Evaluation of an adapted tobacco intervention program in China

Background: China is the leading cigarette producer and consumer in the world, accounting for 40% of global production and nearly one-third of the global annual tobacco consumption. Tobacco use has become a problem seriously affecting the public health in China. An estimated 1 million deaths annually are attributable to smoking-related illnesses in China. Although China issued some smoking prohibition regulations in some large metropolitan areas, there are still limited tobacco control projects there.

Objective: The goal of this study was to adapt a curriculum for Chinese Americans to China and to build and enhance tobacco control capacity in collaborating partners in China.

Methods: A tobacco prevention curriculum developed by Dr. Ma and her colleagues in the U.S. was adapted and pilot tested among 303 workers who were recruited from seven manufactory companies in Chengdu City, Sichuan Province, China. Measures of Transtheoretical Stages of Change Model and changes in knowledge and attitudes toward smoking were assessed at baseline, post-education and 3-month follow up points.

Results: Study results showed a significant increase in knowledge about harmful effects of smoking and second hand smoke and improvement of attitudes toward smoking. There was a significant positive transition of stage of change among smokers.

Discussion and Conclusion: Culturally appropriate adaption of a well tested tobacco program in Chinese Americans for Chinese in China is an efficient and effective strategy in promoting tobacco control in China. Worksite-based educational intervention can be an effective channel to implement tobacco control program in China.