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Density of tobacco advertising around schools

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BACKGROUND: Indonesia has the second highest smoking prevalence among adult males in the world, with over 61.4 million current smokers. However, there is no national regulation on outdoor tobacco advertising.

OBJECTIVE: >To assess the density of outdoor tobacco advertising around schools in Semarang City, Indonesia.

METHODS: We conducted geospatial analyses using buffer and hotspot analyses based on advertising and school data in ArcMap 10.6. We statistically tested the significance of different densities, including between 100 m and 100–300-m buffers from schools using Stata 15.1.

RESULTS: We found a total of 3453 tobacco advertisements, of which 3026 (87%) were at least medium in size (1.3 m x l.9 m), and 2556 (74%) were within 300 m of schools. We also found hotspots with a 45% higher density of adverts within 100 m of schools (compared to within 100–300 m). A total of 378 schools (39%) were in these advertising hotspots.

CONCLUSION: There was high density of outdoor tobacco advertising, with significant clusters in close proximity to schools in Semarang City. The policy implications of this are discussed.
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Keywords: Indonesia; geospatial analysis; hotspots; school; tobacco advertising

Document Type: Research Article

Affiliations: 1: Public Health Programme, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 2: Public Health Programme, Faculty of Health Sciences, Universitas Dian Nuswantoro, Semarang 3: Faculty of Economics and Business, Universitas Indonesia 4: Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 5: Chung Shan Medical University, Taichung, Taiwan 6: Centre for Health Economics and Policy Innovation, Imperial College Business School, London, UK

Publication date: July 1, 2020

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