Tingzhong Yang

Tingzhong Yang
Zhejiang University | ZJU · Center for Tobacco Control Research/Department of Social Medicine

M.D
The Series of projects of “tobacco control advocacy capacity” covered all provinces in China.

About

115
Publications
13,917
Reads
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1,500
Citations
Introduction
My primary academic focus is social and behavioral science, and research interests are in tobacco control.
Skills and Expertise
Additional affiliations
January 2007 - October 2015
Zhejiang University
Position
  • Prof/Director

Publications

Publications (115)
Article
Full-text available
Background The Internet changed the lives of average citizens in the early part of the twenty-first century, and it has now become an essential part of daily life. Many studies reported that accessibility of Internet use is associated with mental health. However, previous studies examining this association were confined to local and community subpo...
Chapter
This concluding chapter draws upon the authors’ own empirical work, and a synthesis of existing literature to show how a knowledge of economic, social and cultural environments is needed to fully understand changing patterns of smoking. As China is the world’s largest producer and consumer of cigarettes, it is important to understand the significan...
Chapter
This chapter examines how cultural practices have influenced smoking in China with specific reference to regional and rural contexts. Particular attention is paid to cultural norms and practices and regional cultural differences. Consideration is also given as to why smoking is higher in the countryside and the importance of cultural and socio-econ...
Article
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Objectives: We examined associations between excessive WeChat use and mental disorders at the individual and contextual level. Methods: We conducted a representative nationwide survey sampling process of 11,283 medical students from 30 universities in China. Mental health status was measured by the Chinese Health Questionnaire. Both unadjusted a...
Article
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The primary aims of this study are to examine the associations between two key environmental factors—regional cigarette tobacco production and tobacco retail outlet density—and secondhand smoke (SHS) exposure in urban China and to explore the possible mechanisms that explain this association. Methods A cross-sectional multistage sampling design wa...
Article
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Background: Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels. Objectives: The objective of this study was to evaluate the association between air pollution and mental stress a...
Preprint
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Objective: This prospective observational study examined changing trends of mental responses and prevention patterns, and their impact from uncertainty stress during the transition in China from the COVID 19 epidemic to sporadic infection. Setting: A prospective longitudinal observation design was utilized in this study. Participants: We recruited...
Article
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Background: The COVID-19 pandemic brings unprecedented uncertainty and stress. This study aimed to characterize general sleep status among Chinese residents during the early stage of the outbreak and to explore the network relationship among COVID-19 uncertainty, intolerance of uncertainty, perceived stress, and sleep status. Methods: A cross-se...
Article
Purpose To investigate perceived beliefs, uncertainty, and behavioral responses among Chinese residents toward the COVID-19 outbreak, and explore their relationships amid an incipient pandemic. Design A cross-sectional correlational survey with a combination of a convenience and snowball sampling design. Setting This study was conducted online fr...
Article
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Introduction: Social deprivation is a known determinant of health and related behaviors. Many studies have linked socioeconomic factors to secondhand smoke (SHS) exposure. However, no studies have examined the relationship between social deprivation and SHS exposure. This study examined whether contextual social deprivation - variously based on li...
Article
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This prospective observational study examined changing trends in mental and behavioral responses, and their association with perceived risk, severity, self-efficacy and isolation status during the Chinese COVID-19 epidemic. There were five waves of interviews. Descriptive statistics and non-parametric test methods were used for data analysis. Parti...
Preprint
BACKGROUND Internet Addiction (IA) is a growing issue predominate in adolescents and young adults. The effects of diverse stressors on IA have been highlighted though there is little consensus about the specific underpinnings of IA. OBJECTIVE The current study aims to investigate associations between uncertainty stress, life stress and IA among Ch...
Article
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Objectives: We examined changing trends of uncertainty stress, and its impact on disease fear and prevention behaviors during the Chinese COVID-19 epidemic, using a prospective observational study. Methods: We employed a longitudinal design. We recruited participants for an online panel survey from chat groups on social media platforms. There were...
Preprint
BACKGROUND Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels. OBJECTIVE The objective of this study was to evaluate the association between air pollution and mental stress amo...
Preprint
Full-text available
Background The COVID-19 pandemic brings unprecedented uncertainty and stress. This study aimed to characterize sleep behaviors among Chinese residents during the early stage of the outbreak and to test the extent to which sleep quality was driven by COVID-19 uncertainty, intolerance of uncertainty, and perceived stress. Methods A cross-sectional c...
Book
This book fills a major gap in research into smoking and tobacco control in China. In recent decades, few studies have explored the significance of geographical factors and the role they have played either in affecting the prevalence of smoking or in tobacco control responses to the smoking epidemic in China. In light of this, the book investigates...
Preprint
BACKGROUND The Internet changed the lives of average citizens in the early part of the 21st century, and it has now become an essential part of daily life. Many studies reported that Internet use is positively correlated with psychological and mental problems, included depression, loneliness, and stress. However, previous studies examining Internet...
Preprint
Full-text available
BACKGROUND The Internet changed the lives of average citizens in the early part of the 21st century, and it has now become an essential part of daily life. Many studies reported that Internet use is positively correlated with psychological and mental problems, included depression, loneliness, and stress. Previous studies examining Internet use and...
Preprint
Full-text available
IntroductionSocial deprivation is a known determinant of health and related behaviors. Many studies have linked socioeconomic status to secondhand smoke (SHS) exposure. However, no studies have examined the relationship between social deprivation and SHS exposure. This study examined whether social deprivation has any independent effect on SHS expo...
Article
Full-text available
Studies of people who buy sex often focus on psychological and personality factors with less attention paid to the role of social contexts. This study integrates the two lines of inquiry, routine activity theory and peer deviance, to examine the social process of paying for sex. We argue that deviant peer association may shape buying sex due to pee...
Preprint
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Background: Numerous studies have identified factors associated with deliberate self-harm (DSH), but environmental influences have been largely neglected. This study explored regional and university contextual factors impacting DSH among undergraduate students in China. Methods: In this observational cross-sectional study, subjects were 5,016 under...
Article
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Background: Around 2 million Chinese people, mostly men, die annually from tobacco-related diseases; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation support. Objective: This study aimed to test the preliminary effectiveness and feasibility for a mobile social network (WeChat)-based smoking cessation intervention (SCAMPI pro...
Article
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Objectives: The 12-item Chinese Health Questionnaire (CHQ-12) has been widely used for screening mental disorders. This study aims to examine the internal consistency and factor structure of CHQ-12 and its suitability for use in the elderly Chinese population. Study design: This is a cross-sectional study. Methods: A total of 8526 elderly peop...
Article
Objectives To examine the association of exposure to secondhand smoke (SHS) and tobacco advertising with unassisted smoking cessation among Chinese male smokers. Methods A questionnaire was administered to 6500 male adult smokers from six cities in China selected in a cross-sectional multistage sampling design. The survey collected self-reported d...
Preprint
Full-text available
Objective To examine changing trends of uncertainty stress, and its impact on disease fear and prevention behaviors during the Chinese COVID-19 epidemic using a prospective observational study. Methods The study employed a longitudinal design. Participants were recruited for an online panel survey from chat groups on social media platforms. There w...
Article
Full-text available
Objective: The purpose of this study was to investigate the prevalence and behavioral and psychosocial correlates of road traffic injuries (RTIs) among Chinese university students. Methods: A cross-sectional survey was conducted among fifty universities in China, using a multi-stage sampling methodology. The participants were asked to report their...
Preprint
Objective This prospective observational study examined changing trends of excess self-protective behavior (EPB), and its association with perceived risk, severity and belief in prevention myths during the Chinese COVID-19 epidemic. Methods The study employed a longitudinal design. Participants were recruited for an online panel survey from chat gr...
Article
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The purpose of this study was to explore the gender-specific mental stress model of violent injuries among Chinese college students. A cross-sectional, multistage sampling process was employed to recruit a total of 5025 college students from 22 universities in China. Survey respondents reported their exposure to violent injuries and noted individua...
Article
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Objectives: This study aimed to examine the relationships between the types of stress and students’ mental health, to distinguish the effects of stressors on mental health problems, and to explore the important role of uncertainty stress on the development of mental disorders in a nationally representative sample of Chinese college students. Method...
Preprint
BACKGROUND Around 2 million Chinese people die annually from tobacco-related diseases, mostly men; yet fewer than 8% of Chinese smokers receive any smoking cessation advice or support. We develop a social network-based WeChat gamified smoking cessation intervention (“SCAMPI”) to help Chinese male smokers in China to quit smoking. OBJECTIVE The pri...
Article
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Background: Approximately 2 million Chinese people die annually from tobacco-related diseases, mostly men; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation advice or support. A social network-based gamified smoking cessation intervention (SCAMPI: Smoking Cessation App for Chinese Male: Pilot Intervention) is designed to hel...
Article
Family bonds and deviant peers constitute two important competing forces of socialization in migrants’ social life. This study furthers the theory of family-peer relationship by arguing that migrants’ social network homogeneity shapes the development of family bonds and peer deviance and is ultimately associated with increased likelihood of sexual...
Preprint
BACKGROUND Around 2 million Chinese people die annually from tobacco-related diseases, mostly men; yet fewer than 8% of Chinese smokers ever receive any smoking cessation advice or support. OBJECTIVE This study aimed to test the preliminary effectiveness and feasibility for a social network platform (WeChat)-based smoking cessation intervention in...
Article
Full-text available
Background Around 2 million Chinese people, mostly men, die annually from tobacco-related diseases; yet, fewer than 8% of Chinese smokers ever receive any smoking cessation support. Objective This study aimed to test the preliminary effectiveness and feasibility for a mobile social network (WeChat)–based smoking cessation intervention (SCAMPI prog...
Article
Full-text available
Background: With the disintegration of the extended family in recent years, the empty-nest phenomenon is increasingly common in China and the health of empty nesters is attracting more attention. Lifestyles, accounting for 53% in determining death, play a vital role in improving the health of individuals. However, it was rarely studied in promotin...
Article
Injury is a serious public health problem with significant social and economic costs. Prior studies reported an association between mental stress and unintentional injury. However, no comparable studies have examined uncertainty stress, along with other types of stress, and their relative impact upon unintentional injury. The purpose of this study...
Article
Objective: The aim of this study is to investigate the impacts of urban green space on stress among Chinese university students. Methods: Participants were 11,954 students from 50 universities in 42 cities. Each student completed the Global Health Professional Student Survey (GHPSS) on Tobacco Control in China. Regional variables were retrieved...
Article
Objective This study aims to evaluate Chinese male smokers’ responses to China’s 2015 6% ad valorem and RMB0.1 specific excise tax increase per cigarettes pack. Methods A male population-based cross-sectional survey with multistaged stratified sampling was employed to collect data in six cities in China. Descriptive methods and logistic models wer...
Article
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Previous studies have repeatedly found the association between network homogeneity based on native-place and sexual risk behaviors among migrants. However, it remains unclear why such a simple numerical property of network composition can be correlated with a sexual risk behavior. Using a dataset (n = 1591) with detailed information on the sexual b...
Article
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The original version of this article unfortunately missed to add the affiliation of the corresponding author. The new affiliation is “Department of Sociology and Social Work, Sun Yat-sen University, Guangzhou, China”.
Article
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The study examined the prevalence of unassisted smoking cessation among Chinese urban male smokers and factors important in the decision to quit. A cross-sectional survey employing multistage sampling involving 5,782 participants in six cities in China was conducted. Survey respondents reported their smoking cessation status and related individual...
Article
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Introduction The rationale behind why the majority of medical students are non-smokers, but some initiate smoking after becoming physicians is not fully understood in China. Exploring factors that may increase susceptibility to smoking initiation among medical students is an essential first step in assessing preventative actions. Methods Participa...
Article
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Background China has the world’s largest size of elderly population. Mental disorders of the elders deserve keen attention. This study aims to comparatively explore mental disorders and risk factors among empty and non-empty nesters. Methods Using the stratified random cluster sampling method, we recruited 8526 elders aged 60 years and above from...
Article
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Objectives This study aimed to investigate anxiety status and its relationship with BMI among empty nesters in China, so as to improve their quality of life and provide direction for further research. Methods A cross‐sectional survey was conducted among 4901 empty nesters in Shanxi, China. Anxiety, weight, height, depression, socio‐demographic var...
Article
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Objectives This study assessed the outcomes of a tobacco control advocacy behavioural capacity (ABC)–building programme among public health faculty and students in China. Study design This is a cluster intervention study with subjects matching in the different stages of the intervention and observation. Methods Public health students (n = 1046) a...
Article
Background: China has the world's largest elderly population and an increasing number of empty-nest elderly. The purpose of this study is to evaluate the effectiveness of the Self-Mutual-Group model on social support of the empty-nest elderly, thus providing reference for improving their quality of life. Methods: A intervention study was conduct...
Article
Respective associations between uncertainty stress and three dimensions of social capital with suicidal ideation were assessed among 4446 undergraduates from 22 Chinese universities in a cross-sectional study. Multiple logistic regression model and structural equation modeling were used to examine these relationships. Uncertainty stress was more st...
Article
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Objective To assess the prevalence, demographic characteristics and behavioural correlates of unintentional injuries among Chinese college students. Methods A cross-sectional multistage survey sampling process was conducted among 11 770 undergraduates from 50 universities in China. Students were asked to report different types of unintentional inj...
Article
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Background: In China, the problems of population aging and empty nesting have become important issues which will affect the social stability and economic development. The aim of this study was to explore the health promoting lifestyles and influencing factors among empty nesters and compare with non-empty nesters to find out their differences, so...
Article
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Purpose To examine the association between life stress, uncertainty stress and self-reported illness among Chinese college students. Methods Participants were 11,942 students who were identified through a multistage survey sampling process that included 50 universities. Stress and illness status were obtained by self-report. Both unadjusted and ad...
Article
Objectives: The objective of this study was to examine the association between individual and environmental stressors and problem alcohol use among Chinese university students. Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process that included 50 universities. Individual information, includ...
Article
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Background: Ecological models have emphasized that short sleep duration (SSD) is influenced by both individual and environmental variables. However, few studies have considered the latter. Objectives: The present study explores the influence of urban and regional contextual factors, net of individual characteristics, on the prevalence of SSD among...
Article
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Objective: This study was to examine the association between bedtime and self-reported illness among Chinese college students. Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process. Sleep and illness status were obtained by self report. Both unadjusted and adjusted methods were considered in...
Article
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While many studies have examined factors associated with overweight and obesity among college students, no study has yet compared gender differences influencing overweight and obesity using a multilevel framework. The present study examines different influences on overweight and obesity between men and women at both individual and environmental lev...
Article
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Background: Many studies have reported factors associated with internet addiction (IA) but little attention has been paid to contextual influences. The present study examined the association between regional contextual determinants of IA among college students in China. Methods: Participants comprised 6929 college students, who were identified t...
Article
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Although weak social bonds are found to be associated with addictive behaviors in cross-sectional studies, few studies have explored the longitudinal impacts of social bonds on nonmedical prescription drug use (NPDU). This study adopted a developmental perspective on social bonds and tested how their different trajectories are associated with NPDU...
Article
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Purpose: Few studies have discussed how the increasing ambient air pollution may affect policy-related attitudes. Medical professionals constitute an important interest group who analyse and solve public issues within a medicalised framework. The current study investigates whether ambient air pollution is associated with a greater likelihood of su...
Article
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Background Many studies have examined the association between socioeconomic status (SES) and mental stress. Uncertainty stress is a prominent aspect of mental stress. Yet no research has ever empirically analyzed the impact of SES on uncertainty stress. Methods Students were identified through a multistage survey sampling process including 50 univ...
Article
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Background Many studies have examined childhood and adolescent obesity, but few have examined young adults and the effect of their home and current living environments on prevalence rates. The present study explores contextual factors affecting overweight and obesity among university students in China and, in particular, focuses on how the SES–obes...
Article
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Objective: This study estimated the prevalence of road traffic injury among Chinese urban residents, and examined individual and regional level correlates. Method: A cross-sectional multistage process was used to sample resident from 21 selected cities in China. Survey respondents reported their history of road traffic injury in the past 12 months...
Article
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Background Many studies have explored smokers’ behavioral response to cigarette prices at the individual level, but none have factored in regional variation and determinants. This study addresses these research gaps in the Chinese context. Methods A cross-sectional multistage sampling process was used to recruit participants in 21 cities in China....
Article
Background: The phenomenon of deliberate self-harm (DSH) among college students has received increased attention in recent decades. Adopting a psychosocial perspective, this study aims to describe self-reported DSH among Chinese medical college students, assess respective associations between uncertainty stress and social capital with DSH, and exp...