The Effect of Household Health and Education Expenditures and Macroeconomic Conditions on Cigarette Consumption: A Panel Data Study of 34 Provinces in Indonesia, 2021–2023
DOI:
https://doi.org/10.38035/dijefa.v6i5.5239Keywords:
Cigarette Consumption Expenditure, Household Health Expenditures, Education Expenditure, Macroeconomic Indicators, Panel Data AnalysisAbstract
This study aims to analyze the effects of household expenditures on health and education, as well as macroeconomic conditions, on cigarette consumption across 34 provinces in Indonesia during the 2021–2023 period. A quantitative approach is employed using a fixed-effects panel data model to systematically estimate the relationships among the variables. The novelty of this study lies in the integration of both micro-level variables (household expenditure on health and education) and macroeconomic indicators (GRDP growth, open unemployment rate, and poverty depth index) into a unified analytical framework using recent provincial panel data. This approach has rarely been adopted in previous studies, which predominantly relied on cross-sectional household-level data and tended to isolate micro or macro factors. The results indicate that household health expenditures, the poverty depth index, and the unemployment rate have a significant negative effect on cigarette consumption. In contrast, household education expenditures and GRDP growth do not exhibit statistically significant impacts. These findings suggest that increased spending on health may reduce cigarette consumption through a budget reallocation mechanism (crowding-out effect), whereas education-related spending shows no practical short-term influence. The study implies that public policy interventions should prioritize enhancing household investments in health while simultaneously addressing macroeconomic pressures that contribute to smoking behavior. It is recommended that future research extends the observation period, incorporates sociocultural variables, and includes behavioral dimensions to obtain a more comprehensive understanding of household cigarette consumption patterns across regions in Indonesia. These insights are expected to support the development of evidence-based public policies aligned with national health and education agendas.
References
Abrigo, M. R., & Halliday, T. (2018). The impact of public education expenditure on health: Evidence from the Philippines. University of Hawaii Economic Research Organization.
Agustino, L. (2008). Dasar-Dasar Kebijakan Publik. Alfabeta.
Agustino, L. (2020). Dasar-dasar kebijakan publik (Edisi Revisi ke-2). Bandung: Alfabeta.
Amrullah, E. R., Mutmainah, H., Yuniarti, S., Hidayah, I., & Rusyiana, A. (2022). Konsumsi tembakau dan implikasinya terhadap pengeluaran pangan rumah tangga: Pendekatan fraksional logit. Jurnal Aplikasi Statistika & Komputasi Statistik, 14(2).
Anderson, James E. (1990). Public Policymaking: An Introduction. Boston: Hougthon Mifflin.
Anderson, James A. (1997). Public Policy Making Third Edition. USA: Houghton Miffin Company.
Badan Perencanaan Pembangunan Nasional (Bappenas). (2020). Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2020–2024. ditkumlasi.bappenas.go.id
Badan Perencanaan Pembangunan Nasional (Bappenas). (2020). Laporan SDGs 2020: Pelaksanaan Pencapaian Tujuan Pembangunan Berkelanjutan di Indonesia.
Badan Pusat Statistik. (2021). Survei Sosial Ekonomi Nasional 2021. Jakarta: BPS.
Badan Pusat Statistik. (2022). Survei Sosial Ekonomi Nasional 2022. Jakarta: BPS.
Badan Pusat Statistik. (2023). Survei Sosial Ekonomi Nasional 2023. Jakarta: BPS.
Badan Pusat Statistik. (2023). Profil statistik kesehatan 2023 (Vol. 7).
Badan Pusat Statistik. (2024). Ringkasan eksekutif pengeluaran dan konsumsi penduduk Indonesia, Maret 2024.
Basuki, A. T., & Prawoto, N. (2016). Analisis regresi dalam penelitian ekonomi dan bisnis. Salemba Empat.
Baltagi, B. H. (2021). Econometric Analysis of Panel Data (6th ed.). Springer.
Becker, G. S. (1993). Human capital: A theoretical and empirical analysis, with special reference to education (Edisi ketiga).
Biswan, A. T. (2022). Keuangan publik: Teori dan implementasi pengambilan keputusan publik. Tangerang Selatan: Politeknik Keuangan Negara STAN.
Center for Indonesia’s Strategic Development Initiatives. (2022). Health Outlook 2022. Jakarta: CISDI.
Center for Indonesia’s Strategic Development Initiatives. (2022). Efek crowding-out konsumsi tembakau di Indonesia. Jakarta: CISDI.
Do, Y. K., & Bautista, M. A. (2015). Tobacco use and household expenditures on food, education, and healthcare in low- and middle-income countries: A multilevel analysis. BMC Public Health, 15(1), 1098. https://doi.org/10.1186/s12889-015-2423-9
Duli, A. (2019). Uji heteroskedastisitas dan multikolinearitas dalam model regresi. Penerbit ITB.
Dunn, W. N. (2003). Pengantar Analisis Kebijakan Publik (Terjemahan). Gadjah Mada University Press.
Dye, Thomas. (2002). Understanding Public Policy Tenth Edition. New Jersey: Prentice Hall.
Fadilah, T. A. A., Sasana, H., & Prasetyanto, P. K. (2021). Pengaruh kemiskinan, harga rokok, pendapatan per kapita dan cukai rokok terhadap konsumsi rokok di Indonesia tahun 1990–2019. Journal of Economic, 3, 939–999
Fakultas Ilmu Administrasi Universitas Indonesia. (2020). Pengendalian prevalensi perokok dengan menaikkan cukai rokok: Menuju SDM unggul Indonesia maju (Policy Brief). Universitas Indonesia. https://www.ui.ac.id
Febriyantoro, M. T. (2016). Pemikiran irasional para perokok. EKSIS, 11(2), 127–137.
Gilman, S. E., et al. (2008). Educational attainment and cigarette smoking: A causal association? International Journal of Epidemiology, 36(4), 1009–1018.
Ginting, I. R., & Maulana, R. (2020). Dampak kebiasaan merokok pada pengeluaran rumah tangga. Jurnal Kebijakan Kesehatan Indonesia, 9(2), 77–82.
Hasbullah, M. (1999). Teori pendidikan: Konsep dan aplikasi. Rineka Cipta.
Haudi. (2021). Kebijakan publik. Penerbit Insan Cendekia Mandiri.
Hidayat, B., & Thabrany, H. (2008). Model spesifikasi dinamis permintaan rokok: Rasionalkah perokok Indonesia? KESMAS: Jurnal Kesehatan Masyarakat Nasional, 3(3), 99–108. https://doi.org/10.21109/kesmas.v3i3.223
Howlett, M., & Ramesh, M. (1995). Studying public policy: Policy cycles and policy subsystems. Toronto: Oxford University Press.
Ida, B. W. (2012). Teori-teori sosial dalam tiga paradigma (Fakta sosial, definisi sosial, dan perilaku sosial). Kencana Prenada Media Group.
Iman, N., Santoso, A., & Kurniawan, E. (2021). Wakif's behavior in money waqf: An approach to theory of planned behavior. Ekuilibrium Jurnal Ilmiah Bidang Ilmu Ekonomi, 16(1), 12–23.
I. B. Netra, S. (1974). Teori pengukuran dan analisis data. Balai Pustaka.
Irawan Suntoro, M.S, Hasan Hariri. (2015). Kebijakan Publik . Yogyakarta: Graha Ilmu.
Islamy, M. I. (2009). Prinsip-Prinsip Perumusan Kebijakan Negara (Cetakan ke-8). Bumi Aksara.
Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A Decade Later. Health Education Quarterly, 11(1), 1–47.
Janie, D. (2015). Metode pengujian regresi: Normalitas, autokorelasi, dan multikolinearitas. Universitas Negeri Surabaya Press.
John, R. M. (2006). Crowding-out effect of tobacco expenditure and its implications on intra-household resource allocation (Working Paper No. WP-2006-002). Indira Gandhi Institute of Development Research.
John, R. M. (2008). Crowding-out effects of tobacco expenditure in India. Social Science & Medicine, 66(6), 1356–1367.
Kakuhes, H., Sekeon, S. A. S., & Ratag, B. T. (2020). Hubungan antara merokok dan kepadatan hunian dengan status tuberkulosis paru di wilayah kerja Puskesmas Tuminting Kota Manado. Jurnal KESMAS, 9(1), 96–105.
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia 2023 dalam angka.
Kementerian Pendidikan dan Kebudayaan. (2018). Pembiayaan pendidikan: Suatu kajian teoritis. Jurnal Pendidikan dan Kebudayaan, 3(2), 110–125.
Lu, W., Lin, S., & Cheng, C. (2011). Sports spectator behavior: A test of the theory of planned behavior. Perceptual and Motor Skills, 113(3), 1017–1026.
Margolis, R. (2013). Educational Differences in Healthy Behavior Changes and Adherence Among Middle-aged Americans. Journal of Health and Social Behavior, 54(3), 353–368.
Marianti, A., & Prayitno, B. (2020). Analisis Pengaruh Faktor Sosial Ekonomi, Pendapatan dan Harga Rokok terhadap Konsumsi Rokok di Indonesia. Economie, 2(1), 1–7.
Martiana, A., Wardhana, A., & Pratiwi, P. H. (2017). Merokok sebagai simbol interaksi bagi perokok perempuan urban. Informasi, 47(1), 109–120.
Mugosa, A., Cizmovic, M., & Vulovic, V. (2023). Impact of tobacco spending on intrahousehold resource allocation in Montenegro. Tobacco Control, 33(Suppl 1), s75–s80.
Nazir, H. (2005). Dasar-dasar metode penelitian. Prenada Media Group.
Nichter, M., Padmawati, R. S., Danardono, M., Ng, N., & Prabandari, Y. S. (2009). Smoking and masculinity: Beyond images of risk. Health, Risk & Society, 11(5).
Nizamie, G. V., & Kautsar, A. (2021). Analisis probabilitas faktor sosial ekonomi yang mempengaruhi konsumsi rokok di Indonesia. Kajian Ekonomi & Keuangan, 5(2).
Nugroho, Riant. (2004). Kebijakan Publik, Formulasi, Implementasi dan Evaluasi. Jakarta: Gramedia.
Pakpahan, M., Siregar, D., Susilawaty, A., Tasnim, Mustar, Ramdany, R., Manurung, E. I., Sianturi, E., Tompunu, M. R. G., Sitanggang, Y. F., & Maisyarah, M. (2021). Promosi kesehatan dan perilaku kesehatan. Yayasan Kita Menulis.
Paraje, G., & Araya, D. (2017). Relationship between smoking and health and education spending in Chile. Tobacco Control, 27(5), 560–567.
Purwodihardjo, O. M., & Suryani, A. O. (2020). Aplikasi Health Belief Model dalam penanganan pandemi COVID-19 di Provinsi DKI Jakarta. Jurnal Perkotaan, 12(1), 21–38.
Rantung, M. I. R. (2024). Evaluasi kebijakan publik: Konsep dan model. Tahta Media Group.
Rospitadewi, E., & Efferin, S. (2017). Mental Accounting dan Ilusi Kebahagiaan : Memahami Pikiran dan Implikasinya Bagi Akuntansi. Jurnal Akuntansi Multiparadigma Jamal, 8(1), 1–227.
Salsabila, N. N., Indraswari, N., & Sujatmiko, B. (2022). Gambaran kebiasaan merokok di Indonesia berdasarkan Indonesia Family Life Survey 5 (IFLS 5). Jurnal Ekonomi Kesehatan Indonesia, 7(1), Article 2.
Sari, H., Syahnur, S., & Seftarita, C. (2017). Faktor-faktor yang mempengaruhi pengeluaran konsumsi rokok pada rumah tangga miskin di Provinsi Aceh. Jurnal Perspektif Ekonomi Darussalam, 3(2), 117–133.
Sari, P. K., & Seftarita, C. (2018). Analisis konsumsi rokok pada rumah tangga miskin dan tidak miskin di Kabupaten Aceh Besar. Jurnal Ilmiah Mahasiswa (JIM), 3(3), 306–317.
Sartika, A. A., Indrawati, E. S., & Sawitri, D. R. (2009). Hubungan antara konformitas terhadap teman sebaya dengan intensi merokok pada remaja perempuan di SMA Kesatrian 1 Semarang. Psycho Idea, 7(1), 14–23
Setiyani, M. H., & Kristiyanto, S. (2023). Rokok, kebiasaan merokok dan angka kemiskinan di Pulau Jawa. Oikos: Jurnal Kajian Pendidikan Ekonomi dan Ilmu Ekonomi, 8(1), 271–275.
Sihombing, P. R., & Arsani, A. M. (2020). Pengaruh tingkat pendidikan, tingkat kesejahteraan dan penghasilan terhadap konsumsi rokok harian dari penduduk dewasa di Indonesia tahun 2015. Bappenas Working Papers, 3(1), 75–87.
Supriadi, A. Y., & Rusyiana, A. (2018). Beras atau rokok?: Beban ekonomis rumah tangga miskin di Indonesia 2014. Jurnal Aplikasi Statistika dan Komputasi Statistik,
Supriadi, D. (2010). Analisis biaya pendidikan dalam penyelenggaraan pendidikan. Pustaka Pelajar.
Suryawati, C., Kartikawulan, L. R., & Hariyadi, K. (2012). Konsumsi rokok rumah tangga miskin di Indonesia dan penyusunan agenda kebijakannya. Jurnal Kebijakan Kesehatan Indonesia, 1(2), 69–76.
Tahir, M. F. (2011). Metodologi penelitian sosial: Pendekatan kuantitatif dan kualitatif. Remaja Rosdakarya.
Tan, Y. L., & Dorotheo, U. (2014). The ASEAN tobacco control atlas (2nd ed.). Bangkok, Thailand: Southeast Asia Tobacco Control Alliance (SEATCA).
Tan, Y. L., & Dorotheo, U. (2021). The tobacco control atlas: ASEAN region (5th ed.). Bangkok, Thailand: Southeast Asia Tobacco Control Alliance (SEATCA).
Thaler, R. H. (1985). Mental Accounting and Consumer Choice. Marketing Science, 4(3), 199–214.
World Health Organization. (2020). Menaikkan cukai dan harga produk tembakau untuk Indonesia sehat dan sejahtera. Regional Office for South-East Asia.
World Health Organization. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030.
Winarno, B. (2007). Kebijakan Publik: Teori dan Proses. Media Pressindo.
Wuryandari, R. D. (2015). Faktor-faktor yang mempengaruhi pengeluaran makanan, pendidikan, dan kesehatan rumah tangga Indonesia.Jurnal Kependudukan Indonesia,
Xu, X., Liu, L., Sharma, M., & Zhao, Y. (2015). Smoking-related knowledge, attitudes, behaviors, smoking cessation idea and education level among young adult male.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rahmat Widianto Wibowo, Dini Hariyanti, Sumiyarti Sumiyarti

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their manuscripts in this journal agree to the following conditions:
- The copyright on each article belongs to the author(s).
- The author acknowledges that the Dinasti International Journal of Economics, Finance & Accounting (DIJEFA) has the right to be the first to publish with a Creative Commons Attribution 4.0 International license (Attribution 4.0 International (CC BY 4.0).
- Authors can submit articles separately, arrange for the non-exclusive distribution of manuscripts that have been published in this journal into other versions (e.g., sent to the author's institutional repository, publication into books, etc.), by acknowledging that the manuscript has been published for the first time in the Dinasti International Journal of Economics, Finance & Accounting (DIJEFA).










































