Association Between Secondhand Smoke Exposure Among Women and the Implementation of Tobacco Control Measures on Campus: A Cross-Sectional Study in 50 Universities Across China.

This article examines the association between secondhand smoke (SHS) exposure among female college students in China and the adoption and implementation of tobacco control measures on university campuses. Using data from 7,469 never-smoking female students across 50 Chinese universities, the study found that about half (50.5%) reported SHS exposure on campus. While merely adopting smoke-free policies was not linked to reduced SHS exposure, effective implementation of these policies significantly lowered exposure rates. Additionally, exposure to tobacco advertising and promotion on campus was associated with higher SHS exposure. The findings suggest that rigorous enforcement of smoke-free campus policies and comprehensive bans on tobacco marketing are critical to protecting young women from SHS-related health risks in Chinese universities.