indonesia_tob_burden_en.pdf

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Indonesia: Tobacco burden global.tobaccofreekids.org August 2013 INDONESIA Indonesia has not ratified the Framework Convention on Tobacco Control. TOBACCO BURDEN FACTS 1-3. Global adult tobacco survey (GATS): Indonesia. World Health Organization; 2011. Available from: http://apps.nccd.cdc.gov/GTSSData/Ancillary/DataReports.aspx?CAID=3. 4. Global Youth Tobacco Survey (GYTS) [database on the Internet]. Indonesia – National 2009. Atlanta: Centers for Disease Control and Prevention. c2009. Available from: http://apps.nccd.cdc.gov/OSH_GTSS/default/Default.aspx. 5. Barber S, Adioetomo SM, Ahsan A, Setynoaluri D. Tobacco economics in Indonesia. Paris: International Union Against Tuberculosis and Lung Disease; 2008. 6. Aditama T, Pradono J, Rahman K, Warren C, Jones NR, Asma S, Lee J. Global Youth Tobacco Survey (GYTS) in Indonesia. Preventive Medicine. 2008; 47:S11-S14. 7. GATS: Indonesia. 2011. 8. Mackay J, Eriksen M, Shafey O. The Tobacco Atlas. 2nd ed. Atlanta: American Cancer Society; 2006. 9. Global Burden of Disease [database on the internet]. Institute for Health Metrics and Evaluation (IHME). c2013 [cited 2013 August 15]. Available from: www. healthmetricsandevaluation.org/gbd/. 10. Republic of Indonesia Ministry of Health (Indonesia MOH). The tobacco source book: data to support a national tobacco control strategy. Jakarta: Indonesia MOH; 2004. 11. GYTS: Indonesia. 2009. 12. Barber S, 2008. 13. Mackay J, 2006. 14. Barber S, 2008. TOBACCO CONSUMPTION Tobacco use is rising in Indonesia. • There are over 61 million tobacco users in Indonesia. 1 • Over one-third (36%) of Indonesians use tobacco in smoking and/or smokeless form. 2 • 67% of males smoke. While female rates are low (4.5%), they are expected to rise. 3 • Among youth (age 13-15), 20% smoke cigarettes (boys 41%; girls 3.5%). 4 • 78% of smokers start before age 19, 5 and one-third of students report trying their first cigarette before the age of 10. 6 • The majority of smokers in Indonesia (90%) use kreteks, clove flavored cigarettes. 7 HEALTH CONSEQUENCES Tobacco use is deadly. Smoking kills up to half of all lifetime users. 8 • In Indonesia, smoking kills at least 225,000 people annually. 9 • More than 97 million Indonesian non-smokers are regularly exposed to secondhand smoke. 10 • 78% of youth (age 13-15) are exposed to secondhand smoke in public places, and 69% of youth are exposed to secondhand smoke at home. 11 COSTS TO SOCIETY Tobacco exacts a high cost on society. • In Indonesia, healthcare costs attributed to tobacco-related illnesses amount to 11 trillion IDR each year (1.2 billion USD). 12 • Lost economic opportunities in highly populated, developing countries are severe because half of all tobacco related deaths occur during the prime productive years (30-69 years). 13 • In 2005, Indonesian households with smokers spent 11.5% of their household income on tobacco products compared to 11% spent on fish, meat, eggs and milk combined, 3.2% on education and 2.3% on health. 14 • Smoking also results in costs associated with fire damage and damage to the environment from the manufacturing and packaging of tobacco products. Prevalence of tobacco use in Indonesia (2011) 1 PERCENTAGE OF TOBACCO USERS total population adult males adult females 100% 36.1% 67.4% 4.5% Income spent by category in households with smokers, in Indonesia (2005) 1 tobacco products 11.5% fish, meat eggs, and milk 11% education 3.2% health 2.3% Tobacco use among youth (age 13–15), in Indonesia (2009) 4 other 72% smoked cigarettes other tobacco products total boys girls PERCENTAGE OF TOBACCO USERS 0 10 20 30 40 50

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Indonesia: Tobacco burden global.tobaccofreekids.orgAugust 2013

INDONESIAIndonesia has not ratified the Framework Convention on Tobacco Control.

TOBACCO BURDEN FACTS

1-3. Global adult tobacco survey (GATS): Indonesia. World Health Organization; 2011. Available from: http://apps.nccd.cdc.gov/GTSSData/Ancillary/DataReports.aspx?CAID=3. 4. Global Youth Tobacco Survey (GYTS) [database on the Internet]. Indonesia – National 2009. Atlanta: Centers for Disease Control and Prevention. c2009. Available from: http://apps.nccd.cdc.gov/OSH_GTSS/default/Default.aspx. 5. Barber S, Adioetomo SM, Ahsan A, Setynoaluri D. Tobacco economics in Indonesia. Paris: International Union Against Tuberculosis and Lung Disease; 2008. 6. Aditama T, Pradono J, Rahman K, Warren C, Jones NR, Asma S, Lee J. Global Youth Tobacco Survey (GYTS) in Indonesia. Preventive Medicine. 2008; 47:S11-S14. 7. GATS: Indonesia. 2011. 8. Mackay J, Eriksen M, Shafey O. The Tobacco Atlas. 2nd ed. Atlanta: American Cancer Society; 2006. 9. Global Burden of Disease [database on the internet]. Institute for Health Metrics and Evaluation (IHME). c2013 [cited 2013 August 15]. Available from: www.healthmetricsandevaluation.org/gbd/. 10. Republic of Indonesia Ministry of Health (Indonesia MOH). The tobacco source book: data to support a national tobacco control strategy. Jakarta: Indonesia MOH; 2004. 11. GYTS: Indonesia. 2009. 12. Barber S, 2008. 13. Mackay J, 2006. 14. Barber S, 2008.

TOBACCO CONSUMPTIONTobacco use is rising in Indonesia.

• Thereareover61milliontobaccousersinIndonesia.1

• Overone-third(36%)ofIndonesiansusetobaccoinsmokingand/orsmokelessform.2

• 67%ofmalessmoke.Whilefemaleratesarelow(4.5%),theyareexpectedtorise.3

• Amongyouth(age13-15),20%smokecigarettes(boys41%;girls3.5%).4

• 78%ofsmokersstartbeforeage19,5andone-thirdofstudentsreporttryingtheirfirstcigarettebeforetheageof10.6

• ThemajorityofsmokersinIndonesia(90%)usekreteks,cloveflavoredcigarettes.7

HEALTH CONSEQUENCESTobacco use is deadly. Smoking kills up to half of all lifetime users.8

• InIndonesia,smokingkillsatleast225,000peopleannually.9

• Morethan97millionIndonesiannon-smokersareregularlyexposedtosecondhandsmoke.10

• 78%ofyouth(age13-15)areexposedtosecondhandsmokeinpublicplaces,and69%ofyouthareexposedtosecondhandsmokeathome.11

COSTS TO SOCIETYTobacco exacts a high cost on society.

• InIndonesia,healthcarecostsattributedtotobacco-relatedillnessesamountto11trillionIDReachyear(1.2billionUSD).12

• Losteconomicopportunitiesinhighlypopulated,developingcountriesareseverebecausehalfofalltobaccorelateddeathsoccurduringtheprimeproductiveyears(30-69years).13

• In2005,Indonesianhouseholdswithsmokersspent11.5%oftheirhouseholdincomeontobaccoproductscomparedto11%spentonfish,meat,eggsandmilkcombined,3.2%oneducationand2.3%onhealth.14

• Smokingalsoresultsincostsassociatedwithfiredamageanddamagetotheenvironmentfromthemanufacturingandpackagingoftobaccoproducts.

Prevalence of tobacco usein Indonesia (2011)1

PERCENTAGE OFTOBACCO USERS

total population

adult males

adult females

100%

36.1%

67.4%

4.5%

Income spent by category in households with smokers,

in Indonesia (2005)1

tobacco products11.5%

fish, meateggs, and milk

11%education

3.2%health2.3%

Tobacco use among youth (age 13–15), in Indonesia (2009)4

other72%

smoked cigarettesother tobacco products

total boys girls

PERCENTAGE OFTOBACCO USERS

0

10

20

30

40

50