Policy makers should consider the characteristics of JKN PBI participants in determining policies related to public health

Oct 13, 2025 by wbrum.org 43 views

The Relationship between Characteristics of National Health Insurance Participants (JKN) Recipients of Contribution Assistance (PBI) with Smoking Behavior in the Working Area of Medan Sunggal Health Center in 2018

Introduction

The North Sumatra region, particularly Medan Sunggal, has been experiencing a significant relationship between the characteristics of National Health Insurance (JKN) participants who receive contribution assistance (PBI) and smoking behavior. This study aims to analyze the extent to which demographic characteristics, such as age, sex, level of education, occupation, and expenditure, can affect smoking habits among JKN PBI participants in Medan Sunggal Puskesmas in 2018.

Background

Cigarette consumption has emerged as one of the key contributors to poverty in this region. The poor population with low income experiences a fairly high smoking habit, with a figure of 27.3%, while high-income groups show lower smoking habits, which is 19.5%. In Medan Sunggal, there are around 4,500 families classified as poor, and of that number, Medan Sunggal Health Center recorded 3,100 PBI recipient families who consume 10 to 24 cigarettes every day.

Methodology

This study involved sampling using stratified random sampling techniques, with a total of 97 respondents who have smoking behavior. The study aimed to analyze the relationship between demographic characteristics and smoking behavior among JKN PBI participants in Medan Sunggal Puskesmas in 2018.

Results

The results showed a significant relationship between several demographic factors and smoking behavior. First, age has a strong relationship with smoking habits (p = 0.001). This shows that the older a person, the possibility of smoking also increases. In addition, the sex also contributes to this behavior, with the results of the study showing P = 0.003, where men tend to smoke more than women. The level of education plays an important role, where respondents with lower education have a higher tendency for smoking (p = 0.001). Work and expenditure also have a significant effect with p = 0.001, indicating that more stable work and better expenditure can reduce smoking.

However, this study also found that there was no significant relationship between knowledge (p = 0.343), attitude (p = 0.613), and perception (p = 1,000) towards smoking behavior. This shows that even though individuals have knowledge about the dangers of smoking, their attitudes and perceptions are not always reflected in their smoking behavior.

Discussion

The results of this study have several implications for policy makers and health professionals. First, the study highlights the importance of considering the characteristics of JKN PBI participants in determining policies related to public health. Second, the study suggests that socialization of the dangers of smoking should be more intensive, so that people are more aware of the adverse effects of this habit on health. With a more holistic approach, it is expected to reduce the number of smokers among poor families and improve the overall quality of public health.

Conclusion

In conclusion, this study has shown that there is a significant relationship between demographic characteristics and smoking behavior among JKN PBI participants in Medan Sunggal Puskesmas in 2018. The study highlights the importance of considering the characteristics of JKN PBI participants in determining policies related to public health and suggests that socialization of the dangers of smoking should be more intensive. With a more holistic approach, it is expected to reduce the number of smokers among poor families and improve the overall quality of public health.

Recommendations

Based on the results of this study, the following recommendations are made:

Policy makers should consider the characteristics of JKN PBI participants in determining policies related to public health. This includes considering the demographic characteristics of JKN PBI participants, such as age, sex, level of education, occupation, and expenditure, in determining policies related to public health.
Socialization of the dangers of smoking should be more intensive. This includes conducting more intensive socialization of the dangers of smoking, so that people are more aware of the adverse effects of this habit on health.
A more holistic approach should be taken to reduce the number of smokers among poor families. This includes taking a more holistic approach to reduce the number of smokers among poor families, including providing education and training on healthy behaviors and providing support to individuals who want to quit smoking.

Limitations

This study has several limitations. First, the study only included JKN PBI participants in Medan Sunggal Puskesmas in 2018, which may not be representative of all JKN PBI participants in the North Sumatra region. Second, the study only analyzed the relationship between demographic characteristics and smoking behavior, and did not analyze other factors that may contribute to smoking behavior. Third, the study only used a cross-sectional design, which may not allow for causal inferences.

Future Research Directions

Future research should aim to build on the findings of this study by:

Conducting a larger and more representative sample. This includes conducting a larger and more representative sample of JKN PBI participants in the North Sumatra region.
Analyzing other factors that contribute to smoking behavior. This includes analyzing other factors that contribute to smoking behavior, such as socioeconomic status, education level, and occupation.
Using a longitudinal design. This includes using a longitudinal design to analyze the relationship between demographic characteristics and smoking behavior over time.

References

[1] World Health Organization. (2018). Tobacco control. Retrieved from https://www.who.int/news-room/fact-sheets/detail/tobacco
[2] Centers for Disease Control and Prevention. (2018). Smoking & tobacco use. Retrieved from https://www.cdc.gov/tobacco/index.htm
[3] Ministry of Health. (2018). National Health Insurance (JKN) program. Retrieved from https://www.kemkes.go.id/article/view/2018/12335/national-health-insurance-jkn-program.html
Frequently Asked Questions (FAQs) about the Relationship between Characteristics of National Health Insurance Participants (JKN) Recipients of Contribution Assistance (PBI) with Smoking Behavior in the Working Area of Medan Sunggal Health Center in 2018

Q: What is the main objective of this study?

A: The main objective of this study is to analyze the relationship between demographic characteristics, such as age, sex, level of education, occupation, and expenditure, and smoking behavior among JKN PBI participants in Medan Sunggal Puskesmas in 2018.

Q: What is the significance of this study?

A: This study is significant because it highlights the importance of considering the characteristics of JKN PBI participants in determining policies related to public health. It also suggests that socialization of the dangers of smoking should be more intensive to reduce the number of smokers among poor families and improve the overall quality of public health.

Q: What are the demographic characteristics that were analyzed in this study?

A: The demographic characteristics that were analyzed in this study include age, sex, level of education, occupation, and expenditure.

Q: What is the relationship between age and smoking behavior?

A: The study found a significant relationship between age and smoking behavior, with older individuals being more likely to smoke.

Q: What is the relationship between sex and smoking behavior?

A: The study found that men are more likely to smoke than women.

Q: What is the relationship between level of education and smoking behavior?

A: The study found that individuals with lower education levels are more likely to smoke.

Q: What is the relationship between occupation and smoking behavior?

A: The study found that individuals with more stable work and better expenditure are less likely to smoke.

Q: What is the relationship between knowledge, attitude, and perception towards smoking behavior?

A: The study found that there is no significant relationship between knowledge, attitude, and perception towards smoking behavior.

Q: What are the implications of this study for policy makers and health professionals?

A: The study highlights the importance of considering the characteristics of JKN PBI participants in determining policies related to public health. It also suggests that socialization of the dangers of smoking should be more intensive to reduce the number of smokers among poor families and improve the overall quality of public health.

Q: What are the limitations of this study?

A: The study has several limitations, including the small sample size, the use of a cross-sectional design, and the lack of analysis of other factors that may contribute to smoking behavior.

Q: What are the future research directions for this study?

A: Future research should aim to build on the findings of this study by conducting a larger and more representative sample, analyzing other factors that contribute to smoking behavior, and using a longitudinal design.

Q: What are the recommendations for policy makers and health professionals based on this study?

A: The study recommends that policy makers and health professionals consider the characteristics of JKN PBI participants in determining policies related to public health. It also recommends that socialization of the dangers of smoking should be more intensive to reduce the number of smokers among poor families and improve the overall quality of public health.

Q: What are the potential applications of this study?

A: The study has potential applications in the development of public health policies and programs aimed at reducing smoking rates among poor families and improving overall public health.

Q: What are the potential implications of this study for public health?

A: The study has potential implications for public health, including the development of targeted interventions to reduce smoking rates among poor families and improve overall public health.

Q: What are the potential limitations of this study for public health?

A: The study has potential limitations for public health, including the small sample size and the lack of analysis of other factors that may contribute to smoking behavior.

Q: What are the potential future directions for this study?

A: The study has potential future directions, including the analysis of other factors that contribute to smoking behavior, the use of a longitudinal design, and the development of targeted interventions to reduce smoking rates among poor families.