Liu Yi, Li Yinghua, Xia Xin, Liu Zhao, Su Zheng, Qin Rui, Xie Ying, Huang Zhenxiao, Cheng Anqi, Zhou Xinmei, Li Jinxuan, Wei Xiaowen, Song Qingqing, Zhao Liang, Xiao Dan, Wang Chen
Department of Tobacco Control and Prevention of Respiratory Disease, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China.
School of Population Medicine and Public Health, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100005, China.
Healthcare (Basel). 2025 Mar 7;13(6):583. doi: 10.3390/healthcare13060583.
: Cigar smoking poses significant public health challenges due to its rising prevalence and associated health risks. However, research on cigar use in China remains limited. This study investigates the prevalence, demographic characteristics, and key factors associated with cigar use among Chinese adults. : We analyzed data from the 2018-2019 China Health Literacy Survey, including 86,701 participants aged 20-69 years. Multistage stratified sampling was employed, and logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for factors associated with cigar use. Weighted data were applied to ensure national representation. : Of the 86,701 respondents, 1025 participants reported having used cigars, including 248 exclusive cigar users and 777 dual users of cigars and other tobacco products. Cigar use was significantly higher among men (1.93%) than women (0.05%). Most users were aged 50-59, with a mean age of 49.3 years. Factors associated with cigar use among men included higher education (for college and higher, OR: 1.81; 95% CI: 1.42-2.30), lower household income (for income < 20,000, OR: 1.02; 95% CI: 1.08-1.53), poor self-reported health (OR: 1.45; 95% CI: 1.15-1.83), and severe nicotine dependence (FTND ≥ 7 points, OR: 2.09, 95% CI: 1.67-2.61). Cigar use prevalence showed notable regional variation, with the highest rates observed in northern and eastern provinces. : The estimated number of cigar users in China is approximately 10.46 million. Male cigar users often represent a unique demographic: "knowledgeable but economically marginalized" individuals, characterized by higher education but lower economic status. Tailored tobacco control measures addressing regional disparities, socioeconomic factors, and marketing-driven misconceptions about cigars are essential to reduce public health impacts.
由于雪茄吸烟率不断上升及其相关健康风险，雪茄吸烟给公共卫生带来了重大挑战。然而，中国关于雪茄使用的研究仍然有限。本研究调查了中国成年人中雪茄使用的流行情况、人口统计学特征以及与雪茄使用相关的关键因素。
我们分析了2018 - 2019年中国健康素养调查的数据，包括86701名年龄在20 - 69岁的参与者。采用多阶段分层抽样，并使用逻辑回归来估计与雪茄使用相关因素的比值比（OR）和95%置信区间（CI）。应用加权数据以确保全国代表性。
在86701名受访者中，1025名参与者报告曾使用过雪茄，其中包括248名仅使用雪茄者和777名同时使用雪茄及其他烟草制品者。男性的雪茄使用率（1.93%）显著高于女性（0.05%）。大多数使用者年龄在50 - 59岁，平均年龄为49.3岁。男性中与雪茄使用相关的因素包括高等教育（大专及以上学历，OR：1.81；95% CI：1.42 - 2.30）、较低的家庭收入（收入<20000元，OR：1.02；95% CI：1.08 - 1.53）、自我报告健康状况较差（OR：1.45；95% CI：1.15 - 1.83）以及严重尼古丁依赖（FTND≥7分，OR：2.09，95% CI：1.67 - 2.61）。雪茄使用率存在显著的地区差异，在北部和东部省份观察到的使用率最高。
中国雪茄使用者的估计人数约为1046万。男性雪茄使用者通常代表着一个独特的人群：“有知识但经济上处于边缘地位”的个体，其特征是受过高等教育但经济地位较低。针对地区差异、社会经济因素以及由营销驱动的对雪茄的误解制定有针对性的烟草控制措施对于减少公共卫生影响至关重要。
