Yang Tingzhong, Barnett Ross, Rockett Ian R H, Yang Xiaozhao Y, Wu Dan, Zheng Weijun, Li Lu
Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China.
Department of Geography, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.
Health Place. 2015 May;33:159-71. doi: 10.1016/j.healthplace.2014.12.015. Epub 2015 Mar 31.
The purpose of this study was to conduct a preliminary assessment of province of residence and other contextual factors on the likelihood of being a current smoker in China. A cross-sectional, multistage sampling process was used to recruit participants, and their smoking status and sociodemographic characteristics were obtained through face-to-face interviews. The contextual variables were retrieved from a national database. Multilevel logistic regression analysis was performed to assess the impact of provincial economic reliance on the tobacco industry, as well as individual-level characteristics, on the likelihood of being a current smoker. Participants totaled 20,601 from 27 cities located in 26 of the 31 municipalities/provinces in China. Overall smoking prevalence was 31.3% (95% CI: 19.3-33.2%), with rates being highest in Yinchuan City in Ningxia Province (49.8%) and lowest in Shanghai (21.6%). The multilevel analysis showed an excess likelihood of being a current smoker for individuals living in provinces with the highest rate of cigarette production relative to those with the smallest (p<0.001). Findings underscore the importance of restricting cigarette production and regulating the marketing of tobacco products in China.
本研究旨在对中国居民所在省份及其他背景因素对当前吸烟可能性的影响进行初步评估。采用横断面多阶段抽样程序招募参与者，并通过面对面访谈获取他们的吸烟状况和社会人口学特征。背景变量从国家数据库中获取。进行多水平逻辑回归分析，以评估省级经济对烟草行业的依赖以及个体层面特征对当前吸烟可能性的影响。参与者来自中国31个直辖市/省份中26个省份的27个城市，共计20,601人。总体吸烟率为31.3%（95%可信区间：19.3 - 33.2%），其中宁夏银川市的吸烟率最高（49.8%），上海的吸烟率最低（21.6%）。多水平分析显示，相对于卷烟产量最小的省份，卷烟产量最高省份的居民当前吸烟的可能性更高（p<0.001）。研究结果强调了在中国限制卷烟生产和规范烟草制品营销的重要性。
