Next Article in Journal
Correction: Gravely, S., et al. Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project. Int. J. Environ. Res. Public Health 2014, 11, 11691–11704
Previous Article in Journal
Lead Isotope Characterization of Petroleum Fuels in Taipei, Taiwan
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2015, 12(5), 4617-4630;

A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981–2010

1,2,* and 2,3,*
Department of Child and Adolescent and Maternal Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan 430032, China
Pediatric Prevention Research Center, Wayne State University, Detroit, MI 48201, USA
Department of Epidemiology, University of Florida, Gainesville, FL 32610, USA
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 27 February 2015 / Accepted: 14 April 2015 / Published: 27 April 2015
Full-Text   |   PDF [267 KB, uploaded 28 April 2015]   |  


Background: Systematic data regarding adolescent smoking are needed at the national level to support evidence-based tobacco control in China. The goal of this study was to estimate smoking prevalence among Chinese adolescents using published data. Methods: Published studies were located electronically from the commonly used databases in Chinese and English, complemented by manual searching. Forty-five studies were selected of the 9771 retrieved from the databases. These studies targeted adolescents aged 12–17 or middle/high school students, were conducted during the 1981–2010, and had adequate data for meta-analysis. The 45 selected studies covered 52 sites in different parts of China. Smoking rates were estimated using the sample-weighted and random effect method. Results: The estimated prevalence rate of lifetime smoking (ever smoked) varied within a narrow range (39.04%–46.03%) for males and progressively increased from 2.47% in 1981–1985 to 19.72% in 2001–2005 for females. The prevalence rate of current (30-day) smoking for males declined from 26.62% in 1981–1985 to 10.86% in 1996–2000 before increasing again. The prevalence of current smoking for females increased from 0.29% in 1981–1985 to 3.26% in 2006–2010. Conclusions: The high levels of male smoking and the rapid increase in female smoking indicate growing burdens from tobacco-related diseases, underscoring the urgent need to strengthen adolescent tobacco control in China. View Full-Text
Keywords: adolescents; tobacco use; meta-analysis; China adolescents; tobacco use; meta-analysis; China

Figure 1

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).

Supplementary material


Share & Cite This Article

MDPI and ACS Style

Han, J.; Chen, X. A Meta-Analysis of Cigarette Smoking Prevalence among Adolescents in China: 1981–2010. Int. J. Environ. Res. Public Health 2015, 12, 4617-4630.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top