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. 2016 Dec:93:82-87.
doi: 10.1016/j.ypmed.2016.09.027. Epub 2016 Sep 24.

Trends in smoking prevalence and attributable mortality in China, 1991-2011

Shuangshuang Li  1 , Linghui Meng  2 , Arnaud Chiolero  3 , Chuanwei Ma  1 , Bo Xi  4
Affiliations

Trends in smoking prevalence and attributable mortality in China, 1991-2011

Shuangshuang Li et al. Prev Med. 2016 Dec.

Abstract

Objective: China is the largest producer of tobacco worldwide. We assessed secular trends in prevalence of smoking, average cigarettes per day, mean age of initiation, and mortality attributable to smoking among the Chinese population between 1991 and 2011.

Design: Data came from the China Health and Nutrition Survey, conducted eight times between 1991 and 2011. A total of 83,447 participants aged 15years or older were included in this study. Trends in smoking were stratified by sex, age, and region (urban vs. rural).

Results: In 2011, 311 millions individuals were current smokers in China, with 295 million men and 16 million women, respectively. Between 1991 and 2011, the prevalence of current smoking decreased from 60.6% to 51.6% in men, and from 4.0% to 2.9% in women. However, during this period, the average number of cigarettes smoked per day per smoker increased from 15.0 to 16.5 in males, and from 8.5 to 12.4 in females. Further, age of smoking initiation decreased from 21.9 to 21.4years in men and from 31.4 to 28.4years in women. In 2011, 16.5% of all deaths in men and 1.7% in women were due to smoking. Between 1991 and 2011, the total number of deaths caused by smoking increased from 800,000 to 900,000.

Conclusions: During the past 20years, a slight decrease in smoking prevalence was observed in the Chinese population. However, cigarette smoking remains a major cause of death in China, especially in men.

Keywords: China; Epidemiology; Smoking; Trends.

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Conflict of interest statement

Declaration of interests None.

Figures

Fig. 1
Fig. 1
Trends in (A) the prevalence of current smoking, (B) prevalence of ever smoking; (C) mean cigarettes smoked per day per smoker; and (D) average age of smoking initiation in the Chinese population, 1991–2011. Data are age- and sex- standardized to the 2010 China Census population.
See this image and copyright information in PMC

References

    1. Asma S, Song Y, Cohen J, Eriksen M, Pechacek T, Cohen N, Iskander J Centers for Disease, C., Prevention. CDC grand rounds: global tobacco control. MMWR Morb Mortal Wkly Rep. 2014;63:277–280. - PMC - PubMed
    1. Bi Y, Jiang Y, He J, Xu Y, Wang L, Xu M, Zhang M, Li Y, Wang T, et al. Status of cardiovascular health in Chinese adults. J Am Coll Cardiol. 2015;65:1013–1025. - PubMed
    1. Chen ZM, Xu Z, Collins R, Li WX, Peto R. Early health effects of the emerging tobacco epidemic in China. A 16-year prospective study. JAMA. 1997;278:1500–1504. - PubMed
    1. Chen Z, Shin YS, Beaglehole R. Tobacco control in China: small steps towards a giant leap. Lancet. 2012;379:779–780. - PubMed
    1. Chen Z, Peto R, Zhou M, Iona A, Smith M, Yang L, Guo Y, Chen Y, Bian Z, et al. Contrasting male and female trends in tobacco-attributed mortality in China: evidence from successive nationwide prospective cohort studies. Lancet. 2015;386:1447–1456. - PMC - PubMed

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