Objectives. To inform a prevention strategy, this study determined the prev
alence of and attitudes toward smoking among Chinese secondary school stude
nts.
Methods. Self-completion questionnaires were administered to 13- to 18-year
-olds attending school in Zhejiang Province, eastern China.
Results. Of the 6674 respondents, 15.9% (25.7% of the boys, 5.4% of the gir
ls) were ever smokers. Only 0.3% were regular smokers. Of the ever smokers,
41.9% had smoked before 10 years of age and 7.9% before 5 years of age. Pa
rental smoking was the strongest predictor of smoking.
Conclusions. The very low prevalence of regular smoking found in this age g
roup suggests that prevention programs in school may be beneficial. Parents
should be encouraged to adopt more responsible attitudes toward smoking in
the home.