Influence Factors of Visitor Compliance with The Implementation of Regional Regulation Policy Concerning Non-Smoking Areas at Blud of Subulussalam Regional General Hospital

Authors

  • Teguh Suharto Faculty of Public Health, Helvetia Health Institute, Medan, Indonesia
  • Andini Mentari Tarigan Faculty of Public Health, Helvetia Health Institute, Medan, Indonesia
  • Yuniati Faculty of Public Health, Helvetia Health Institute, Medan, Indonesia
  • Aida Sulisna Faculty of Public Health, Helvetia Health Institute, Medan, Indonesia
  • Indah Sukmayanti Faculty of Public Health, Helvetia Health Institute, Medan, Indonesia

DOI:

https://doi.org/10.61963/jpkt.v3i1.100

Keywords:

Visitor Compliance, Policy Implementation, No Smoking Area

Abstract

Background: Cigarettes are a major cause of avoidable deaths in society. A non-smoking area is a designated space that explicitly prohibits the manufacturing, sale, advertising, promotion, and/or use of cigarettes. The Subulussalam City Government has implemented Subulussalam Mayor Regulation Number 52 of 2016, which prohibits smoking in designated areas. The purpose of this study is to identify the factors that impact visitor compliance with the implementation of Regional Regulation Policy Number 52 of 2016, which pertains to non-smoking areas in Subulussalam City Hospital's BLUD. The study employed an analytical survey methodology, utilizing a cross-sectional approach. We selected a subset of 86 individuals using the incidental sampling approach from the overall population of 636 individuals. The data analysis included univariate, bivariate, and multivariate analysis techniques, together with logistic regression test statistics. Outcome: The logistic regression analysis revealed significant findings for the variable’s knowledge (p-value = 0.000), attitude (p-value =.009), and the role of health personnel (p-value =.001). Conclusion: The knowledge, attitudes, and duties of health workers influence the implementation of Regional Regulation Number 52 of 2016, which pertains to non-smoking areas. We anticipate that the hospital will enhance visitor awareness by disseminating information through healthcare professionals and using posters, banners, and other informational media. This will help visitors understand the potential hazards to the hospital's surroundings and adhere to the hospital's designated no-smoking zone.

References

Adams, J. M., & Hall, M. D. (2019). Communication strategies for effective public health policy implementation. Journal of Public Health Management and Practice, 25(2), 123-129. https://doi.org/10.1097/PHH.0000000000000911

Ajzen, I. (2019). Attitudes, personality, and behavior (2nd ed.). McGraw-Hill Education.

Anastasia. (2020). Hubungan pendidikan, pengetahuan, dan sikap dengan kepatuhan pada Perda KTR Nomor 7 Tahun 2013 di Rumah Sakit Tk. III Dr. R. Soeharsono Banjarmasin. Universitas Islam Kalimantan MAB.

Azwar, S. (2016). Sikap manusia: Teori dan pengukurannya. Yogyakarta: Pustaka Pelajar.

Borrelli, B., & Novak, S. P. (2018). How quitline callers with disabilities differ from other callers: Cognitive and physical disabilities. Journal of Public Health, 40(4), 777-783. https://doi.org/10.1093/pubmed/fdy010

Brown, R. J., & Smith, K. L. (2017). The impact of health worker support on compliance with health regulations in public facilities. Health Policy and Planning, 32(7), 990-998. https://doi.org/10.1093/heapol/czx057

Conner, M., & Norman, P. (2019). Predicting health behaviour: Research and practice with social cognition models. Open University Press.

Edwards, R., Carter, K., & Blakely, T. (2015). Smoking in outdoor public spaces: Behavioral impacts and support for bans. Nicotine & Tobacco Research, 17(4), 419-424. https://doi.org/10.1093/ntr/ntu182

Fishbein, M., & Ajzen, I. (2018). Predicting and changing behavior: The reasoned action approach. Taylor & Francis. https://doi.org/10.4324/9780203838020

Glanz, K., & Bishop, D. B. (2017). The role of behavioral science theory in development and implementation of public health interventions. Annual Review of Public Health, 31, 399-418. https://doi.org/10.1146/annurev.publhealth.012809.103604

Green, T. S., & Thorndike, A. N. (2019). Cognitive limitations as barriers to smoking cessation in low-income communities. American Journal of Public Health, 109(5), 704-710. https://doi.org/10.2105/AJPH.2018.304921

Han, E. S., Goleman, D., Boyatzis, R., & McKee, A. (2019). Hubungan antara pengetahuan, lingkungan sosial dan iklan rokok dengan frekuensi merokok. Journal of Chemical Information and Modeling, 53(9), 1689–1699. https://doi.org/10.1021/acs.jcim.9b00210

Jones, M. R., & Warner, K. E. (2016). Knowledge gaps and barriers to smoking cessation in low-income populations. Journal of Smoking Cessation, 11(2), 65-72. https://doi.org/10.1017/jsc.2015.6

Jones, M., Barry, M. M., & O'Leary, M. (2018). The influence of health worker communication on compliance with smoke-free policies. Tobacco Control, 27(4), 364-370. https://doi.org/10.1136/tobaccocontrol-2017-053557

Komah, I. (2020). Faktor-faktor yang berhubungan dengan kepatuhan kebijakan kawasan tanpa rokok di RSUD H. Abdul Aziz Kabupaten Barito Kuala sesuai PERDA Nomor 5 Tahun 2015.

Law of the Republic of Indonesia Number 44. (2009).

Lee, Y. J., & Ling, P. M. (2020). Training health workers for tobacco control: Challenges and strategies. Global Public Health, 15(3), 400-410. https://doi.org/10.1080/17441692.2020.1724297

Li, Q., Hsia, J., & Yang, G. (2017). Knowledge and attitudes regarding secondhand smoke among pregnant women in China. Journal of Women’s Health, 26(2), 185-193. https://doi.org/10.1089/jwh.2016.5920

Meyers, M. J., Xie, Z., & Zhao, Y. (2019). Sustained compliance with smoke-free policies through continuous health worker engagement. BMC Public Health, 19(1), 1-9. https://doi.org/10.1186/s12889-019-7215-2

Naiem, S., & Anwar, M. (2019). Faktor yang berhubungan dengan kepatuhan pengunjung terhadap kawasan tanpa rokok di rumah sakit umum daerah. J-KESMAS: Jurnal Kesehatan Masyarakat, 5(1), 25.

Notoatmodjo, S. (2016). Promosi kesehatan dan perilaku kesehatan (1st ed.). Jakarta: Rineka Cipta.

Nugraha, A. M. A. (2018). Hubungan pengetahuan dan sikap tentang kawasan tanpa rokok dengan perilaku merokok pada pengunjung RSUD I.A. Moeis Samarinda. (Skripsi). Universitas Muhammadiyah Kalimantan Timur, Kalimantan Timur.

Olson, S. A., & Stokols, D. (2017). Interdisciplinary collaboration among health workers for effective implementation of smoking bans. Health Education Research, 32(5), 678-686. https://doi.org/10.1093/her/cyx063

Parker, S., Johnson, J. A., & Mason, D. (2020). Health worker involvement in policy communication and its impact on compliance with smoking bans. Journal of Public Health Policy, 41(2), 154-161. https://doi.org/10.1057/s41271-020-00230-6

Petersen, A. B., Lindgren, B., & Rosendahl, I. (2016). Knowledge is power: The importance of public awareness in smoking cessation efforts. Health Education Research, 31(3), 291-303. https://doi.org/10.1093/her/cyw012

Profil BLUD Rumah Sakit Umum Daerah Kota Subulussalam.

Purcell, K. S., & Lewis, S. A. (2018). Enhancing compliance with smoke-free policies in healthcare settings through active health worker involvement. BMC Public Health, 18(1), 1-10. https://doi.org/10.1186/s12889-018-5250-1

Rahmah, N. (2018). Pengaruh rokok terhadap kesehatan dan pembentukan karakter manusia. Pros Semin Nas, 01(1), 78.

Schneider, H., & Ingram, H. (2020). Behavioral influences on public health policy implementation: The role of attitudes and perceptions. Journal of Public Policy and Administration, 15(2), 144-158. https://doi.org/10.1016/j.jppa.2020.02.004

Smith, A. W., Borland, R., & Yong, H. H. (2017). Effectiveness of graphic health warnings on cigarette packs in discouraging smoking in non-smokers: A cohort study. Tobacco Control, 26(6), 679-685. https://doi.org/10.1136/tobaccocontrol-2017-053707

Tan, C., & Glantz, S. A. (2019). Enforcement of non-smoking policies in public health facilities: The role of health workers. Tobacco Control, 28(2), 132-138. https://doi.org/10.1136/tobaccocontrol-2018-054675

Watson, K. L., Palmer, R. M., & Moore, B. C. (2017). Training health workers in communication skills to enforce smoking regulations. Journal of Health Communication, 22(6), 523-531. https://doi.org/10.1080/10810730.2017.1324520

Wawan, A., & Dewi, M. (2014). Teori dan pengukuran pengetahuan sikap dan perilaku manusia: Dilengkapi contoh kuesioner. Yogyakarta: Nuha Medika.

Whitehead, D., Phillips, J., & McNulty, D. (2016). Attitudes towards smoking bans in healthcare facilities: The role of social norms and perceived effectiveness. Journal of Health Communication, 21(6), 623-634. https://doi.org/10.1080/10810730.2016.1157651

Whitehead, D., Smith, J., & McNulty, D. (2018). Barriers to effective enforcement of non-smoking policies in hospitals: An exploratory study. Journal of Health Communication, 23(4), 389-399. https://doi.org/10.1080/10810730.2018.1457012

World Health Organization. (2017). Definisi rumah sakit: WHO available.

Xie, Z., & Zhao, Y. (2018). Role modeling by health workers in promoting compliance with smoking bans. International Journal of Public Health, 63(3), 329-338. https://doi.org/10.1007/s00038-017-1060-3

Zhang, J., Ou, J. X., & Bai, C. X. (2018). The impact of knowledge on smoking cessation in China: A study among health care workers. BMC Public Health, 18(1), 1-10. https://doi.org/10.1186/s12889-018-5432-7

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Published

2024-08-19

How to Cite

Suharto, T., Tarigan, A. M. ., Yuniati, Y., Sulisna, A. ., & Sukmayanti, I. (2024). Influence Factors of Visitor Compliance with The Implementation of Regional Regulation Policy Concerning Non-Smoking Areas at Blud of Subulussalam Regional General Hospital . Jurnal Perilaku Kesehatan Terpadu, 3(1), 30–42. https://doi.org/10.61963/jpkt.v3i1.100