Tobacco epidemic among urban and rural residents Hebei province, 2017

  Objective   To examine the prevalence of tobacco consumption among urban and rural residents in Hebei province and to provide evidences for developing effective tobacco control measures.

  Methods   Using stratified multi-stage cluster probability proportional to size (PPS) sampling, we selected 7 560 permanent residents aged 15 – 69 years in 28 diseases surveillance sites in Hebei province and conducted a household questionnaire survey from January to September in 2017.

  Results   Among the 6 900 residents with valid information, 1 705 were current smokers and the weighted current smoking rate was 24.86%; in the respondents, there were 2 163 ever-smokers, of which, 458 had quit smoking, with a weighted smoking cessation rate of 17.67%. Of the 5 077 respondents with the experiences of visiting various public places, 2 810 reported exposure to second-hand smoke in indoor public places, and the weighted second-hand smoking exposure rate in indoor public places was 60.32%. Of the 1 998 indoor workers, 933 reported exposure to second-hand smoke in workplaces, and the weighted second-hand smoking exposure rate among the indoor workers was 45.93%. Of the 6 900 respondents, 2 888 reported exposure to second-hand smoke at home, and the weighted rate of exposure to second-hand smoke at home was 46.12%. For all the respondents, the weighted awareness rates of smoking-related diseases were 46.41%, 51.75%, 85.87%, and 23.90% for stroke, heart disease, lung cancer and erectile dysfunction, respectively and the weighted overall awareness rate of the four smoking-related diseases was 20.57%; the weighted awareness rates of second-hand smoke-related diseases were 41.05%, 68.42% and 70.79% for adult heart disease, childhood lung disease, and adult lung cancer and the weighted overall awareness rate for the three diseases was 38.68%.

  Conclusion   The prevalence of tobacco smoking and exposure to second-hand smoke are still high and the cognition on smoking- and second-hand smoke-related diseases need to be improved among urban and rural residents in Hebei province.