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Shifting Smoking Habits in the UK

Examining smoking trends across generations in Britain from 1946 to 2001.

Liam Wright, Loren Kock, Harry Tattan-Birch, David Bann

― 6 min read


Smoking Trends in Britain Smoking Trends in Britain across generations. A deep look at changing smoking rates
Table of Contents

The British Birth Cohort Studies are important social science projects that look at the lives of people born in specific years: 1946, 1958, 1970, and 2000-2002. These studies help researchers see how people's lives and society have changed over time, especially since World War II. The studies cover issues like higher education growth, women's participation in the workforce, social mobility, and rising obesity rates. They allow a deep look into how these changes affect health and economic outcomes for different generations.

The Decline of Cigarette Smoking

One interesting change over the last seventy years is in cigarette smoking. Back in 1950, about 80% of men in Great Britain were smoking. However, after research confirmed that smoking was linked to lung cancer, the number of smokers began to fall dramatically. Thanks to taxes, bans, and health campaigns, only around 12% of adults in the UK smoke now. Even though this number is low compared to many other Western European countries, smoking remains one of the main causes of preventable deaths and health inequalities.

Age and Cohort Effects on Smoking

When we look at younger adults, we find they are more likely to smoke, usually starting in their teens or early twenties. However, this trend varies by birth cohort. Young people born more recently tend to smoke less than those born earlier. Also, when we compare smoking patterns between men and women, we see some differences. Women started smoking later than men and their smoking rates dropped more slowly over time.

Existing Research Methods

Previously, studies on smoking trends mostly relied on older adults recalling their smoking history, which can lead to inaccuracies. In contrast, the British Birth Cohort Studies track the same individuals over time. This ongoing measurement helps avoid issues like missing data due to early deaths and inaccurate memories, especially since smoking is often stigmatized. Researchers can also analyze how smoking habits change throughout a person's life, looking at how many cigarettes they smoke and how often they quit.

The Rich Data of Cohort Studies

These cohort studies provide a wealth of data. Researchers can ask important questions about the causes and effects of smoking, including the impact of maternal smoking on the health of children. Each study includes thousands of Participants and many different variables, allowing researchers to conduct detailed analyses of trends over time. They can also compare different groups, such as men and women or various socioeconomic classes.

Smoking Data Collection

Smoking data has been collected at various life stages, including childhood and adolescence. Different Cohorts have been followed at different ages, but several key ages overlap. Researchers gather information on participants' current smoking habits, how many cigarettes they smoke per day, and even smoking among their parents. The collection of smoking intensity data varies across the cohorts, but generally includes a wide range of relevant information.

Analyzing the Data

Researchers analyze smoking data by calculating statistics that give insights into smoking behavior. For example, they might look at the percentage of people who smoke daily or the average number of cigarettes consumed per day. They take into account the changes in smoking behavior over time and can analyze trends by age and birth cohort, including sex differences.

Results of the Analysis

In the studies, a total of 5,362 participants were eligible in the 1946 cohort, while 16,178 were in the 1958 cohort, 16,036 in the 1970 cohort and 13,366 in the 2001 cohort. The prevalence of daily smoking at age 16 varied widely among cohorts. In 1958, 27.7% of participants smoked daily, while in 2001 only 10.4% did. The numbers showed that smoking peaked in early adulthood and then declined. Interestingly, men were generally more likely to smoke than women, though this gap narrowed over time.

Smoking Intensity and Trends

As we look at how many cigarettes people smoke daily, we see a decline in average consumption among those who smoke. This change reflects the decreasing number of daily smokers. However, sustained smokers—those who reported smoking daily over multiple surveys—show a more gradual decline in the number of cigarettes consumed over time.

Gender Differences in Smoking

Men consistently smoked more than women across all cohorts, although the gap has been shrinking. In early adulthood, the difference in smoking rates was significant, but by later ages, this difference had become much smaller. By their forties, the number of cigarettes smoked per day was also lower among both genders, but men still tended to smoke more than women.

Parental Impact on Smoking Habits

Looking at the smokers’ parents adds another layer to the story. The data shows that Mothers who smoked during pregnancy declined over the years, with lower rates in the 2001 cohort compared to earlier ones. For example, about 42% of mothers smoked while pregnant in the 1970 cohort, while this figure dropped significantly in the 2001 cohort.

Changes in Parental Smoking

The prevalence of parental smoking during the childhood of participants also showed interesting trends. In the 1946 cohort, around 80% of fathers were daily smokers, while in the 2001 cohort this figure dropped to about 24%. The data indicates that smoking rates for fathers were much higher in earlier cohorts compared to more recent ones.

Sensitivity Analyses

Researchers also carried out sensitivity analyses to ensure that their findings were robust. They compared different methods of handling missing data and found that smoking rates tended to be lower in more recent cohorts. The analysis confirmed that their data stayed consistent, even with varying assumptions about missing information or dropout rates.

Conclusion

The British Birth Cohort Studies give us a rich resource for understanding smoking behaviors across generations. They show that smoking rates have dropped significantly over time and that fewer people smoke today compared to earlier cohorts. The studies also highlight important differences based on age and gender, providing valuable insights into the changing landscape of smoking in the UK.

As researchers continue to explore this data, they can answer more questions about smoking and its effects on health, including how different social factors and policies have influenced smoking trends over the years. With each new analysis, they uncover more about the complex interplay between smoking, health, and society, while also keeping an eye on evolving trends like vaping among the younger generation.

Original Source

Title: Cigarette Smoking Across Life from 1946 to 2018: Harmonisation of Four British Birth Cohort Studies

Abstract: Background and AimsTobacco smoking has declined dramatically in the many high-income countries over the past seventy years. Studies that have mapped this trend have relied on repeat cross-sectional or retrospectively measured smoking data which has limitations regarding accurate measurement, inclusion of early smokers, and capturing of within-person change over time. Here, we (1) introduce a new resource detailing harmonisable smoking data in four British birth cohort studies spanning 1946-2018 and (2) use this data to document age and cohort changes in smoking. MethodsWe used prospectively and longitudinally measured smoking data in four British Birth Cohort Studies, born 1946, 1958, 1970 and 2000/02, respectively, to examine changes in the prevalence of daily smoking and cigarettes smoked per day between cohorts and within cohorts over the life course in males and females combined and stratified by sex. ResultsThe prevalence of smoking and the average number of cigarettes smoked by daily smokers declined between each successive cohort. Males smoked more and with greater intensity than females, on average, though sex differences were smaller in latter cohorts. Within a cohort, the prevalence and intensity of smoking peaked in early adulthood (< age 30y) and declined thereafter; participants who continued to smoke daily, smoked fewer cigarettes as they grew older. ConclusionSmoking prevalence and cigarette consumption declined substantially between cohorts born across the latter half of the twentieth and early twenty-first centuries. The British Birth Cohorts represent a unique and largely underutilized resource for investigating trends in smoking across life (prenatal to old age) and by year of birth (1946-2001), including changes in the determinants, correlates, and consequences of smoking. We provide syntax and information on items on smoking in these cohorts to catalyse future research, also available at: osf.io/54w6q.

Authors: Liam Wright, Loren Kock, Harry Tattan-Birch, David Bann

Last Update: 2024-12-08 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.12.06.24318606

Source PDF: https://www.medrxiv.org/content/10.1101/2024.12.06.24318606.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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