Survey of smoking prevalence in adults aged 40 years and older in China, 2014.
10.3760/cma.j.issn.0254-6450.2018.05.003
- Author:
N WANG
1
;
Y J FENG
;
H L BAO
;
S CONG
;
J FAN
;
B H WANG
;
L H WANG
;
L W FANG
Author Information
1. Division of Respiratory Disease Prevention and Control, National Center for Chronic and Non-communicable Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Cross-sectional study;
Smoking;
Surveillance
- MeSH:
Adult;
Aged;
Asian People/statistics & numerical data*;
China/epidemiology*;
Female;
Humans;
Male;
Prevalence;
Risk Factors;
Smoking/psychology*;
Smoking Cessation;
Surveys and Questionnaires;
Young Adult
- From:
Chinese Journal of Epidemiology
2018;39(5):551-556
- CountryChina
- Language:Chinese
-
Abstract:
Objective: Smoking is the most important risk factor for COPD. Understanding the smoking rate, current smoking rate, average age to start smoking and average daily consumption of cigarettes among people aged ≥40 years in China can provide scientific evidence for the effective control and prevention of COPD. Methods: Data were from COPD surveillance in China (2014 to 2015) which covered 31 provinces, autonomous regions and municipalities. A total of 75 107 adults aged ≥40 years selected through multi-stage stratified cluster sampling from 125 surveillance sites (county/district) were surveyed by electronic questionnaire during face to face interviews. The smoking rate and other smoking index were estimated by using weighting complex sampling design. Results: The smoking rate and current smoking rate were 40.0% (95%CI: 38.5%-42.0%) and 31.0% (95%CI: 29.7%-32.0%), respectively, among the Chinese aged ≥40 years in 2014. The smoking rate and current smoking rate in males (74.1% and 57.6%) were much higher than those in females (5.4% and 4.0%). And the two rates were significantly higher in rural area (41.2% and 32.4%) than in urban area (38.8% and 29.5%). The mean age of smokers to start smoking was 20.1 (95%CI: 19.7-20.5) years. The younger the smokers were, the earlier their average age to start smoking was (The ages to start smoking for smokers aged 40-, 50-, 60-, ≥70 years were 18.3, 19.2, 20.9 and 23.1 years, respectively). Average daily cigarette consumption of current daily smokers was 18.9 (95%CI: 18.1-19.7) cigarettes, and the daily cigarette consumption was higher in males (19.3 cigarettes) than in females (12.5 cigarettes). Conclusion: The smoking rate in males aged ≥40 years is high in China. Compared with urban area, the smoking rate in rural area is higher, posing a big challenge for COPD control and prevention.