[2019 - 2020年中国40岁及以上成年人吸烟率]
[Prevalence of smoking in adults aged 40 years and above in China, 2019-2020].
作者信息
Zhao Q Q, Cong S, Fan J, Wang N, Wang W J, Wu J, Fang L W
机构信息
National Center for Chronic and Non-communicable Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
出版信息
Zhonghua Liu Xing Bing Xue Za Zhi. 2023 May 10;44(5):735-742. doi: 10.3760/cma.j.cn112338-20230119-00035.
To understand the prevalence of smoking and its change in adults aged ≥40 years in China and provide evidence for the development of chronic obstructive pulmonary disease (COPD) prevention and control strategies. The data of this study were obtained from COPD surveillance in China during 2014-2015 and during 2019-2020. The surveillance covered 31 provinces (autonomous regions and municipalities). A multi-stage stratified cluster random sampling were used to select residents aged ≥40 years, and face-to-face interviews were conducted to collect the information about their tobacco use. After complex sampling weighting of the samples, the current smoking rate, average age to start smoking and average daily cigarette consumption of people with different characteristics during 2019-2020 were estimated, and the changes in the current smoking rate and average daily cigarette consumption were analyzed from 2014-2015 to 2019-2020. During 2019-2020, the current smoking rate in adults aged ≥40 years was 27.2%, and the rate was much higher in men (52.1%) than in women (2.5%).The average age of the smokers to start smoking was 20.0 years old, and men usually started smoking at younger age (19.6 years) compared with women (27.9 years). The average daily cigarette consumption of daily smokers was 18.0 sticks, and the consumption of men (18.3 cigarettes) was higher than that of women (11.1 cigarettes). Compared with the surveillance results during 2014-2015, the current smoking rate had decreased by 2.8 percentage points in the general population, 4.1 percentage points in males, 1.6 percentage points in females, and the urban and rural areas fell by 3.1 percentage points and 2.5 percentage points, respectively. The average daily cigarette consumption decreased by 0.6 sticks. In recent years, the current smoking rate and average daily cigarette consumption in adults aged ≥40 years decreased in China, but smoking is still common in more than quarter of this population and more than half of men aged ≥40 years. It is necessary to take targeted tobacco control measures based on population and regional characteristics to further reduce the smoking level of the population.
了解中国40岁及以上成年人吸烟率及其变化情况,为制定慢性阻塞性肺疾病(COPD)防控策略提供依据。本研究数据来源于2014 - 2015年和2019 - 2020年中国慢性阻塞性肺疾病监测。监测覆盖31个省(自治区、直辖市)。采用多阶段分层整群随机抽样方法选取40岁及以上居民,进行面对面访谈以收集其烟草使用信息。对样本进行复杂抽样加权后,估算2019 - 2020年不同特征人群的当前吸烟率、开始吸烟的平均年龄和平均每日卷烟消费量,并分析2014 - 2015年至2019 - 2020年当前吸烟率和平均每日卷烟消费量的变化。2019 - 2020年,40岁及以上成年人当前吸烟率为27.2%,男性(52.1%)远高于女性(2.5%)。吸烟者开始吸烟的平均年龄为20.0岁,男性开始吸烟的年龄(19.6岁)通常比女性(27.9岁)更小。每日吸烟者的平均每日卷烟消费量为18.0支,男性(18.3支)高于女性(11.1支)。与2014 - 2015年监测结果相比,总体人群当前吸烟率下降了2.8个百分点,男性下降了4.1个百分点,女性下降了1.6个百分点,城乡地区分别下降了3.1个百分点和2.5个百分点。平均每日卷烟消费量下降了0.6支。近年来,中国40岁及以上成年人当前吸烟率和平均每日卷烟消费量有所下降,但仍有超过四分之一的该人群及超过一半的40岁及以上男性吸烟情况较为普遍。有必要根据人群和地区特征采取针对性的控烟措施,进一步降低人群吸烟水平。