Smoking is a serious issue causing a variety of adverse health effects. However, pesantrens (Islamic boarding schools) do not prohibit smoking, their leaders and teachers also smoke, and cigarettes are sold freely outside. The students have further admitted that anyone may smoke any where and that no socialization on smoking has ever been conducted in pesantrens.The purpose of this study was to analyze the relationships between the student smoking behavior, knowledge, and attitudes towards the social marketing mix in traditional pesantrens.This study employed a descriptive analytics with the cross sectional study design.The total sample was 162 students from a pesantren in Aceh Besar, Indonesia.The results showed that there were significant relationships between student smoking behavior and age (p-value = 0.031), and parents’ smoking behavior (p-value= 0.003), and peersmoking behavior (p-value =0.000), and knowledge of the social marketing mix (p-value= 0.010), and attitudes (p-value = 0.000) towards the social marketing mix. It is thus recommended tha tall parties develop a pesantren as one of the focus areas of smoking prevention activities
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