Zhao Liu|Yinghua Li|Ziyang Cui|Li Li|Xueqiong Nie|Chengdong Yu|Guangliang Shan|Xinmei Zhou|Rui Qin|Anqi Cheng|Kian Fan Chung|Zhengming Chen|Dingquan Xiao|Chen Wang
Prevalence of tobacco dependence and associated factors in China: Findings from nationwide China Health Literacy Survey during 2018–19
Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|China National Health Development Research Center|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|Peking Union Medical College Hospital|China National Health Development Research Center|China National Health Development Research Center|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|Royal Brompton & Harefield NHS Foundation Trust|Imperial College London|University of Oxford|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|China-Japan Friendship Hospital|Peking Union Medical College Hospital|China-Japan Friendship Hospital|Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research Center for Digestive Diseases|Peking Union Medical College Hospital
tobacco dependence key barrier successful smoking cessation however little known prevalence sociodemographic characteristics determinants aimed estimate prevalence associated factors burden tobacco dependence chinaduring 20182019 nationally representative 2018 china health literacy survey 2018 chls invited 87708 participants participate using multistage stratified sampling method 31 provinces equivalent mainland china 84839 participants aged 2069 valid data included analysis diagnosed tobacco dependence based international criteria icd10 dsm4 tailored chinese population according china clinical guideline tobacco cessation 2015 version prevalence tobacco dependence estimated overall sociodemographic factors logistic regression conducted estimate odds ratios 95 confidence intervals cis tobacco dependence success smoking cessation exsmokers different levels adjustment used estimate total number adults tobacco dependent chinain china estimated prevalence current smoking 251 significantly higher men women 476 vs 19 prevalence current smoking varied approximately 3fold 129 379 across 31 provinces china among general population aged 2069 years prevalence tobacco dependence 131 95 ci122141 among current smokers prevalence tobacco dependence 497 465529 difference men women 497 vs 508 prevalence tobacco dependence associated significantly smoking intensity defined packyears 162 154170 per 10 packyears cigarettes smoked per day 201 178 227 per 10 cigarettes smoking starting age 093 090 097 per 5 years given smoking intensity prevalence tobacco dependence also varied age gender certain socioeconomic status regions compared without tobacco dependence ever smokers tobacco dependence less likely exsmokers 288 259321 china 1835 17041974 million adults 1775 million men tobacco dependent 2018in china tobacco dependence highly prevalent approximately half current smokers addictive highlighting need coordinated effort improve awareness diagnosis treatment tobacco dependencechinese academy medical sciences cams initiative innovative medicine cams 2021i2m1010 national key rd program china grant 2017yfc1309400 national natural science foundation china grant 81720108001chinese translation abstract available appendix section