Tobacco Use and Exposure Among Secondary School Students — China, 2019

Liu, Shiwei; Xiao, Lin; Zeng, Xinying; Di, Xinbo; Li, Xinhua

doi:10.46234/ccdcw2020.100

Cited by 13 publications

(29 citation statements)

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“…Compared with the 2019 China NYTS, the prevalence rates of ES, CS, and FS for males in 2021 decreased by 10.8% (26.0% vs. 23.2%), 26.0% (9.6% vs. 7.1%), and 34.4% (3.2% vs. 2.1%) ( 2 ), respectively, while they were unchanged for females. These decreases in cigarette use may be partially due to the development of tobacco control interventions, such as creating smoke-free school grounds nationwide, banning smoking in school, and actively implementing health promotion and education on tobacco control ( 7 - 8 ).…”

Section: Discussionmentioning

confidence: 85%

“…Based on the framework of the Global Youth Tobacco Survey ( 1 ), China CDC had conducted the China National Youth Tobacco Survey (NYTS) among junior high school (JHS) students in 2014 and among junior and senior high school (SHS) students [including vocational senior high school (VSHS) students] in 2019, respectively ( 2 ). Similarly, China CDC again implemented NYTS in 2021.…”

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confidence: 99%

“…With a design similar to the 2014 and 2019 China NYTS ( 2 ), a 3-stage stratified cluster random sampling was also applied in the 2021 China NYTS covering 31 provincial-level administrative divisions (PLADs) in the mainland of China. First, 5 districts (for urban areas) and 5 counties (for rural areas) were selected in each PLAD using proportionate to population size sampling scheme (PPS).…”

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confidence: 99%

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Smoking Behavior Among Secondary School Students — China, 2021

Zeng

Liu

et al. 2022

China CDC Weekly

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What is already known about this topic? In 2019, China CDC conducted the National Youth Tobacco Survey among secondary school students, and the prevalence rates of ever, current, and frequent smoking were 17.9%, 5.9%, and 1.8%, respectively. What is added by this report? The prevalence rate of cigarette use in males decreased largely from 2019 to 2021 in China, while it increased in 18 provincial-level administrative divisions (PLADs) for females. The tobacco control situation remains challenging among vocational senior high school (VSHS) students. Significant geographical disparities existed in cigarette use. What are the implications for public health practice? Targeted tobacco control policies aimed at VSHS students are needed, specifically those PLADs with higher smoking rates. Additionally, close attention should be paid to female smokers.

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Section: Discussionmentioning

confidence: 85%

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confidence: 99%

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confidence: 99%

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Smoking Behavior Among Secondary School Students — China, 2021

Zeng

Liu

et al. 2022

China CDC Weekly

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“…According to the Chinese Center for Disease Control and Prevention’s (CDC) national tobacco survey in 2019, 3.9% of junior high school students (typically aged 13–15 years), 5.6% of senior high school students (typically aged 16–18 years) and 14.7% of vocational high school students (typically aged 16–18 years) currently smoke cigarettes 1. Cigarette smoking rates among Chinese adolescents vary significantly by region, with higher smoking prevalence found among students from the southwest compared with other regions 1. Although cigarette smoking rates among junior high school students decreased from 5.9% to 3.9% from 2014 to 2019, use of electronic cigarettes (e-cigarettes) among junior high schoolers increased from 1.2% to 2.7% 1…”

Section: Introductionmentioning

confidence: 99%

“…The presence of tobacco retailers around schools and the number of tobacco retailers passed on the way to school are associated with increased receptivity to tobacco marketing and tobacco use rates among youth 3–6. A 2019 survey conducted by China CDC found 48.9% of junior high school students, 46.7% of vocational senior high school students and 42.0% of senior high school students were exposed to tobacco advertisements at retail stores 1. Exposure to tobacco marketing may lead to positive attitudes about tobacco and normalising tobacco use behaviours 7.…”

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confidence: 99%

Tobacco retailers around schools in 10 cities across China

et al. 2022

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ObjectiveThis study explored the nature and extent of tobacco product availability at retailers near junior, senior and vocational high schools in rural and urban areas in 10 cities across China, including Shanghai, Beijing, Guangzhou, Chongqing, Shenyang, Jinan, Kunming, Guilin, Kaifeng and Baiyin.MethodsTobacco sales at 1612 retailers around 904 schools (within 100 m for urban schools and within 250 m for rural schools) were observed by trained data collectors with an online observation form in 2021. Multistage sampling with simple random sampling at each stage was used to select schools from the city district-level/rural county-level divisions. χ2 tests and analyses of variance were used to analyse the data.FindingsOver half of urban schools (57.0%) and a large majority of rural schools (71.0%) had a cigarette retailer within a 100 m and a 250 m radius, respectively. Nearly all cigarette and electronic cigarette (e-cigarette) retailers displayed tobacco products inside. Majority of cigarette retailers (63.2%) sold flavoured cigarettes, of which 88.6% sold menthol/mint-flavoured cigarettes. Approximately half of these retailers did not display required signage prohibiting sales to minors. Overall, outcomes varied across cities and between urban and rural areas, but not by school type.ConclusionDisplay of tobacco products is very prevalent near schools in 10 cities across China. In contrast, compliance with posting ‘no sales to minors’ signs is low. Our findings suggest that effective enforcement of prohibiting tobacco retailers around schools and stronger restrictions on tobacco displays and flavoured cigarettes and e-cigarettes are needed to protect youth in China.

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Prevalence, frequency, intensity, and location of cigarette use among adolescents in China from 2013–14 to 2019: Findings from two repeated cross-sectional studies

Tobacco Use and Exposure Among Secondary School Students — China, 2019

Cited by 13 publications

References 0 publications

Smoking Behavior Among Secondary School Students — China, 2021

Smoking Behavior Among Secondary School Students — China, 2021

Tobacco retailers around schools in 10 cities across China

Prevalence, frequency, intensity, and location of cigarette use among adolescents in China from 2013–14 to 2019: Findings from two repeated cross-sectional studies

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