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Prevalence and Determinants of Current Smoking and Intention to Smoke among Secondary School Students: A Cross-Sectional Survey among Han and Tujia Nationalities in China

Author

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  • Xianglong Xu

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Dengyuan Liu

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Manoj Sharma

    (Department of Behavioral and Environmental Health, Jackson State University, Jackson, MS 39213, USA)

  • Yong Zhao

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

Abstract

Objectives: This study examined the patterns and determinants of current smoking and intention to smoke among secondary school students of Han and Tujia nationalities in China. Methods: A cross-sectional survey was conducted in three regions, namely, Chongqing, Liaocheng, and Tianjin, of China in 2015. A structured self-administered questionnaire was used for data collection. Results: Of the total subjects ( n = 1805), 78.9% were ethnic Han and 21.1% were ethnic Tujia. Overall 9.4% (Han: 7.7%; Tujia: 15.5%) secondary school students were smokers and 37.28% smoked more than once per day. Of the non-smoker students ( n = 1636), 17.4% have an intention to smoke. A total of 81.1% of students reportedly had never been taught throughout school about smoking or tobacco prevention. When compared to the students who were taught in the school about smoking or tobacco prevention (18.90%) students who were never taught were more likely to smoke (OR = 2.39; 95% CI = 1.14–5.01). As compared to Han nationality students who were from Tujia nationality were more likely to smoke (OR = 2.76; 95% CI = 1.88–4.04) and were more likely to have a higher frequency of smoking (95% CI (0.88, 0.88), p = 0.010). Non-smokers who were high school students (OR = 4.29; 95% CI = 2.12–8.66), whose academic performance were situated in the last 25% (OR = 2.23; 95% CI = 1.48–3.34) and lower than 50% (OR = 1.50; 95% CI = 1.02–2.20) were more likely to have an intention of smoking. Conclusions: About one in ten secondary school students was a smoker, one in three smokers smoked more than one time per day, and a quarter of non-smokers had an intention of smoking in China. Smoking rate was higher among students from Tujia than the Han nationality. This study provided some important information for future tobacco control programs among secondary school students in the ethnic minority autonomous region and minority settlements in a multi-ethnic country.

Suggested Citation

  • Xianglong Xu & Dengyuan Liu & Manoj Sharma & Yong Zhao, 2017. "Prevalence and Determinants of Current Smoking and Intention to Smoke among Secondary School Students: A Cross-Sectional Survey among Han and Tujia Nationalities in China," IJERPH, MDPI, vol. 14(11), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1323-:d:116971
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    References listed on IDEAS

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    1. 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.
    2. Ahmad, Sajjad & Billimek, John, 2007. "Limiting youth access to tobacco: Comparing the long-term health impacts of increasing cigarette excise taxes and raising the legal smoking age to 21 in the United States," Health Policy, Elsevier, vol. 80(3), pages 378-391, March.
    3. Kelder, S.H. & Perry, C.L. & Klepp, K.-I. & Lytle, L.L., 1994. "Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1121-1126.
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    1. Angdi Zhou & Xinru Li & Yiwen Song & Bingqin Hu & Yitong Chen & Peiyao Cui & Jinghua Li, 2023. "Academic Performance and Peer or Parental Tobacco Use among Non-Smoking Adolescents: Influence of Smoking Interactions on Intention to Smoke," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    2. Sime Devcic & Jakob Bednarik & Dora Maric & Sime Versic & Damir Sekulic & Zvonimir Kutlesa & Antonino Bianco & Jelena Rodek & Silvester Liposek, 2018. "Identification of Factors Associated with Potential Doping Behavior in Sports: A Cross-Sectional Analysis in High-Level Competitive Swimmers," IJERPH, MDPI, vol. 15(8), pages 1-16, August.
    3. Jingfen Zhu & Fanghui Shi & Gang Xu & Na Li & Jiahui Li & Yaping He & Jinming Yu, 2019. "Conventional Cigarette and E-Cigarette Smoking among School Personnel in Shanghai, China: Prevalence and Determinants," IJERPH, MDPI, vol. 16(17), pages 1-13, September.

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