Does smoking impact trust in physicians and satisfaction with the health system in China?

Li, Changle; Mao, Zhengzhong; He, Gang; Qi-tu, HU

doi:10.18332/tid/131626

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…These questions remained unchanged across waves. The previous studies used the information from the CFPS to analyze smoking behaviors in China [ 21 , 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

Trends in Smoking Prevalence and Intensity between 2010 and 2018: Implications for Tobacco Control in China

Zhang

Zhan

2022

IJERPH

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Background: China is the world’s largest producer and consumer of cigarettes. Since 2010, the Chinese government has implemented many policies to combat the tobacco epidemic, yet little is known about their overall impacts. This study aims to investigate the trends in smoking prevalence and intensity between 2010 and 2018. Methods: We use five waves of data from China Family Panel Studies (CFPS), a nationally representative survey, to examine the trends in smoking prevalence and intensity. We use the chi-square test and t-test to examine differences across waves. Binary logistic regressions and linear regressions are applied to examine the association between smoking behaviors and risk factors. Results: The current smoking prevalence dropped from 30.30% in 2010 (90% CI 29.47–31.31) to 28.69% (90% CI 27.69–29.69) in 2018. As for smoking intensity, the average daily cigarettes consumption decreased steadily from 16.96 cigarettes (90% CI 16.55–17.36) in 2010 to 15.12 cigarettes (90% CI 15.07–15.94) in 2018. Smoking risk factors for men included marriage status, education level, employment status, alcohol consumption, and physical activities. The smoking risk was higher for women with a lower education level, lower household income, unemployment status, and alcohol consumption behavior. Conclusions: Our study shows declined trends in both smoking prevalence and intensity between 2010 and 2018, suggesting some positive progress in tobacco control in China. Nonetheless, to achieve the goal of reducing smoking prevalence among people aged 15 and above to less than 20% by 2030, the Chinese government needs to take stronger anti-tobacco measures.

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“…These questions remained unchanged across waves. The previous studies used the information from the CFPS to analyze smoking behaviors in China [ 21 , 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

Trends in Smoking Prevalence and Intensity between 2010 and 2018: Implications for Tobacco Control in China

Zhang

Zhan

2022

IJERPH

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“…The severity score for the healthcare problem is a reflection of public satisfaction with the health system because it indicates the respondent’s perception of functioning of the system. The degree of severity of problems as a measure of public satisfaction in the health system has been suggested by several previous studies [ 8 , 41 , 42 ]. The inverse relationship between severity of healthcare complaints and patients’ satisfaction with the system has been documented [ 43 ].…”

Section: Methodsmentioning

confidence: 99%

Public satisfaction with health system after healthcare reform in China

Kang,

Zhang,

Xian

et al. 2023

Health Res Policy Sys

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Background The Chinese central government launched the third phase of health system reforms in 2009. After a decade since the initiation of the reform, the health system has witnessed noteworthy gains. However, there is no concurrent improvement in public satisfaction with the health system. This study analysed various factors that influence public satisfaction with the system and examined whether perceived quality of care affects public satisfaction. Methods A longitudinal nationally representative survey was used for this study. We used five waves of China Family Panel Studies (CFPS) survey data. The final sample consisted of 145 843 observations. A two-way fixed-effects ordered logistic model was used for the analysis. Results The results indicate that perceived good quality of care was positively associated with public satisfaction in health system regardless of rural–urban residence. Older adults and individuals with more than 3 years of college education were less likely to be satisfied with the system in rural areas. Personal income and the density of medical professionals in the geographic area tend to improve public satisfaction in rural areas. Having medical insurance coverage and fair or good self-rated health improved the probability of reporting public satisfaction in urban areas. Married people and individuals who lived in the West region were less likely to be satisfied with the health system in urban areas. Conclusions Knowledge and skills of healthcare providers or physical quality of facilities are not sufficient in improving public satisfaction in the health system. Policymakers need to identify options to influence the important factors that affect public perception of the system. This analysis identified several policy-amenable factors to improve public perception of the health system in rural and urban China.

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Tobacco Cessation Curriculum in Medical Schools: a Scoping Review

Elfandi

Poudyal

2023

J Canc Educ

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Does smoking impact trust in physicians and satisfaction with the health system in China?

Cited by 4 publications

References 32 publications

Trends in Smoking Prevalence and Intensity between 2010 and 2018: Implications for Tobacco Control in China

Trends in Smoking Prevalence and Intensity between 2010 and 2018: Implications for Tobacco Control in China

Public satisfaction with health system after healthcare reform in China

Tobacco Cessation Curriculum in Medical Schools: a Scoping Review

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