Cigarette smoking is associated with unhealthy patterns of food consumption, physical activity, sleep impairment, and alcohol drinking in Chinese male adults

• Published in: International journal of public health Vol. 60; no. 8; pp. 891 - 899
• Main Authors: Masood, Shabana, Cappelli, Christopher, Li, Yawen, Tanenbaum, Hilary, Chou, Chih-Ping, Spruijt-Metz, Donna, Palmer, Paula H., Johnson, C. Anderson, Xie, Bin
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.12.2015; Springer Nature B.V
• Subjects: Adult; Alcohol Drinking - epidemiology; Alcohol use; China - epidemiology; Diet; Environmental Health; Exercise; Feeding Behavior; Health Behavior; Health Surveys; Humans; Logistic Models; Male; Medicine; Medicine & Public Health; Mens health; Middle Aged; Occupational Medicine/Industrial Medicine; Original Article; Public Health; Risk-Taking; Sex Factors; Sleep deprivation; Sleep Wake Disorders; Smoking; Smoking - epidemiology; Tobacco; Lifestyles; Cigarette smoking; Chinese male adults
• ISSN: 1661-8556; 1661-8564
• DOI: 10.1007/s00038-015-0730-7

Objectives According to a recent national survey, tobacco use is a critical public health issue in China, with more than two-thirds of Chinese males smoking. Findings in Western populations suggest that smoking may cluster with other health-risk behaviors. To explore these relationships in Chinese male adults, we utilized baseline data from the China Seven Cities Study (CSCS). Methods Male adults ( n  = 12,122) were included. Smoking status was defined as never smokers, ex-smokers, current smokers, and current heavy smokers. Logistic regression was employed to investigate the association of cigarette smoking and patterns of food consumption, physical activity, and alcohol drinking. Results After controlling for age, socioeconomic status, and city residence, heavy smokers consumed significantly less vegetables, fruits, milk and other dairy products, spent significantly more time watching television, slept and exercised less, and got drunk or engaged in binge drinking more frequently compared to never, ex-, or current smokers ( p  < 0.05). Conclusions Findings suggest significant associations of heavy cigarette smoking with other health-risk behaviors in Chinese male adults, underscoring the need for tobacco control interventions for Chinese males.