ArticleInternational journal for equity in health2014
Personal and social determinants sustaining smoking practices in rural China: a qualitative study.
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 44 citations in OpenAlex.
- Urban and Rural Disparities in a WeChat-Based Smoking Cessation Intervention among Chinese Smokers.International journal of environmental research and public health · 2021Trial
- Unraveling the complexity of associations between tobacco culture in Chinese society and smokers' outcome expectancies: a network perspective.SSM - population health · 2026Article
- Effect of acupressure on smoking cessation in young smokers with nicotine dependence: A mixed methods study.Integrative medicine research · 2025Article
- Impact of Tobacco Exposure on Low Back Pain-Related Disability-Adjusted Life Years in China: Trends From 1990-2021 and Projections for the Next 15 years Using ARIMA Modeling.Journal of pain research · 2025Article
- Effects of smoking social cues on brand perception and smoking: an event-related potential study.Frontiers in psychiatry · 2025Article
- Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study.Patient preference and adherence · 2024Article
- Efficacy of WeChat-based online smoking cessation intervention ('WeChat WeQuit') in China: a randomised controlled trial.EClinicalMedicine · 2023Article
- Barriers and Facilitators for Smoking Cessation in Chinese Smokers with Chronic Obstructive Pulmonary Disease: A Qualitative Study.International journal of chronic obstructive pulmonary disease · 2022Article
- Current Cigarette Smoking Is Associated With a High Seizure Frequency and Anxiety Symptoms in People With Epilepsy.Frontiers in neurology · 2022Article
- Sociocultural factors contributing to waterpipe tobacco smoking among adolescents and young adult women: a qualitative study in Iran.International journal of qualitative studies on health and well-being · 2021Article
- The Moderating Effect of Community-Level Deprivation on the Association between Individual Characteristics and Smoking Behavior among Chinese Adults: A Cross-Level Study.International journal of environmental research and public health · 2021Article
- Inadequate Knowledge, Attitude and Practices about Second-Hand Smoke among Non-Smoking Pregnant Women in Urban Vietnam: The Need for Health Literacy Reinforcement.International journal of environmental research and public health · 2020Article
- Social engagement pattern, health behaviors and subjective well-being of older adults: an international perspective using WHO-SAGE survey data.BMC public health · 2020Article
- Health behavior practice among understudied Chinese and Filipino Americans with cardiometabolic diseases.Preventive medicine reports · 2018Article
- A Qualitative Study on Chinese Canadian Male Immigrants' Perspectives on Stopping Smoking: Implications for Tobacco Control in China.American journal of men's health · 2018Article
- Article
- A Qualitative Study on Unassisted Smoking Cessation Among Chinese Canadian Immigrants.American journal of men's health · 2017Article
- Motivations, challenges and coping strategies for smoking cessation: Based on multi-ethnic pregnant couples in far western China.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017Article
- Patterns of tobacco consumption among residents of a rural settlement: a cross-sectional study.Revista de saude publica · 2017Article
- Determinants of waterpipe use amongst adolescents in Northern Sweden: a survey of use pattern, risk perception, and environmental factors.BMC research notes · 2015Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTobacco use in China is disproportionally distributed among rural and urban populations with rural people smoking more. While there is a wealth of evidence on the association between tobacco use among rural people and their lower socio-economic status (SES), how social structural factors contribute to rural smoking is not well understood. Guided by a socio-ecological model, the objective of this study was to explore the personal and social determinants that play a key role in sustaining smoking practices among Chinese rural people.
methodsAn ethnographic study was conducted in a rural area of Central Jiangsu, China. Participants (n = 29) were recruited from families where there was at least one smoking resident and there were young children. In-depth interviews and unstructured observations were used to collect data, which were then analyzed with an interpretive lens.
resultsAlthough individuals had limited knowledge about the risks of smoking and lack of motivation to quit, social factors were in effect the main barriers to quitting smoking. Cigarette exchange and cigarette gifting permeated every aspect of rural family life, from economic activities to leisure pastimes, in family and wider social interactions. Traditional familism and collectivism interplayed with the pro-smoking environment and supported rural people's smoking practices at the community level. Living in the rural area was also a barrier to quitting smoking because of the lack of information on smoking cessation and the influence of courtyard-based leisure activities that facilitated smoking.
conclusionDevelopment of comprehensive smoking cessation interventions in rural China needs to extend beyond an individual level to take into account the social determinants influencing smoking practices.
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