ArticleChina CDC weekly2026
Cigarette and E-Cigarette Use Among Adolescents Based on a Nationwide Survey - China, 2021.
Article in China CDC weekly, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
What is already known about this topic?: Adolescent cigarette and e-cigarette use remains common in China. Previous studies identified multiple individual-, family-, and school-related risk factors. However, national-level evidence distinguishing dual use from exclusive cigarette or e-cigarette use is limited. What is added by this report?: A nationally representative survey of high-school students in 31 provincial-level administrative divisions in China produced updated estimates of tobacco use in 2021: dual (6.9%), cigarette (24.6%), e-cigarette (9.5%). Socio-ecological factors differed across statuses, and some preventive measures, including school-based tobacco education, had no associated use reduction. What are the implications for public health practice?: Adolescent tobacco control should adopt differentiated strategies for dual/exclusive tobacco use, strengthen family/peer involvement, and improve school-based education program effectiveness.
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