The Effect of Digital Electronic Anti Smoking Campaigns on Adolescents' Perceptions and Behaviors in Middle Schools

Authors

  • Warijan Poltekkes Kemenkes Semarang
  • Nuraini Universitas Muhammadiyah Tangerang

DOI:

https://doi.org/10.69855/samec.v2i2.285

Keywords:

Digital Campaign, Electronic Cigarettes, Youth, Health Literacy, Healthy Behavior

Abstract

The increasing use of e-cigarettes among adolescents poses a serious public health challenge. This study aims to analyze the effectiveness of a digital-based anti-e-cigarette campaign on changes in knowledge, attitudes, and behavioral intentions of high school adolescents. The method used was a quasi-experimental pre-test–post-test control group design, involving 240 students divided into treatment and control groups. The intervention, a digital campaign through popular social media platforms (Instagram, TikTok, and WhatsApp), was implemented for four weeks, with content consisting of short videos, posters, and infographics.The results showed a significant increase in the treatment group compared to the control group. The average knowledge score increased by ±19.3 points, negative attitudes toward vaping increased by ±1.2 points, and healthy behavior intentions increased by ±1.3 points (p < 0.001). Inferential analysis using paired t-tests, independent t-tests, and ANOVA confirmed that these differences were due to the digital campaign intervention, with a significant contribution to the variability of change (partial η² 0.37–0.41). Furthermore, qualitative findings from focus group discussions revealed that the digital content was considered engaging, easy to understand, and capable of motivating adolescents to refuse vaping, although some respondents considered the campaign duration too short.In conclusion, digital campaigns have proven effective in improving health literacy, shaping negative attitudes toward e-cigarettes, and strengthening healthy behavioral intentions in adolescents. Digital-based educational strategies can be a relevant, adaptive, and potentially integrated preventive approach into broader public health programs.

References

Arnaud, N., Holtmann, M., Melchers, P., Klein, M., Schimansky, G., Krömer, T., Reis, O., & Rainer Thomasius. (2022). Nutzung elektronischer Zigaretten (E-Zigaretten) und E-Shishas durch Kinder und Jugendliche. Zeitschrift Für Kinder- Und Jugendpsychiatrie Und Psychotherapie, 50(2), 121–132. https://doi.org/10.1024/1422-4917/a000831

Dai, H. D., Ratnapradipa, K., Michaud, T. L., King, K. M., Guenzel, N., Tamrakar, N., Puga, T., & Sussman, S. (2022). Vaping Media Literacy, Harm Perception, and Susceptibility of E-Cigarette Use Among Youth. American Journal of Preventive Medicine, 63(5). https://doi.org/10.1016/j.amepre.2022.05.012

East, K., Taylor, E., Simonavičius, E., Nottage, M., Reid, J. L., Burkhalter, R., Brose, L., Wackowski, O. A., Liber, A. C., McNeill, A., & Hammond, D. (2024). Noticing education campaigns or public health messages about vaping among youth in the United States, Canada and England from 2018 to 2022. Health Education Research, 39(1), 12–28. https://doi.org/10.1093/her/cyad044

Galper, E. F., O’Shea, N., Ritchie, C., Kresovich, A., Ma, H., Sutfin, E. L., Sheeran, P., & Noar, S. M. (2024). Identifying promising themes and messages for youth vaping prevention: A national study. Social Science & Medicine, 348, 116864–116864. https://doi.org/10.1016/j.socscimed.2024.116864

Glasser, A. M., Harder, V. S., West, J. C., Roemhildt, M. L., Osbahr, L., Williams, R., & Villanti, A. C. (2025). Effect of a State-Level Vaping Prevention Campaign on Beliefs and Behaviors in Young People. Substance Use & Misuse, 60(5), 659–668. https://doi.org/10.1080/10826084.2024.2446741

Kemenkes. (2022, November 10). Mengenal Bahaya Rokok Elektrik (Vape). Kemkes.go.id. https://ayosehat.kemkes.go.id/mengenal-bahaya-rokok-elektrik-vape

Kieu, T., Ma, H., Rohde, J. A., O’Shea, N. G., Hall, M. G., Brewer, N. T., & Noar, S. M. (2024). Understanding Potential Mechanisms of Vaping Prevention Messages: A Mediation Analysis of the Real Cost Campaign Advertisements. Health Education & Behavior, 52(1). https://doi.org/10.1177/10901981241278565

Lee, B. G., & Lee, H. (2021). Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys. Journal of Korean Academy of Nursing, 51(3), 380. https://doi.org/10.4040/jkan.21034

Livingston, J. A., Chen, C.-H., Kwon, M., & Park, E. (2022). Physical and mental health outcomes associated with adolescent E-cigarette use. Journal of Pediatric Nursing, 64(64), 1–17. https://doi.org/10.1016/j.pedn.2022.01.006

Mir, M., Rauf, I., Goksoy, S., Khedr, A., Jama, A. B., Mushtaq, H., Jain, N. K., Khan, S. A., Surani, S., & Koritala, T. (2022). Electronic Cigarettes: Are They Smoking Cessation Aids or Health Hazards? Cureus. https://doi.org/10.7759/cureus.25330

Nik Mohamed, M. H. (2024). Cigarette Smoking & Electronic Cigarette Use among Malaysian Adolescents: Urgent Call for Action. Journal of Pharmacy , 4(2), 138–141. https://doi.org/10.31436/jop.v4i2.328

Ramadanty, F. B., Akaputra, R., & Andriyani. (2025). Determinan Penggunaan Rokok Elektrik (Vape) dan Dampaknya Pada Generasi Z. OBAT: Jurnal Riset Ilmu Farmasi Dan Kesehatan, 3(3), 239–254. https://doi.org/10.61132/obat.v3i3.1337

Shubochkina, E. I., Guryanova, M. P., Kurgansky, A. M., Khramtsov, P. I., Gorelova, J. Yu., & Anufrieva, E. V. (2024). The Impact of Electronic Cigarettes Smoking on the Health of Adolescents and Young Adults. ЗДОРОВЬЕ НАСЕЛЕНИЯ И СРЕДА ОБИТАНИЯ - ЗНиСО / Public Health And Life Environment, 54–63. https://doi.org/10.35627/2219-5238/2024-32-6-54-63

Solano, L. (2025). Evidence-based treatment approaches for adolescent electronic cigarette use. JAAPA. https://doi.org/10.1097/01.jaa.0000000000000179

Stalgaitis, C. A., Dang, S., Warner, C., Biggers, S., Jackson, L., & Jordan, J. W. (2025). Youth Tobacco Control in the Digital Age: Impact of South Carolina’s Youth Tobacco Education and Vaping Cessation Social Media Programs. International Journal of Environmental Research and Public Health, 22(2), 269. https://doi.org/10.3390/ijerph22020269

World Health Organization. (2023). Tobacco and its environmental impact: an overview. World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789240051287. DOI: https://doi.org/10.2471/BLT.22.288571.

Yazidjoglou, A., Watts, C., Joshy, G., Banks, E., & Freeman, B. (2025). The relationship between sports performance, physical activity and e-cigarette use among Australian adolescents: A qualitative study. Tobacco Induced Diseases, 23(March), 1–10. https://doi.org/10.18332/tid/199474

Downloads

Published

2025-12-13

How to Cite

Warijan, & Nuraini. (2025). The Effect of Digital Electronic Anti Smoking Campaigns on Adolescents’ Perceptions and Behaviors in Middle Schools. Sustainable Applied Modification Evidence Community, 2(2), 70–80. https://doi.org/10.69855/samec.v2i2.285

Most read articles by the same author(s)