BMC Public Health | |
A qualitative study of smoking behavior among the floating population in Shanghai, China | |
Shen-Sheng Li2  Jin-Ming Yu5  Helen Louise Berry1  Tricia Usagawa4  Cheng-Gang Zhang2  Ning Ding1  Zhi-Ting Cui3  Ji-Wei Wang5  | |
[1] Faculty of Health, The University of Canberra, Canberra, ACT, Australia;Xuhui Center for Disease Prevention and Control, Shanghai, China;Health Bureau of Xuhui District, Shanghai, China;Department of Native Hawaiian Health, University of Hawaii at Manoa, Honolulu, USA;Key Laboratory of the Public Health Safety, Ministry of Education, Department of Health Behavior and Health Education, School of Public Health, Fudan University, Shanghai, China | |
关键词: Qualitative study; China; Smoking; Floating population; | |
Others : 1123054 DOI : 10.1186/1471-2458-14-1138 |
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received in 2014-05-04, accepted in 2014-10-21, 发布年份 2014 | |
【 摘 要 】
Background
China has become the world’s largest producer and consumer of tobacco and lung cancer is China’s leading cause of cancer deaths. The large majority of Chinese smokers are men. Tobacco consumption is of particular concern among China’s internal floating (or migrant) population, which has become a permanent feature of Chinese society, because this population is very large (over 100 million persons) and it has a high prevalence of smoking. Considering additionally that like the general population of China, the smoking prevalence rate of women from this group is quite low, we therefore aimed to explore smoking-related knowledge, attitudes and behaviours among male smokers in the floating population to help inform the development of effective smoking cessation interventions in this important target group in China.
Methods
We interviewed 39 floating population male smokers in six focus groups and performed a qualitative content analysis of the interviews.
Results
Most participants knew that smoking is risky to health but they knew little about why. Habit and social participation were key drivers of smoking. Smoking was regarded as a core component of their identity by the urban residents. Some participants had tried to stop smoking but none reported having ever been educated about smoking.
Conclusions
Smoking cessation interventions for China’s male floating population would need to incorporate comprehensive education and information about why smoking is dangerous and the benefits of stopping.
【 授权许可】
2014 Wang et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150215031115801.pdf | 202KB | download |
【 参考文献 】
- [1]World Health Organization: Tobacco or Health: A Global Status Report. Geneva: World Health Organization; 1997.
- [2]World Health Organization: Fact Sheets: Smoking Statistics. Manila, Philippines: Regional Office for the Western Pacific; 2002.
- [3]Xu JY, Li XJ, Yao HH, Gu K, Li YY, Lu W: Smoking and passive smoking among residents in Shanghai. Chin J Prev Control Chron Dis 2009, 17(3):234-236. (in Chinses)
- [4]Ma GS, Long LZ, Luan DC, Li YP, Hu XQ, Wang JZ, Yang XG: The descriptive analysis of the smoking pattern of people in China. Chin J Prev Control Chron Non Commun Dis 2005, 13(5):195-199.
- [5]Peng Z, Wei YL, Wang Q, Liao J, He Y, Lu R, Feng XX, Fu XL, Jia Y: Study of risk health behaviors of migrant population with different careers in Chendu and its influencing factors. Mod Prev Med 2012, 39(3):631-636.
- [6]Yang GH: China wrestles with tobacco control. Bull World Health Organ 2010, 88:251-252.
- [7]Zhu Y: The floating population’s household strategies and the role of migration in China’s regional development and integration. Int J Popul Geogr 2003, 9:485-502.
- [8]China National Bureau of Statistics: Characteristics of Chinese Rural Migrants: 2000. Beijing: News Release; 2001. (Updated 31 March 2002)
- [9]National Bureau of Statistics of China: Statistical Communique on National Economic and Social Development. China Statistical Yearbook 2011. Beijing: China Statistics Press; 2012.
- [10]Rozelle SD, Taylor E, de Brauw A: Migration, remittances and agricultural productivity in China. Am Eco Rev 1999, 89:287-291.
- [11]Bell DA: China’s New Confucianism: Politics and Everyday Life in a Changing Society. Princeton: Princeton University Press; 2008.
- [12]Feng W, Zuo XJ, Ruan DC: Rural migrants in Shanghai: living under the shadow of socialism. Int Mig Rev 2002, 36:520-545.
- [13]Cao X, Yu LY, Zhou HY, Wu F, Ma X: Smoking and its impact factors among migrant workers in Chendu. Mod Prev Med 2010, 37(15):2860-2862.
- [14]China Cigarette Sales and Marketing Corp: Cigarette consumption of floating population. Chin Tobac 2007, 15:278-279. (in Chinese)
- [15]Cao XX, Fang XZ, Chang C, Wang F, Tang H, Tan F: Analysis on smoking cessation status and its influence factors among migrant population in Xi’an. Chin J Health Educ 2014, 30(7):579-583.
- [16]Zhang S: Shanghai Liudong Renkou de Zhanwang (The Situation and Prospects Facing the Migrant Population in Shanghai). Shanghai, China: East China Normal University; 1999.
- [17]Shanghai Statistical Bureau: Shanghai Statistics 2013. Shanghai: Shanghai Statistic Press; 2014.
- [18]Rosenstock IM, Strecher VJ, Becker MH: Social learning theory and the health belief model. Health Educ Q 1988, 15(2):175-183.
- [19]Fishbein M, Ajzen I: Belief, Attitude, Intention, and Behavior. Reading, MA: Addison-Wesley; 1975.
- [20]Galvin KT: A critical review of the health belief model in relation to cigarette smoking behaviour. J Clin Nurs 1992, 1:13-18.
- [21]Dietz NA, Sly DF, Lee DJ, Arheart KL, McClure LA: Correlates of smoking among young adults: the role of lifestyle, attitudes/beliefs, demographics, and exposure to anti-tobacco media messaging. Drug Alcohol Depend 2013, 1,130(1–3):115-121.
- [22]Moore LC, Clark PC, Lee SY, Eriksen M, Evans K, Smith CH: Smoking cessation in women at the time of an invasive cardiovascular procedure and 3 months later. J Cardiovasc Nurs 2013, 28(6):524-533.
- [23]Gibbons FX, Houlihan AE, Gerrard M: Reason and reaction: the utility of a dual-focus, dual-processing perspective on promotion and prevention of adolescent health risk behavior. Br J Health Psychol 2009, 14:231-248.
- [24]Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004, 24:105-112.
- [25]Ma S, Hoang MA, Samet JM, Wang J, Mei C, Xu X, Stillman FA: Myths and attitudes that sustain smoking in China. J Health Commun 2008, 13:654-666.
- [26]ITC Project: ITC China Survey Summary. Beijing, China: University of Waterloo, Waterloo, Ontario, Canada and Chinese Center for Disease Control and Prevention; 2009.
- [27]Shi Y, Ji Y, Sun J, Wang Y, Sun X, Li C, Wang D, Chang C: Lack of health risk awareness in low-income Chinese youth migrants: assessment and associated factors. Environ Health Prev Med 2012, 17(5):385-393.
- [28]Wang JW, Cui ZT, Cui HW, Wei CN, Harada K, Minamoto K, Ueda K, Ingle KN, Zhang CG, Ueda A: Quality of life associated with perceived stigma and discrimination among the floating population in Shanghai, China: a qualitative study. Health Promot Int 2010, 25:394-402.
- [29]Purnell JQ, Peppone LJ, Alcaraz K, McQueen A, Guido JJ, Carroll JK, Shacham E, Morrow GR: Perceived discrimination, psychological distress, and current smoking status: results from the behavioral risk factor surveillance system reactions to race module, 2004–2008. Am J Public Health 2012, 5:844-851.
- [30]Bauer JE, Hyland A, Li Q, Steger C, Cummings KM: A longitudinal assessment of the impact of smoke-free worksite policies on tobacco use. Am J Public Health 2005, 6:1024-1029.
- [31]World Health Organization: European Guidelines on the Treatment of Tobacco Dependence. A Guideline for Nurses. 2004.
- [32]Ferguson J, Bauld L, Chesterman J, Judge K: The English smoking treatment services: one year outcomes. Addition 2005, 100(suppl.2):59-69.
- [33]Christakis NA, Fowler JH: The collective dynamics of smoking in a large social network. N Engl J Med 2008, 358:2249-2258.