Introduction:Smoking is the second leading risk factor for disease burden in China.This study aims to analyze smoking behaviors among urban and rural areas in China to evaluate the effectiveness of current tobacco con...Introduction:Smoking is the second leading risk factor for disease burden in China.This study aims to analyze smoking behaviors among urban and rural areas in China to evaluate the effectiveness of current tobacco control measures and formulate strategic adjustments for achieving the Healthy China 2030 tobacco control targets.Methods:This study analyzed smoking prevalence[with 95%confidence intervals(CIs)]using the 2024 China National Adult Tobacco Survey(NATS)data.Rao-Scottχ^(2)tests compared prevalence differences across subgroups.Linear,nonlinear,and logistic regression models tested age-related trends in smoking behaviors.Results:In 2024,the current and daily smoking prevalence among Chinese adults aged≥15 years were 23.2%and 20.3%,respectively,with males exceeding females,peaking in 30–59 years.Rural areas had higher rates(24.9%,22.1%)than urban areas(20.9%,17.9%),particularly among high-income rural households.Agricultural workers,government/public institution employees,and business/service workers showed higher rates than teaching staff and medical/health workers.Daily smokers initiated daily smoking at a mean age of 22.4 years,with younger smokers starting earlier.Current smokers consumed an average of 15.8 cigarettes/day,with higher consumption in rural than in urban areas.Slim cigarette use was reported by 32.9%of current smokers,with higher proportions in females,urban residents and adults aged<50 years.Conclusions:Targeted strategies are required to sustain tobacco use reduction:addressing inadequate enforcement of control policies,focusing on smoking initiation,and implementing enhanced regulation of industry-promoted misleading“harm reduction”products(e.g.,slim cigarettes).展开更多
基金Supported by National Major Scientific and Technological Special Project(2023ZD0506401)Global Health Capacity Building and Tobacco Control Project,Chinese Center for Disease Control and Prevention(2025).
文摘Introduction:Smoking is the second leading risk factor for disease burden in China.This study aims to analyze smoking behaviors among urban and rural areas in China to evaluate the effectiveness of current tobacco control measures and formulate strategic adjustments for achieving the Healthy China 2030 tobacco control targets.Methods:This study analyzed smoking prevalence[with 95%confidence intervals(CIs)]using the 2024 China National Adult Tobacco Survey(NATS)data.Rao-Scottχ^(2)tests compared prevalence differences across subgroups.Linear,nonlinear,and logistic regression models tested age-related trends in smoking behaviors.Results:In 2024,the current and daily smoking prevalence among Chinese adults aged≥15 years were 23.2%and 20.3%,respectively,with males exceeding females,peaking in 30–59 years.Rural areas had higher rates(24.9%,22.1%)than urban areas(20.9%,17.9%),particularly among high-income rural households.Agricultural workers,government/public institution employees,and business/service workers showed higher rates than teaching staff and medical/health workers.Daily smokers initiated daily smoking at a mean age of 22.4 years,with younger smokers starting earlier.Current smokers consumed an average of 15.8 cigarettes/day,with higher consumption in rural than in urban areas.Slim cigarette use was reported by 32.9%of current smokers,with higher proportions in females,urban residents and adults aged<50 years.Conclusions:Targeted strategies are required to sustain tobacco use reduction:addressing inadequate enforcement of control policies,focusing on smoking initiation,and implementing enhanced regulation of industry-promoted misleading“harm reduction”products(e.g.,slim cigarettes).
