title: Influence of religious organisations' statements on compliance with a smoke-free law in Bogor, Indonesia: a qualitative study.
abstract: OBJECTIVE
  To explore the Bogor public's perspective on Muslim organisations' pronouncements against smoking and the effect of these pronouncements on compliance with a new smoke-free law in the context of a prosmoking social norm.
  
  
  METHODS
  Semistructured focus group discussions were conducted, transcribed, coded using ATLAS.ti software, and analysed using thematic content analysis. Photo elicitation was also used during the focus groups.
  
  
  METHODS
  Bogor, Indonesia.
  
  
  METHODS
  11 focus groups (n=89), stratified by age, gender and smoking status, with members of the public (46 male, 43 female, ages 18-50).
  
  
  RESULTS
  There was limited knowledge of and compliance with both the smoke-free law and the religious pronouncements. In most of the focus groups, smoking was described as a discouraged, but not forbidden, behaviour for Muslims. Participants described the decision of whether to follow the religious pronouncements in the context of individual choice. Some participants felt religious organisations lacked credibility to speak against smoking because many religious leaders themselves smoke. However, some non-smokers said their religion reinforced their non-smoking behaviour and some participants stated it would be useful for religious leaders to speak more about the smoke-free law.
  
  
  CONCLUSIONS
  Religious organisations' pronouncements appear to have had a small effect, primarily in supporting the position of non-smokers not to smoke. Participants, including smokers, said their religious leaders should be involved in supporting the smoke-free law. These findings suggest there is potential for the tobacco control community to partner with sympathetic local Muslim leaders to promote common goals of reducing smoking and public smoke exposure. Muslim leaders' views on smoking would be perceived as more credible if they themselves followed the smoke-free law. Additionally, public health messaging that includes religious themes could be piloted and tested for effectiveness. These findings may also inform similar efforts in other Muslim cities implementing smoke-free laws.
authors.affiliation: Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
authors.forename: M Justin
authors.initials: MJ
authors.lastname: Byron
authors.affiliation: Department of Health, Behavior and Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Joanna E
authors.initials: JE
authors.lastname: Cohen
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Joel
authors.initials: J
authors.lastname: Gittelsohn
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Shannon
authors.initials: S
authors.lastname: Frattaroli
authors.affiliation: Independent Researcher, Bogor City, Indonesia.
authors.forename: Ramadhani
authors.initials: R
authors.lastname: Nuryunawati
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: David H
authors.initials: DH
authors.lastname: Jernigan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia; D007514:Islam / Q000523:psychology; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012907:Smoking / Q000331:legislation & jurisprudence* / Q000523:psychology; D016540:Smoking Cessation / Q000331:legislation & jurisprudence*; D055815:Young Adult
keywords: PUBLIC HEALTH; QUALITATIVE RESEARCH; secondhand smoke; smoke-free; tobacco control