Journals Information
									Universal Journal of Public Health Vol. 13(1), pp. 250 - 259 
DOI: 10.13189/ujph.2025.130125 
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Public Health Policy in Action: The Impact of Enforcing Local Regulation No. 7 of 2013 on Smoke-free Areas
								Yeni Riza  1,*,  Dina Adam  2,  Yesie Christina  1,  Ahmad Zacky Anwary  1,  Netty  1,  Eka Handayani  1,  Husnul Khatimatun Inayah  1,  Abdul Malik  3,  Yoneta Oktaviani  4,  Ari Widyarni  1
1 Faculty of Public Health, Universitas Islam Kalimantan MAB, Indonesia
2 Faculty of Health Sciences, INTI University Malaysia, Malaysia
3 Faculty of Agriculture, Universitas Islam Kalimantan MAB, Indonesia
4 Faculty of Health Science, Lincoln University College, Malaysia
							
ABSTRACT
The prevalence of smoking-related diseases remains high in Banjarmasin, exacerbated by frequent violations of Smoke-Free Zone regulations and insufficient enforcement by authorities. This study aims to examine the relationship between the enforcement of Regional Regulation No. 7 of 2013 on smoke-free areas and public health outcomes within the unique cultural and geographical context of Banjarmasin. A cross-sectional, quantitative study was conducted with 264 male respondents aged ≥15 years, selected through purposive sampling. Questionnaires were used to gather data, and the chi-square test was used to analyze it at the significance level of p=0.05. Furthermore, a logistic regression multivariate analysis was carried out to determine the relationship between several independent factors and the dependent variable. The study found that 183 respondents (69.3%) had public health levels, 211 (79.9%) had positive public awareness, 162 (61.4%) understood regulations, 143 (54.2%) were unaffected by the social environment, and 166 (62.9%) received health education. Significant relationships were observed between public awareness (p=0.002) and health education (p=0.001) with health status, while regulatory understanding (p=0.244) and social environment (p=0.241) showed no significant impact. Multivariate analysis indicated that public awareness (p=0.007; OR=2.410) and health education (p=0.069; OR=1.671) were the most influential factors. Public awareness and health education are crucial in improving health outcomes. The study highlights the importance of culturally sensitive approaches, such as leveraging the community-driven spirit of gotong royong (community cooperation) and integrating local religious practices in health campaigns. It recommends intensifying awareness efforts on the dangers of smoking, reinforcing the enforcement of smoke-free zones, and expanding smoking cessation programs and carbon monoxide (CO) testing, with a focus on cultural relevance and community involvement.
KEYWORDS
					         
Public Awareness, Understanding of Regulations, Social Environment, Health Education, Enforcement of Regional Regulations, Health Levels
Cite This Paper in IEEE or APA Citation Styles
								(a). IEEE Format: 
					         [1] Yeni Riza     , Dina Adam     , Yesie Christina     , Ahmad Zacky Anwary     , Netty     , Eka Handayani     , Husnul Khatimatun Inayah     , Abdul Malik     , Yoneta Oktaviani     , Ari Widyarni     , "Public Health Policy in Action: The Impact of Enforcing Local Regulation No. 7 of 2013 on Smoke-free Areas,"  Universal Journal of Public Health, Vol. 13, No. 1, pp. 250 - 259,  2025. DOI: 10.13189/ujph.2025.130125. 
					       (b). APA Format: 
					         Yeni Riza     , Dina Adam     , Yesie Christina     , Ahmad Zacky Anwary     , Netty     , Eka Handayani     , Husnul Khatimatun Inayah     , Abdul Malik     , Yoneta Oktaviani     , Ari Widyarni      (2025). Public Health Policy in Action: The Impact of Enforcing Local Regulation No. 7 of 2013 on Smoke-free Areas. Universal Journal of Public Health, 13(1), 250 - 259. DOI: 10.13189/ujph.2025.130125.