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Compliance to Cigarette Restriction Policy in Enrekang, Indonesia Andi Zulkifli, Alimin, Ridwan, Furqan and Rahma Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Indonesia Slide 2 Introduction WHO: about five millions people die per year due to tobacco. It is expected that in 2020 it could reach ten million. About 70% death associate to tobacco occured in developing countries. The Indonesian Government has not ratified Framework Convention on Tobacco Control/FCTC). Annually, it is estimated that about 427.948 death related to tobacco, that is 1.172 deaths per day on average. Enrekang, a subdistric in Indonesia, introduced a new policy on smoking restriction at village level. Slide 3 Overview of Smoking restriction policy In 2009, a village (Bone-Bone) introduced a policy regarding to tobacco restriction at village level. This policy follows the international standard that 100% tobacco free and do not provide smoking areas for active smokers However, many people within this subdistrict do not obey this policy Slide 4 Study Site Slide 5 Admistrative level in Indonesia Country : Indonesia Province : South Sulawesi District : Enrekang Sub District : Baraka Village : Bone-Bone Respondents were selected at this level Slide 6 Overview of The Sub District Contains 15 villages, include the village that implement tobacco restriction policy at village level Population : 21.058 people Male 10.621, Female 10.437 Types of occupation: Agriculture Slide 7 Research Question Do knowledge, attitude, income, socio cultural aspects and the availability of smoking restriction determine the compliance to tobacco restriction Slide 8 Methods This study was conducted as analytical observation by using a cross sectional study design. Two hundred and eighty one samples were taken by using selected randomly in a subdistrict. Data were analysed by using Chi Square test and the logistic regression test, were used to examine the relationship of the variables. Slide 9 Results Slide 10 Characteristics of The Respondents Characteristics of respondents Freq.% Age < 27 years 27 - 44 > 44 60 162 59 21.4 57.6 21.0 Education Elementary school Junior high school Senior high school University 75 98 103 5 26.7 34.9 36.7 1.7 Slide 11 Level of Knowledge, Income and Cultural Influence to The Compliance on Tobacco Restriction Policy Variable Comply the policy n: 281 % X2PX2P Yes%No% Level of knowledge High low 156 39 72,6 59,1 59 27 27,4 40,9 215 66 76,5 23,5 4,312 0,038 0,124 Income Low High 95 100 63,8 75,8 54 32 36,2 24,2 149 132 53,0 47,0 4,745 0,038 0,130 Cultural influence No Yes 72 123 56,7 79,9 55 31 43,3 20,1 127 154 45,2 54,8 17,604 0,000 0,250 Slide 12 Attitude, Availability of Smoking Restriction Policy at Village Level and Compliance to The Policy Variabel Comply the policy n: 281 % X2PX2P Yes%No% Attitude Below Average 55 140 56,7 76,1 42 44 43,3 23,9 97 184 34,5 65,5 11,239 0,001 0,20 Availablity of the tobacco Policy No Yes 86 109 59,7 79,6 58 28 40,3 20,4 144 137 51,25 48,75 13,012 0,000 0,215 Slide 13 Multivariate Analysis of Compliance to The Tobacco Restriction Policy VariableBS.E.DfSigExp (B) C.I 95 % LowerUpper Knowledge Income Culture attitude Avail. Of the policy Constant 0,687 0,505 0,980 0,728 1,113 -6,678 0,335 0,293 0,286 0,290 0,296 1,015 111111111111 0,40 0,084 0,001 0,012 0,000 1,989 1,658 2,664 2,072 3,043 0,001 1,030 0,934 1,522 1,172 1,705 3,837 2,941 4,664 3,661 5,433 Slide 14 Conclusion Level of knowledge, income, culture, availability of tobacco policy at village level are the determinant to smoke free in Baraka Sub District, Enrekang Village policy is a main determinants to the compliance to smoking free activities in Baraka district, Enrekang. Slide 15 Suggestion Socialization of the tobacco restriction policy need to be extended to other villages, Tobacco restriction policy in Bone-Bone village may be applicable to other village.