Very tall female young adults tended to be smokers: A large-scale exploratory cross-sectional survey of 26,405 college students in China

AbstractObjective This study investigated the sex-specific prevalence of smoking (past 30 days) and the associations with height among university/college students.Participants 25,405 (11,579/14,826 males/females) college students in Xi'an China.Methods A cross-sectional, self-administered survey.Results The male and female prevalence of smoking (past 30 days) was 32.9% and 7.4%, respectively. The prevalence of smoking of the male height groups ranged from 29.8% to 36.9%; only the ≥188 cm height group showed significantly higher prevalence than the reference group (i.e., 173–177cm; 33.0%). The female prevalence of smoking was 4.0–8.2% in the ≤170cm groups and increased to 12.3% in the 171–175 cm group and 36.1% in the ≥176 cm group, while it was 6.5% for the reference group (161–165 cm).Conclusions This exploratory study firstly revealed the significantly higher prevalence of smoking among the "tallest" height groups, especially among females. Future studies are warranted to confirm such findings and explore related mechanisms.Keywords: Smokingheight stratificationsex differenceChinayoung adultuniversity students AcknowledgmentsWe would like to thank all the participants for their contributions.Conflict of interest disclosureThe authors declare no conflict of interests. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of China and received approval from the Xi'an Jiaotong University.Additional informationFundingThis research was funded by grants from the New-star Plan of Science and Technology of Shaanxi Province (2015LJXX-07) and the Fundamental Research Funds for the Central Universities (qngz2016004).