The Influence Of Smoking On Hemoglobin Rate In Blood At Active Smoker Zulliati* 1 , Academi Of Midwifery Sari Mulia Banjarmasin Indonesia 1 zulliati@akbidsarimulia.ac.id Dede Mahdiyah 1 Academi Of Midwifery Sari Mulia Banjarmasin Indonesia 1 dede_mahdiyah@akbidsarimulia.ac.id ABSTRACT Objective: To analyze the effect of smoking on Hemoglobin (Hb) level in the blood of active smokers at Health care center of East Banjarmasin. Technology or Method: This study used Cross-Sectional, with sample 60 people in Health care center area of eastern city of East Banjarmasin . Data analyzed using Chi Square test with a confidence level of 95%. Results: This study showed that there was a significant difference of hemoglobin level in active smokers with (p= 0.001 <α 0.005). Conclusion: Smoking will have a significant effect on the decrease of blood hemoglobin levels On active smokers. Keywords: Active smoker, Effect of smoking, Hemoglobin, Smoking. I. INTRODUCTION The smoking habits are widespread almost in all groups of people in the world including Indonesia. Word Health Organization (WHO) reported that Indonesia was ranked third with the largest number of smokers in the world after China and India. [1] There are four factors that influence the degree of health in adolescence and adulthood are behavioral factors, environment, heredity and health services. One of the four factors is often done behavior, namely smoking behavior [2] Active smokers will release cigarette smoke containing CO (carbon monoxide) gas at concentrations over 20,000 ppm (parts per million) which then dilute around 400- 5000 ppm (parts per million) during sucking. High concentrations of CO (carbon monoxide) gas in cigarette smoke cause COHb (karboksihemoglobin) in the blood of smoking to increase. This situation is absolutely very dangerous to the health of 2nd Sari Mulia International Conference on Health and Sciences (SMICHS 2017) Copyright © 2017, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/). Advances in Health Science Research, volume 6 410