Smoking and socioeconomic status in England: the rise of the never smoker and the disadvantaged smoker

R. Hiscock, L. Bauld, A. Amos, Stephen Platt

Research output: Contribution to journalArticle

  • 52 Citations

Abstract

Background: Since 2000 various tobacco control measures have been implemented in the UK. Changes in the smoking status of low and high socioeconomic status (SES) groups in England during this period (2001–08) are explored.

Methods: Secondary analysis of the Health Survey for England general population samples was undertaken. Over 88 000 adults, age 16 or over, living in England were included. Smoking status (current, ex or never) was reported. SES was assessed through a count of seven possible indicators of disadvantage: National Statistics Socio-Economic Classification (NSSEC), neighbourhood index of multiple deprivation, lone parenting, car availability, housing tenure, income and unemployment.

Results: Smoking rates were four times higher among the most disadvantaged [60.7% (95% CI: 58.2–63.3)] than the most affluent [15.3% (95% CI: 14.8–15.8)]. Smoking prevalence declined between 2001 and 2008 except among the multiply disadvantaged. This trend appeared to be due to an increase in never smoking rather than an increase in quitting. Disadvantage declined among non-smokers but not smokers.

Conclusions: In general never smoking and affluence increased in England over this period. The disadvantaged, however, did not experience the decline in smoking and smokers missed out from the increase in affluence. Smoking and disadvantage may increasingly coexist.
LanguageEnglish
Pages390-396
JournalJournal of Public Health
Volume34
Issue number3
Early online date28 Feb 2012
DOIs
StatusPublished - 1 Aug 2012

Fingerprint

Vulnerable Populations
Social Class
England
Smoking
Unemployment
Parenting
Health Surveys
Tobacco
Economics
Population

Cite this

Smoking and socioeconomic status in England : the rise of the never smoker and the disadvantaged smoker. / Hiscock, R.; Bauld, L.; Amos, A.; Platt, Stephen.

In: Journal of Public Health, Vol. 34, No. 3, 01.08.2012, p. 390-396.

Research output: Contribution to journalArticle

@article{ee7aabaa3bbe4742b0ea48192f4e9379,
title = "Smoking and socioeconomic status in England: the rise of the never smoker and the disadvantaged smoker",
abstract = "Background: Since 2000 various tobacco control measures have been implemented in the UK. Changes in the smoking status of low and high socioeconomic status (SES) groups in England during this period (2001–08) are explored.Methods: Secondary analysis of the Health Survey for England general population samples was undertaken. Over 88 000 adults, age 16 or over, living in England were included. Smoking status (current, ex or never) was reported. SES was assessed through a count of seven possible indicators of disadvantage: National Statistics Socio-Economic Classification (NSSEC), neighbourhood index of multiple deprivation, lone parenting, car availability, housing tenure, income and unemployment.Results: Smoking rates were four times higher among the most disadvantaged [60.7{\%} (95{\%} CI: 58.2–63.3)] than the most affluent [15.3{\%} (95{\%} CI: 14.8–15.8)]. Smoking prevalence declined between 2001 and 2008 except among the multiply disadvantaged. This trend appeared to be due to an increase in never smoking rather than an increase in quitting. Disadvantage declined among non-smokers but not smokers.Conclusions: In general never smoking and affluence increased in England over this period. The disadvantaged, however, did not experience the decline in smoking and smokers missed out from the increase in affluence. Smoking and disadvantage may increasingly coexist.",
author = "R. Hiscock and L. Bauld and A. Amos and Stephen Platt",
year = "2012",
month = "8",
day = "1",
doi = "10.1093/pubmed/fds012",
language = "English",
volume = "34",
pages = "390--396",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Smoking and socioeconomic status in England

T2 - Journal of Public Health

AU - Hiscock,R.

AU - Bauld,L.

AU - Amos,A.

AU - Platt,Stephen

PY - 2012/8/1

Y1 - 2012/8/1

N2 - Background: Since 2000 various tobacco control measures have been implemented in the UK. Changes in the smoking status of low and high socioeconomic status (SES) groups in England during this period (2001–08) are explored.Methods: Secondary analysis of the Health Survey for England general population samples was undertaken. Over 88 000 adults, age 16 or over, living in England were included. Smoking status (current, ex or never) was reported. SES was assessed through a count of seven possible indicators of disadvantage: National Statistics Socio-Economic Classification (NSSEC), neighbourhood index of multiple deprivation, lone parenting, car availability, housing tenure, income and unemployment.Results: Smoking rates were four times higher among the most disadvantaged [60.7% (95% CI: 58.2–63.3)] than the most affluent [15.3% (95% CI: 14.8–15.8)]. Smoking prevalence declined between 2001 and 2008 except among the multiply disadvantaged. This trend appeared to be due to an increase in never smoking rather than an increase in quitting. Disadvantage declined among non-smokers but not smokers.Conclusions: In general never smoking and affluence increased in England over this period. The disadvantaged, however, did not experience the decline in smoking and smokers missed out from the increase in affluence. Smoking and disadvantage may increasingly coexist.

AB - Background: Since 2000 various tobacco control measures have been implemented in the UK. Changes in the smoking status of low and high socioeconomic status (SES) groups in England during this period (2001–08) are explored.Methods: Secondary analysis of the Health Survey for England general population samples was undertaken. Over 88 000 adults, age 16 or over, living in England were included. Smoking status (current, ex or never) was reported. SES was assessed through a count of seven possible indicators of disadvantage: National Statistics Socio-Economic Classification (NSSEC), neighbourhood index of multiple deprivation, lone parenting, car availability, housing tenure, income and unemployment.Results: Smoking rates were four times higher among the most disadvantaged [60.7% (95% CI: 58.2–63.3)] than the most affluent [15.3% (95% CI: 14.8–15.8)]. Smoking prevalence declined between 2001 and 2008 except among the multiply disadvantaged. This trend appeared to be due to an increase in never smoking rather than an increase in quitting. Disadvantage declined among non-smokers but not smokers.Conclusions: In general never smoking and affluence increased in England over this period. The disadvantaged, however, did not experience the decline in smoking and smokers missed out from the increase in affluence. Smoking and disadvantage may increasingly coexist.

UR - http://www.scopus.com/inward/record.url?scp=84863840125&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1093/pubmed/fds012

U2 - 10.1093/pubmed/fds012

DO - 10.1093/pubmed/fds012

M3 - Article

VL - 34

SP - 390

EP - 396

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 3

ER -