for the SDGs, Sustainable Development Goals. World Health Organization.
Zhang, J., Xiang, S., Li, X., Tang, Y., & Hu, Q. (2024). The impact of stress on sleep quality: a mediation analysis based on longitudinal data. Frontiers in Psychology, 15(October), 1–13. https://doi.org/10.3389/fpsyg.2024.1431234
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Setyoadi, Lala Aisyana, Efris Kartika Sari, Dina Dewi Sartika Lestari Ismail

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Most read articles by the same author(s)
- Setyoadi, Sindy Wahyuarista Meiliana, Faradinanta Oktavia Hakim, Yati Sri Hayati, Niko Dima Kristianingrum, Annisa Wuri Kartika, Prinovi Sapta Sandi, The Burden of Family Caregivers in the Care of Type 2 Diabetes Mellitus Patients: A Literature Review , Journal of Rural Community Nursing Practice: Vol. 2 No. 1 (2024): March
- Setyoadi, Efris Kartika Sari, Intan Larasati, Effect Of Health Education Model BASNEF On Knowledge And Compliance With Hypertension Diet In Elderly With Hypertension , Journal of Rural Community Nursing Practice: Vol. 1 No. 1 (2023): March