title: The impact of regional economic reliance on the tobacco industry on current smoking in China.
abstract: The purpose of this study was to conduct a preliminary assessment of province of residence and other contextual factors on the likelihood of being a current smoker in China. A cross-sectional, multistage sampling process was used to recruit participants, and their smoking status and sociodemographic characteristics were obtained through face-to-face interviews. The contextual variables were retrieved from a national database. Multilevel logistic regression analysis was performed to assess the impact of provincial economic reliance on the tobacco industry, as well as individual-level characteristics, on the likelihood of being a current smoker. Participants totaled 20,601 from 27 cities located in 26 of the 31 municipalities/provinces in China. Overall smoking prevalence was 31.3% (95% CI: 19.3-33.2%), with rates being highest in Yinchuan City in Ningxia Province (49.8%) and lowest in Shanghai (21.6%). The multilevel analysis showed an excess likelihood of being a current smoker for individuals living in provinces with the highest rate of cigarette production relative to those with the smallest (p<0.001). Findings underscore the importance of restricting cigarette production and regulating the marketing of tobacco products in China.
authors.affiliation: Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China. Electronic address: tingzhongyang@zju.edu.cn.
authors.forename: Tingzhong
authors.initials: T
authors.lastname: Yang
authors.affiliation: Department of Geography, University of Canterbury, Private Bag 4800, Christchurch, New Zealand. Electronic address: ross.barnett@canterbury.ac.nz.
authors.forename: Ross
authors.initials: R
authors.lastname: Barnett
authors.affiliation: Department of Epidemiology, School of Public Health, and Injury Control Research Center, West Virginia University, Morgantown, WV 26505, USA. Electronic address: irockett@hsc.wvu.edu.
authors.forename: Ian R H
authors.initials: IR
authors.lastname: Rockett
authors.affiliation: Department of Sociology, Purdue University, West Lafayette, IN 47907, USA. Electronic address: yusufyang@gmail.com.
authors.forename: Xiaozhao Y
authors.initials: XY
authors.lastname: Yang
authors.affiliation: Depatment of Preventive Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China. Electronic address: wudan.tracy@yahoo.com.
authors.forename: Dan
authors.initials: D
authors.lastname: Wu
authors.affiliation: Institute of Family and Social Medicine, Zhejiang University School of Medicine, Hangzhou 310058, China. Electronic address: deardangjun@163.com.
authors.forename: Weijun
authors.initials: W
authors.lastname: Zheng
authors.affiliation: Institute of Family and Social Medicine, Zhejiang University School of Medicine, Hangzhou 310058, China. Electronic address: lilu@zju.edu.cn.
authors.forename: Lu
authors.initials: L
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology*; D012959:Socioeconomic Factors; D019460:Tobacco Industry / Q000191:economics*; D062789:Tobacco Products / Q000706:statistics & numerical data*; D014028:Tobacco Smoke Pollution; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution
keywords: China; Regional variation; Smoking; Tobacco control; Tobacco industry