The effect of socioeconomic differences on smoking uptake in young people in a low prevalence smoking area Emma Regan And Linda Homan The effect of socioeconomic

The effect of socioeconomic differences on smoking uptake in young people in a low prevalence

smoking areaEmma Regan

AndLinda Homan


smoking area

Linda Homanand

Emma Regan



AndLinda Homan

Concerns regarding the high percentage of smokers in certain areas of Essex highest on the

English Indices of Deprivation (IMD).

‘Overall in Essex it is estimated that 25.1% of the 20% most deprived communities smoke compared to only 17.5% in the remaining 80% of the population. The prevalence is estimated to be as high as 33.6% in the most deprived communities of Tendring.’ (EJSNA, 2013, p. 8).



AndLinda Homan

Overall differences in life expectancy between HDAs and LDAs of 7.3 years for men and 4.9 for

women (PHE, 2013). However, a closer look is more revealing.



AndLinda Homan

Life Expectancy variations in Essex PCT Areas

Area Overall difference

North East Essex 13.3 years

South East Essex 8.6 years

Mid Essex 9.3 years.

West Essex 5.4 years

South West Essex 5.3 to 4.8 years



AndLinda Homan

Method: The two phases involved focus groups and semi-structured interviews followed

by a county wide survey carried out in the 14 districts of Essex.



AndLinda Homan

The effect of socioeconomic status on:Family: There is a significance of living in a smoking household both in high deprivation areas (HDA) (Χ2 = 9.96, df = 1, p = 0.001), and low deprivation areas (LDA) (Χ2 = 37.24, df = 1, p <0.001). Mum smoking for HDA areas was 34.1% compared to half that for the LDA schools at 17%. Dad smoking was similar and 40.4% of HDA school pupils reported that dad smoked compared to 21.1% of LDA pupilsYoung people are 2.08 times as likely to smoke if they do not live with both parents compared with those who live with both parents.



AndLinda Homan

The effect of socioeconomic status on:

School / best friend / peer smoking:The results show that there is a significant association between the type of school and the incidence of smoking (Χ2 = 7.64, df = 1, p = 0.007).

Out of school friends smoking: young people are 5.0 times more likely to smoke if out of school friends smoke . Young people are 5.8 times more likely if school friends smoke. If best friends smoke, then the influence was strongest (6.5 times more likely to smoke).



AndLinda Homan

Interesting proposals for Stop Smoking services and schools

Key implications from the research Young people from a smoking household are more likely to

smoke regardless of socioeconomic status Parent’s smoking behaviour was approx twice as high in

HDA Family smoking has MORE influence in LDA Young people are twice as likely to smoke if they don’t live

with both parents If their best friend smokes they are 6.5 times more likely to

take up smoking. *64.6% of young people (regardless of socioeconomic status)

thought that most people today smoke.



AndLinda Homan

Preventing uptake and reducing prevalence

• KS 2, 3 & 4 PSHE lessons & risk management

• Highlighting perceptions and influences of family & friends

• Promotion of service for YP and parents at every contact

• Use of peers & YHC’s• Encouraging schools to follow

NICE guidance e.g. comprehensive school stop smoking policy

• In-house school or specialist stop smoking advisers able to work with both YP & families

• Specific smoking cessation programme for YP

• Targeting schools in HDA• Targeting students in

exclusion units/CSS

PREVENTION CESSATION



AndLinda Homan

Prevention - KS 3 (11-14 yrs)Tackling perceptions



AndLinda Homan

Prevention – KS 4 (14-15 yrs)



AndLinda Homan

Cessation



AndLinda Homan

FFS toolkit



AndLinda Homan

Limitations

Academies (often in HDA’s) can be reluctant to accept health & wellbeing support.

Disparity in school advisors role i.e. many do not work with families outside of the school setting

Schools in LDA’s have less capacity for family support workers

High adult smoking = higher YP smoking SSSS constraints



AndLinda Homan

Future work Develop the prevention/cessation work to reflect

more detailed aspects of the research findings Follow up original research by providing bespoke

prevention sessions to those schools in KS3 and assessing again in KS4.

Work closer with partners (e.g. the PSHE forum/risk avert initiative)

Develop the family quit programme and target parents in HDA schools to quit



AndLinda Homan

Thank you!

ANY QUESTIONS?

Linda Homan – [email protected]

Emma Regan – [email protected]

mailto:[email protected]

mailto:[email protected],uk

Documents

The effect of socioeconomic differences on smoking uptake in young people in a low prevalence smoking area Emma Regan And Linda Homan The effect of socioeconomic