A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981-2010.

A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981-2010.
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DOI:
10.3390/ijerph120504617
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发表时间:
2015-04-27
影响因子:
--
通讯作者:
Chen X
Chen X
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Han J;Chen X

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研究背景:中国需要在国家层面上收集有关青少年吸烟的系统数据,以支持循证烟草控制。本研究的目的是利用已发表的数据估计中国青少年的吸烟率。方法:从常用的中文和英文数据库中检索已发表的文献,并辅以人工检索。从数据库中检索的9771项研究中选择了45项研究。这些研究针对12-17岁的青少年或初中/高中学生,在1981-2010年期间进行,并有足够的数据进行荟萃分析。45项入选研究覆盖了中国不同地区的52个研究中心。使用样本加权和随机效应方法估计吸烟率。结果如下:男性终生吸烟(曾经吸烟)的估计患病率变化范围很窄(39.04%-46.03%),女性从1981-1985年的2.47%逐渐增加到2001-2005年的19.72%。男性现吸率(30天)从1981-1985年的26.62%下降到1996-2000年的10.86%,然后又上升。目前女性吸烟率从1981-1985年的0.29%上升到2006-2010年的3.26%。结论:男性吸烟率高,女性吸烟率迅速上升,表明烟草相关疾病的负担日益加重,这突出表明中国迫切需要加强青少年烟草控制。
Background: Systematic data regarding adolescent smoking are needed at the national level to support evidence-based tobacco control in China. The goal of this study was to estimate smoking prevalence among Chinese adolescents using published data. Methods: Published studies were located electronically from the commonly used databases in Chinese and English, complemented by manual searching. Forty-five studies were selected of the 9771 retrieved from the databases. These studies targeted adolescents aged 12–17 or middle/high school students, were conducted during the 1981–2010, and had adequate data for meta-analysis. The 45 selected studies covered 52 sites in different parts of China. Smoking rates were estimated using the sample-weighted and random effect method. Results: The estimated prevalence rate of lifetime smoking (ever smoked) varied within a narrow range (39.04%–46.03%) for males and progressively increased from 2.47% in 1981–1985 to 19.72% in 2001–2005 for females. The prevalence rate of current (30-day) smoking for males declined from 26.62% in 1981–1985 to 10.86% in 1996–2000 before increasing again. The prevalence of current smoking for females increased from 0.29% in 1981–1985 to 3.26% in 2006–2010. Conclusions: The high levels of male smoking and the rapid increase in female smoking indicate growing burdens from tobacco-related diseases, underscoring the urgent need to strengthen adolescent tobacco control in China.
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