Changes in individual weight status based on body mass index and waist circumference in Hong Kong Chinese

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Reactions to Thirdhand Smoke are Associated with Openness to Smoking in Young Never Smoking Children

To investigate the associations between reactions to thirdhand smoke (THS) and openness to smoking in young children. In a school-based survey in Hong Kong, 4762 Chinese primary school students reported their reactions to THS (one or more of ‘pleasant/happy’, ‘nausea’, ‘excited’, ‘heart beat faster’, ‘relaxed’, ‘dislike the smell’, ‘like the smell’, ‘dizzy’, ‘coughing/choking’, ‘eye uncomfortable’ and ‘none of the above’), smoking status and openness to smoking (lack of a firm intention not to smoke). Factor structure of reactions to THS was investigated with factor scores calculated and categorised. Logistic regression yielded adjusted odds ratio (AOR) of openness to smoking for reactions to THS. Factor analysis yielded two factors including 5 and 4 reactions, which were generally deemed negative and positive, respectively. The proportions of students with factor scores ≥1 for negative and positive reactions were 51.3 and 6.3 %, respectively. In never smokers, openness to smoking was negatively associated with ‘dislike the smell’ (AOR 0.52, 95 % CI 0.39–0.68), ‘coughing/choking’ (0.53, 0.38–0.75), ‘eye uncomfortable’ (0.62, 0.40–0.95) and negative reaction factor score of 2–5 (vs. 0) (0.59, 0.40–0.88), and was positively associated with ‘pleasant/happy’ (2.80, 1.54–5.09), ‘excited’ (2.83, 1.17–6.87), ‘like the smell’ (3.06, 1.49–6.26) and positive reaction factor score of 1–4 (vs. 0) (2.86, 1.83–4.48). In experimental or former smokers, fewer associations reached statistical significance. Negative and positive reactions to THS were negatively and positively associated with openness to smoking, respectively, in young never smoking children.postprin

E-cigarette use was associated with the intention to smoke in Chinese adolescents

Conference Theme: Tobacco and Non-Communicable DiseasesPoster Discussion 28. E-cigarettes: Evidence and Analysis: no. PD-923-20BACKGROUND: E-cigarette use arguably could reduce cigarette smoking and the intention to smoke, although such studies are few, especially in adolescents. We investigated the association between e-cigarette use and the intention to smoke in Chinese adolescent smokers and never-smokers. DESIGN/METHODS: A total of 45857 secondary 1-6 (US Grade 7-12) students (response rate 96%) from 75 randomly selected schools completed an anonymous questionnaire in 2012/13 in Hong Kong. Students were classified as never-smokers, experimenters (smoked just a few puffs), ex-smokers and current smokers (occasional or daily smoking). E-cigarette use in the past 30 days was …published_or_final_versio

Electronic cigarette use and its association with smoking in Hong Kong Chinese adolescents

BACKGROUND: Electronic cigarettes (e-cigarettes) are increasingly used in adolescents with unknown impacts on conventional cigarette smoking. We examined the associations of e-cigarette use with smoking intention, nicotine addiction and smoking cessation in Chinese adolescents. METHODS: A total of 45,128 students (age 14.6±1.9; boys 51.4%) from 75 randomly selected schools in Hong Kong reported e-cigarette use (in the past 30days), conventional cigarette use and socio-demographic characteristics in an anonymous questionnaire survey. Adjusted odds ratios (AORs) of intention to smoke, morning smoking urge, intention to quit and quit attempts; and beta-coefficient (β) of cigarette consumption per day were calculated in relation to e-cigarette use. RESULTS: E-cigarette use was associated with intention to smoke with an AOR (95% CI) of 1.74 (1.30-2.31) in all students, 2.18 (1.12-4.23) in never and 2.79 (2.05-3.79) in ever smokers (non-significant interaction by smoking status). The associations were also significant in experimental and former smokers but not in current smokers. In current smokers, e-cigarette use was significantly associated with heavier smoking (β 2.54, 95% CI 1.28-3.81) and morning smoking urge (AOR 2.54, 95% CI 1.50-3.11), and non-significantly associated with lower quit intention (0.76, 0.52-1.09) and attempts (0.80, 0.56-1.23). CONCLUSIONS: E-cigarette use was associated with smoking intention in never, experimental and former smokers in Hong Kong Chinese adolescents. In current smokers, e-cigarette use was associated with nicotine addiction but not quit intention and attempts. Prospective studies with detailed measurements on e-cigarette use are warranted for further studies. Copyright © 2015 Elsevier Ltd. All rights reserved.postprin

E-cigarette use was associated with respiratory symptoms among Chinese adolescents in Hong Kong

Conference Theme: Tobacco and Non-Communicable DiseasesOral Presentation - 05. Innovative Ways for Achieving Tobacco Free Generations: no. OP-229-20BACKGROUND: Adverse effects of e-cigarette use were not clear. Some studies have found harmful effects on respiratory function (respiratory flow resistance and impedance) in adult smokers. We assessed the association between cigarette use and respiratory symptoms in adolescents. DESIGN/METHODS: A school-based smoking survey was conducted on 45857 secondary 1-6 (US Grade 7-12) students (response rate 96%) from 75 randomly selected secondary schools in Hong Kong in 2012/13 …published_or_final_versio

Negative perceptions of parental smoking among 61810 Hong Kong adolescents: A cross sectional school based survey

INTRODUCTION The present study aimed to investigate the negative perceptions of paternal and maternal smoking and their associated factors among adolescents in Hong Kong. METHODS In a school-based cross-sectional survey in 2010 to 2011, 61,810 Hong Kong secondary school students (mean age 14.6 years, 50.8% boys) reported whether their parents smoked and whether they considered their parents’ smoking unacceptable and minded if their peers knew that their father or mother smoke (indicators of the negative perceptions). Factors associated with negative perceptions of paternal and maternal smoking were explored using multivariable regression models. RESULTS Among students that reported paternal smoking (n=19.184, 29.8%), 50.8% considered it unacceptable, and 21.0% minded if their peers knew of it. Of those reporting maternal smoking (n=3,678, 5.7%), 48.1% considered it unacceptable, and 30.4% minded if their peers knew of it. Generally, the indicators of negative perceptions of parental smoking were associated with younger age, being certain about the harm of smoking and secondhand smoke, no peer smoking, and no secondhand smoke from the respective parent. Considering parental smoking unacceptable was additionally associated with lower family affluence and not living with any smokers apart from the respective parent. CONCLUSIONS About half of adolescents in Hong Kong with a smoking parent considered their parental smoking unacceptable, and about a quarter minded if their peers knew of their parent’s smoking. Such negative perceptions were more common in adolescents who were certain about the harm of tobacco, and had fewer co-residing smokers and no smoking peers.published_or_final_versio

Overestimation of peer smoking prevalence predicts smoking initiation among primary school students in Hong Kong

Purpose: To investigate the relationship between perceived prevalence of smoking and smoking initiation among Hong Kong primary second- to fourth-grade-students. Methods: A cohort of 2,171 students was surveyed in 2006 and again in 2008. Students who perceived ever-smoking prevalence in peers as "none" or "some" were considered as correct (reference group), whereas those who perceived it as "half" (overestimation) or "most/all" (gross overestimation) were considered as incorrect. Results: At baseline, overestimation was found to be cross-sectionally associated with ever-smoking (p < .01). At follow-up, 7.2% of never-smoking students with incorrect estimation at baseline had started smoking, which was 79% (95% confidence interval: 3%-213%), greater than that of 3.7% for those with correct estimation. Among the never-smoking students with incorrect estimation, subsequent correct estimation was associated with 70% (95% confidence interval: 47%-83%) lower risk of smoking initiation compared with persistent incorrect estimation. Conclusion: Overestimation of the prevalence of peer smoking predicted smoking initiation among children. Interventions should be carried out to evaluate whether correcting children's overestimation of peer smoking could reduce smoking initiation. © 2011 Society for Adolescent Health and Medicine.postprin

E-cigarette use, nicotine addiction and intention to quit among adolescent smokers in Hong Kong

Conference Theme: Tobacco and Non-Communicable DiseasesPoster Discussion 28. E-cigarettes: Evidence and Analysis: no. PD-924-20BACKGROUND: Although some studies have shown beneficial effects of e-cigarettes on smoking cessation in adults, less is known about e-cigarette use and its association with nicotine addiction and intention to quit smoking in adolescents. DESIGN/METHODS: A school-based smoking survey was conducted on 45857 secondary 1-6 (US Grade 7-12) students (response rate 96%) from 75 randomly selected secondary schools in Hong Kong in 2013/13. A total of 1768 (3.9%) current smokers (occasional or daily) were included in the present analysis. E-cigarette use in the past 30 days, intention to quit smoking (cigarette), and quit attempts in the past 12 months were recorded. Smoking …published_or_final_versio

Positive reactions to third-hand smoke exposure are associated with smoking susceptibility among young children in Hong Kong

Poster Discussion 43. Monitoring the Impact of FCTC Implementation: no. PD-1089-21Conference Theme: Tobacco and Non-Communicable DiseasesBACKGROUND: Positive reactions to the first cigarette and secondhand smoke (SHS) predict future smoking. Whether such reactions to third-hand smoke (THS) affect smoking is uncertain. We investigated the cross-sectional associations of reactions to THS with smoking susceptibility and ever smoking among Chinese children. METHODS: A school-based survey was conducted on 5365 primary 2-4 students (54.5% boys; mean age 8.6 years, SD 1.3) from 34 randomly selected schools in Hong Kong using an anonymous self-administered questionnaire. Students were asked “when you can smell cigarette from objects or people, yet no one smokes around, which of …published_or_final_versio

Electronic Cigarette Use and Respiratory Symptoms in Chinese Adolescents in Hong Kong

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