Tobacoo Control in China

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Tobacoo Control in China

• Xiao Ma, MD. MPHProfessor Dean
• School of Public Health
• Sichuan University

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Tobacco Epidemic

• In the 20th century, the tobacco epidemic killed
  100 million people worldwide.
• Currently, 5.4 million deaths every year
• Unless urgent action is taken
• By 2030, there will be more than 8 million deaths
  every year
• By 2030, more than 80 of tobacco deaths will be
  in developing countries
• During the 21st century, it could kill one
  billion.

--WHO Report on the Global Tobacco Epidemic, 2008
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Tobacco Use and Health
--WHO Report on the Global Tobacco Epidemic, 2008
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Distribution of Tobacco Users
--WHO Report on the Global Tobacco Epidemic, 2008
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Tobacco Consumption in China
--WHO Report on the Global Tobacco Epidemic, 2008
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Tobacco Use in China

• China has 300 million current smokers
• Current smoking rate in male and female is 57.4
  and 2.6 respectively, which is lower than that
  in 1996
• Current smoking rate in urban and rural area is
  25 and 33 respectively
• Smoking rate in the age of 15-19 male and 15-24
  female is increasing

--Data from Gonghuan Yang, Epidemic of Active and
Passive Smoking in China, 2002
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Tobacco Use in China

• Average cigarette consumption per day are 14.8
  sticks
• Average expense on cigarette per day is 2.73 RMB
• Quiting rate is 11.5, but 74 of smokers have
  not considered quitting
• Attitude on smoking free in public places
  approval (53.71), neutral (37.77), and
  disapproval (15.94)
• Attitude on ban on cigarette advs approval (45)

--Data from Gonghuan Yang, Epidemic of Active and
Passive Smoking in China, 2002
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Our Previous Research

• Smoking rate in medical college freshmen was
  11.3, 22.7 in male and 0.8 in female
• The time of initiating smoking among smokers
  45.5 before high school, 33.7 during high
  school and 20.9 after college
• Among smokers, 19.8 prepared to quit smoking,
  53.4 contemplated stoping but not prepared and
  30.4 has no intention to quit
• Among non-smokers, 10.4 said they might be
  smoking in the future, 30.4 had no idea and
  59.2 said they would not be smoking in the future

Xiao Ma, Reseach on Smoking Intervention in
College students
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Our Previous Research
Xiao Ma, Reseach on Smoking Intervention in
College students
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Protection Motivation Theory
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Logistic Analysis of Smoking Intention and
Variables in PMT
Xiao Ma, Reseach on Smoking Intervention in
College students
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Tobacco Control in China

• Monitor tobacco use
• Policy level smoke-free law, warnning about the
  dangers of smoking, advertising, promotion and
  sponsorship bans, raising tobacco taxes, and so
  on
• Nationwide health education
• Provide supports for quiting, such as nicotine
  replacement therapy, consultant and quitline

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Problems needed to be addressed

• Establishment of effective monitor system
• Development and Implementation of tobacco control
  policies
• Development of effective health education tools
• Development of anti-smoking advertising
• Access to acquiring information
• Access to getting supports
• Training and capacity building
• Development of effective evaluation tools to
  evaluate intervention impacts

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Thank you !