Effect of Health Education Using Audiovisual Media on Increasing Adolescent Knowledge in Preventing Vape Use at SMPN 6 Surabaya
Abstract
ABSTRACT Teenagers are vulnerable to smoking habits, including the trend of using vapes which is attractive because of its various flavors and designs. However, vaping is at risk of causing lung disease, heart disease, brain development disorders, and nicotine addiction. Prevention is carried out by increasing adolescent knowledge through health education using audiovisual media . This study is a quasi-experimental study with one group pretest-posttest design, the research population was adolescents at SMPN 6 Surabaya. The research sample was 186 adolescents with random sampling technique. Data collection using a questionnaire on the level of knowledge, attitudes, and actions while data analysis using the Wilcoxon test . The results of the study of knowledge before being given health education showed that adolescents had sufficient behavior in preventing vape use . While knowledge after being given health education showed that adolescents had good knowledge in preventing vape use . There is a significant difference between adolescent knowledge in preventing vape use before and after being given education with audiovisual media. This should be the main focus of health workers who of course need to be assisted by schools and families in providing education regarding the dangers of vape use for adolescents. Likewise, adolescents are expected to become individuals who are more aware of the importance of maintaining health and are able to make decisions.
KEYWORDS Health Education, Audiovisual Media, Knowledge Level, Prevention of Vape Use , Adolescents
Full text article
References
[1] R. Polosa and K. Farsalinos, “A tale of flawed e-cigarette research undetected by defective peer review process,” Internal and Emergency Medicine, vol. 18, no. 4, pp. 973–975, 2023, doi: 10.1007/s11739-022-03163-x.
[2] CNA, “Tren merokok vape meningkat 10 kali lipat, remaja diduga terpengaruh influencer di media sosial,” CNA. [Online]. Available: https://www.cna.id/lifestyle/vape-rokok-elektrik-remaja-media-sosial-medsos-sosmed-16916
[3] A. Susanto, M. P. Mahardika, and H. Purwantiningrum, “Pemberdayaan Kesehatan Remaja : Edukasi Bahaya Rokok Elektrik bagi Siswa SMA Negeri 2 Tegal,” Jurnal Pengabdian UNDIKMA, vol. 4, no. 3, p. 634, 2023, doi: 10.33394/jpu.v4i3.8178.
[4] N. Benowitz, J. Bernert, J. Foulds, S. Hecht, and P. Jacob, “Biochemical Verification of Tobacco Use and Abstinence: 2019 Update,” Physiology & behavior, vol. 176, no. 1, pp. 139–148, 2020, doi: 10.1093/ntr/ntz132.Biochemical.
[5] P. D. Garcia, J. A. Gornbein, and H. R. Middlekauff, “Cardiovascular autonomic effects of electronic cigarette use: a systematic review,” Clinical Autonomic Research, vol. 30, no. 6, pp. 507–519, 2020, doi: 10.1007/s10286-020-00683-4.
[6] M. El-Mahdy, M. Ewees, M. Eid, and E. Mahgoup, “Electronic Cigarette Exposure Causes Vascular Endothelial Dysfunction Due to NADPH Oxidase Activation and eNOS Uncoupling,” p. 6, 2020.
[7] M. T. Rini, B. D. Hardika, and K. Suryani, “Penurunan Berat Badan pada Remaja Obesitas Menggunakan Hipnoterapi,” Jurnal Keperawatan Silampari, vol. 4, no. 1, pp. 135–141, 2020, doi: 10.31539/jks.v4i1.1604.
[8] W. Freska, Keperawatan kesehatan jiwa remaja, 1st ed. Bantul: CV Mitra Edukasi Negeri, 2022.
[9] A. Asmawati, A. F. Pramesty, and T. R. Afiah, “Pengaruh Media Sosial Terhadap Gaya Hidup Remaja,” Cices, vol. 8, no. 2, pp. 138–148, 2022, doi: 10.33050/cices.v8i2.2105.
[10] M. M. Pratiwi, “Hubungan tingkat pengetahuan bahaya rokok elektrik dengan perilaku merokok elektrik di SMAN 11 Kota Jambi,” Universitas Jambi, 2023.
[11] A. Rosidi, A. Aupia, A. S. Sari, and I. A. Paramitha, “Edukasi bahaya rokok eletrik (vape) bagi kesehatan remaja di SMAN 01 Wanasaba,” Indonesian Journal of Community dEDICATION, vol. 7, no. 1, pp. 12–16, 2025.
[12] N. Antikasari, D. P. Nurchandra, E. Pratami, and T. I. Pipitcahyani, “The Influence Of Android Application-Based Education On Adolescent Knowledge Regarding Stunting Prevention In Madrasah Aliyah Amanatul Ummah, Surabaya,” International Journal of Advanced Health Science and Technology, vol. 3, no. 5, pp. 312–316, 2023, doi: 10.35882/ijahst.v3i5.274.
[13] I. Nurfajriah and D. Aristi, “Gambaran Paparan Media Sosial Instagram , Pengetahuan , Sikap Dan Perilaku Merokok Pada Siswa Man 2 Kota Tangerang Tahun 2024 Overview Of Instagram Social Media Exposure , Knowledge , Attitudes , And Smoking Behavior Among Adolescents At Man 2 Tangerang C,” vol. 6, no. 2, 2024.
[14] O. R. Utari, A. Kusumawati, and B. T. Husodo, “Pengaruh Media Sosial Terhadap Perilaku Merokok Siswa Smp Usia 12-14 Tahun Di Kota Semarang,” Jurnal Kesehatan Masyarakat, vol. 8, no. 2, pp. 298–303, 2020.
[15] B. Petrus and L. Alfita, “The Relationship Between Self-confidence and Smoking Behavior of Students at Sman 5 Medan,” JOUSKA: Jurnal Ilmiah Psikologi, vol. 1, no. 2, pp. 90–98, 2022, doi: 10.31289/jsa.v1i2.1334.
[16] N. A. L. A. Revica, L. Maria, and E. Yohani, “Hubungan Antara Perilaku Merokok Dengan Tingkat Kepercayaan Diri pada Remaja Putra Usia 16 Tahun di Kota Malang,” Profesional Health Journal, vol. 4, no. 2, pp. 86–95, 2023.
[17] C. Timur and L. Nurhadiyanto, “Tinjauan Penggunaan Rokok Elektrik di Kalangan Remaja dalam Perspektif Teori Differential Association Theory,” Action Research Literate, vol. 8, no. 8, pp. 2229–2233, 2024, doi: 10.46799/arl.v8i8.502.
[18] M. Jamil, R. Roesardhyati, A. Marrotul, and T. Aminah, “An overview vape use in terms of leifestyle in teenager,” Penambahan Natrium Benzoat Dan Kalium Sorbat (Antiinversi) Dan Kecepatan Pengadukan Sebagai Upaya Penghambatan Reaksi Inversi Pada Nira Tebu, vol. 01, pp. 62–74, 2024.
[19] M. Jamil et al., “An overview vape use in terms of lifestyle in teenager,” Action Research Literate, vol. 8, no. 8, pp. 2229–2233, 2024, doi: 10.46799/arl.v8i8.502.
[20] F. Azahrha, “Faktor Pendorong Remaja Dibawah Umur Menggunakan VAPE di Satutuju Kopi Pekanbaru,” vol. 10, pp. 1–23, 2023.
[21] N. H. Baco, K. Dareda, D. N. Sanangka, P. Ners, and U. M. Manado, “Pengaruh Edukasi Bahaya Rokok Elektrik Terhadap Tingkat Pengetahuan Remaja di SMA Negeri 3 Manado,” vol. 8, 2025.
[22] S. Notoatmodjo, Pendidikan dan perilaku kesehatan. Jakarta: Rineka Cipta, 2020.
[23] R. Jannah, W. T. Nugraheni, W. T. Ningsih, E. Rygh, and Y. A. Scheiber, “Analysis of Adolescent Intention Factors in Drug Abuse Prevention in Tuban District,” International Journal of Advanced Health Science and Technology, vol. 2, no. 2, pp. 74–79, 2022, doi: 10.35882/ijahst.v2i2.4.
[24] N. Amalia and Y. A. Wulandari, “Efektivitas Penggunaan Media Video Pencegahan Secondhand Vape Smoker Terhadap Risiko Secondhand Vape Smoker di UMKT Effectiveness of the Use of Secondhand Vape Smoker Prevention Video Media on the Risk of Secondhand Vape Smoker in UMKT,” Jurnal Dunia Kesmas, vol. 9, no. 4, pp. 491–499, 2020.
[25] N. N. G. Tosuba, Suaib, and Ahmil, “Pengaruh pendidikan kesehatan menggunakan media video terhadap perilaku merokok pada remaja,” Jurnal Ners, vol. 8, no. 1, pp. 734–741, 2024.
[26] S. Suaib et al., “Edukasi Peningkatan Pengetahuan Dan Kesadaran Bahaya Merokok Bagi Kesehatan Pada Siswa/Siswi Madrasah Tsanawiyah Desa Baliase,” EJOIN : Jurnal Pengabdian Masyarakat, vol. 1, no. 12, pp. 1551–1554, 2023, doi: 10.55681/ejoin.v1i12.2047.
[27] R. S. Rismalasari, M. S. Syafar, and M. R. Rifai, “Pengaruh Media Leaflet Terhadap Pengetahuan Dan Sikap Remaja Tentang Bahaya Rokok Di Mtss Ddi Cambalagi Kabupaten Maros,” Bina Generasi : Jurnal Kesehatan, vol. 14, no. 1, pp. 6–17, 2022, doi: 10.35907/bgjk.v14i1.247.
[28] R. S. Rismalasari, M. S. Syafar, and M. R. Rifai, “Pengaruh Media Leaflet Terhadap Pengetahuan Dan Sikap Remaja Tentang Bahaya Rokok Di Mtss Ddi Cambalagi Kabupaten Maros,” Bina Generasi : Jurnal Kesehatan, vol. 14, no. 1, pp. 6–17, 2022, doi: 10.35907/bgjk.v14i1.247.
Authors
Copyright (c) 2025 Zhafilla Claudia, Siti Nur Kholifah, Irfany Nurul Hamid Luthfiyah, Joko Suwito Luthfiyah

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlikel 4.0 International (CC BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).