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

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  • Guoting Zhang

    (Department of Health Policy and Management, School of Public Health, Peking University Health Science Center, Beijing 100191, China)

  • Jiajia Zhan

    (Department of Economics and Public Policy, Business School, Imperial College London, London SW7 2AZ, UK)

  • Hongqiao Fu

    (Department of Health Policy and Management, School of Public Health, Peking University Health Science Center, Beijing 100191, China)

Abstract

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.

Suggested Citation

  • Guoting Zhang & Jiajia Zhan & Hongqiao Fu, 2022. "Trends in Smoking Prevalence and Intensity between 2010 and 2018: Implications for Tobacco Control in China," IJERPH, MDPI, vol. 19(2), pages 1-16, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:670-:d:719927
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    References listed on IDEAS

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    1. Mikael Bask & Maria Melkersson, 2004. "Rationally addicted to drinking and smoking?," Applied Economics, Taylor & Francis Journals, vol. 36(4), pages 373-381.
    2. Qing Wang & Jay J Shen & Michelle Sotero & Casey A Li & Zhiyuan Hou, 2018. "Income, occupation and education: Are they related to smoking behaviors in China?," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    3. Weidong Wang & Yongqing Dong & Xiaohong Liu & Linxiu Zhang & Yunli Bai & Spencer Hagist, 2018. "The More Educated, the Healthier: Evidence from Rural China," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    4. Pierpaolo Pierani & Silvia Tiezzi, 2009. "Addiction and interaction between alcohol and tobacco consumption," Empirical Economics, Springer, vol. 37(1), pages 1-23, September.
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    Cited by:

    1. Huiting Chen & Jigen Na & Hang An & Ming Jin & Xiaoqian Jia & Lailai Yan & Nan Li & Zhiwen Li, 2022. "Passive Smoking Is Associated with Multiple Heavy Metal Concentrations among Housewives in Shanxi Province, China," IJERPH, MDPI, vol. 19(14), pages 1-9, July.
    2. 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.
    3. Xi Chen & Hua Zhong & Serena Yunran Zhang, 2022. "Local Ties, Trans-Local Ties, and Substance Use among Rural-to-Urban Migrants in China," IJERPH, MDPI, vol. 19(7), pages 1-15, April.

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