Trends in smoking and quitting in China from 1993 to 2003: National Health Service Survey data

被引:113
作者
Qian, Juncheng [2 ]
Cai, Min [2 ]
Gao, Jun [2 ]
Tang, Shenglan [3 ]
Xu, Ling [2 ]
Critchley, Julia Alison [1 ]
机构
[1] St Georges Univ London, Res Ctr Populat Hlth, London SW17 0RE, England
[2] Minist Hlth, Ctr Hlth Stat & Informat, Beijing, Peoples R China
[3] Special Programme Res & Training Trop Dis, Geneva, Switzerland
关键词
EMERGING TOBACCO HAZARDS; NONCOMMUNICABLE DISEASES; CIGARETTE CONSUMPTION; SYSTEM REFORM; URBAN CHINA; MORTALITY; CESSATION; BURDEN; CARE; TAX;
D O I
10.2471/BLT.09.064709
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective China has about 350 million smokers, more commonly men. Using data from National Health Service Surveys conducted in 1993, 1998 and 2003, we (i) estimated trends in smoking prevalence and cessation according to sociodemographic variables and (ii) analysed cessation rates, quitting intentions, reasons for quitting and reasons for relapsing. Methods Data were collected from approximately 57 000 households and 200 000 individuals in each-survey year. Household members > 15 years of age were interviewed about their smoking habits, quitting intentions and attitudes towards smoking. We present descriptive data stratified by age, sex, income level and rural versus urban residence. Findings In China, current smoking in those > 15 years old declined 60-49% in men and 5-3.2% in women over 1993-2003. The decline was more marked in urban areas. However, heavy smoking 20 cigarettes daily) increased substantially overall and doubled in men. The average age of uptake also dropped by about 3 years. In 2003, 7.9% of smokers reported intending to quit, and 6% of people who had ever smoked reported having quit of former smokers, 40.6% quit because of-illness, 26 9% to prevent disease and 10.9% for financial reasons. Conclusion Smoking prevalence declined in China over the study period, perhaps due to the combined effect of smoking cessation, reduced uptake in women and selective mortality among men over 40 years of age. However, heavy smoking increased. People in China rarely quit or intend to quit smoking, except at older ages. Further tobacco control efforts are urgently needed, especially in rural areas.
引用
收藏
页码:769 / 776
页数:8
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