Dataset Information

Smoking in social housing among adults in England, 2015-2020: a nationally representative survey.

ABSTRACT:

Objectives

To analyse associations between living in social housing and smoking in England and to evaluate progress towards reducing disparities in smoking prevalence among residents of social housing compared with other housing types.

Design

Cross-sectional analysis of nationally representative data collected between January 2015 and February 2020.

Setting

England.

Participants

105 562 adults (≥16 years).

Primary and secondary outcome measures

Linear and logistic regression were used to analyse associations between living in social housing (vs other housing types) and smoking status, cigarettes per day, time to first cigarette, exposure to others' smoking, motivation to stop smoking, quit attempts and use of cessation support. Analyses were adjusted for sex, age, social grade, region and year.

Results

Adults living in social housing had two times the odds of being a smoker (OR_adj=2.17, 95% CI 2.08 to 2.27), and the decline in smoking prevalence between 2015 and 2020 was less pronounced in this high-risk group (-7%; OR_adj=0.98, 95% CI 0.96 to 1.01) than among adults living in other housing types (-24%; OR_adj=0.95, 95% CI 0.94 to 0.96; housing tenure-survey year interaction p=0.020). Smokers living in social housing were more addicted than those in other housing types (smoking within 30 min of waking: OR_adj=1.50, 95% CI 1.39 to 1.61), but were no less motivated to stop smoking (OR_adj=1.06, 95% CI 0.96 to 1.17) and had higher odds of having made a serious attempt to quit in the past year (OR_adj=1.16, 95% CI 1.07 to 1.25). Among smokers who had tried to quit, those living in social housing had higher odds of using evidence-based cessation support (OR_adj=1.22, 95% CI 1.07 to 1.39) but lower odds of remaining abstinent (OR_adj=0.63, 95% CI 0.52 to 0.76).

Conclusions

There remain stark inequalities in smoking and quitting behaviour by housing tenure in England, with declines in prevalence stalling between 2015 and 2020 despite progress in the rest of the population. In the absence of targeted interventions to boost quitting among social housing residents, inequalities in health are likely to worsen.

SUBMITTER: Jackson SE

PROVIDER: S-EPMC9330323 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Smoking in social housing among adults in England, 2015-2020: a nationally representative survey.

Jackson Sarah E SE Cheeseman Hazel H Arnott Deborah D Titmarsh Robbie R Brown Jamie J

BMJ open 20220726 7

<h4>Objectives</h4>To analyse associations between living in social housing and smoking in England and to evaluate progress towards reducing disparities in smoking prevalence among residents of social housing compared with other housing types.<h4>Design</h4>Cross-sectional analysis of nationally representative data collected between January 2015 and February 2020.<h4>Setting</h4>England.<h4>Participants</h4>105 562 adults (≥16 years).<h4>Primary and secondary outcome measures</h4>Linear and logi ...[more]

PMID: 35882456

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Dataset Information

Smoking in social housing among adults in England, 2015-2020: a nationally representative survey.

Objectives

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Smoking in social housing among adults in England, 2015-2020: a nationally representative survey.

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