Conventional Cigarette and E-Cigarette Smoking among School Personnel in Shanghai, China: Prevalence and Determinants

Zhu, Jingfen; Shi, Fanghui; Xu, Gang; Li, Na; Li, Jiahui; He, Yan; Yu, Jinming

doi:10.3390/ijerph16173197

Cited by 14 publications

(8 citation statements)

References 35 publications

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“…Our ndings were consistent with some prior prevalence studies in that males were more likely to smoke than females(males: females = 37.2:7.5) 9,[22][23][24] . However, gender disparities in e-cigarettes were lower than in smokes, which is also consistent with previous research studies [25][26][27] .…”

Section: Discussionsupporting

confidence: 92%

Tobacco cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021

Song¹,

Yang²,

Yang³

et al. 2022

Preprint

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Background There is an increase in the use of nicotine products worldwide, and similar trends may be observed in young adults. Cigarettes are consumed most heavily in China. However, there is limited information about Chinese nicotine product users and trends in nicotine product use among university students. Therefore, our objectives were to investigate the using status of nicotine products and smoking behavior among the students from 7 universities in Guangzhou, China. Methods Students at 7 different universities in Guangzhou were surveyed online in 2021 through a cross-sectional survey. A total of 10008 students were recruited and after screening, 9361 participants were adopted in our statistics. Descriptive analysis, Chi-square analysis, and multivariate logistic regression analysis were used to explore the smoking status and influencing factors. Results A total of 58.3% of participants were male. 29.8% of the participants used nicotine products. The average age of the 9361 university students was 22.4 years (SD = 3.6). Among the users of nicotine products, 16.7% were e-cigarettes only users, 35.0%were tobacco cigarettes only users, and 48.3% were dual users. Males were more likely to use nicotine products. Medical students, students from prestigious Chinese universities, and students with higher levels of education were less likely to use nicotine products. Similarly, students with unhealthy lifestyles (e.g., drinking alcohol, playing games excessively, staying up late) were more likely to use nicotine products. Emotion can have significant impacts on both tobacco cigarettes and e-cigarettes dual users when choosing nicotine products to use. More than half of dual users said they would choose tobacco cigarettes when they were depressed and e-cigarettes when they were happy. Conclusion We identified factors influencing the use of nicotine products among university students in Guangzhou, China. Gender, education level background, specialization, lifestyle habits and emotion all influenced the use of nicotine products among university students in Guangzhou, China. Male, low education level, from non-prestigious Chinese universities or vocational schools, non-medical specialization, and presence of unhealthy lifestyles were susceptibility factors for the use of tobacco cigarettes and e-cigarettes among university students in Guangzhou. Besides, emotions can influence dual users' choice of products.

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Section: Discussionsupporting

confidence: 92%

Tobacco cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021

Song¹,

Yang²,

Yang³

et al. 2022

Preprint

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“…Other reasons include physiological changes during pregnancy. The Lange study published in 2018 found that the global prevalence of smoking during pregnancy is 1.7 %, which is lower than the prevalence found in this study (25). According to a study conducted by Kondracki in the United States, 9.5 % of pregnant women smoked, with 7 % smoking during pregnancy (26).…”

Section: Resultscontrasting

confidence: 49%

The Prevalence of Smoking and the Use of Different Types of Tobacco Products Among Adult Syrians

Labban

2021

Preprint

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Background: In recent years, smoking has been identified as a major cause of sickness and the most pressing public health issue. There is no confirmed number of smoking-related deaths around the world, and there is no safe level of tobacco smoking for both regular and occasional smokers or users of tobacco products. Smoking tobacco raises the risk of lung cancer, mouth cancer, heart disease, and blood clots. Tobacco usage also raises the likelihood of a woman having an abortion. A single study in Syria found the prevalence of smoking to be 56.9% among men and 17.0% among women. The study's goal was to determine the prevalence of cigarette smoking and tobacco product usage among Syrians following the conflict, as well as the association between smoking and age, gender, social status, education, and economic status.Methods: 2847 individuals (aged between 18 - 80 years) have responded to the questionnaires which were distributed through many groups on Whatsapp. The response rate was 91%, 51 participants (1.3 %) individuals were excluded from the study because they were under 18 years of age which is the legal age to buy cigarettes in Syria. Therefore, 2796 participants enrolled in this study (61.7 % Males and 38.3 % Females). Questionnaire was distributed through Whatsapp groups. Regular smoker was defined as the person who smokes at least one cigarette per day or who uses any type of tobacco products once a day. Whereas occasional smoker can be defined as the person who smoked one cigarette at least once during the past week or used any other types of tobacco such as hookah, cigar, vape or pipe.Results: The overall prevalence of smoking among Syrians was 58.3 % and they were mostly regular smokers. More smoked ready imported cigarettes. The prevalence of smoking among men was higher compared with females (61.7 % males vs 38.3 % females). The prevalence of smoking among pregnant women was 33.4% which is still low comparing with other countries. Syrians smokes primarily at homes (41%) followed by public places such as restaurants and cafeterias. The highest %age of smokers was in the age groups 18-30 and 51-60 years old (26.4 %) (22.9 %) respectively whereas the lowest smoking %age was in the age groups over 70 years and 41-50 (5.5%). More smokers were in country-sides comparing with city residents (58.2 % vs 41.8). The prevalence of smoking in under-graduate students and individuals with no education was almost similar 24.1 % and 23.9 % respectively. More smokers were singles 39.1% followed by widowed 22.9 % and lowest were divorced18.7%. With reference to profession, the highest prevalence was among governmental workers 35.9 % followed by health workers 27.1 %, self – employed and engineers 22.5 % and 12.1% respectively. More smokers made less than 20,000 SP/month (31.2%) whereas only 4% of the smokers made over 200,000 SP /month. The majority of smokers smoked less than 5 years (44.2) whereas 8.9% and 9.1% smoked for 20-25 and more than 25 years. The majority of Syrian smokers started smoking at early age about 15-20 years old (66.3%) followed by age 20-30 years old (2,4%) and only 0.7 % started smoking after 60 years old. Unfortunately, only 3.1 % of the smokers were healthy. The rest have had respiratory diseases (32.5%), diabetes (24.1%), kidney diseases (10.8%) and liver diseases (9.3%). With regards to expenditure on smoking 28.8% spent more than 5000 SP daily on smoking, 23.7 % spent 3000-4000 SP/day and only 5.1% spent less than 1000 SP/day.Conclusion: The prevalence of smoking among Syrians males and females is on the rise maybe due to the current conflict. Smoking start at early ages and other tobacco products such as water-pipe smoking is becoming the popular trend among young generation. Syrians smoke more imported cigarettes than locally produced ones despite their cheaper prices. Several diseases have been recorded among Syrian smokers which will be an economic burden on them and on their families. Education has limited effect on smoking practices as the highest prevalence was seen among under – graduate students.

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“…The common adverse events were mouth or throat irritation, anxiety, depressed mood, nausea, and insomnia [28, 29]. Smoking cigarettes and e‐cigarettes are widely popular among Chinese students, and 7.4% of cigarette users and 3.6% of e‐cigarette consumers were observed among 3194 participants [30]. E‐cigarette is increasingly popular among adults of 19‐29 years old in China [31], and the awareness and use of e‐cigarettes in China are lower than that in the US [32].…”

Section: Discussionmentioning

confidence: 99%

The mortality of lung cancer attributable to smoking among adults in China and the United States during 1990–2017

Liu

Yan

Wang

et al. 2020

Cancer Communications

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Background: Statistical data on the burden and relevant risk factors of lung cancer are valuable for policy-making. This study aimed to compare the mortality of lung cancer attributable to smoking stratified by sex and age among adults in China and the United States (US). Methods: We extracted age-standardized mortality rates of lung cancer during 1990-2017 using the comparative risk assessment framework of the 2017 Global Burden of Disease study. We performed an age-period-cohort analysis to estimate time trend of lung cancer mortality attributable to smoking. Results: During 1990-2017, the age-standardized mortality rate of lung cancer was increasing in China but decreasing in the US for both sexes. The mortality attributable to smoking in China showed a generally increasing trend, while a continuous decrease was observed in the US. The age-period-cohort analysis showed a similar trend of age effect among adults between China and the US: the mortality substantially increased from the 30-34 to 80-84 age group and subsequently decreased in the 90-94 age group. However, the period effect rapidly increased in Chinese adults during 1990-2017, while it tended to be stable in the US although it was still slightly increasing in women. The cohort effect generally peaked in the earlier cohort born in 1902-1906 in the two countries. Conclusions: During 1990-2017, the lung cancer mortality attributable to smoking and the period effect are generally increasing in Chinese adults; the mortality attributable to smoking is decreasing in the US adults, but the period effect tends to be stable. The rapid aging and prevalence of smoking may intensify the increasing mortality of lung cancer in China.

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Conventional Cigarette and E-Cigarette Smoking among School Personnel in Shanghai, China: Prevalence and Determinants

Cited by 14 publications

References 35 publications

Tobacco cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021

Tobacco cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021

The Prevalence of Smoking and the Use of Different Types of Tobacco Products Among Adult Syrians

The mortality of lung cancer attributable to smoking among adults in China and the United States during 1990–2017

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