Tobacco use among youth and adults in mainland China: The China Seven Cities Study
Tobacco use among youth and adults in mainland China: The China Seven Cities Study
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DOI：
10.1016/j.puhe.2006.07.023
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发表时间：
2006-12-01
期刊：
影响因子：
5.2
通讯作者：
Unger, Jennifer B.
中科院分区：
文献类型：
--
作者：
Johnson, C. Anderson;Palmer, Paula H.;Unger, Jennifer B.
目的：中国七城市研究 (CSCS) 监测中国大陆七个城市青少年和成人烟草使用的地理和时间趋势：哈尔滨、沉阳、武汉、成都、昆明、杭州和青岛。本文介绍了 2002 年进行的 CSCS 基线调查的方法和患病率数据。方法：在每个城市内抽取初中、高中和大学的分层随机样本。学生及其家长完成了有关烟草使用情况的自我报告调查。数据来自 6138 名中学生、5848 名普通高中生、2448 名职业高中生、2556 名大学生和 25 697 名家长。结果：吸烟率在不同年龄组、学校类型、性别和城市之间存在差异。中学生过去一个月吸烟率为9%，普通高中生为8%，职业高中生为26%，大学生为21%，家长为40%。男性吸烟率高于女性，成年人的性别差异大于青年。不同城市的吸烟率也存在差异，西南城市的吸烟率较高，沿海城市的吸烟率较低。学校内学生的班内相关性为中国进一步研究提供统计功效估计。结论：这些结果为这些城市未来吸烟的纵向研究提供了基线，并确定了易患烟草相关疾病的人口群体。中国需要针对青少年的有效预防吸烟计划和针对成年人的戒烟计划，特别是在西南高收入城市和全国各地的职业高中。 (c) 2006 年皇家公共卫生研究所。由爱思唯尔有限公司出版。保留所有权利。
Objective: The China Seven Cities Study (CSCS) monitors geographic and temporal trends in tobacco use among adolescents and adults in seven cities throughout Mainland China: Harbin, Shenyang, Wuhan, Chengdu, Kunming, Hangzhou, and Qingdao. This article presents the methodology and prevalence data from the baseline survey of the CSCS, conducted in 2002.Methods: Stratified random samples of middle schools, high schools, and colleges were selected within each city. Students and their parents completed self-report surveys of their tobacco use. Data were obtained from 6138 middle school students, 5848 academic high school students, 2448 vocational high school students, 2556 college students, and 25 697 parents.Results: Smoking prevalence varied across age groups, school types, genders, and cities. Past-month smoking prevalence was 9% among middle school students, 8% among academic high school students, 26% among vocational high school students, 21% among college students, and 40% among parents. Smoking prevalence was higher among mates than among females, with larger gender disparities among adults than among youth. Smoking also varied across cities, with higher smoking prevalence in southwestern cities and lower prevalence in coastal cities. Intraclass correlations of students within schools are presented to inform statistical power estimates for further research in China.Conclusions: These results provide a baseline for future longitudinal studies of smoking in these cities and identify demographic groups at risk for tobacco-related disease. Effective smoking prevention programmes for youth and smoking cessation programmes for adults are needed in China, especially in the tower-income southwestern cities and in vocational high schools throughout the country. (c) 2006 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.