Protocol for expansion of an existing national monthly survey of smoking behaviour and alcohol use in England to Scotland and Wales: The Smoking and Alcohol Toolkit Study

Kock, Loren; Shahab, Lion; Moore, Graham; Beard, Emma; Bauld, Linda; Reid, Garth; Brose, Leonie S.; Horton, Marie; Gould, Ashley; Brown, Jamie

doi:10.12688/wellcomeopenres.16700.1

Cited by 47 publications

(42 citation statements)

References 31 publications

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“…Sampling methods are described in detail elsewhere. 13 , 14 Briefly, Great Britain is split into output areas, each with ~300 households. These output areas are stratified by region and demographic characteristics, before being randomly selected for inclusion on the interview list.…”

Section: Methodsmentioning

confidence: 99%

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

Tattan‐Birch

Jackson

Dockrell

et al. 2022

Nicotine &Amp; Tobacco Research

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Introduction Tobacco-free nicotine pouches are products that are placed between the lip and gum, where they deliver nicotine to users. Little is known about nicotine pouch use in Great Britain since they entered the market in 2019. Methods Data came from a monthly representative survey of the adult (≥18y) population in Great Britain (England, Scotland, and Wales) between November 2020 and October 2021 (n=25,698). We estimated the weighted prevalence of pouch use, overall and stratified by demographics, smoking status, and other nicotine use. Results Nicotine pouch use was rare among adults, with a weighted prevalence of just 0.26% (95% compatibility interval [CI]=0.19-0.35). Prevalence doubled from November 2020 to October 2021 (0.14% to 0.32%; Prevalence ratio [PR]=2.22, 95%CI=1.33-3.70). Pouch use was four times more common among men than women (0.42% versus 0.09%; PR=4.55, 95%CI=2.27-9.09) but less common in older age groups (p<.001). Pouch use was more prevalent among current smokers (0.87%; PR=13.60, 95%CI=5.46-33.89), recent former smokers (0.97%; PR=15.21, 95%CI=4.03-57.42), and long-term (>1y) former smokers (0.24%; PR=3.71, 95%CI=1.36-10.15), compared with never smokers (0.06%). Prevalence was also elevated among e-cigarette (1.64% versus 0.15%; PR=10.59, 95%CI=5.74-19.52) and nicotine replacement therapy users (2.02% versus 0.21%; PR=9.75, 95%CI=4.64-20.49). Conclusions One in 400 adults in Great Britain use nicotine pouches, but prevalence increased from 2020 to 2021. Implications Tobacco-free nicotine pouches were introduced to the market in Great Britain in 2019. We found that, while pouch use is currently rare in Great Britain, these products have become more popular over time. Pouch use is largely concentrated among younger and middle-aged men who use other nicotine products and have a history of smoking. Continued monitoring of nicotine pouch use is needed.

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Section: Methodsmentioning

confidence: 99%

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

Tattan‐Birch

Jackson

Dockrell

et al. 2022

Nicotine &Amp; Tobacco Research

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“…Data from this study promise to provide important evidence that will inform practice and policy around efficacy and harm reduction benefits of e-cigarettes. 46 …”

Section: Health Policy and Regulationsmentioning

confidence: 99%

E-Cigarettes—a review of the evidence—harm versus harm reduction

2022

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The World Health Organization estimates there are 1.1 billion cigarette smokers across the globe and that tobacco related deaths number 7 million per year. Electronic nicotine delivery systems (ENDS) are available to contribute options for smoking cessation and include e-cigarettes, e-hookahs, vape pens, mods, and vaping. The growing use of ENDS, or e-cigarettes, in the US and globally across populations is dramatic. Although users may think that e-cigarettes are less harmful than combustible tobacco products, the evidence shows that there are known risks and harms for users. E-cigarettes have varying amounts of toxicants, nicotine, and carcinogens and put the user at risk for lung diseases and COVID-19 similar to smokers. Currently, most governing bodies have not approved e-cigarettes as a smoking cessation tool but do state if a person has failed conventional smoking cessation treatments that e-cigarettes used alone for the short term may help those to quit combustible tobacco and nicotine. A shared decision-making approach should be used when discussing e-cigarettes as a harm reduction tool. More studies and long-term data are needed to assess potential benefits and harms. What is known is that prevention efforts and policy are needed to avoid adolescents and other vulnerable populations from initiating tobacco or e-cigarette use.

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“…Sample and recruitment Data were drawn from the ongoing Smoking and Alcohol Toolkit Study (STS), a monthly repeated cross-sectional survey of a representative sample of adults (≥18 years) in Scotland, Wales and England. 27 The sample consisted of respondents in Scotland, Wales and England surveyed in September 2021.…”

Section: Page 4/18mentioning

confidence: 99%

“…The dimensions are derived monthly from a combination of the English 2011 census, O ce for National Statistics mid-year estimates, and an annual random probability survey conducted for the National Readership Survey. 27 Measures Support for novel tobacco availability policies Policy ideas were selected following consultation and review with academic, government and advocacy stakeholders associated with the Shaping public health policies to reduce inequalities and harm (SPECTRUM) consortium (www.spectrum.ac.uk). Respondents were asked to indicate whether they would support the following statements presented in a random order (response options: Strongly support/Tend to support/No opinion either way/Tend to oppose/Strongly oppose/Unsure or Don't know):…”

Section: Page 4/18mentioning

confidence: 99%

“…Therefore, any differences in support for tobacco availability policies between nations will be relevant for the implementation and success of policies towards reducing smoking rates within each nation. Using a representative sample of adults from Scotland, Wales and England 27 this study aimed to i) compare the level of support for novel tobacco availability policies between nations, and ii) examine the independent associations between support for each policy and sociodemographic and smoking and quitting characteristics.…”

Section: Introductionmentioning

confidence: 99%

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Assessing the profile of support for potential tobacco control policies targeting availability in Great Britain: a cross-sectional population survey

Kock

Shahab

Moore

et al. 2022

Preprint

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Context: To examine the level of support for tobacco availability policies across Great Britain (GB) and associations between support for policy and sociodemographic, smoking and quitting characteristics. Methods: Cross-sectional data came from a representative survey of adults in GB (n = 2,197) during September 2021. Weighted proportions indicated the level of support for each policy. Logistic regressions estimated the associations between support for each policy and sociodemographic and smoking characteristics. Findings: There was majority support for requiring retailers to have a license which can be removed if they sell to those under-age (89.6% (95%CI 88.3–90.9)) and for restrictions on the sale of cigarettes and tobacco near schools (69.9% (67.9–71.9)). More supported than opposed raising the legal age of sale of cigarettes and tobacco to 21 (49.2% supported; 30.7% opposed; 20.1% unsure) and reducing the number of retailers selling tobacco in neighbourhoods with a high density of tobacco retailers (46.5% supported; 23.3% opposed; 30.2% unsure). More opposed than supported a ban on the sale of cigarettes and tobacco to everyone born after a certain year from 2030 onwards (41.3% opposed; 34.5% supported; 24.2% unsure). Age was positively associated with support for raising the age of sale (OR 1.06 95%CI 1.01–1.12), and inversely associated with requiring tobacco retailer licenses (OR 0.86, 0.79–0.94).Women were more likely to support raising the age of sale (OR 1.25, 1.05–1.49) and reducing the number of retailers (OR 1.34, 1.12–1.60). Current smokers were less likely to support proposed availability policies than never smokers. Smokers with high motivation to stop had higher odds of supporting a ban on tobacco sales (OR 3.45, 1.68–7.14) and reducing the density of retailers (OR 2.60, 1.29–5.27). Conclusions: Requiring tobacco retailer licensing and restrictions on sales near schools received majority support. Other tobacco availability policies received substantial support despite considerable opposition. Many of the public remain unsure. Policy Points • Strong majority support for tobacco retailer licensing and restrictions on sales near schools suggests that implementation of these tobacco availability policies would be popular among adults in Great Britain. • There was greater support than opposition to raising the legal age of sale of tobacco to 21 and reducing the number of retailers in high density tobacco retailer neighbourhoods. • Opposition to a ban on tobacco sales has weakened compared with a previous survey in England, and many of the public remain unsure; informed debate will be critical in determining public attitudes towards this tobacco availability policy.

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Protocol for expansion of an existing national monthly survey of smoking behaviour and alcohol use in England to Scotland and Wales: The Smoking and Alcohol Toolkit Study

Cited by 47 publications

References 31 publications

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

E-Cigarettes—a review of the evidence—harm versus harm reduction

Assessing the profile of support for potential tobacco control policies targeting availability in Great Britain: a cross-sectional population survey

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Protocol for expansion of an existing national monthly survey of smoking behaviour and alcohol use in England to Scotland and Wales: The Smoking and Alcohol Toolkit Study

Cited by 47 publications

References 31 publications

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

Tobacco-free Nicotine Pouch Use in Great Britain: A Representative Population Survey 2020–2021

E-Cigarettes—a review of the evidence—harm versus harm reduction

­­Assessing the profile of support for potential tobacco control policies targeting availability in Great Britain: a cross-sectional population survey

Contact Info

Product

Resources

About

Assessing the profile of support for potential tobacco control policies targeting availability in Great Britain: a cross-sectional population survey