ArticleBMJ open2018
Patterns of smoking initiation during adolescence and young adulthood in South-West China: findings of the National Nutrition and Health Survey (2010-2012).
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- What drives youth smoking initiation in Bosnia and Herzegovina? Evidence from a split-population duration model.BMJ open · 2025Article
- Article
- Cigarette, e-cigarette and waterpipe cognitions and use among university students in Guangzhou, China.Tobacco induced diseases · 2023Article
- Prevalence of water pipe smoking and associated risk factors among female adolescents.Journal of education and health promotion · 2021Article
- Smoking Prevalence, Patterns, and Cessation Among Adults in Hebei Province, Central China: Implications From China National Health Survey (CNHS).Frontiers in public health · 2020Article
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Authors and funding
10 authors.
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Abstract
objectiveThis study aims to understand the age patterns of smoking initiation during adolescence and young adulthood in South-West China, where the prevalence of tobacco use is reported as the highest in the country.
designA cross-sectional study.
settingThe data were derived from the China National Nutrition and Health Survey in Yunnan Province, South-West China (2010-2012).
participantsA total of 4801 participants aged 15-65 years were included. PRIMARY OUTCOME MEASURES: A survival model was used to estimate the hazard of smoking initiation by age and log-rank test was used to compare the hazard curves across subgroups (men/women, urban/rural, Han Chinese/ethnic minority).
resultsThe prevalence of current smoking among men and women were 60.4% (95% CI 58.2% to 62.6%) and 5.1% (95% CI 4.3% to 5.9%), respectively. Smoking was more prevalent among men and women of lower education and less income, as well as rural and ethnic minority women. Among the current smokers, cigarette (80.7%) was the most commonly used tobacco product, followed by waterpipe (10.8%) and pipe tobacco (8.5%). The hazards of smoking initiation were low for both men and women before the age of 15 years (1% for men and 0.05% for women); and the hazards increased quickly from age 15 years and peaked at 19years (21.5% for men and 1.0% for women). Rural and ethnic minority women were at higher risk of smoking initiation than their counterparts between 15 years and 19 years of age (χ
conclusionsFindings of this study underscore the importance to implement tobacco prevention interventions among older teens and young adults in South-West China, especially for rural and ethnic minority women.
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