BMC Public Health
Volume 15, Issue 1, 2015

Determinants of tobacco smoking among rural-to-urban migrant workers: A cross-sectional survey in Shanghai (Article) (Open Access)

Liu Y. , Song H. , Wang T. , Yang H. , Gong J. , Shen Y. , Dai W. , Zhou J. , Zhu S.* , Pan Z.
  • a Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • b Department of General Practice, Sanlin Community Health Service Center, 375 Sanlin Road, Shanghai, 200124, China
  • c Department of General Practice, Sanlin Community Health Service Center, 375 Sanlin Road, Shanghai, 200124, China; Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • d Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • e Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • f Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • g Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • h Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • i Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China
  • j Department of General Practice, Zhongshan Hospital Fudan University, 180 Fenglin Road, Shanghai, 20032, China

Abstract

Background: Although there are several studies to investigate the smoking behaviors among rural-to-urban Chinese migrants, no study has focused individually on this population in Shanghai. This study was performed to estimate the prevalence and identify the determinants of tobacco smoking among rural-to-urban migrants in Shanghai. Methods: In this cross-sectional study, multi-stage quota sampling was used to select 5,856 rural-to-urban migrants aged 18 years or older from seven districts in Shanghai between July and October 2012. A structured questionnaire was administered to assess smoking knowledge, attitude, behavior and demographic characteristics. Mental health was assessed by the self-reported SCL-90. Multiple logistic regression analysis was used to determine the risk factors of smoking behavior. Results: A total of 5,380 of the 5,856 migrants enrolled completed the questionnaire, among whom 45.0% of male and 2.0% of female participants reported current smoking. Multivariate analysis revealed current smoking in female migrants to be significantly associated with working at construction (OR, 8.08; 95% CI, 1.80-36.28), hotels/restaurants (OR, 5.06; 95% CI, 1.68-15.27), entertainment sector (OR, 6.79; 95% CI, 2.51-18.42), with monthly income > 3500 yuan (OR, 2.69; 95% CI, 1.21-5.98), number of migratory cities of 2 (OR, 2.39; 95% CI, 1.23-4.65), and SCL-90 total score > 160 (OR, 2.03; 95% CI, 1.03-3.98), while the male migrants working at construction (OR, 1.30; 95% CI, 1.04-1.62), entertainment sector (OR, 1.86; 95% CI, 1.36-2.56), being divorced/widowed (OR, 2.20; 95% CI, 1.02-4.74), with duration of migration of 4 or more than 4 years (OR, 1.42; 95% CI, 1.06-1.91), number of migratory cities of 3 or more than 3 (OR, 1.42; 95% CI, 1.13-1.80), and SCL-90 total score > 160 (OR,1.39; 95% CI, 1.07-1.79) showed an excess smoking prevalence. Conclusion: Migration lifestyle and mental status were associated with current smoking behaviors. The identifications of risk factors for current smoking may help to target health promotion interventions. © 2015 Liu et al.

Author Keywords

China smoking Rural-to-urban migrants Tobacco control

Index Keywords

China demography mental health human epidemiology middle aged Asian continental ancestry group statistics and numerical data Aged Residence Characteristics Cross-Sectional Studies Surveys and Questionnaires cross-sectional study Occupations Humans smoking male occupation female Socioeconomic Factors risk factor Risk Factors Multivariate Analysis socioeconomics questionnaire prevalence Health Knowledge, Attitudes, Practice migration Transients and Migrants attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924264646&doi=10.1186%2fs12889-015-1361-x&partnerID=40&md5=d8c8696170ff822ad3702574b59e5a3e
DOI: 10.1186/s12889-015-1361-x
ISSN: 14712458
Cited by: 18
Original Language: English