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Smoking and Multidimensional Well-Being: Gender and Cohort Differences in China
Aqsa Nadeem1, Li Zheng1, Xiaohe Xu2
1Department of Sociology and Psychology, School of Public Administration, Sichuan University, Chengdu 610065, China.
Behavioral Sciences (Basel, Switzerland)
|May 27, 2026
Summary
Smoking is linked to more depression and better self-rated health, but not happiness. These effects differ by gender and generation, highlighting the need for tailored tobacco control in China.
Area of Science:
- Public Health
- Sociology
- Longitudinal Studies
Background:
- Smoking behavior (SB) is a major public health issue in China.
- Limited evidence exists on the longitudinal impact of SB on multidimensional well-being.
Purpose of the Study:
- To examine the relationship between smoking and well-being (depression, self-rated health, happiness).
- To assess how these associations vary by gender and birth cohort.
Main Methods:
- Utilized three waves (2018, 2020, 2022) of the China Family Panel Studies (CFPS).
- Included 61,127 observations from 32,329 individuals.
- Employed growth curve modeling to analyze longitudinal data.
Main Results:
- Smoking positively correlates with depressive symptoms (β = 0.210) and self-rated health (β = 0.085).
- No significant association found between smoking and happiness.
- Gender moderates the smoking-depression link (stronger in women); cohort effects show reversed associations for depression in younger cohorts and weakening self-rated health benefits across cohorts.
Conclusions:
- The smoking-well-being relationship is influenced by gender norms and generational shifts.
- Gender-sensitive and cohort-specific tobacco control strategies are crucial.
- Particular attention should be paid to women and younger populations.
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