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Pediatric Tobacco Prevention in Shanghai

Pediatric Tobacco Prevention in Shanghai. PAS/ASPR, Denver, May 2nd, 2011. Dr. Fan Jiang has no financial relationships to disclose or Conflicts of Interest (COIs) to resolve. China fails pledge on indoor smoking ban.

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Pediatric Tobacco Prevention in Shanghai

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  1. Pediatric Tobacco Prevention in Shanghai PAS/ASPR, Denver, May 2nd, 2011

  2. Dr. Fan Jiang has no financial relationships to disclose or Conflicts of Interest (COIs) to resolve.

  3. China fails pledge on indoor smoking ban Despite the promise on entering the WHO Framework Convention on Tobacco Control in 2006, China has witnessed no decline in smoking in Jan. of 2011 http://www.chinadaily.com.cn/china/2011-01/04/content_11794037.htm

  4. Smoke in China • China has largest smoking population in the world: more than 350 millions; • 540 millions people are second hand smoking, and among them 180 millions are children under 15 years old. Basic health information on Tobacco Use. Geneva: World Health organization;2006. China Tobacco Control Report. Beijing China: Ministry of Health, PRC; May 2007.

  5. Number of cigarettes consumed in China from 1952-2007 (Unit: 100 million) Starting ages for smoking in 1984 and 2002 China Starting age Starting age Male Female Source: Proceeding on NCD Control and Prevention, China CDC

  6. Shanghai

  7. Demography of Shanghai ( 2009 ) • Total residents 19,21 millions • Aging rate (over 60yrs) 22.50% • Birth rate 6.62‰ • Death rate 7.64‰ • Natural increase rate -1.02‰ • Average life expectancy 81.73 years • Infant death rate 2. 89‰ • Maternal death rate 7.08/100,000 Source: Shanghai Bureau of Statistics

  8. Tobacco Use in Shanghai • Adult male smoking rate remains high • 69.8% in 1996, 69.8% in 1997, 68.9% in 1998 60.6% in 2000 * • 56.3% in 2004, 61.8% in 2007** • Youth attempt to smoke and will become new smokers*** • 26.6% youth attempt to smoke * World Bank Health VII loaned Project ** NCD related risk factors surveillance, Shanghai CDC *** 2008 YRBS, Shanghai CDC

  9. Tobacco Use in Shanghai • Starting age of smoking becomes younger • 29.02 yrs in 1996, 27.55 yrs in 2000 • 22.80yrs in 2004, 21.20 yrs in 2007 • Passive smoking has been ignored * NCD Related Risk Factor Surveillance, 2007

  10. Passive Smoking of Children Where??? % Yuting Huang，2008

  11. Parent Knowledge of the effect of Tobacco exposure on Child Health % Long Dai, et al. .2007

  12. Youth Risk Behavior Surveillance • In 2004 • School types and number: 101 middle schools, high schools, vocational schools and colleges • Sample size: 12655 students (aged 11-24 yrs) • In 2008 • School types and number: 43 middle schools, high schools, vocational schools and college • Sample size: 11782 students (aged 11-24 yrs) 2008 YRBS, Shanghai CDC

  13. Youth Risk Behavior Surveillance 2008 YRBS, Shanghai CDC

  14. Current Student Smoking Prevalence among Different Schools (%) Middle school High school vocational school college 2008 YRBS, Shanghai CDC

  15. Intervention Projects in Shanghai • Community Smoking Cessation Consulting trial Study • Intervention among Hypertension Patients • Decrease Passive Smoking Exposure of Pregnant Women and Newborns • Tobacco Control Campaign in Children’s Hospital • Policy Intervention: Banning Smoking in Public Places • Supportive Environment: Tobacco Free Hospitals and Schools • Health Education Programs

  16. Surveys of Pediatricians • 196 Pediatricians were randomly selected from 2 children’s hospital in Shanghai, 172 finished the questionnaire; • Male: 53(30.8%); Female: 119 (69.2%) • Among male pediatricians, 20.8% are current smoker.

  17. Role of Pediatricians in Consulting TC for Parents? % Very Important NS Less Useless important important

  18. When will you talk TC to parents? % Every time TE related Occasionally Never Diseases

  19. How long you will talk with Parent about TC? % <30s 30-60s 1-3 min 3-5 min >5 min

  20. Do have any skill of consulting TC for Parents? % Lots of Some Less None

  21. Pediatric TC Campaign Initiative

  22. Male Pediatricians were Involved

  23. First Pediatric TC School Opened

  24. Future Plan • Collaboration with Community Hospitals and other institutions; • Quit clinic will be set up in community hospital, and parents can easy to access it; • Pediatric TC schools will expand from children’s hospital to community.

  25. Thank You !

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