FORMATION OF SCHOOL HEALTH CADRES AND STRESS MANAGEMENT INTERVENTIONS TO REDUCE ADOLESCENT SMOKING BEHAVIOR IN SCHOOL

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Ni Putu Ariani
Nyoman Sudja
subandi subandi

Abstract

Indonesia is one of 12 countries that account for 40% of the total smokers in the world, and is ranked as the third largest number of smokers in the world after China and India. In Indonesia, the average number of cigarettes per person reaches 12.3 cigarettes per day. In West Java, the population who smokes is around 27.1%. Smoking behavior has become a habit for people including teenagers. The proportion of sometimes smokers in this province the age of 15-19 years, which is as much as 7.1% and every day smokers reach 11.2%. The average number of cigarettes consumed is 10.7 cigarettes per day. In West Bogor, students who smoke every day is about 18.70%, and those who smoke sometimes reach 32.90%. One of the causes of smoking behavior is stress related to self confidence, changes in body structure and poor adaptation. About 27% of teenagers smoke because of stress. The study which is also a community service activity was carried out on YKTB 1 Vocational School and YZA 4 Vocational School students in Bogor City. The activity was held for 10 months starting from March to December 2017. The purpose of this activity was to gradually establish school health cadres to improve adolescent behavior, especially in reducing smoking habits. The expected output of this activity is the formation of school health cadres, the formation of UKS implementation teams and the changing behavior of smoking teenagers. The results of this activity were the training of 70 health cadres, the formation of 2 school implementing teams at YZA 4 and YKTB I. There was a decrease in the average smoking rate at YZA 4 Vocational School from 2.53 to 1.42 cigarettes per day, and even five person stopped smoking. At YKTB I, smoking behavior decreased from an average of 2.11 cigarettes to 1.32 cigarettes per day, and there were 9 teenagers stopped smoking. For this reason, cadre training activities and stress management interventions can be applied by the Public Health Center (Puskesmas) in the School Health Business program

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