Scavenger Tobacco Smoke: An Exploratory Survey on Usage and Perceived Health Benefits in Indonesia

Authors

  • Sherry Aristyani LPPRB Author
  • Saraswati Subagjo Author
  • Tintrim Rahayu Author
  • Sutiman Bambang Sumitro Author

DOI:

https://doi.org/10.30872/jsk.v6i2.779

Keywords:

Scavenger tobacco smok, scavenger complex compound, quality of life, degenerative diseases, herbal medicine

Abstract

Tobacco has been recognized as a medicinal plant for thousands of years; however, tobacco smoke is now a major risk factor for degenerative diseases due to heavy metal contamination. Scavenger Tobacco Smoke (STS) was developed as a solution by incorporating scavenger complex compounds, a combination of antioxidants and scavenger molecules that neutralize free radicals and bind heavy metals. STS produces smoke particles sized 70–100 nm, smaller than those of conventional cigarettes, offering potential therapeutic benefits. This study aimed to describe the usage patterns of STS in Indonesia through a survey of 209 respondents conducted from November 2023 to August 2024. The results showed that 63% of STS users were from East Java, and 56% were former commercial cigarette smokers. The primary reasons for use were a healthier lifestyle ("healthy smoking") (57.1%) and diseases reason (27.1%), including cancer. Additionally, 73% reported improved fitness, and 40% experienced enhanced quality of life. These findings highlight the even though limited distribution of STS and its potential to transform smoking into a safer and therapeutic option.

References

[1] T. Sadik, Traditional use of tobacco among Indigenous peoples of North America. Chippewas of the Thames First Nation, 2014. [Online]. Available: https://cottfn.com/wp-content/uploads/2015/11/TUT-Literature-Review.pdf

[2] A. Charlton, "Medicinal uses of tobacco in history," Journal of the Royal Society of Medicine, vol. 97, no. 6, pp. 292–296, 2004. https://doi.org/10.1177/014107680409700614

[3] J. Hanafin and L. Clancy, "History of tobacco production and use," Progress in Respiratory Research, vol. 42, pp. 1–18, 2015. https://doi.org/10.1159/000369289

[4] E. C. Hammond and D. Horn, "The relationship between human smoking habits and death rates: a follow-up study of 187,766 men," Journal of the American Medical Association, vol. 155, no. 15, pp. 1316–1328, 1954. https://doi.org/10.1001/jama.1954.03690330020006

[5] A. W. Musk and N. H. De Klerk, "History of tobacco and health," Respirology, vol. 8, no. 3, pp. 286–290, 2003. https://doi.org/10.1046/j.1440-1843.2003.00483.x

[6] R. Vera-Estrella, M. F. Gómez-Méndez, J. C. Amezcua-Romero, B. J. Barkla, P. Rosas-Santiago, and O. Pantoja, "Cadmium and zinc activate adaptive mechanisms in Nicotiana tabacum similar to those observed in metal-tolerant plants," Planta, vol. 246, no. 3, pp. 433–451, 2017. https://doi.org/10.1007/s00425-017-2700-1

[7] K. Kozak and D. M. Antosiewicz, "Tobacco as an efficient metal accumulator," BioMetals, vol. 36, pp. 351–370, 2023. https://doi.org/10.1007/s10534-022-00431-3

[8] E. M. Suszcynsky and J. R. Shann, "Phytotoxicity and accumulation of mercury in tobacco subjected to different exposure routes," Environmental Toxicology and Chemistry, vol. 14, no. 1, pp. 61–67, 1995. https://doi.org/10.1002/etc.5620140108

[9] X. Su, M. Narayanan, X. Shi, X. Chen, Z. Li, and Y. Ma, "Mitigating heavy metal accumulation in tobacco: Strategies, mechanisms, and global initiatives," Science of The Total Environment, vol. 926, p. 172128, 2024. https://doi.org/10.1016/j.scitotenv.2024.172128

[10] Pusat Studi Nanobiologi, Pengembangan teknologi kretek sehat tanpa kehilangan cita-rasa [Homepage]. 2011. [Online]. Available: http://smartbio.org/research/pengembangan-teknologi-kretek-sehat-tanpa-kehilangan-cita-rasa. (Accessed: Jan. 25, 2012)

[11] D. Novrial, I. Riwanto, S. B. Sumitro, and I. Wijaya, "The effects of cigarette smoke nanoparticles in the colorectal carcinogenesis of Wistar rats," Berkala Penelitian Hayati, vol. 23, no. 1, 2017. https://doi.org/10.23869/45

[12] Z. Maskos, L. Khachatryan, R. Cueto, W. A. Pryor, and B. Dellinger, "Radicals from the pyrolysis of tobacco," Energy Fuels, vol. 19, no. 3, pp. 791–799, 2005. https://doi.org/10.1021/ef040088s

[13] A. Darmawan, A. Wardoyo, and D.Santjojo, "Pengukuran emisi partikel ultrafine dari asap pembakaran rokok kretek dengan zat aditif," Brawijaya Physics Student Journal., vol. 1, no. 1, 2013.

[14] W. K. Nita, A. Y. P. Wardoyo, and C. S. Widodo, Pengaruh penambahan zat aditif pada rokok terhadap emisi partikel ultrafine (UFP), Undergraduate thesis, Universitas Brawijaya, 2013.

[15] N. Dolev, Z. Katz, Z. Ludmer, A. Ullmann, N. Brauner, and R. Goikhman, "Natural amino acids as potential chelators for soil remediation," Environmental research, vol. 183, p. 109140, 2020.: https://doi.org/10.1016/j.envres.2020.109140

[16] A. A. S. A. Sukmaningsih, S. Permana, D. J. D. H. Santjojo, A. Y. P. Wardoyo, and S. B. Sumitro, "Investigating natural transition metal coordination anthocyanin complex in Java plum (Syzygium cumini) fruit as free radical scavenging," RASĀYAN Journal of Chemistry, vol. 11, no. 3, pp. 1193–1203, 2018.

[17] K. Elumalai, S. Srinivasan, and A. Shanmugam, "Review of the efficacy of nanoparticle-based drug delivery systems for cancer treatment," Biomedical Technology, vol. 5, pp. 109–122, 2024. https://doi.org/10.1016/j.bmt.2023.09.001

[18] C. H. Keith and J. C. Derrick, "Measurement of the particle size distribution and concentration of cigarette smoke by the 'conifuge'," Journal of Colloid Science, vol. 15, no. 4, pp. 340–356, 1960. https://doi.org/10.1016/0095-8522(60)90037-4

[19] R. Ardiani, N. Maretasari, W. Lestari, A. Prasetyo, U. Sadhana, and Sarjadi, "Perbedaan gambaran histopatologi dan aktivitas proliferasi sel mukosa nasofaring mencit C3H yang dipapar Divine Kretek (Studi eksperimental laboratorik terhadap respon nanobiologik pada mencit C3H yang diinduksi karsinogenesis nasofaring)," in Proc. KONAS IAPI, Makassar, Indonesia: IAPI, 2012.

[20] G. E. Jayanti and S. Subagjo, "Balur and improving quality of life," The Journal of Tropical Life Science, vol. 6, no. 1, pp. 35–40, 2016.

[21] D. Hapsari, O. Nainggolan, and D. Kusuma, "Hotspots and regional variation in smoking prevalence among 514 districts in Indonesia: Analysis of Basic Health Research 2018," Global Journal of Health Science, vol. 12, no. 10, pp. 32–44, 2020. https://doi.org/10.5539/gjhs.v12n10p32

[22] S. B. Sumitro and S. Alit, "Herbal medicine, radical scavenger, and metal detoxification: Bioinorganic, complexity, and nanoscience perspectives," IOP Conference Series: Earth and Environmental Science, vol. 130, p. 012003, 2018. https://doi.org/10.1088/1755-1315/130/1/012003

[23] S. Sagiroglu, A. Erdogan, A. Doganer, and R. A. Okyay, "Otorhinolaryngological symptoms among smokeless tobacco (Maras powder) users," Northern clinics of Istanbul,, vol. 6, no. 3, pp. 284–292, 2018. https://doi.org/10.14744/nci.2018.50024

[24] E. Sever, E. Božac, E. Saltović, S. Simonić-Kocijan, M. Brumini, and I. Glažar, "Impact of the Tobacco Heating System and Cigarette Smoking on the Oral Cavity: A Pilot Study," Dentistry journal,, vol. 11, no. 11, p. 251, 2023. https://doi.org/10.3390/dj11110251

[25] S. Wachsmann, L. Nordeman, and A. Billhult, "Tobacco impact on quality of life, a cross-sectional study of smokers, snuff-users and non-users of tobacco," BMC Public Health, vol. 23, p. 886, 2023.: https://doi.org/10.1186/s12889-023-15844-z

[26] G. Valentine and M. Sofuoglu, "Cognitive effects of nicotine: Recent progress," Current neuropharmacology,, vol. 16, no. 4, pp. 403–414, 2018. https://doi.org/10.2174/1570159X15666171103152136

[27] T. Mündel, "Nicotine: Sporting friend or foe? A review of athlete use, performance consequences and other considerations," Sports medicine (Auckland, N.Z.), vol. 47, no. 12, pp. 2497–2506, 2017. https://doi.org/10.1007/s40279-017-0764-5

[28] National Cancer Institute, "Light" cigarettes and cancer risk, 2010. [Online]. Available: https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/light-cigarettes-fact-sheet#:~:text=No.,no%20safer%20than%20regular%20cigarettes

[29] Harvard Health Publishing, Low-tar cigarettes are not a safer choice, 2017. [Online]. Available: https://www.health.harvard.edu/cancer/low-tar-cigarettes-are-not-a-safer-choice

[30] L. Mohammadi, D. D. Han, F. Xu, A. Huang, R. Derakhshandeh, P. Rao, A. Whitlatch, J. Cheng, R. J. Keith, N. M. Hamburg, P. Ganz, J. Hellman, S. F. Schick, and M. L. Springer, "Chronic e-cigarette use impairs endothelial function on the physiological and cellular levels," Arteriosclerosis, thrombosis, and vascular biology, vol. 42, no. 11, pp. 1333–1350, 2022. [https://doi.org/10.1161/ATVBAHA.121.317749

[31] R. Sahu, K. Shah, R. Malviya, D. Paliwal, S. Sagar, S. Singh, B. G. Prajapati, and S. Bhattacharya,, "E-cigarettes and associated health risks: An update on cancer potential," Advances in respiratory medicine,, vol. 91, no. 6, pp. 516–531, 2023. https://doi.org/10.3390/arm91060038

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Published

2025-07-31

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Vol. 6 No. 2 (2025): J. Sains Kes.

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How to Cite

[1]
S. Aristyani, S. Subagjo, T. Rahayu, and S. B. Sumitro, “Scavenger Tobacco Smoke: An Exploratory Survey on Usage and Perceived Health Benefits in Indonesia”, J. Sains. Kes, vol. 6, no. 2, pp. 140–150, Jul. 2025, doi: 10.30872/jsk.v6i2.779.

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