Can national surveys help reduce smoking in pregnancy?
PHE ePoster Library. Horton M. Apr 9, 2019; 257488; 15359
Marie Horton
Marie Horton
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Abstract Introduction
England's Tobacco Control Plan (2017) set a national ambition to reduce the rate of smoking throughout pregnancy from 10.8% in 2016/17 to 6% by 2022. Recent trends suggest this target will not be reached. To date efforts have focussed on assisting smokers to quit when pregnant but social network theory suggests living in a high prevalence community makes cessation harder for disadvantaged smokers. We investigate whether analysis of national surveys can assist in targeting social networks interventions appropriately.MethodWe analysed responses to the question 'Do you smoke cigarettes at all nowadays?' from the Annual Population Survey 2012-2017 for England residents. We compared results for those aged 18+ and 18-34 years, all respondents vs. white ethnicity, and by socio-economic group and deprivation decile. Smoking prevalence estimates were calculated using a weighted sample to make it more representative of the population.
In 2017, 14.9% of adults in England (age 18+) were current smokers with higher rates in young people (age 18-34) (16.3% women and 21.7% men). Rates for young white respondents were higher still (18.6% women and 22.6% men) and the highest smoking prevalence rates were in young white routine and manual (R&M) workers (28.4% women and 32.0% men). Young white women in the most deprived areas had a significantly higher numbers smokers than the least deprived (21.7% compared with 14.3%). Similar patterns were seen across regions, with the highest rates in young women in R&M occupations in Yorkshire and the Humber (35.7%) and men in London (38.3%).DiscussionTargeting interventions at young, routine and manual workers could help reduce smoking prevalence in these communities, which we would expect improve cessation rates in pregnant women and their partners, helping somewhat towards reducing inequalities.
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