2018 China Adult Tobacco Survey Report Contents Definition of indicators ................................................................................................................................... 5 Chapter 1 Introduction .................................................................................................................................... 6 Chapter 2 Survey methodology ...................................................................................................................... 9 2.1 Goals of study ...................................................................................................................................... 9 2.2 Target population ................................................................................................................................. 9 2.3 Inclusion criteria .................................................................................................................................. 9 2.4 Sampling design .................................................................................................................................. 9 2.5 Questionnaire survey .........................................................................................................................11 2.6 Data collection ...................................................................................................................................11 2.7 Statistical analysis .............................................................................................................................12 2.8 Trend analysis ....................................................................................................................................12 Chapter 3 Characteristics of samples and population ...................................................................................13 3.1 Response rate of households and individuals ....................................................................................13 3.2 Characteristics of samples and populations .......................................................................................13 Chapter 4 Smoking behavior ........................................................................................................................15 4.1 Smoking prevalence ..........................................................................................................................15 4.2 Average number of cigarettes smoked per day ..................................................................................16 4.2.1 Current smokers ...................................................................................................................16 4.2.2 Current daily smokers ..........................................................................................................17 4.3 Age to start smoking ..........................................................................................................................18 4.4 Use of specific types of cigarettes .....................................................................................................18 4.5 Analysis of tobacco epidemic trend ...................................................................................................18 Chapter 5 Smoking cessation ........................................................................................................................21 5.1 Cessation rate and cessation ratio ......................................................................................................21 5.2 Time of smoking the first cigarette after waking up ..........................................................................22 5.3 Cessation willingness ........................................................................................................................22 5.4 Cessation attempts .............................................................................................................................22 5.5 Reasons for and methods of cessation ...............................................................................................23 5.6 Relapse ratio ......................................................................................................................................23 5.7 Cessation advice from healthcare workers ........................................................................................24 5.8 Comparison with past data ................................................................................................................24 Chapter 6 E-cigarettes ...................................................................................................................................25 6.1 Percentage of hearing of e-cigarettes .................................................................................................25 6.2 Percentage of using e-cigarettes ........................................................................................................26 6.3 Route to access e-cigarettes ...............................................................................................................26 6.4 Reasons for using e-cigarettes ...........................................................................................................27 6.5 Comparison with past data ................................................................................................................27 Chapter 7 Exposure to secondhand smoke ...................................................................................................28 7.1 Rate of exposure to secondhand smoke .............................................................................................28 7.2 Households ........................................................................................................................................29 7.3 Indoor workplaces .............................................................................................................................29 7.4 Indoor public places and public transportation ..................................................................................30 7.5 Support for smoking ban ...................................................................................................................30 7.6 Comparison with past data ................................................................................................................30 Chapter 8 Tobacco control campaign ............................................................................................................33 8.1 Tobacco control messages .................................................................................................................33 8.2 Current health warnings on cigarette package ...................................................................................33 8.3 Graphic health warning on cigarette package ....................................................................................34 8.4 Comparison with past data ................................................................................................................35 Chapter 9 Tobacco advertisement, promotion and sponsorship ....................................................................36 9.1 Percentage of people viewing tobacco advertisement, promotion and sponsorship ..........................36 9.2 Percentage of people viewing tobacco advertisement .......................................................................36 9.3 Percentage of people viewing tobacco promotion and sponsorship ..................................................37 9.4 Smoking scenes .................................................................................................................................37 9.5 Comparison with past data ................................................................................................................37 Chapter 10 Knowledge, attitudes and perceptions ........................................................................................39 10.1 Perception of harms of smoking ......................................................................................................39 10.2 Perception of harms of secondhand smoke .....................................................................................40 10.3 Perception of harms of low-tar cigarettes ........................................................................................40 10.4 Comparison with past data ..............................................................................................................41 Chapter 11 Tobacco economy and tax revenue .............................................................................................42 11.1 Spending on buying cigarettes .........................................................................................................42 11.2 Public support for raising tobacco tax .............................................................................................42 11.3 Comparison with past data ...............................................................................................................43 Chapter 12 Conclusions and recommendations ............................................................................................44 12.1 Conclusions and analysis .................................................................................................................44 12.2 Recommendations ...........................................................................................................................48