Abstract: ObjectiveTo examine the change trend of smoking among adults in Xuecheng district of Zaozhuang city from 2004 to 2010 and to provide references for effective tobacco control.MethodsFace-to-face questionnaire surveys on smoking behaviors were carried out among 420,320,and 660 urban or rural residents aged ≥ 18 years selected with stratified cluster random sampling in 2004,2007,and 2010 in Xuecheng district of Zaozhuang city,Shandong province.Multivariate logistic regression was used in data analyses.ResultsThe smoking rate was 17.86%,29.06%,and 25.30% and the passive smoking rate was 34.52%,61.88%,and 11.97% among the participants in 2004,2007,and 2010,with significant between-year differences in both the smoking and passive smoking rate(all P<0.05).For the smokers among the participants,the age at starting smoking was 23.95(standard deviation:±8.12),22.17±5.70,and 22.45±5.47 years and the average number of cigarette consumed per day were 18.68±13.75,21.30±12.58,and 19.73±10.84 in 2004,2007,and 2010,without significant between-year differences in the age and the amount of cigarette smoking(all P>0.05).The results of multivariate logistic regression showed that gender and age were influencing factors of current smoking rate among the participants.ConclusionSmoking rate,passive smoking rate,and the number of cigarette consumed per day by the smokers are at a higher level and the smoking rate rises with the increment of age among the adults in Xuecheng district of Zaozhuang city.