Abstract：Objective To investigate the prevalence of cigarette and electronic cigarette ( e-cigarette ) use among adults in Zhejiang Province, so as to provide insights into tobacco control. Methods Thirty study sites were randomly sampled from Zhejiang Province in 2020 using a multi-stage stratified random sampling method, and permanent residents at ages of 15 to 69 years were selected as study subjects. A questionnaire was designed based on the questionnaire for the China Adult Tobacco Survey to collect subjects' demographic characteristics, cigarette and e-cigarette use, smoking cessation and exposure to secondhand smoke ( SHS ). The weighted prevalence of smoking, current smoking, current e-cigarette smoking, smoking cessation and exposure to SHS was estimated based on the Seventh National Population Census in 2020. Results A total of 19 200 questionnaires were recovered, and 19 180 were valid, with an effective recovery rate of 99.90%. The respondents had a mean age of ( 50.30±12.90 ) years, with a male to female ratio of 1∶1.06 and an urban/rural population ratio of 1∶1.31. Among all the respondents, there were 6 033 smokers ( 31.45% ), 4 163 current smokers ( 21.70% ), 201 current e-cigarette users ( 1.05% ), 146 cigarette and e-cigarette dual users ( 0.76% ), 1 870 respondents quitting smoking ( 31.00% of smokers ) and 7 189 respondents with exposure to SHS ( 47.87% of non-smokers ). The weighted prevalence of smoking, current e-cigarette use, cigarette and e-cigarette dual uses, smoking cessation and exposure to SHS was 20.49%, 1.34%, 0.94%, 29.56% and 49.53% in Zhejiang Province, respectively, and the prevalence of current smoking, current e-cigarette use, cigarette and e-cigarette dual uses and exposure to SHS was 40.39%, 2.39%, 1.86% and 55.31% among males and 0.35%, 0.28%, <0.01% and 46.02% among females, respectively. The highest prevalence of current smoking was seen among respondents at ages of 55 to 64 years ( 24.24% ), while the highest prevalence of current e-cigarette use and cigarette and e-cigarette dual uses was seen in adults at ages of 25 to 34 years ( 2.18% and 1.58% ). Conclusions The prevalence of current e-cigarette use was higher among adults in Zhejiang Province in 2020 than the nationwide level in China. The prevalence of cigarette use was lower among adults in Zhejiang Province in 2020 than the nationwide level in China; however, improving the management of tobacco control in public places and the capacity building of smoking cessation services is still required to reduce the use of cigarettes and e-cigarettes.
徐越, 胡秀静, 陈赫妮, 张雪海, 吴青青, 姚丁铭, 徐水洋. 浙江省成人卷烟和电子烟使用现况调查[J]. 预防医学, 2022, 34(5): 439-444.
XU Yue, HU Xiujing, CHEN Heni, ZHANG Xuehai, WU Qingqing, YAO Dingming, XU Shuiyang. Current status of cigarette and electronic cigarette use among adults in Zhejiang Province. Preventive Medicine, 2022, 34(5): 439-444.
[1] World Health Organization.WHO report on the global tobacco epidemic:implementing smoke-free environments [R]. Geneva:World Health Organization,2010. [2] EZZATI M,LOPEZ A D.Estimates of global mortality attributable to smoking in 2000[J]. Lancet,2003,362(9387):847-852. [3] XU Y,GUO Y F,LIU K Q,et al. E-cigarette awareness,use,and harm perception among adults:a meta-analysis of observational studies[J/OL]. PLoS One,2016,11(2016-11-18)[2022-04-06].https://doi.org/10.1371/journal.pone.0165938. [4] MCMILLEN R C,GOTTLIEB M A,SHAEFER R M,et al.Trends in electronic cigarette use among U.S. adults:use is increasing in both smokers and nonsmokers[J]. Nicotine Tob Res,2015,17(10):1195-1202. [5] World Health Organization.Electronic nicotine delivery systems[J]. Pediatrics,2015,136(5):1018-1026. [6] 中国疾病预防控制中心.一图读懂2018年中国成人烟草调查结果[EB/OL].(2019-06-01)[2022-04-06]. https://www.chinacdc.cn/jkzt/sthd_3844/slhd_12885/201906/t20190601_202997.html. Chinese Center for Disease Control and Prevention. Tobacco survey results of Chinese Adult Tobacco Survey in2018 in a figure[EB/OL].(2019-06-01)[2022-04-06]. https://www.chinacdc.cn/jkzt/sthd_3844/slhd_12885/201906/t20190601_202997.html. [7] World Health Organization.WHO report on the Global Tobacco Epidemic,2008:the MPOWER package[R]. Geneva:World Health Organization,2008. [8] 徐越,徐水洋,吴青青,等. 浙江省2013年成人吸烟及被动吸烟现状调查[J]. 中华流行病学杂志,2014,35(12):24-30. XU Y,XU S Y,WU Q Q,et al.Smoking and secondhand smoking in Zhejiang province,China[J]. Chin J Epidemiol,2014,35(12):24-30. [9] 杨焱,南奕,屠梦吴,等. 《2015中国成人烟草调查报告》概要[J]. 中华健康管理学杂志,2016,10(2):85-87. YANG Y,NAN Y,TU M W,et al.Major finding of 2015 China adults tobacco survey[J]. Chin J Health Manag,2016,10(2):85-87. [10] CORNELIUS M E,LORETAN C G,WANG T W,et al.Tobacco product use among adults - United States,2020[J]. MMWR,2022,71(11):397-405. [11] DING D,HOVELL M F.Cigarettes,social reinforcement,and culture:a commentary on “Tobacco as a social currency: cigarette gifting and sharing in China”[J]. Nicotine Tob Res,2012,14(3):255-257. [12] 徐越,徐水洋,吴青青,等. 浙江省99家戒烟门诊服务能力评价[J]. 预防医学,2020,32(12):1220-1225. XU Y,XU S Y,WU Q Q,et al.Service competence evaluation of 99 smoking cessation clinics in Zhejiang Province[J]. Prev Med,2020,32(12):1220-1225. [13] MIRBOLOUK M,CHARKHCHI P,KIANOUSH S,et al.Prevalence and distribution of e-cigarette use among U.S. adults: Behavioral Risk Factor Surveillance System,2016[J]. Ann Intern Med,2018,169(7):429-438. [14] World Health Organization.WHO report on the global tobacco epidemic 2019:offer help to quit tobacco use[R].Geneva:World Health Organization,2019. [15] 李艳妮,关素珍,贺宝福,等. 宁夏回族自治区青少年使用电子烟现状调查[J]. 预防医学,2021,33(3):259-263. LI Y N,GUAN S Z,HE B F,et al.Electronic cigarette use among adolescents in Ningxia Hui Autonomous Region[J]. Prev Med,2021,33(3):259-263. [16] 杨桂丽,陈镭,韦巧慧,等. 温州市中学生卷烟和电子烟使用意向调查[J]. 预防医学,2021,33(8):844-847. YANG G L,CHEN L,WEI Q H,et al.Intention of e-cigarette and tobacco use among middle school students in Wenzhou[J]. Prev Med,2021,33(8):844-847.
