Did hardening occur among smokers in England from 2000 to 2010?

Docherty, Graeme and McNeill, Ann and Gartner, Coral and Szatkowski, Lisa (2014) Did hardening occur among smokers in England from 2000 to 2010? Addiction, 109 (1). pp. 147-154. ISSN 0965-2140

[img] PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Available under Licence Creative Commons Attribution Non-commercial No Derivatives.
Download (138kB)

Abstract

Aims

To assess trends in the prevalence of ‘hardcore’ smoking in England between 2000 and 2010, and to examine associations between hardcore smoking and socio-demographic variables.

Design

Secondary analysis of data from the United Kingdom's General Lifestyle Survey (GLF) and the Health Survey for England (HSE).

Setting

Households in England.

Participants

Self-reported adult current smokers resident in England aged 26 years and over.

Measurements

Hardcore smokers were defined in three ways: smokers who do not want to quit (D1), those who ‘usually’ smoke their first cigarette of the day within 30 minutes of waking (D2) and a combination of D1 and D2, termed D3. Multivariable logistic regression was used to explore associations between these variables and calendar year, age, sex and socio-economic status, and P-values for trends in odds were calculated.

Findings

The odds of smokers being defined as hardcore according to D3 increased over time in both the GLF (P < 0.001) and HSE (P = 0.04), even after adjusting for risk factors. Higher dependence (D2) was noted in men [odds ratio (OR): 1.19, 95% confidence interval (CI): 1.13–1.24], those of 50–59 years (OR: 1.94, 95% CI: 1.80–2.09) and smokers in lower occupational groups (OR: 2.11, 95% CI: (1.97–2.26). Lack of motivation to quit (D1) increased with age and was more likely in men.

Conclusions

The proportion of smokers in England with both low motivation to quit and high dependence appears to have increased between 2000 and 2010, independently of risk factors, suggesting that ‘hardening’ may be occurring in this smoker population

Item Type: Article
Keywords: Cessation, Dependence, Hardening, Inequalities, Population
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Depositing User: Snowden, Ms Diane
Date Deposited: 03 Apr 2014 13:20
Last Modified: 14 Sep 2016 08:39
URI: http://eprints.nottingham.ac.uk/id/eprint/2501

Actions (Archive Staff Only)

Edit View Edit View