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A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981–2010

Author

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  • Juan Han

    (Department of Child and Adolescent and Maternal Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430032, China
    Pediatric Prevention Research Center, Wayne State University, Detroit, MI 48201, USA)

  • Xinguang Chen

    (Pediatric Prevention Research Center, Wayne State University, Detroit, MI 48201, USA
    Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA)

Abstract

Background : Systematic data regarding adolescent smoking are needed at the national level to support evidence-based tobacco control in China. The goal of this study was to estimate smoking prevalence among Chinese adolescents using published data. Methods : Published studies were located electronically from the commonly used databases in Chinese and English, complemented by manual searching. Forty-five studies were selected of the 9771 retrieved from the databases. These studies targeted adolescents aged 12–17 or middle/high school students, were conducted during the 1981–2010, and had adequate data for meta-analysis. The 45 selected studies covered 52 sites in different parts of China. Smoking rates were estimated using the sample-weighted and random effect method. Results : The estimated prevalence rate of lifetime smoking (ever smoked) varied within a narrow range (39.04%–46.03%) for males and progressively increased from 2.47% in 1981–1985 to 19.72% in 2001–2005 for females. The prevalence rate of current (30-day) smoking for males declined from 26.62% in 1981–1985 to 10.86% in 1996–2000 before increasing again. The prevalence of current smoking for females increased from 0.29% in 1981–1985 to 3.26% in 2006–2010. Conclusions : The high levels of male smoking and the rapid increase in female smoking indicate growing burdens from tobacco-related diseases, underscoring the urgent need to strengthen adolescent tobacco control in China.

Suggested Citation

  • Juan Han & Xinguang Chen, 2015. "A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981–2010," IJERPH, MDPI, vol. 12(5), pages 1-14, April.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:5:p:4617-4630:d:48770
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    References listed on IDEAS

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    1. Chen, X. & Jacques-Tiura, A.J., 2014. "Smoking initiation associated with specific periods in the life course from birth to young adulthood: Data from the National Longitudinal Survey of youth 1997," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 119-126.
    2. Hesketh, T. & Qu Jian Ding & Tomkins, A., 2001. "Smoking among youths in China," American Journal of Public Health, American Public Health Association, vol. 91(10), pages 1653-1655.
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