En China, fumar y la venta de cigarrillos son actividades legales, y estos productos pueden adquirirse en línea, aunque no está permitido comprarlos en máquinas expendedoras. La importación de cigarrillos con fines comerciales se autoriza mediante licencia. Sin embargo, existe una prohibición total de la publicidad de tabaco, y los paquetes de cigarrillos deben llevar advertencias sanitarias. La edad mínima legal para comprar cigarrillos es de 18 años, y también existen restricciones legales sobre fumar en espacios públicos. Los cigarrillos están sujetos a una tasa impositiva total del 52%. Para 2024, se estimaba que en China había 293,5 millones de adultos fumadores actuales, con una prevalencia de tabaquismo en adultos del 23,2%. Entre los hombres, la prevalencia era del 43,9%, mientras que entre las mujeres solo alcanzaba el 1,8%. El número de fumadores diarios era de aproximadamente 256,9 millones, con una prevalencia diaria en adultos del 20,3%, siendo del 38,6% en hombres y del 1,3% en mujeres. Según datos de 2021, el consumo de tabaco provocó aproximadamente 2,7 millones de muertes en China, de las cuales 2,2 millones correspondieron a hombres y 490.700 a mujeres. Esto significa que el tabaquismo fue responsable del 22,78% de todas las muertes en el país, incluyendo el 31,81% de las muertes masculinas y el 10,11% de las femeninas.
Prevalencia
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 289.6 million | 1A |
| 2024 | 288.3 million | 1B |
- (1) WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition. (2) Department of Economic and Social Affairs (Ed.). (2019). World Population Prospects 2019 (Online Edition Rev. 1.; Population Division). United Nations. https://population.un.org/wpp/Download/Standard/Population/
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 24.7% | 1A |
| 2020 | 25.8% | 1B A |
| 2020 | 25.3% | 1C |
| 2024 | 23.2% | 1D B |
| 2024 | 24.4% | 1E |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2024 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 1.8% | 1A |
| 2020 | 2.3% | 1B A |
| 2020 | 2.1% | 1C |
| 2024 | 1.8% | 1D B |
| 2024 | 1.9% | 1E |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2019 | 47.7% | 1A |
| 2020 | 48.8% | 1B A |
| 2020 | 47.8% | 1C |
| 2024 | 43.9% | 1D B |
| 2024 | 46.4% | 1E |
- WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
- Current tobacco smoking rates among people aged 15 years and older, 2024 estimates. Crude adjusted prevalence (%).
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 22.5% | 3A A |
| 2024 | 20.3% | 3B |
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 1.9% | 3A A |
| 2024 | 1.3% | 3B |
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
| Year | Value | Reference/Comment |
|---|---|---|
| 2020 | 42.6% | 3A A |
| 2024 | 38.6% | 3B |
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- Adults survey: Global Adult Tobacco Survey (GATS), 2020; National, ages 15+
- WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
- WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
- Zeng X, Liu S, Liu Y, Xiao L. Smoking Prevalence in Urban and Rural Areas - China, 2024. China CDC Wkly. 2025 May 30;7(22):751-759. doi: 10.46234/ccdcw2025.124. PMID: 40621203; PMCID: PMC12228068.
- These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
Mortalidad
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 2.0 million | 1A |
| 2021 | 2.7 million | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 477,163 | 1A |
| 2021 | 490,680 | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 1.5 million | 1A |
| 2021 | 2.2 million | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 21.94% | 1A |
| 2021 | 22.78% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 12.8% | 1A |
| 2021 | 10.11% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
| Year | Value | Reference/Comment |
|---|---|---|
| 2016 | 24.9% | 1A |
| 2021 | 31.81% | 1B A |
- The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
- Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
- Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
- Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
Promoción de productos
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
Regulación
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- There are some restrictions.
Disponibilidad
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- World Bank. Cigarettes containing tobacco imports by country in 2023. Available at: https://wits.worldbank.org/trade/comtrade/en/country/ALL/year/2023/tradeflow/Imports/partner/WLD/product/240220. Accessed: 2 July 2025.
- There are some restrictions.
- An import license is required.
Regulaciones y restricciones
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- Restrictions exist only in some public places such as educational facilities and public transport.
Impuesto
- WHO. WHO report on the global tobacco epidemic, 2023. Available at: https://cdn.who.int/media/docs/default-source/country-profiles/tobacco/gtcr-2023/tobacco-2023-chn.pdf?sfvrsn=b8687156_3&download=true. Accessed: 10 June 2025.
- Total taxes: 52%
Publicaciones
Reducción de daños del tabaco: un problema candente para Asia
Harry Shapiro
El enfoque de este informe de GSTHR es Asia. El sesenta por ciento de los fumadores del mundo vive en esta región y aquí se produce casi la mitad de las muertes mundiales por fumar. Asia también alberga a nueve de cada diez consumidores de tabaco sin combustión (SLT), lo que provoca altas tasas de cáncer oral. En varios países, la salud pública se ve gravemente socavada cuando los gobiernos controlan o tienen una participación significativa en empresas tabacaleras nacionales. Se necesitan nuevas soluciones para abordar la amenaza para la salud pública que suponen fumar y el consumo de tabaco, pero los productos de nicotina más seguros están prohibidos en muchos países. ¿Mejoraría la reducción de daños del tabaco la salud pública en Asia? Y, de ser así, ¿cuáles son los obstáculos que se interponen en su camino?
El evento formal de lanzamiento del informe tuvo lugar en línea el domingo 18 de abril de 2021 y fue copatrocinado con Association of Vapers India.
Countries With the Highest Number of Current Tobacco Smokers
- Burning Issues: The Global State of Tobacco Harm Reduction 2020
This figure illustrates how almost half the world’s smokers (46%) live in just three countries. China has the largest number of current smokers at 290 million, followed by India at 116 million and Indonesia at 61 million. Together, these countries account for 467 million smokers.
Around the world high levels persist, despite major global initiatives led by WHO to reduce smoking – and despite the investment of millions of dollars in tobacco control to reduce the demand for and supply of tobacco (See Chapter 5 of the report: Burning Issues: The Global State of Tobacco Harm Reduction 2020). Average levels of smoking at a national level hide significant differences in the levels of smoking between males and females. Almost one third of men (30 percent) globally smoke compared with 10 percent of women.
According to WHO data for 2018, the prevalence of current tobacco smoking among men in 35 countries is above 40 per cent. This ranges from a staggering 69 percent in Kiribati, to 50 percent in Albania, Cyprus, Kyrgyzstan and Latvia, 45 percent in Greece, Mongolia and Republic of Moldova and 41 percent in Ukraine, the Russian Federation, Bangladesh and Samoa.
In a few high-prevalence countries, the level of female smoking is higher than the male smoking levels found in lower prevalence countries for example, in Kiribati, Nauru, Chile and Serbia, over 40 percent of women smoke compared to 78 other countries where less than 30 percent of men smoke. In some indigenous communities, such as the Māori, more women smoke than men (see Chapter 7 of the report: Burning Issues: The Global State of Tobacco Harm Reduction 2020). There is some evidence that for cultural or social reasons in some countries, there may be under-reporting of female smoking.
For more information see also p.31 of the report: Burning Issues: The Global State of Tobacco Harm Reduction 2020