Cigarette sharing and its association with smoking cessation in China, 2022: findings from the China national adult tobacco survey

Cigarette sharing persists in China with occupational/geographic disparities and impedes cessation while promoting relapse, necessitating region-specific interventions-intensifying smoke-free policies in developed areas while promoting alternatives like tea sharing in areas with a strong Confucian "reciprocity" culture, embedding refusal tactics and cessation incentives into public health campaigns, and expediting adoption of standardised cigarette packaging aligned with WHO Framework Convention on Tobacco Control guidelines.