International Journal of Behavioral Medicine

, Volume 21, Issue 4, pp 653–661

An Early-Stage Epidemic: A Systematic Review of Correlates of Smoking Among Chinese Women

  • Ding Ding
  • Klaus Gebel
  • Brian F. Oldenburg
  • Xia Wan
  • Xuefeng Zhong
  • Thomas E. Novotny
Article

DOI: 10.1007/s12529-013-9367-1

Cite this article as:
Ding, D., Gebel, K., Oldenburg, B.F. et al. Int.J. Behav. Med. (2014) 21: 653. doi:10.1007/s12529-013-9367-1

Abstract

Background

Despite the historically low smoking prevalence among Chinese women, there is a trend of future increase.

Purpose

We systematically reviewed the correlates of smoking among Chinese girls and women.

Method

We conducted a systematic review of literature on correlates of smoking among Chinese women using Medline and China Academic Journals databases. Following the PRISMA statement, two investigators independently searched for literature, identified and reviewed papers, assessed the quality of the papers, and extracted information. The characteristics of studies and correlates of smoking were synthesized separately for youth and adults.

Results

A total of 15 articles (11 on adults, 4 on youth) met the inclusion criteria. Based on these studies, peer smoking was the most consistent correlate of smoking among Chinese girls. Among Chinese women, partner smoking, job-related stress, and exposure to cigarettes made for women were consistent correlates of smoking. Knowledge of harms and negative attitudes towards smoking were found to be negatively associated with smoking.

Conclusion

Overall, the evidence base for smoking among Chinese women is limited. Although smoking among Chinese women is still at an early stage, it is becoming more prevalent among specific population subgroups, such as rural-to-urban migrant workers. Although further research is needed, findings from the current study provide a roadmap for research and policy on prevention of smoking among Chinese girls and women.

Keywords

SmokingChinaWomenCorrelatesPreventionEpidemiologyPublic health

Copyright information

© International Society of Behavioral Medicine 2013

Authors and Affiliations

  • Ding Ding
    • 1
  • Klaus Gebel
    • 1
  • Brian F. Oldenburg
    • 2
  • Xia Wan
    • 3
  • Xuefeng Zhong
    • 4
  • Thomas E. Novotny
    • 5
  1. 1.Sydney School of Public HealthThe University of SydneySydneyAustralia
  2. 2.School of Public Health & Preventive MedicineMonash UniversityMelbourneAustralia
  3. 3.School of Basic MedicinePeking Union Medical CollegeBeijingChina
  4. 4.Institute of Health EducationAnhui Center for Disease Prevention and ControlHefeiChina
  5. 5.Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA