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Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking

OBJECTIVES: This paper compares patterns of smoking and high-risk alcohol use across regions in England, and assesses the impact on these of adjusting for sociodemographic characteristics. DESIGN: Population survey of 53 922 adults in England aged 16+ taking part in the Alcohol and Smoking Toolkit S...

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Autores principales: Beard, Emma, Brown, Jamie, West, Robert, Angus, Colin, Kaner, Eileen, Michie, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353327/
https://www.ncbi.nlm.nih.gov/pubmed/28249851
http://dx.doi.org/10.1136/bmjopen-2016-014210
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author Beard, Emma
Brown, Jamie
West, Robert
Angus, Colin
Kaner, Eileen
Michie, Susan
author_facet Beard, Emma
Brown, Jamie
West, Robert
Angus, Colin
Kaner, Eileen
Michie, Susan
author_sort Beard, Emma
collection PubMed
description OBJECTIVES: This paper compares patterns of smoking and high-risk alcohol use across regions in England, and assesses the impact on these of adjusting for sociodemographic characteristics. DESIGN: Population survey of 53 922 adults in England aged 16+ taking part in the Alcohol and Smoking Toolkit Studies. MEASURES: Participants answered questions regarding their socioeconomic status (SES), gender, age, ethnicity, Government Office Region, smoking status and completed the Alcohol Use Disorders Identification Test (AUDIT). High-risk drinkers were defined as those with a score of 8 or more (7 or more for women) on the AUDIT. RESULTS: In unadjusted analyses, relative to the South West, those in the North of England were more likely to smoke, while those from the East of England, South East and London were less likely. After adjustment for sociodemographics, smoking prevalence was no higher in North East (RR 0.97, p>0.05), North West (RR 0.98, p>0.05) or Yorkshire and the Humber (RR 1.03, p>0.05) but was less common in the East and West Midlands (RR 0.86, p<0.001; RR 0.91, p<0.05), East of England (RR 0.86, p<0.001), South East (RR 0.92, p<0.05) and London (RR 0.85, p<0.001). High-risk drinking was more common in the North but was less common in the Midlands, London and East of England. Adjustment for sociodemographics had little effect. There was a higher prevalence in the North East (RR 1.67, p<0.001), North West (RR 1.42, p<0.001) and Yorkshire and the Humber (RR 1.35, p<0.001); lower prevalence in the East Midlands (RR 0.69, p<0.001), West Midlands (RR 0.77, p<0.001), East of England (RR 0.72, p<0.001) and London (RR 0.71, p<0.001); and a similar prevalence in the South East (RR 1.10, p>0.05) CONCLUSIONS: In adjusted analyses, smoking and high-risk drinking appear less common in ‘central England’ than in the rest of the country. Regional differences in smoking, but not those in high-risk drinking, appear to be explained to some extent by sociodemographic disparities.
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spelling pubmed-53533272017-03-17 Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking Beard, Emma Brown, Jamie West, Robert Angus, Colin Kaner, Eileen Michie, Susan BMJ Open Epidemiology OBJECTIVES: This paper compares patterns of smoking and high-risk alcohol use across regions in England, and assesses the impact on these of adjusting for sociodemographic characteristics. DESIGN: Population survey of 53 922 adults in England aged 16+ taking part in the Alcohol and Smoking Toolkit Studies. MEASURES: Participants answered questions regarding their socioeconomic status (SES), gender, age, ethnicity, Government Office Region, smoking status and completed the Alcohol Use Disorders Identification Test (AUDIT). High-risk drinkers were defined as those with a score of 8 or more (7 or more for women) on the AUDIT. RESULTS: In unadjusted analyses, relative to the South West, those in the North of England were more likely to smoke, while those from the East of England, South East and London were less likely. After adjustment for sociodemographics, smoking prevalence was no higher in North East (RR 0.97, p>0.05), North West (RR 0.98, p>0.05) or Yorkshire and the Humber (RR 1.03, p>0.05) but was less common in the East and West Midlands (RR 0.86, p<0.001; RR 0.91, p<0.05), East of England (RR 0.86, p<0.001), South East (RR 0.92, p<0.05) and London (RR 0.85, p<0.001). High-risk drinking was more common in the North but was less common in the Midlands, London and East of England. Adjustment for sociodemographics had little effect. There was a higher prevalence in the North East (RR 1.67, p<0.001), North West (RR 1.42, p<0.001) and Yorkshire and the Humber (RR 1.35, p<0.001); lower prevalence in the East Midlands (RR 0.69, p<0.001), West Midlands (RR 0.77, p<0.001), East of England (RR 0.72, p<0.001) and London (RR 0.71, p<0.001); and a similar prevalence in the South East (RR 1.10, p>0.05) CONCLUSIONS: In adjusted analyses, smoking and high-risk drinking appear less common in ‘central England’ than in the rest of the country. Regional differences in smoking, but not those in high-risk drinking, appear to be explained to some extent by sociodemographic disparities. BMJ Publishing Group 2017-03-01 /pmc/articles/PMC5353327/ /pubmed/28249851 http://dx.doi.org/10.1136/bmjopen-2016-014210 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Epidemiology
Beard, Emma
Brown, Jamie
West, Robert
Angus, Colin
Kaner, Eileen
Michie, Susan
Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title_full Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title_fullStr Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title_full_unstemmed Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title_short Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking
title_sort healthier central england or north–south divide? analysis of national survey data on smoking and high-risk drinking
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353327/
https://www.ncbi.nlm.nih.gov/pubmed/28249851
http://dx.doi.org/10.1136/bmjopen-2016-014210
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