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Dongfeng Gu, MD, MSc, Xigui Wu, MD, Kristi Reynolds, MPH, Xiufang Duan, MD, Xue Xin, MD, MSc, Robert F. Reynolds, ScD, Paul K. Whelton, MD, MSc and Jiang He, MD, PhD for the InterASIA Collaborative Group

Dongfeng Gu, Xigui Wu, and Xiufang Duan are with the Division of Population Genetics and Prevention, Fuwai Hospital and Cardiovascular Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People’s Republic of China. Kristi Reynolds, Xue Xin, Paul K. Whelton, and Jiang He are with Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, La. Robert F. Reynolds is with Worldwide Safety Evaluation and Epidemiology, Pfizer Pharmaceuticals Group, New York, NY

Correspondence: Requests for reprints should be sent to Jiang He, MD, PhD, Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1430 Tulane Avenue SL18, New Orleans, LA 70112 (e-mail: jhe{at}tulane.edu).

Objectives. We estimated the prevalence of cigarette smoking and the extent of environmental tobacco smoke exposure (ETS) in the general population in China.

Methods. A cross-sectional survey was conducted on a nationally representative sample of 15540 Chinese adults aged 35–74 years in 2000–2001. Information on cigarette smoking was obtained by trained interviewers using a standard questionnaire.

Results. The prevalence of current cigarette smoking was much higher among men (60.2%) than among women (6.9%). Among nonsmokers, 12.1% of men and 51.3% of women reported exposure to ETS at home, and 26.7% of men and 26.2% of women reported exposure to ETS in their workplaces. On the basis of our findings, 147358000 Chinese men and 15895000 Chinese women aged 35–74 years were current cigarette smokers, 8658000 men and 108402000 women were exposed to ETS at home, and 19072000 men and 55372000 women were exposed to ETS in their workplaces.

Conclusions. The high prevalence of cigarette smoking and environmental tobacco smoke exposure in the Chinese population indicates an urgent need for smoking prevention and cessation efforts.

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