title: Smoking among young rural to urban migrant women in China: a cross-sectional survey.
abstract: BACKGROUND
  Rural-to-urban migrant women may be vulnerable to smoking initiation as they are newly exposed to risk factors in the urban environment. We sought to identify correlates of smoking among rural-to-urban migrant women in China.
  
  
  RESULTS
  A cross-sectional survey of rural-to-urban migrant women working in restaurants and hotels (RHW) and those working as commercial sex workers (CSW) was conducted in ten provincial capital cities in China. Multiple logistic regression was conducted to identify correlates of smoking. We enrolled 2229 rural-to-urban migrant women (1697 RHWs aged 18-24 years and 532 CSWs aged 18-30 years). Of these, 18.4% RHWs and 58.3% CSWs reported ever tried smoking and 3.2% RHWs and 41.9% CSWs reported current smoking. Participants who first tried smoking after moving to the city were more likely to be current smokers compared to participants who first tried smoking before moving to the city (25.3% vs. 13.8% among RHWs, p = 0.02; 83.6% vs. 58.6% among CSWs, p = <0.01). Adjusting for other factors, "tried female cigarette brands" had the strongest association with current smoking (OR 5.69, 95%CI 3.44 to 9.41) among participants who had ever tried smoking.
  
  
  CONCLUSIONS
  Exposure to female cigarette brands may increase the susceptibility to smoking among rural-to-urban migrant women. Smoke-free policies and increased taxes may be effective in preventing rural-to-urban migrant women from smoking initiation.
authors.affiliation: Institute of Basic Medical Sciences of Chinese Academy of Medical Sciences, School of Basic Medicine of Peking Union Medical College, Beijing, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Wan
authors.forename: Sanghyuk S
authors.initials: SS
authors.lastname: Shin
authors.forename: Qian
authors.initials: Q
authors.lastname: Wang
authors.forename: H Fisher
authors.initials: HF
authors.lastname: Raymond
authors.forename: Huilin
authors.initials: H
authors.lastname: Liu
authors.forename: Ding
authors.initials: D
authors.lastname: Ding
authors.forename: Gonghuan
authors.initials: G
authors.lastname: Yang
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Novotny
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology*; D014171:Transients and Migrants; D014505:Urban Population; D055815:Young Adult