Smoking related disease risk, area deprivation and health behaviours

Barbara Eberth; Damilola Olajide; Peter Craig; Anne Ludbrook

doi:10.1093/pubmed/fdt031

Smoking related disease risk, area deprivation and health behaviours

Barbara Eberth^* (Corresponding Author), Damilola Olajide, Peter Craig, Anne Ludbrook

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

12 Citations (Scopus)

47 Downloads (Pure)

Abstract

Background Smokers and ex-smokers are at risk of many chronic diseases. However, never smokers and never smokers exposed to environmental tobacco smoke (ETS) are also at risk. Additionally, smoking behaviours and their associated disease risk are socially patterned and positively associated with health inequalities. However, other lifestyle choices also contribute to health inequalities. We aim to assess the contribution of other lifestyle behaviours pertaining to alcohol, physical inactivity and weight to smoking-related disease risk across (i) the socioeconomic spectrum and (ii) smoking status.

Methods Smoking-related disease risk is modelled using probit analysis. The results are used to predict disease risk across the socioeconomic dimension and smoking status for a set of healthy and unhealthy behaviours using the administratively linked Scottish Health Surveys and Scottish Morbidity Records.

Results The results confirm the deprivation gradient in disease risk regardless of smoking status group. Imposition of healthy (unhealthy) lifestyle behaviours decreases (increases) the predicted risk across the deprivation distribution regardless of smoking status providing evidence of the multifaceted health behavioural determinants of disease risk across the deprivation distribution.

Conclusion The results are of policy interest as they suggest that to reduce inequalities in smoking-related diseases, interventions reducing both smoking and other unhealthy behaviours are required.

Original language	English
Pages (from-to)	72-80
Number of pages	9
Journal	Journal of Public Health
Volume	36
Issue number	1
Early online date	3 Apr 2013
DOIs	https://doi.org/10.1093/pubmed/fdt031
Publication status	Published - Mar 2014
Event	Faculty of Public Health Conference - Aviemore, United Kingdom Duration: 10 Nov 2011 → 11 Nov 2011

Bibliographical note

Acknowledgements
We thank Professor Luke Vale, Dr Diane Stockton and participants at the Faculty of Public Health conference, Aviemore, Scotland, November 2011 and UK Society for Behavioural Medicine conference, Stirling, Scotland, December 2011 for helpful comments.

Funding
This work was supported by the Medical Research Council National Preventive Research Initiative Phase 2 [G0701874]; see http://www.npri.org.uk. The Funding Partners relevant to this award are: British Heart Foundation; Cancer
Research UK; Department of Health; Diabetes UK; Economic and Social Research Council; Medical Research Council; Research and Development Office for the
Northern Ireland Health and Social Services; Chief Scientist Office; Scottish Government Health Directorates; The Stroke Association; Welsh Assembly Government and World Cancer Research Fund. The Health Economics
Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorate

Keywords

health behaviours
smoking
socioeconomic factors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1093/pubmed/fdt031

BEberth Aura
This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Eberth, B, Olajide, D, Craig, P & Ludbrook, A 2014, 'Smoking related disease risk, area deprivation and health behaviours' Journal of Public Health, vol 36, no. 1, pp. 72-80 is available online at: http://jpubhealth.oxfordjournals.org/content/36/1/72
Accepted author manuscript, 550 KB

Cite this

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abstract = "Background Smokers and ex-smokers are at risk of many chronic diseases. However, never smokers and never smokers exposed to environmental tobacco smoke (ETS) are also at risk. Additionally, smoking behaviours and their associated disease risk are socially patterned and positively associated with health inequalities. However, other lifestyle choices also contribute to health inequalities. We aim to assess the contribution of other lifestyle behaviours pertaining to alcohol, physical inactivity and weight to smoking-related disease risk across (i) the socioeconomic spectrum and (ii) smoking status.Methods Smoking-related disease risk is modelled using probit analysis. The results are used to predict disease risk across the socioeconomic dimension and smoking status for a set of healthy and unhealthy behaviours using the administratively linked Scottish Health Surveys and Scottish Morbidity Records.Results The results confirm the deprivation gradient in disease risk regardless of smoking status group. Imposition of healthy (unhealthy) lifestyle behaviours decreases (increases) the predicted risk across the deprivation distribution regardless of smoking status providing evidence of the multifaceted health behavioural determinants of disease risk across the deprivation distribution.Conclusion The results are of policy interest as they suggest that to reduce inequalities in smoking-related diseases, interventions reducing both smoking and other unhealthy behaviours are required.",

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author = "Barbara Eberth and Damilola Olajide and Peter Craig and Anne Ludbrook",

note = "Acknowledgements We thank Professor Luke Vale, Dr Diane Stockton and participants at the Faculty of Public Health conference, Aviemore, Scotland, November 2011 and UK Society for Behavioural Medicine conference, Stirling, Scotland, December 2011 for helpful comments. Funding This work was supported by the Medical Research Council National Preventive Research Initiative Phase 2 [G0701874]; see http://www.npri.org.uk. The Funding Partners relevant to this award are: British Heart Foundation; Cancer Research UK; Department of Health; Diabetes UK; Economic and Social Research Council; Medical Research Council; Research and Development Office for the Northern Ireland Health and Social Services; Chief Scientist Office; Scottish Government Health Directorates; The Stroke Association; Welsh Assembly Government and World Cancer Research Fund. The Health Economics Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorate ; Faculty of Public Health Conference ; Conference date: 10-11-2011 Through 11-11-2011",

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N1 - Acknowledgements We thank Professor Luke Vale, Dr Diane Stockton and participants at the Faculty of Public Health conference, Aviemore, Scotland, November 2011 and UK Society for Behavioural Medicine conference, Stirling, Scotland, December 2011 for helpful comments. Funding This work was supported by the Medical Research Council National Preventive Research Initiative Phase 2 [G0701874]; see http://www.npri.org.uk. The Funding Partners relevant to this award are: British Heart Foundation; Cancer Research UK; Department of Health; Diabetes UK; Economic and Social Research Council; Medical Research Council; Research and Development Office for the Northern Ireland Health and Social Services; Chief Scientist Office; Scottish Government Health Directorates; The Stroke Association; Welsh Assembly Government and World Cancer Research Fund. The Health Economics Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorate

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N2 - Background Smokers and ex-smokers are at risk of many chronic diseases. However, never smokers and never smokers exposed to environmental tobacco smoke (ETS) are also at risk. Additionally, smoking behaviours and their associated disease risk are socially patterned and positively associated with health inequalities. However, other lifestyle choices also contribute to health inequalities. We aim to assess the contribution of other lifestyle behaviours pertaining to alcohol, physical inactivity and weight to smoking-related disease risk across (i) the socioeconomic spectrum and (ii) smoking status.Methods Smoking-related disease risk is modelled using probit analysis. The results are used to predict disease risk across the socioeconomic dimension and smoking status for a set of healthy and unhealthy behaviours using the administratively linked Scottish Health Surveys and Scottish Morbidity Records.Results The results confirm the deprivation gradient in disease risk regardless of smoking status group. Imposition of healthy (unhealthy) lifestyle behaviours decreases (increases) the predicted risk across the deprivation distribution regardless of smoking status providing evidence of the multifaceted health behavioural determinants of disease risk across the deprivation distribution.Conclusion The results are of policy interest as they suggest that to reduce inequalities in smoking-related diseases, interventions reducing both smoking and other unhealthy behaviours are required.

AB - Background Smokers and ex-smokers are at risk of many chronic diseases. However, never smokers and never smokers exposed to environmental tobacco smoke (ETS) are also at risk. Additionally, smoking behaviours and their associated disease risk are socially patterned and positively associated with health inequalities. However, other lifestyle choices also contribute to health inequalities. We aim to assess the contribution of other lifestyle behaviours pertaining to alcohol, physical inactivity and weight to smoking-related disease risk across (i) the socioeconomic spectrum and (ii) smoking status.Methods Smoking-related disease risk is modelled using probit analysis. The results are used to predict disease risk across the socioeconomic dimension and smoking status for a set of healthy and unhealthy behaviours using the administratively linked Scottish Health Surveys and Scottish Morbidity Records.Results The results confirm the deprivation gradient in disease risk regardless of smoking status group. Imposition of healthy (unhealthy) lifestyle behaviours decreases (increases) the predicted risk across the deprivation distribution regardless of smoking status providing evidence of the multifaceted health behavioural determinants of disease risk across the deprivation distribution.Conclusion The results are of policy interest as they suggest that to reduce inequalities in smoking-related diseases, interventions reducing both smoking and other unhealthy behaviours are required.

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KW - smoking

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ER -

Smoking related disease risk, area deprivation and health behaviours

Abstract

Bibliographical note

Keywords

UN SDGs

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