Nan Yi, Xie Huiyu, Tong Jiani, Xi Zi, Xiao Lin
Tobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Wkly. 2025 May 30;7(22):743-750. doi: 10.46234/ccdcw2025.123.
To evaluate the effectiveness of tobacco control efforts, we conducted a comprehensive analysis of trends in smoking cessation willingness and behavior among Chinese smokers from 2010 to 2024.
Data were obtained from the 2010 Global Adult Tobacco Survey (GATS)-China Project and the National Adult Tobacco Survey (NATS) conducted in 2018, 2022, and 2024. All surveys employed multistage stratified cluster random sampling of the Chinese population aged 15 years and above. Complex sampling analysis was performed for calculations, and trend analysis was conducted using the Cochran-Armitage trend test.
From 2010 to 2024, cessation behavior among Chinese smokers increased significantly. Cessation rates rose from 16.88% to 22.65%, and the proportion of smokers who attempted to quit in the past 12 months increased from 14.37% to 24.75%. The proportion of smokers planning to quit within 12 months increased from 16.10% to 21.61% from 2010 to 2022, but dropped to 16.07% in 2024. Over the 14-year period, cessation rates and quit attempts increased significantly across almost all demographic groups. However, from 2022 to 2024, cessation rates among daily smokers declined while the proportion of those willing to quit decreased. Occasional smokers consistently demonstrated higher cessation rates, quit attempts, and willingness to quit compared to daily smokers.
The observed increases in cessation behavior may be attributed to expanded smoking cessation services and extensive cessation campaigns implemented over the years. Enhanced cessation interventions should be targeted toward daily smokers. Pricing policies, graphic health warnings on packaging, and community-based comprehensive smoking cessation interventions can further enhance smokers' willingness to quit and encourage more cessation attempts.
为评估控烟工作的成效，我们对2010年至2024年中国吸烟者戒烟意愿和行为的趋势进行了全面分析。
数据来源于2010年全球成人烟草调查（GATS）-中国项目以及2018年、2022年和2024年开展的全国成人烟草调查（NATS）。所有调查均采用对15岁及以上中国人群进行多阶段分层整群随机抽样的方法。计算采用复杂抽样分析，并使用 Cochr an - Armitage趋势检验进行趋势分析。
2010年至2024年，中国吸烟者的戒烟行为显著增加。戒烟率从16.88%升至22.65%，过去12个月内尝试戒烟的吸烟者比例从14.37%增至24.75%。2010年至2022年，计划在12个月内戒烟的吸烟者比例从16.10%增至21.61%，但在2024年降至16.07%。在这14年期间，几乎所有人口群体的戒烟率和戒烟尝试均显著增加。然而，2022年至2024年，每日吸烟者的戒烟率下降，同时愿意戒烟的比例也降低。与每日吸烟者相比，偶尔吸烟者的戒烟率、戒烟尝试和戒烟意愿始终更高。
观察到的戒烟行为增加可能归因于多年来扩大的戒烟服务和广泛开展的戒烟运动。强化戒烟干预应针对每日吸烟者。价格政策、包装上的图形健康警示以及基于社区的综合戒烟干预措施可进一步提高吸烟者的戒烟意愿并鼓励更多戒烟尝试。
