1340 Indian Journal of Forensic Medicine & Toxicology, January-March 2021, Vol. 15, No. 1 The Infuence of the GETAR Spiritual Approach on Smoking Behavior of Junior High School Students in Palu City, Indonesia Muhammad Ryman Napirah 1 , Ridwan Amiruddin 2 , Sukri Palutturi 3 , Stang 4 , Aminuddin Syam 5 , Darmawansyah 3 , Rosmala Nur 6 1 Student in Doctoral Program, Faculty of Public Health, Universitas Hasanuddin, 2 Lecturer, Department of Epidemiology, Faculty of Public Health, Universitas Hasanuddin, 3 Lecturer, Department of Health Administration and Policy, Faculty of Public Health, Universitas Hasanuddin, 4 Lecturer, Department of Biostatistic, Faculty of Public Health, Universitas Hasanuddin, 5 Lecturer, Department of Nutrition, Faculty of Public Health, Universitas Hasanuddin, 6 Lecturer, Department of Biostatistics, Faculty of Public Health, Universitas Tadulako Abstract Smoking cases at the age of children less than 18 years will have a very fatal impact because considering the age of the child who is still growing. GETAR (Movement without Smoking) spiritual approach uses the concept of religion, which in this case is exemplifed by Islam by helping individuals to fnd their nature. The purpose of this study is to analyze the effect of the GETAR spiritual approach on smoking behavior of junior high school students in Palu City, Indonesia. This type of research is a quasy experiment. The sample consisted of 35 smokers in grade 7, 8, and 9 at SMPN 1 Palu as an intervention group, with saturated sampling technique, as a control group, and 35 students in grade 7, 8, and 9 at SMPN 4 Palu. The data were analysis with paired sample t test and independent sample t test. This study showed that there are differences in knowledge (p = 0,000), attitudes (p = 0,000), and actions (p = 0,000) students of SMPN 1 Palu about smoking before and after GETAR spiritual intervention. And there are differences in the knowledge (p = 0,000), attitudes (p = 0.020), and actions (p = 0,000) between students who were given GETAR spiritual intervention (students of SMPN 1 Palu) and those who were not given GETAR spiritual intervention (students of SMPN 4 Palu). It concludes that there is a difference in the knowledge, attitudes, and actions of SMPN 1 Palu students about smoking before and after the spiritual intervention of GETAR. And there is a difference in the knowledge, attitudes, and actions of students between those who were given the spiritual intervention of GETAR (students of SMPN 1 Palu) and those who were not given the spiritual intervention of GETAR (students of SMPN 4 Palu). Keywords: GETAR, Spiritual, Smoking, Behavior Introduction Smoking cases at the age of children less than 18 years will have a very fatal impact because considering the age of the child who is still growing. In addition to having an impact on health, it will also have an impact on the child’s future, because children have a strategic Corresponding Author: Muhammad Ryman Napirah Jl. Soekarno Hatta KM. 9, Palu muhammadrymannapirah.unhas@gmail.com position in the life of the community and nation 1 . There is no reason to assume that only those who deviate have the urge to do so, even people who have a good understanding of religion sometimes have the urge to behave deviantly, especially those who have less understanding of religion 2 . Interventions at the age of children tend to be more effective in preventing children from smoking when compared to adults who, if addicted to smoking, are very diffcult to stop 3 . Smoking, from ancient times until now for students is a serious offense. Anyone caught