Overview of Adolescents’ Knowledge Regarding the Dangers of Smoking on Oral Health and Oral Cancer
Abstract
Smoking is a harmful habit that affects both general and oral health, including increasing the risk of oral cancer. Adolescents are particularly vulnerable to initiating smoking due to peer influence, social environment, and misconceptions about social status. This study aimed to describe adolescents’ knowledge regarding the dangers of smoking on dental and oral health. A descriptive survey was conducted among adolescents selected through random sampling. Data were collected using a validated questionnaire and analyzed descriptively. The results showed that 93.75% of respondents had good knowledge, 6.25% had moderate knowledge, and none had poor knowledge, with a mean score of 95.47 (good category). However, four respondents (12.5%) reported having started smoking less than one year ago, indicating that knowledge alone does not prevent the initiation of smoking. These findings emphasize the need for continuous health education and preventive programs in schools and communities. Effective strategies should involve teachers, parents, and health professionals, as well as the use of social media and community-based approaches to engage adolescents. Regular monitoring of smoking behavior and the creation of smoke-free environments at home and school are also recommended, as high knowledge is expected to encourage adolescents to avoid smoking for the sake of their health.In conclusion, most adolescents demonstrated good knowledge of the dangers of smoking, yet preventive interventions remain essential to reduce smoking behavior and improve oral health outcomes.
Keywords: Smoking, Oral Cancer, Dental health, Adolescents, Knowledge
Full Text:
PDFReferences
Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324.
American Dental Association. (2022). Dampak merokok terhadap kesehatan gigi dan mulut. American Dental Association.
Bagaitkar, J., Demuth, D. R., & Scott, D. A. (2008). Tobacco smoke and oral bacterial flora: Mechanisms of dental and periodontal diseases. Critical Reviews in Oral Biology & Medicine, 19(3), 198–209.
Cameng, S., & Arfin, A. (2020). Prediksi jumlah perokok di Indonesia hingga tahun 2025. Jurnal Kesehatan Masyarakat, 15(2), 45–53.
Centers for Disease Control and Prevention. (2021). Factors influencing adolescent smoking initiation. U.S. Department of Health and Human Services.
Hulu, F., & Zai, A. (2021). Faktor-faktor yang memengaruhi perilaku merokok pada remaja. Jurnal Kesehatan Masyarakat Indonesia, 16(1), 22–30.
International Agency for Research on Cancer. (2021). Tobacco smoking and cancer risks. World Health Organization.
Kementerian Kesehatan Republik Indonesia. (2020). Riset Kesehatan Dasar (Riskesdas) 2018. Badan Penelitian dan Pengembangan Kesehatan.
Le, T. T., Vu, T. T., & Nguyen, T. H. (2021). Adolescent knowledge and attitudes toward smoking and oral health in Vietnam. BMC Public Health, 21(1), 1349.
Leonardi-Bee, J., Jere, M. L., & Britton, J. (2011). Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: A systematic review and meta-analysis. Thorax, 66(10), 847–855.
Mirnawati, M., Sartika, D., & Rahayu, P. (2018). Pengaruh budaya merokok di kalangan remaja. Jurnal Ilmu Kesehatan, 9(2), 101–110.
National Institute of Dental and Craniofacial Research. (2021). Smoking and oral health. National Institutes of Health.
Pham, T. H., Nguyen, D. H., & Tran, T. L. (2019). Knowledge and attitudes of adolescents toward smoking and oral health in Thailand. Asian Pacific Journal of Cancer Prevention, 20(5), 1463–1470.
Preshaw, P. M., Alba, A. L., Herrera, D., Jepsen, S., Konstantinidis, A., Makrilakis, K., & Taylor, R. (2012). Periodontitis and diabetes: A two-way relationship. Diabetologia, 55(1), 21–31.
Putra, I. M., & Yuliana, R. (2017). Hubungan pengetahuan dan sikap dengan perilaku merokok pada remaja. Jurnal Promkes, 5(2), 123–131.
Suryani, E., Hidayat, A., & Nurhidayah, S. (2019). Pengetahuan dan perilaku merokok remaja di Indonesia: Studi literatur. Jurnal Keperawatan Indonesia, 22(3), 167–175.
Thomas, R. E., McLellan, J., & Perera, R. (2019). School-based programmes for preventing smoking. Cochrane Database of Systematic Reviews, 2019(10), CD001293.
Trisaputro, N. (2019). Tren merokok dan gaya hidup di kalangan remaja laki-laki. Jurnal Psikologi Sosial, 17(1), 12–20.
U.S. Surgeon General. (2014). The health consequences of smoking: 50 years of progress. U.S. Department of Health and Human Services.
World Health Organization. (2019). WHO report on the global tobacco epidemic. World Health Organization.
World Health Organization. (2021). Tobacco and oral health. World Health Organization.
World Health Organization. (2023). Global report on trends in prevalence of tobacco use 2000–2025 (5th ed.). World Health Organization.
DOI: https://doi.org/10.33992/icmahs.v3i1.4660
Refbacks
- There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
POLTEKKES KEMENKES DENPASAR
Address: Jl. Sanitasi No.1, Sidakarya, Denpasar Selatan, Kota Denpasar, Bali 80224 (0361) 710447