| Summary: | Introduction
The Smoking Control Regulation in Public Places (hereafter,
the ‘regulations’) has been implemented in Shanghai since 2010. This study
explores the changes in smoking prevalence and its influencing factors among
urban Shanghai residents.
Methods
Two rounds of household investigations (the Health Status and
Health Service Utilization Survey) were carried out using a multistage
probability proportionate-to-size sampling method in an urbanized district
in 2010 and 2015. Descriptive and logistic regression analyses were applied
to the statistics.
Results
From 2010 to 2015, the standardized current smoking rate fell from
24.8% to 19.1% (38.3% to 32.0% among men, and 1.9% to 1.4% among
women). Meanwhile, the standardized smoking cessation rate increased from
18.1% to 23.3%. Smoking prevalence in respondents aged 45 to 59 years was
still higher than that of other age groups. Changes in smoking prevalence
and cessation rates were more obvious in respondents aged 30–44 and over
75 years. Sex, age, education, marital status, and alcohol use were influencing
factors of current smoking, while sex, age and alcohol use were influencing
factors of smoking cessation.
Conclusions
The implementation of smoking control regulations may be
beneficial for reducing smoking and increasing smoking cessation, especially
among middle-aged and older men. Nevertheless, tobacco control in
urban Shanghai still faces huge challenges. Therefore, more targeted and
comprehensive measures should be taken.
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