Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Smoking

Four specific reports have been produced on smoking as follows:

Smoking and Vaping Summary 2019 (6 pages)
Smoking Report 2014 (9 pages)
Smoking Summary 2014 (2 pages)
Smoking Report 2013 (20 pages)
Smoking Report 2007 (107 pages)
Tobacco Control - Costs of smoking in Hull and East Riding of Yorkshire (9 pages)
Hull JSNA Toolkit: Smoking (196 pages)

The 2019 Smoking and Vaping Summary report details findings from Hull's Adult Health and Wellbeing Survey 2019. This report also covers the use of e-cigarettes.

The 2014 report and summary detail findings relating to smoking from the Adult Health and Lifestyle Survey 2014, with additional information from the qualitative work undertaken after previous health and lifestyle surveys of adults and young people, further details of which can be found here. Also included are local analyseis of the relevant Public Health Outcome Framework indicators, further details of which may be found in the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)

The 2013 report details findings relating to smoking from the Hull's Adult Health and Lifestyle Survey 2011-12 and Hull's Young People Health and Lifestyle Survey 2012, but additional information relating to deaths due to smoking is included as well as smoking cessation service statistics, and information on Hull's stop smoking strategy. The total number of adults (aged 16+ years) in Hull who currently smoke or are ex-smokers and the number of secondary school pupils (aged 11-16 years) in Hull who currently smoke are also estimated based on population estimates and the prevalence of the risk factor in the surveys.

The 2007 report details the findings relating to smoking from the Hull's Adult Health and Lifestyle Survey 2007. The 'risk' of smoking and heavy smoking is also examined in statistical modelling to determine which other factors are associated with increased prevalence of smoking with the aim of targeting those individuals in order to stop or reduce their smoking.

The costs of smoking report examines some of the economic and social costs of tobacco use.

Other reports include information on smoking as follows:

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4-week quits

For the numbers attending the Stop Smoking Services and quitting at 4 weeks, see the Hull JSNA Toolkit: Smoking and the Smoking Report 2013.

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Asset Approach

An asset approach to smoking would be based on what the strategy is trying to achieve, not what the problems are e.g. 'Hull: a smoke free city' rather than 'a reduction in the smoking prevalence in the city'.

In Hull smoking is the greatest cause of deaths associated with health inequalities. An asset approach to tackling this could use the capacity of people who have never or only occasionally smoked rather than, or in addition to, the people who have given up. A whole systems approach would tap into the strengths and resilience of non-smokers and involve smokers, non-smokers, service providers and partners in one area. The aim would be to build on people's positive achievements and promote a non-smoking culture rather than focus on the barriers to giving up smoking.

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Definitions

For the majority of local surveys, people were asked if they had smoked within the last seven days, and if they smoked daily, smoked occasionally, had previously smoked but no longer smoke or if they had never smoked. The prevalence of smoking was defined as those who smoked daily or occasionally. There can be slight differences among surveys (e.g. national surveys) depending on whether the question asks about 'smoking' or 'smoking cigarettes'.

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Attitudes to Health (Including Smoking)

Information about the attitudes to health which included smoking are summarised in Hull JSNA Toolkit: Smoking. The information comes from reflector / focus groups undertaken after the Adult and Young People Health and Lifestyle Surveys.

Adult Health and Lifestyle Survey 2007 Reflector Report
Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report

Further information is provided on whether adults feel as if quitting smoking would improve their health is given in the JSNA Toolkit as well as the Social Capital Survey 2009 Main Report.

Further information is available in the Attitudes to Health Survey 2007 for people aged 40-60 years.

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Chronic Obstructive Pulmonary Disease

Further information relating to smoking and Chronic Obstructive Pulmonary Disease (COPD) mortality is given in Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease and the COPD Equity Audit.

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Factors Predicting Smoking

Factors which predict who smokes are given in the Smoking Report 2007 and Hull JSNA Toolkit: Smoking.

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Lung Cancer

Further information relating to smoking and lung cancer mortality is given in Hull JSNA Toolkit: Lung Cancer.

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Mortality

Estimated mortality rates from smoking-related diseases and medical conditions is given in Hull JSNA Toolkit: Smoking and the Smoking Report 2013.

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Obtaining Cigarettes

The Young People Health and Lifestyle Surveys asked where they obtained their cigarettes. Further details are given in the survey main reports as follows:

Young People Health and Lifestyle Survey 2012 Main Report
Young People Health and Lifestyle Survey 2008-09 Main Report

This information is also available in Hull JSNA Toolkit: Smoking, and within the Smoking Report 2013.

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Prevalence

Smoking status was collected in all the local surveys.

Modelled or synthetic estimates of smoking have been generated previously for each local authority, but the estimates for Hull have been poor and have been unreliable (the Glossary gives detailed information about synthetic estimates and their problems). More recently, national estimates have used data from the Integrated Lifestyle Survey, however, locally these estimates have also not been accurate. Therefore, for the purposes of monitoring the trends of smoking prevalence, local survey data will be used.

The prevalence of smoking (and generally prevalence by gender, age, deprivation, geographical area of residence, etc in addition to overall prevalence) is given in the following reports:

Smoking Report 2013
Adult Smoking Report 2007
Young People Health and Lifestyle Survey 2012 Main Report
Young People Health and Lifestyle Survey 2008-09 Main Report
Young People Health and Lifestyle Survey 2002 Main Report
Adult Health and Wellbeing Survey 2019 Smoking and Vaping Summary Report
Adult Health and Lifestyle Survey 2014 Main Report
Adult Health and Lifestyle Survey 2011-12 Main Report
Adult Health and Lifestyle Survey 2009 Main Report
Adult Health and Lifestyle Survey 2007 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2007 Main Report
Gypsy and Traveller Health and Lifestyle Survey 2007 Main Report
Social Capital Survey 2009 Main Report
Social Capital Survey 2004 Main Report

The prevalence of smoking, also in relation to age and gender, among adults and young people, is given in the JSNA and Hull JSNA Toolkit: Smoking with the latter also examining smoking status in relation to deprivation and employment status.

The prevalence of smoking among adults (18+ years), as well as among 15 year oldss are indicators within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. This information is also displayed within the JSNA Hull Atlas.

The prevalence of smoking was also examined at ward level within the following documents:

JSNA Hull Atlas
Adult Health and Lifestyle Survey 2011-12 Main Report
Hull's Ward Profiles

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Risk Factor

Information relating to smoking as a risk factor is given in Hull JSNA Toolkit: Smoking and the Smoking Report 2013. Smoking prevalence at ward level is given within the JSNA Hull Atlas.

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Smoking in Pregnancy

The prevalence of smoking in pregnancy is given within Hull JSNA Toolkit: Smoking.

The prevalence of smoking in pregnancy (current smokers at time of delivery) is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Social Marketing

Considerable Social Marketing work has been undertaken examining behaviour and attitudes to smoking in Hull with the aim of providing more relevant information to help people stop or reduce their smoking. All the reports from the Adult and Young People Health and Lifestyle Surveys examine smoking in more detail. Further work has been completed within reflector groups following some of the local surveys and the Attitudes to Health Survey 2007. Information relating to social marketing work completed in relation to chronic obstructive pulmonary disease is given within Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease. The following reports include information on attitudes to smoking:

Attitudes to Health Survey 2007
Adult Health and Lifestyle Survey 2007 Reflector Report
Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report

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Stop Smoking Services

For the numbers attending the Stop Smoking Services and quitting at 4 weeks, see Hull JSNA Toolkit: Smoking and the Smoking Report 2013.

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Stop Smoking Strategy

Information on the Stop Smoking Strategy is given within Hull JSNA Toolkit: Smoking and the Smoking Report 2013.

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