The associations between cigarette smoking and health-related behaviors among Chinese school-aged adolescents
Meng Wang 1,   Hao Wang 1,   Fang-Rong Fei 1,   Chun-Xiao Xu 1,   Chun-Xiao Xu 1,   Jie-Ming Zhong 1  
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Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
Jie-Ming Zhong   

Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou 310051, China
Submission date: 2016-11-03
Acceptance date: 2017-05-29
Publication date: 2017-06-02
Tob. Induc. Dis. 2017;15(June):27
Evidence on the interrelations between cigarette smoking and a cluster of lifestyle behaviors is scarce for the Chinese youth population. This study is conducted to identify the associations between cigarette smoking and multiple health-related behaviors in a Chinese sample of adolescents.

We used data from 2012 Zhejiang Youth Risk Behavior Survey, which is a school-based survey of 19,542 adolescents that assess risk behaviors using a self-reported questionnaire. The interrelations of cigarette smoking with lifestyle behaviors were investigated using logistic regression models.

Cigarette smoking was significantly inversely associated with breakfast (AOR = 0.58), vegetables (AOR = 0.81), fruits (AOR = 0.81), milk consumption (AOR = 0.69) and attending physical education classes (AOR = 0.69), while positively associated with soft drinks (AOR = 2.05), fast food consumption (AOR = 1.21), muscle strengthening activity (AOR = 1.67), computer use (AOR = 1.93) and alcohol drinking (AOR = 5.40).

The results suggested that cigarette smoking was associated with a cluster of health-related behaviors in adolescents, which should be considered in health promotion interventions to target multiple health behaviors.

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