title: Cigarette smoking is associated with unhealthy patterns of food consumption, physical activity, sleep impairment, and alcohol drinking in Chinese male adults.
abstract: OBJECTIVE
  According to a recent national survey, tobacco use is a critical public health issue in China, with more than two-thirds of Chinese males smoking. Findings in Western populations suggest that smoking may cluster with other health-risk behaviors. To explore these relationships in Chinese male adults, we utilized baseline data from the China Seven Cities Study (CSCS).
  
  
  METHODS
  Male adults (n = 12,122) were included. Smoking status was defined as never smokers, ex-smokers, current smokers, and current heavy smokers. Logistic regression was employed to investigate the association of cigarette smoking and patterns of food consumption, physical activity, and alcohol drinking.
  
  
  RESULTS
  After controlling for age, socioeconomic status, and city residence, heavy smokers consumed significantly less vegetables, fruits, milk and other dairy products, spent significantly more time watching television, slept and exercised less, and got drunk or engaged in binge drinking more frequently compared to never, ex-, or current smokers (p < 0.05).
  
  
  CONCLUSIONS
  Findings suggest significant associations of heavy cigarette smoking with other health-risk behaviors in Chinese male adults, underscoring the need for tobacco control interventions for Chinese males.
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: Shabana
authors: S
authors: Masood
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: Christopher
authors: C
authors: Cappelli
authors: School of Social Work, San Diego State University, San Diego, USA.
authors: Yawen
authors: Y
authors: Li
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: Hilary
authors: H
authors: Tanenbaum
authors: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, USA.
authors: Chih-Ping
authors: CP
authors: Chou
authors: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, USA.
authors: Donna
authors: D
authors: Spruijt-Metz
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: Paula H
authors: PH
authors: Palmer
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: C Anderson
authors: CA
authors: Johnson
authors: School of Community and Global Health, Claremont Graduate University, Claremont, USA.
authors: Bin
authors: B
authors: Xie
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D002681:China / Q000453:epidemiology; D015444:Exercise; D005247:Feeding Behavior; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012309:Risk-Taking; D012737:Sex Factors; D012893:Sleep Wake Disorders; D012907:Smoking / Q000453:epidemiology*
keywords: Chinese male adults; Cigarette smoking; Lifestyles; Tobacco