Prevalence, cessation, and geographical variation of smoking among middle-aged and elderly adults in China: A population-based study
Introduction Smoking significantly burdens human health, contributing to an increasing incidence of mortality and morbidity. This study aims to explore the prevalence of smoking, cessation, and the association between various risk factors and smoking intensity measured in pack-years among Chinese ad...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-07-01
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| Series: | Tobacco Induced Diseases |
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| Online Access: | https://www.tobaccoinduceddiseases.org/Prevalence-cessation-and-geographical-variation-of-smoking-namong-middle-aged-and,190247,0,2.html |
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| _version_ | 1832587255947984896 |
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| author | Qingjia Zeng Chongyang Zhang Feiyu Su Yanli Wan Wen-jun Tu Hongpu Hu |
| author_facet | Qingjia Zeng Chongyang Zhang Feiyu Su Yanli Wan Wen-jun Tu Hongpu Hu |
| author_sort | Qingjia Zeng |
| collection | DOAJ |
| description | Introduction
Smoking significantly burdens human health, contributing to an increasing incidence of mortality and morbidity. This study aims to explore the prevalence of smoking, cessation, and the association between various risk factors and smoking intensity measured in pack-years among Chinese adults.
Methods
During 2020-2021, the China Stroke High-risk Population Screening and Intervention Program (CSHPSIP) invited participants aged ≥ 40 from 31 provinces in mainland China. This cross-sectional study presented the standardized prevalence of smoking and cessation across various demographics, including age, sex, residence, income, education, BMI, and geographical region. Multivariable logistic regression was employed to examine the associations between smoking pack-years and related factors.
Results
Among 524,741 participants (mean age: 61.9±10.9; 41.1% male; 58.9% female), standardized smoking prevalence was 19.3% (95% CI=19.2-19.4%), with men (37.2%; 95% CI=37.0-37.4%) displaying significantly higher rates than women (1.3%; 95% CI=1.2-1.3%). Smoking cessation rate stood at 11.2% (95% CI: 11.0-11.4%), with figures of 11.3% (95% CI: 11.1-11.5%) for men and 8.4% (95% CI: 7.5-9.2%) for women. Urban residents and those with advanced education had lower smoking rates and higher cessation rates. Additionally, the dose-response relationship indicated a more pronounced association between higher smoking pack-years and elevated health risks, including hypertension (aOR=1.30, 95% CI: 1.24-1.36), diabetes (aOR=1.26, 95% CI: 1.20-1.33), hyperlipidemia (aOR=1.22, 95% CI: 1.16-1.28), heart disease (aOR=1.40, 95% CI: 1.26-1.54), and stroke (aOR=1.23, 95% CI: 1.10-1.36).
Conclusions
This comprehensive study emphasizes the profound impact of smoking on health in Chinese adults, indicating the critical need for tailored cessation programs, particularly for middle-aged individuals, men, rural residents, and those with lower educational backgrounds. |
| format | Article |
| id | doaj-art-e87b88eec53247929df1be921a58f3bb |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-e87b88eec53247929df1be921a58f3bb2025-01-24T15:27:00ZengEuropean PublishingTobacco Induced Diseases1617-96252024-07-0122July11310.18332/tid/190247190247Prevalence, cessation, and geographical variation of smoking among middle-aged and elderly adults in China: A population-based studyQingjia Zeng0https://orcid.org/0009-0009-7786-2577Chongyang Zhang1Feiyu Su2Yanli Wan3Wen-jun Tu4Hongpu Hu5Institute of Medical Information/Medical Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaIntroduction Smoking significantly burdens human health, contributing to an increasing incidence of mortality and morbidity. This study aims to explore the prevalence of smoking, cessation, and the association between various risk factors and smoking intensity measured in pack-years among Chinese adults. Methods During 2020-2021, the China Stroke High-risk Population Screening and Intervention Program (CSHPSIP) invited participants aged ≥ 40 from 31 provinces in mainland China. This cross-sectional study presented the standardized prevalence of smoking and cessation across various demographics, including age, sex, residence, income, education, BMI, and geographical region. Multivariable logistic regression was employed to examine the associations between smoking pack-years and related factors. Results Among 524,741 participants (mean age: 61.9±10.9; 41.1% male; 58.9% female), standardized smoking prevalence was 19.3% (95% CI=19.2-19.4%), with men (37.2%; 95% CI=37.0-37.4%) displaying significantly higher rates than women (1.3%; 95% CI=1.2-1.3%). Smoking cessation rate stood at 11.2% (95% CI: 11.0-11.4%), with figures of 11.3% (95% CI: 11.1-11.5%) for men and 8.4% (95% CI: 7.5-9.2%) for women. Urban residents and those with advanced education had lower smoking rates and higher cessation rates. Additionally, the dose-response relationship indicated a more pronounced association between higher smoking pack-years and elevated health risks, including hypertension (aOR=1.30, 95% CI: 1.24-1.36), diabetes (aOR=1.26, 95% CI: 1.20-1.33), hyperlipidemia (aOR=1.22, 95% CI: 1.16-1.28), heart disease (aOR=1.40, 95% CI: 1.26-1.54), and stroke (aOR=1.23, 95% CI: 1.10-1.36). Conclusions This comprehensive study emphasizes the profound impact of smoking on health in Chinese adults, indicating the critical need for tailored cessation programs, particularly for middle-aged individuals, men, rural residents, and those with lower educational backgrounds.https://www.tobaccoinduceddiseases.org/Prevalence-cessation-and-geographical-variation-of-smoking-namong-middle-aged-and,190247,0,2.htmlsmokingsmoking cessationprevalenceassociated factorspopulation-based |
| spellingShingle | Qingjia Zeng Chongyang Zhang Feiyu Su Yanli Wan Wen-jun Tu Hongpu Hu Prevalence, cessation, and geographical variation of smoking among middle-aged and elderly adults in China: A population-based study Tobacco Induced Diseases smoking smoking cessation prevalence associated factors population-based |
| title | Prevalence, cessation, and geographical variation of smoking
among middle-aged and elderly adults in China:
A population-based study |
| title_full | Prevalence, cessation, and geographical variation of smoking
among middle-aged and elderly adults in China:
A population-based study |
| title_fullStr | Prevalence, cessation, and geographical variation of smoking
among middle-aged and elderly adults in China:
A population-based study |
| title_full_unstemmed | Prevalence, cessation, and geographical variation of smoking
among middle-aged and elderly adults in China:
A population-based study |
| title_short | Prevalence, cessation, and geographical variation of smoking
among middle-aged and elderly adults in China:
A population-based study |
| title_sort | prevalence cessation and geographical variation of smoking among middle aged and elderly adults in china a population based study |
| topic | smoking smoking cessation prevalence associated factors population-based |
| url | https://www.tobaccoinduceddiseases.org/Prevalence-cessation-and-geographical-variation-of-smoking-namong-middle-aged-and,190247,0,2.html |
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