Abstract:Objective To investigate the epidemic situation of tobacco use among residents in Xi'an City, and to provide a theoretical basis for further conducting tobacco control in the city. Methods Multistage stratified random sampling method was used to select 2,772 subjects aged 15-69 years in urban and rural areas of Xi'an City, and then a household survey on general information, smoking cessation behavior and cognition, smoking cessation history, smoking environment and awareness of tobacco hazards was conducted by using the 2012 Chinese National Survey Questionnaire of Health Literacy from October to December in 2013. SPSS 19.0 software was used to analyze the difference in population distribution between the smoking rate and the second-hand smoke exposure rate. In addition, the smokers’ smoking cessation ideas and ways to quit smoking were statistically described too. Results The smoking rate of residents in Xi'an City was 28.1%. The smoking rates of urban and rural residents were 24.8% and 31.4% respectively, and those of male and female residents were 50.6% and 6.3% respectively, showing statistically significant differences between the urban and rural residents as well as the two genders (both P<0.05). 76.2% of the residents were affected by second-hand smoke, and 56.7% were exposed to second-hand smoke almost every day. There were statistically significant differences in the second-hand smoke exposure rate and the exposure frequency among residents with different social characteristics (all P<0.05) except occupation and age classification. Only 51.4% of the smokers were willing to quit smoking. The residents with telephone counselling for smoking cessation and counselling for quit-smoking clinic accounted for 6.5% and 10.4% respectively. Conclusions The smoking rate of the residents in Xi'an City in 2013 was high, and the second-hand smoke exposure was serious. The smokers had less willingness to quit smoking, and a few of them attempted to seek professional help to quit smoking. Therefore, tobacco epidemic situation was not optimistic.