Evidence map›Paper›PMID 41606551›Full record

ArticleBMC public health2026

Navigating regulatory challenges: a cross-sectional survey of vaping and smoking behaviours among university students in Yunnan, China.

Chunxia He, Virasakdi Chongsuvivatwong, Yongxia Li, Rassamee Chotipanvithayakul

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chunxia HeDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.ORCID http://orcid.org/0009-0006-8340-6963
Virasakdi ChongsuvivatwongDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand.ORCID http://orcid.org/0000-0002-9850-4463
Yongxia LiDepartment of Respiratory Medicine, The Second Affiliated Hospital, Kunming Medical University, Kunming, Yunnan, 650000, China.ORCID http://orcid.org/0000-0001-8939-3127
Rassamee ChotipanvithayakulDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand. rassamee.s@psu.ac.th.ORCID http://orcid.org/0000-0001-9834-6031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global rise in vaping has become a significant public health concern among the young population. This study aims to investigate vaping behaviours among university students in China.

methodsStudents were selected from eight universities in Yunnan Province. The questionnaire collected baseline characteristics and vaping behaviours. Vapers were classified into vaping only, smoking only, both vaping and smoking, and neither vaping nor smoking. Descriptive statistics were used to estimate prevalence, and multinomial logistic regression was conducted to identify factors associated with current vaping and smoking.

resultsA total of 2259 students were recruited. The ever, current, and past prevalence rates of vaping among university students were 8.8%, 1.9%, and 6.9%, respectively, whereas the ever, current, and past prevalence rates of smoking were higher, at 20.0%, 8.0%, and 12.8%, respectively. Most students initiated vaping and smoking at a young age. The common reasons for vaping were appealing to flavours (81.0%), preventing smoking relapse (69.2%), and pleasure (69.2%). Among the most popular flavours, fruity was preferred by 53.5% of the students, followed by tobacco and menthol/mint, each accounting for 32.6%. Students vaped at bars/pubs (79.1%), universities (60.5%), and at home (53.5%), with nearly half of smokers obtaining them online, followed by convenience stores. Current vapers had higher levels of nicotine dependence than smokers did (22.9% vs. 3.8%). They had a lower likelihood of quitting combustible smoking (47.1% vs. 64.6%). Multinomial regression analysis revealed that significant factors associated with vaping included a positive attitude toward vaping (RRR = 1.67, 95% CI: 1.43–1.96) and a greater number of vapers in their social circle (RRR = 2.25, 95% CI: 1.58–3.19).

conclusionUniversity students initiated vaping since they were below the legal age range, had a higher level of nicotine addiction, and perceived vaping as harmless. In addition, they had a low level of knowledge of vaping harm and regulation but a positive attitude towards vaping. This information should be beneficial for curbing vaping in Yunnan.

Indexed as

SmokingStudentsVapingAdolescentAdultChinaCross-Sectional StudiesFemaleHumansMalePrevalenceSurveys and QuestionnairesUniversitiesYoung AdultChinaElectronic nicotine delivery devicesSmokingUniversity studentsVaping

Identifiers

PMID41606551
PMCPMC12922305

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.