smoking data guide - barnsley · smoking is significantly higher than the england rate of 274.8...

Smoking

Data Guide

Produced by: Research & Business Intelligence Team (Core & Public Health) Barnsley Metropolitan Borough Council Research&[email protected] 01226 787448

Updated: August 2016

2

Purpose:

This guide provides a summary of the latest smoking related information that is available from different data sources. It advises on the data source, when the updates are and any caveats around the data.

Contents:

Page

Smoking prevalence: adults (18+) 3

Smoking prevalence: routine and manual occupations group 5

Pregnant women: smoking status at time of delivery 6

Smoking prevalence: young people 8

Smoking related ill health 11

Smoking related mortality 13

Smoking quitters 15

Use of e-cigarettes and other tobacco products: young people 10

Key points

• Barnsley’s 2015 smoking prevalence rate of 21.2% is significantly higher than the England rate of 16.9% (figure 1). However, it is the lowest rate during the period 2012 to 2015 (table 1).

• Barnsley’s 2015 rate of 31.7% for smoking prevalence in the routine and manual occupations group is significantly higher than the England rate of 26.5% (figure 3).

• Barnsley’s 2014/15 rate for women smoking at time of delivery (20.4%) is significantly higher than the England rate of 11.4% (figure 4). However, it is the lowest rate during the period 2010/11 to 2014/15 (table 5).

• Barnsley’s rate of 10.7% for 15 year olds who currently smoke is significantly higher than the England rate of 8.2% (figure 5).

• Barnsley’s rate of 27.3% for 15 year olds who have ever used/tried e-cigarettes is significantly higher than the England rate of 18.4% (figure 7).

• Barnsley’s 2014/15 rate of 2783.4 per 100,000 for smoking attributable hospital admissions is significantly higher than the England rate of 1,671.2 (figure 9).

• Barnsley’s 2014/15 rate of 802.9 per 100,000 adults aged 35+ for emergency hospital admissions for COPD is significantly higher than the England rate of 414.7 (figure 10).

• Barnsley’s 2012/14 rate of 345.5 per 100,000 adults aged 35+ for deaths attributable to smoking is significantly higher than the England rate of 274.8 (figure 11). However, it is the lowest rate during the period 2007/09 to 2012/14.

• The proportion of people in Barnsley setting a quit date, who successfully quit (CO validated) in 2015/16 (38.1%) is slightly higher than the England rate of 36.4% (figure 15).

• The proportion of pregnant women in Barnsley setting a quit date who successfully quit (CO validated) in 2015/16 (23.2%) is lower than the England rate of 27.7% (figure 17).

3

Smoking Prevalence: Adults

Data source Data available Details Limitations and things to

consider

Annual Population Survey (Public Health England)

• Persons (18+)

• Current

smoker • Last

updated August 2016

• Data available from 2012.

• Data available to compare with other areas, regions and nationally.

• Published by Public Health England.

http://www.tobaccoprofiles.info/

• Only data source that can be used to compare Barnsley with other areas.

• It is based on a sample of around 170,000 adults in England aged 18 and over.

• The figures for Barnsley are based on around 1,300 (0.7%) adults aged 18 and over.

Figure 1: Smoking prevalence in adults (18+): Barnsley compared to England and Statistical Neighbours (2015)

• Barnsley’s 2015 rate of 21.2% is significantly higher than the England rate of 16.9% (figure 1). • Compared to statistical neighbours, Barnsley has the third highest rate (figure 1). • Trend data shows that Barnsley’s rates have been significantly worse than the rates for England

at each time point during the period 2012 to 2015. However, the 2015 rate of 21.2% is the lowest during the period (table 1).

Table 1: Trend in smoking prevalence in adults (18+): Barnsley, Yorkshire and the Humber and England (2012 to 2015)

Barnsley Yorkshire and The Humber England

2012 24.4% 21.9% 19.3%

2013 22.4% 20.5% 18.4%

2014 22.5% 19.6% 17.8%

2015 21.2% 18.6% 16.9%

Significantly be�er than England Not significantly different to England Significantly worse than England

4

Smoking Prevalence: Adults

Data source

Data available Details Limitations and things to consider

GP recorded smoking prevalence

• 16+

• 18+

• Persons

• Males

• Females

• Age groups

• Wards

• GP practices

• Current smoker

• Ex-smoker

• Mar 2016 data will be available in June 2016

• Collected since December 2011. • Replaced the GP recorded smoking

prevalence that was previously collected (where a smoking record needed to be in the last 15 months, unless aged 25 and over and never smoked).

• Quarterly data (extracted by GP system). • No time limit on when the smoking record

was added. • Analysed by the Research & Business

Intelligence Team. Email: Research&[email protected]

Tel: 01226 787448

• Most robust and reliable smoking prevalence data available for Barnsley.

• Cannot be compared to areas outside of Barnsley.

• Based on around 95% of the GP registered population.

• Only goes back to December 2011.

• Lower smoking prevalence in the older age groups is most probably because smokers have a higher risk of dying prematurely.

• During the period December 2013 to December 2015, smoking prevalence in persons (18+) decreased slightly from 24.5% to 23.7% (table 2). The December 2015 rate of 23.7% represents 46,630 patients in the Barnsley GP registered population who were smokers.

• Prevalence is higher in men than women, apart from in the 18-19 year old age group, where 20.1% of women smoke, compared to 16.8% of men (figure 2).

• Prevalence for both men and women is highest in the 25-29 year old age group (figure 2).

Table 2: Trend in prevalence of current smokers (18+)

Males Females Persons

Dec 2013 26.4% 22.7% 24.5%

March 2014 26.4% 22.7% 24.5%

June 2014 26.3% 22.5% 24.3%

Sept 2014 26,3% 22.6% 24.4%

Dec 2014 26.3% 22.4% 24.3%

March 2015 25.9% 22.0% 23.9%

June 2015 25.8% 21.9% 23.8%

Sept 2015 25.8% 21.9% 23.8%

Dec 2015 25.7% 21.7% 23.7%

Figure 2: Prevalence of current smokers (18+) by age group and gender (Dec 2015)

Table 3: Ward level smoking prevalence 18+ (Dec 2015)

Ward Males Females Persons

Central 28.6% 23.6% 26.1%

Cudworth 28.7% 25.2% 26.9%

Darfield 25.2% 21.6% 23.3%

Darton East 21.9% 18.3% 20.1%

Darton West 22.7% 18.3% 20.4%

Dearne North 30.1% 26.9% 28.5%

Dearne South 29.7% 26.2% 28.0%

Dodworth 23.0% 18.7% 20.7%

Hoyland Milton 25.0% 21.4% 23.1%

Kingstone 28.5% 23.6% 26.0%

Monk Bretton 27.6% 23.6% 25.5%

North East 28.2% 24.9% 26.5%

Old Town 26.6% 21.3% 24.0%

Penistone East 17.2% 14.2% 15.6%

Penistone West 14.1% 11.4% 12.7%

Rockingham 24.9% 21.8% 23.3%

Royston 25.5% 20.6% 23.0%

St Helen’s 27.5% 23.2% 25.3%

Stairfoot 27.8% 23.6% 25.6%

Wombwell 27.2% 22.4% 24.7%

Worsbrough 29.0% 24.3% 26.7%

Barnsley 25.7% 21.7% 23.7%

Significantly

be�er than

Barnsley

Not significantly

different to

Barnsley

Significantly

worse than

Barnsley

5

Smoking Prevalence: Routine and manual occupations group


consider

Annual Population Survey (Public Health England)

• Persons (18+)

• Current

smoker • Last

updated August 2016

• Data available from 2012.

• Data available to compare with other areas, regions and nationally.

• Published by Public Health England.



• It is based on a sample of around 40,000 routine and manual workers in England aged 18 and over.

• The figures for Barnsley are based on less than 500 routine and manual workers aged 18 and over.

• Barnsley’s 2015 rate of 31.7% is significantly higher than the England rate of 26.5% (figure 3). • Compared to statistical neighbours, Barnsley has the second highest rate (figure 3). • Trend data shows that Barnsley’s rates have fluctuated during the period 2012 to 2015; the

2015 rate of 31.7% is the second highest during the period. Regional and national rates have declined gradually over the period (table 4).

Figure 3: Prevalence of current smokers in the routine & manual occupations group: Barnsley, Statistical Neighbours and England (2015)

Table 4: Trend in smoking prevalence in the routine and manual occupations group: Barnsley, Yorkshire and the Humber and England (2012 to 2015)


2012 31.3 32.4 29.5

2013 31.1 30.6 28.5

2014 32.2 28.5 28.0

2015 31.7 28.2 26.5


6

Pregnant Women: Smoking status at time of delivery


consider

Health and Social Care Information Centre (Public Health England)

• Number and percentage of women smoking at time of delivery.

• National, regional and local authority.

• Latest data is 2014-15.

• Health and Social Care Information Centre data return, using maternity data from Barnsley hospital.

• Data available from 2010/2011.

• The % of women recorded as ‘not known’ needs to be below 5% otherwise the data is suppressed.


• The data does not distinguish between Barnsley residents and those that live elsewhere but have their baby at Barnsley hospital.

• The data does not capture

information about women who are Barnsley residents but have their baby delivered at a hospital other than Barnsley.

• Barnsley’s 2014/15 rate for women smoking at time of delivery (20.4%) is significantly higher than the England rate of 11.4% (figure 4). The rate of 20.4% represents 569 women, giving birth in Barnsley, who were smokers during pregnancy.

• Compared to statistical neighbours, Barnsley has the third highest rate (figure 4). • Trend data shows that Barnsley’s rates have fluctuated during the period 2010/11 to 2014/15.

They have been significantly worse than the rates for England at each time point; however, the 2014/15 rate of 20.4% is the lowest during the period (table 5).

Figure 4: Smoking status at time of delivery: Barnsley, Statistical Neighbours and England (2015)

Table 5: Trend in smoking status at time of delivery: Barnsley, Yorkshire and the Humber and England (2010/11 to 2014/15)



2010/11 22.0 16.9 13.5

2011/12 23.3 16.4 13.2

2012/13 21.9 16.5 12.7

2013/14 23.0 16.2 12.0

2014/15 20.4 15.6 11.4

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Pregnant Women: Smoking status at time of delivery


consider

Barnsley hospital maternity dataset

• Number and % of women smoking at time of delivery.

• Data available

from 2008/09 to 2014/15.

• The data is the same as that reported in the DH return but able to analyse it at ward/area council level.

Email: Research&[email protected] Tel: 01226 787448

• Currently available by request from the Research & Business Intelligence Team.

• The data does not

distinguish between Barnsley residents and those that live elsewhere but have their baby at Barnsley hospital.

• The data does not capture

information about women who are Barnsley residents but have their baby delivered at a hospital other than Barnsley.

• Data not currently available

for 2015/16 onwards.

8

Smoking Prevalence: Young people

Data

source

Data available Details Limitations and

things to consider

What About YOUth Survey (Public Health England)

• Smoking prevalence at age 15: current smokers, regular smokers and occasional smokers.

• Annual survey on a range of health behaviours amongst 15 year olds in England.

• No trend data available currently, as newly established survey in 2014/15

To access the data: http://www.tobaccoprofiles.info/

• This data is not comparable with Barnsley Year 10 survey data, but comparisons can be made against other local authorities, regions and England.

• Currently no trend

data available.

Figure 5: Smoking prevalence at age 15 (current smokers): Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s rate of 10.7% for 15 year olds who currently smoke is significantly higher than the England rate of 8.2% (figure 5).

• Compared to statistical neighbours,

Barnsley has the fourth highest rate.

Figure 6: Smoking prevalence at age 15 (regular smokers): Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s rate of 7.5% for 15 year olds who are regular smokers is significantly higher than the England rate of 5.5% (figure 6).


Barnsley has the fourth highest rate.

9

Smoking Prevalence: Young people

Data

source


things to consider

Year 10 Health and Lifestyle Survey

• Pupils that have ever tried smoking

• Pupils that smoke regularly

• Data available for 2006, 2008, 2010 and 2013

• Normally a biennial survey carried out in all secondary schools in Barnsley.

• Year 10 pupils (aged 14/15).

• There are questions on:

• Have pupils ever tried smoking

• How often pupils smoke

• The quantity smoked

• If pupils live in a household where an adult smokes

• The source of cigarettes

• The awareness of services

• Desire to stop smoking

• Data available at Barnsley level. Analysis has been carried out at school level but this is only available through the school.

Email: Research&[email protected] Tel: 01226 787448

• Data is self-reported, although the questionnaire is filled in under exam conditions so bias is minimised.

• Data cannot be

compared with other data sources as the definitions may be different.

• Does not contain information on use of e-cigarettes or other tobacco products.

• Survey has not been undertaken since 2013.

Cannot be compared

with regular smoker data

in figure 6 (different

definitions) !

Year Barnsley

Males Females 2006 31.2% 53.2%

2008 34.2% 55.5%

2010 39.3% 45.9%

2013 32.8% 44.3%

Table 6: Percentage of Young People who have Tried Smoking

Table 7: Percentage of Young People who are Regular Smokers

Year Barnsley Males Females

2006 15.7% 28.5%

2008 10.9% 22.8%

2010 17.6% 20.9%

2013 6.5% 13.2%

10

Use of e-cigarettes and other tobacco products: Young people

Data

source


things to consider

What About YOUth Survey (Public Health England)

• Use of e-cigarettes at age 15.

• Use of other tobacco

products at age 15 years.

• Annual survey on a range of health behaviours amongst 15 year olds in England.

• No trend data available currently, as newly established survey in 2014/15

To access the data: http://www.tobaccoprofiles.info/

• Currently no trend data available.

Figure 7: Use of e-cigarettes at age 15 years: Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s rate of 27.3% for 15 year olds who have ever used/tried e-cigarettes is significantly higher than the England rate of 18.4% (figure 7).

• Compared to statistical

neighbours, Barnsley has the fifth highest rate.

• Barnsley’s rate of 7.8% for 15 year olds who have ever used/tried other tobacco products (i.e. shisha pipe, hookah, hubble-bubble, waterpipe etc) is significantly lower than the England rate of 15.2% (figure 8).


Barnsley has the second lowest rate.

Figure 8: Use of other tobacco products at age 15 years: Barnsley compared to England and Statistical Neighbours (2014/15)

11

Smoking related ill health

Data

source


things to consider

Local Tobacco Control Profiles (Public Health England)

• Barnsley level data that can be compared to England, regions and other local authorities

• A collection of smoking related ill health indicators

• Produced by Public Health

England • Last updated August 2016 To access the data: http://www.tobaccoprofiles.info/


Figure 9: Smoking attributable hospital admissions: Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s 2014/15 rate of 2783.4 per 100,000 for smoking attributable hospital admissions is significantly higher than the England rate of 1,671.2 (figure 9).

• Compared to statistical neighbours, Barnsley has the highest rate. • Trend data shows that Barnsley’s rates have been significantly worse than the rates for

England at each time point during the period 2009/10 to 2014/15. The 2014/15 rate of 2783.4 per 100,000 is the highest during the period (table 8).

Table 8: Trend in smoking attributable hospital admissions: Barnsley, Yorkshire and the Humber and England (2009/10 to 2014/15)


2009/10 2622.0 1934.1 1687.0

2010/11 2631.4 1984.3 1699.2

2011/12 2369.1 1942.5 1675.2

2012/13 2439.0 1963.9 1658.2

2013/14 2519.4 1936.7 1638.0

2014/15 2783.4 1994.7 1671.2


12

Smoking related ill health

Figure 10: Emergency hospital admissions for COPD: Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s 2014/15 rate of 802.9 per 100,000 adults aged 35+ for emergency hospital admissions for COPD is significantly higher than the England rate of 414.7 (figure 10).

• Compared to statistical neighbours, Barnsley has the second highest rate. • Trend data shows that Barnsley’s rates have been significantly worse than the rates for

England at each time point during the period 2010/11 to 2014/15. The 2014/15 rate is the second highest during the period (table 9).

Table 9: Trend in emergency hospital admissions for COPD: Barnsley, Yorkshire and the Humber and England (2010/11 to 2014/15)


2010/11 827.3 523.4 409.4

2011/12 681.4 486.8 388.8

2012/13 739.0 514.4 410.8

2013/14 738.1 484.8 389.8

2014/15 802.9 507.3 414.7


13

Smoking related mortality

Figure 11: Smoking attributable mortality: Barnsley compared to England and Statistical Neighbours (2012/14)

• Barnsley’s 2012/14 rate of 345.5 per 100,000 adults aged 35+ for deaths attributable to smoking is significantly higher than the England rate of 274.8 (figure 11).

• Compared to statistical neighbours, Barnsley has the sixth highest rate. • Trend data shows that Barnsley’s rates have been significantly worse than the rates for

England at each time point during the period 2007/09 to 2012/14. However, the 2012/14 rate is the lowest during the period (table 10).

Table 10: Trend in smoking attributable mortality: Barnsley, Yorkshire and the Humber and England (2007/09 to 2012/14)


2007/09 412.9 346.9 308.4

2008/10 394.5 337.5 300.9

2009/11 379.9 328.9 290.7

2010/12 356.9 321.8 284.4

2011/13 348.6 319.0 279.7

2012/14 345.5 313.1 274.8

Data

source


things to consider


• Barnsley level data that can be compared to England, regions and other local authorities

• A collection of smoking related mortality indicators

• Produced by Public Health

England • Last updated August 2016 To access the data: http://www.tobaccoprofiles.info/


14

Smoking related mortality (at a local level)

Data

source


things to consider

Primary Care Mortality Database (PCMD), GP ex-smoking prevalence data and ONS mid-year population estimates

• Smoking related deaths by ward and deprivation quintile

• Data available for 2007/11, 2009/13 and 2010/14

• Five years of mortality data are aggregated to avoid reporting of small numbers

Figure 12: Smoking attributable mortality: Barnsley wards and IMD 2015 quintile (2010/14)

• Within Barnsley, smoking attributable deaths are more prevalent in the most deprived areas. • Rates range from 151.5 per 100,000 in Penistone West ward to 512.4 per 100,000 in St

Helens ward.

15

Smoking Quitters

Figure 13: Number setting a quit date: Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s 2014/15 rate for smokers aged 16+ setting a quit date (6,576.5 per 100,000) is significantly higher than the England rate of 5,548.9 (figure 13).


neighbours, Barnsley has the sixth highest rate.

Data

source


things to consider


• Number setting a quit date

• Successful quitters at four weeks

• Cost per quitter

• Produced by Public Health England

• Last updated August 2016 To access the data: http://www.tobaccoprofiles.info/


Figure 14: Successful quitters (CO validated) at 4 weeks: Barnsley compared to England and Statistical Neighbours (2014/15)

• Barnsley’s 2014/15 rate for successful quitters at 4 weeks (CO validated) (2,164.8 per 100,000) is significantly higher than the England rate of 1,954.1 (figure 14).


neighbours, Barnsley has the eighth highest rate.

16

Smoking Quitters

Figure 15: CO validated quitters as a percentage of clients setting a quit date: Barnsley compared to England and Statistical Neighbours (2015/16)

Data

source


things to consider

NHS Digital (Statistics on NHS Stop Smoking Services)

• Number setting a quit date and outcome

• Broken down by age and sex

• Treatment and expenditure

• Pregnant women

• Data reported quarterly

• Data available to compare with other areas, regions and nationally

To get the latest annual report (2015/2016): http://www.digital.nhs.uk/catalogue/PUB21162

• Quarterly data is provisional, final data will be included in the annual report, normally published around August each year.

• The proportion of people in Barnsley setting a quit date, who successfully quit (CO validated) in 2015/16 (38.1%) is slightly higher than the England rate of 36.4% (figure 15).

• Compared to statistical neighbours, Barnsley has the sixth lowest rate. • Trend data shows that Barnsley’s CO validated quit rates have fluctuated during the period

2011/12 to 2015/16. The 2015/16 rate is the second lowest during the period (figure 16).

Figure 16: Trend in CO validated quitters as a percentage of clients setting a quit date: Barnsley, Yorkshire and the Humber and England (2010/11 to 2015/16)

17

Smoking Quitters (pregnant women)

Figure 17: Pregnant women: CO validated quitters as a percentage of clients setting a quit date: Barnsley compared to England and Statistical Neighbours (2015/16)

• The proportion of pregnant women in Barnsley setting a quit date who successfully quit (CO validated) in 2015/16 (23.2%) is lower than the England rate of 27.7% (figure 17).

• Compared to statistical neighbours, Barnsley has the third lowest rate. • Trend data shows that Barnsley’s CO validated quit rates have fluctuated during the period

2011/12 to 2015/16; they have been lower than regional and national rates since 2012/13. The 2015/16 rate is the second lowest during the period (figure 18).

Figure 18: Pregnant women: Trend in CO validated quitters as a percentage of clients setting a quit date: Barnsley, Yorkshire and the Humber and England (2010/11 to 2015/16)

smoking data guide - barnsley · smoking is significantly higher than the england rate of 274.8...

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