Decreased smoking initiation among male youths in China: an urban–rural comparison

Zhi, Kuiyun; Huang, Jin; Deng, Su; Chen, Yongjin; Vaughn, Michael G.; Qian, Zhengmin

doi:10.1007/s00038-016-0795-y

Cited by 5 publications

(3 citation statements)

References 26 publications

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“… 23 Results in research suggested that the rate of smoking might experience further decreases in areas with a heightened potential of urbanization. 24 People in the urban area received a higher education about smoking cessation, and the healthy conception was also changing with the urbanization.…”

Section: Discussionmentioning

confidence: 99%

Urban index and lifestyle risk factors for cardiovascular diseases in China: A cross-sectional study

et al. 2021

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China is at a stage of rapid urbanization over the past decades, and the association of urbanization with cardiovascular disease has been confirmed by previous studies. However, few studies assessed the association of urbanization with cardiovascular risk factors, especially in Chinese population. We conducted a cross-sectional, populational-based study, using data from China Health and Nutrition Survey (CHNS) in 2009. The logistic regression was used to assess the association of urbanization measured by urban index with cardiovascular risk factors (diabetes mellitus, hypertension, dyslipidemia, obesity, smoking, physical activity and fruits and vegetables consumption), varied with sex. The current study included 18,887 participants enrolled (mean age 39.8 ± 19.8 years; 52.2% female) who live in China. In regression model, the urban index was significantly associated with the variations of cardiovascular risk factors for male, including diabetes (OR 1.34, 95% CI: 1.22–1.48), hypercholesterolemia (OR 1.15, 95% CI: 1.09–1.22), never smoking (OR 0.92, 95% CI: 0.89–0.96), higher fruits and vegetables consumptions (OR 0.93, 95% CI: 0.87–0.99), higher body mass index (BMI) (OR 1.16, 95% CI: 1.10–1.22), and higher physical activity (OR 0.69, 95% CI: 0.66–0.73). Compared with the male, the associations of urban index with cardiovascular risk factors for female were similar, but not for BMI (OR 1.00, 95% CI: 0.96–1.05). The present finding emphasizes the changes of cardiovascular risk factors associated with urbanization in China, and indicated that close attention should be paid to the risk of hypercholesterolemia, diabetes and men’s obesity in the process of urbanization.

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Section: Discussionmentioning

confidence: 99%

Urban index and lifestyle risk factors for cardiovascular diseases in China: A cross-sectional study

et al. 2021

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“…In terms of adolescents’ current smoking, the association was more pronounced among male and junior high school students, regardless of the type of tobacco message exposure. Given that this population has a dominant smoking rate 33 , both increased anti-tobacco and reduced pro-tobacco messages could have notable benefits on male students. For junior high school students, their immature physiology and psychology may result in higher sensitivity to both tobacco promotion and tobacco control information.…”

Section: Discussionmentioning

confidence: 99%

The influence and interaction of exposure to pro-smoking and anti-smoking messaging on youth smoking behaviour and susceptibility

Zhu¹,

Li²,

He³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTIONExposure to tobacco-related information is an important factor in youth smoking initiation. This study aims to explore the relationship between exposure to pro-smoking and anti-smoking media and adolescents’ current smoking status and susceptibility to smoking, as well as the interaction between exposure to pro-smoking and anti-smoking media information.METHODSThis cross-sectional study was conducted in 2017. We recruited 12278 students from junior, senior and vocational high schools located in Shanghai, China. The exposure of participants to tobacco promotional and control messages over the past 30 days was examined, as well as current smoking and susceptibility to never smokers’ initiation. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using complex samples procedure logistic regression, adjusting for related covariables.RESULTSThere were 89.3% and 91.5% of adolescents exposed to tobacco pro-smoking and anti-smoking messages. Exposure was more prevalent among males, suburb school and vocational school students. Exposure to pro-tobacco and antitobacco messages, separately, increased and decreased the risk of current smoking and susceptibility to never-smokers’ smoking, respectively, especially among males and junior high school students. Risk was associated with the exposure level (p-trend<0.001). Tobacco control messaging was found to mitigate the influences of tobacco promotion on the risk of both current smoking (AOR=0.64; 95% CI: 0.41–0.99) and susceptibility to smoking (AOR=0.65; 95% CI: 0.46–0.93).CONCLUSIONSExposure to tobacco-related messages was highly prevalent and associated with youth smoking and susceptibility to smoking. It is therefore important to enhance the comprehensiveness and enforcement of promotion bans. Given that tobacco control information can counter the impact of tobacco promotion information on smoking risk, the publicity and dissemination of tobacco control information should be consistently strengthened.

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“…In terms of adolescents' current smoking, we found that the association was more pronounced among male and junior high school students, regardless of type of tobacco message exposure. A possible reason could be that the existing tobacco promotion and control information mainly aimed at males, given the fact that this population has a dominant smoking rate [32]. Therefore, both increasing the anti-tobacco and reducing the pro-tobacco message exposure could have considerable benefits on male students.…”

Section: Discussionmentioning

confidence: 99%

The Influence and Interaction of Tobacco-Related Information Exposure on Youth Smoking Behavior and Smoking Susceptibility: Sex and School Type Difference

Zhu¹,

Li²,

He³

et al. 2019

Preprint

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This study investigated the influence and interaction of tobacco promotional and control information with adolescents’ current smoking and smoking susceptibility. 12,278 students were recruited from junior, senior and vocational high schools located in Shanghai, China. The exposure to tobacco promotional and control message of participants over the past 30 days were examined, as well as current smoking and never smokers’ initiation susceptibility. Complex sample analysis was applied. Descriptive and multivariate logistic regressions were conducted. 89.3% and 91.5% of adolescents investigated were exposed to tobacco promotional and control message respectively, which separately increased and decreased the risk of current smoking and never-smokers’ smoking susceptibility, especially among males and junior high school students. The risk changed in consistency with the exposure level（Ptrend < 0.001）. Tobacco control message seemed to mitigate the influence of tobacco promotions in the risk of both current smoking (OR = 0.64, 95%CI: 0.41–0.99) and smoking susceptibility (OR = 0.65, 95%CI: 0.46–0.93). Tobacco-related message exposure was highly prevalent and associated with youth smoking risk and smoking susceptibility. It is important to enhance the comprehensiveness and enforcement of promotion bans. Given the improvement of tobacco control message on smoking risk brought by tobacco promotions, the publicity and dissemination of tobacco control information need to be consistently strengthened.

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Decreased smoking initiation among male youths in China: an urban–rural comparison

Cited by 5 publications

References 26 publications

Urban index and lifestyle risk factors for cardiovascular diseases in China: A cross-sectional study

Urban index and lifestyle risk factors for cardiovascular diseases in China: A cross-sectional study

The influence and interaction of exposure to pro-smoking and anti-smoking messaging on youth smoking behaviour and susceptibility

The Influence and Interaction of Tobacco-Related Information Exposure on Youth Smoking Behavior and Smoking Susceptibility: Sex and School Type Difference

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