Abstract
The implementation of a Smoke-Free Area (SFA) policy in hospitals aims to protect patients, visitors, and employees from exposure to tobacco smoke. Although the SFA policy has been disseminated uniformly to all employees, attitudes toward its implementation may vary among individuals. These differences are presumed to be influenced by employee characteristics. This study aimed to analyze the association between employee characteristics and attitudes toward the implementation of the Smoke-Free Area policy, including the cognitive, affective, and conative domains, and to identify the most dominant characteristic associated with attitudes toward SFA implementation among employees of General Ahmad Yani Regional Public Hospital, Metro City, Indonesia, in 2026.
Methods: This quantitative study employed a cross-sectional design involving 298 employees selected using an accidental sampling technique. Data were collected using a valid and reliable questionnaire and analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using logistic regression.
Results and Discussion: A total of 52.0% of respondents had a positive attitude toward the implementation of the SFA policy. Bivariate analysis showed that sex (p0.05). Domain analysis revealed that sex and educational level were significantly associated with the cognitive, affective, and conative domains. Logistic regression identified sex as the most dominant factor associated with attitudes toward SFA implementation (OR=2.761; 95% CI=1.640–4.650; p<0.001).
Conclusion: Sex and educational level were significantly associated with attitudes toward the implementation of the Smoke-Free Area policy, with sex being the most dominant factor. These findings may serve as a basis for developing more effective SFA education and capacity-building strategies tailored to employee characteristics.