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Open AccessArticle

The Role of Cities in Reducing Smoking in China

School of Public Health, Georgia State University, P.O. Box 3995, GA 30302, USA
Global Health Institute, Emory University, 1599 Clifton Road NE, GA 30322, USA
ThinkTank Research Center for Health Development, Tian Bao Yuan Liu Li, Beijing 100176, China
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2014, 11(10), 10062-10075;
Received: 3 June 2014 / Revised: 19 September 2014 / Accepted: 22 September 2014 / Published: 26 September 2014
(This article belongs to the Special Issue Tobacco Control)
PDF [343 KB, uploaded 26 September 2014]


China is the epicenter of the global tobacco epidemic. China grows more tobacco, produces more cigarettes, makes more profits from tobacco and has more smokers than any other nation in the world. Approximately one million smokers in China die annually from diseases caused by smoking, and this estimate is expected to reach over two million by 2020. China cities have a unique opportunity and role to play in leading the tobacco control charge from the “bottom up”. The Emory Global Health Institute—China Tobacco Control Partnership supported 17 cities to establish tobacco control programs aimed at changing social norms for tobacco use. Program assessments showed the Tobacco Free Cities grantees’ progress in establishing tobacco control policies and raising public awareness through policies, programs and education activities have varied from modest to substantial. Lessons learned included the need for training and tailored technical support to build staff capacity and the importance of government and organizational support for tobacco control. Tobacco control, particularly in China, is complex, but the potential for significant public health impact is unparalleled. Cities have a critical role to play in changing social norms of tobacco use, and may be the driving force for social norm change related to tobacco use in China. View Full-Text
Keywords: tobacco control; social norms; smoke-free policy; public health; capacity building tobacco control; social norms; smoke-free policy; public health; capacity building

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Redmon, P.; Koplan, J.; Eriksen, M.; Li, S.; Kean, W. The Role of Cities in Reducing Smoking in China. Int. J. Environ. Res. Public Health 2014, 11, 10062-10075.

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