ArticleTobacco induced diseases2026
Associations of cigarette card games engagement with smoking susceptibility and smoking behaviors among Chinese children and adolescents: Findings from the Zhejiang Childhood Behavior and Health Cohort study.
Article in Tobacco induced diseases, 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
introductionRecently, cigarette card games have gained great popularity among Chinese schoolchildren. This study aimed to examine the associations of cigarette card game engagement with smoking susceptibility and smoking-related behaviors in students.
methodsUsing data from the Zhejiang Childhood Behavior and Health Cohort, 21526 children and adolescents aged 6-19 years were included, and relevant information on cigarette card games, smoking susceptibility, and several smoking behaviors was collected via self-reported questionnaires. Logistic regression models were used to explore the influence of cigarette card games on smoking susceptibility, as well as the smoking behaviors. Odds ratios (ORs) and their 95% confidence intervals (CIs) are reported.
resultsAmong the 21526 participants, 861 (4.00%) reported engaging in the cigarette card games within the past 7 days. Never smoking students who engaged in cigarette card games exhibited greater odds of smoking susceptibility than those who did not engage (adjusted odds ratio, AOR=2.05; 95% CI: 1.70-2.46). Similarly, increased odds of ever cigarette smoking, ever and current e-cigarette use were also observed among those participating in such games, with AORs of 3.73 (95% CI: 2.83-4.90), 3.21 (95% CI: 2.31-4.46), and 6.87 (95% CI: 4.87-9.69), respectively.
conclusionsFindings of the present study confirmed the popularity of cigarette card games among Chinese students. They indicated that engagement in these games was significantly associated with increased odds of smoking susceptibility and various smoking-related behaviors. However, given the limitations of the study, these conclusions should be interpreted with caution.
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