High Prevalence of Secondhand Smoke Exposure Despite Low Awareness of Health Risks Among Non-Smokers in China

Research conducted by Changchun Medical College in collaboration with other institutions has revealed alarming rates of secondhand smoke (SHS) exposure among non-smokers in Jilin Province, China. The study analyzed patterns of SHS exposure and awareness of its risks among non-smoking residents aged 15-44 years, using a multistage stratified cluster random sampling method involving 7200 households. The findings indicate a staggering 59.16% prevalence of SHS exposure among surveyed non-smoking residents, with significant variations by location, including restaurants (50.85%), homes (37.72%), and public transport (5.01%). While 76.16% of the respondents were aware that SHS causes lung cancer in adults, only 42.26% knew that SHS causes all three conditions (heart disease in adults, lung diseases in children, and lung cancer in adults). This discrepancy highlights the need for targeted intervention efforts to enhance awareness and promote protective behaviors.

Key Takeaways:

  • The prevalence of secondhand smoke (SHS) exposure among non-smoking residents in Jilin Province was 59.16% (95% CI: 52.87-65.17).
  • Awareness rates of specific SHS health risks were:

+ 76.16% (95% CI: 59.77-87.30) knew SHS causes lung cancer in adults

+ 61.95% (95% CI: 52.26-70.77) knew SHS causes lung diseases in children

+ 49.21% (95% CI: 34.99-63.56) knew SHS causes heart disease in adults

  • Only 42.26% (95% CI: 32.60-52.56) knew that SHS causes all three conditions (heart disease in adults, lung diseases in children, and lung cancer in adults).
  • SHS exposure rates varied significantly by location: restaurants (50.85%), homes (37.72%), and public transport (5.01%).
  • Intervention efforts should focus on priority venues, intensify the dissemination of core knowledge on tobacco hazards, implement targeted health promotion activities for key populations, and foster supportive smoke-free environments.

Statistics:

  • 59.16% prevalence of secondhand smoke exposure among non-smoking residents in Jilin Province (95% CI: 52.87-65.17).
  • 76.16% awareness of SHS causing lung cancer in adults (95% CI: 59.77-87.30).
  • 61.95% awareness of SHS causing lung diseases in children (95% CI: 52.26-70.77).
  • 49.21% awareness of SHS causing heart disease in adults (95% CI: 34.99-63.56).
  • 42.26% awareness of SHS causing all three conditions (heart disease in adults, lung diseases in children, and lung cancer in adults) (95% CI: 32.60-52.56).
  • 7200 households surveyed using a multistage stratified cluster random sampling method.

Sources:

  • Changchun Medical College
  • Tobacco Induced Diseases (European Publishing, Science & Technolgy Park Crete, (Step-C), N Plastira 100, Vassilika Voutwn, Heraklion, Crete 00000, Greece)
  • Biomed Central (www.biomedcentral.com/)
  • Analysis of secondhand smoke exposure and harm awareness among non-smoking individuals aged 15-44 years in Jilin Province: A cross-sectional study. Tobacco Induced Diseases, 2025;23.