Public Health Information Team
Smoking Prevalence Survey 2009 Jeanette Davis
1. NEMS Smoking Prevalence Summary 2009 The NEMS Smoking Prevalence report gives a detailed breakdown of smoking prevalence across Birmingham based on answers provided to a questionnaire given to 6,043 people. Detailed below are some of the key facts:
Smoking Prevalence
South Birmingham
Heart of Birmingham tPCT
Birmingham East & North
Birmingham
England
24.9 %
24.0 %
26.3 %
25.2 %
22.0 %
This clearly shows that there is a higher prevalence across all of Birmingham in comparison to the national average. The report shows Heart of Birmingham TPCT giving the best prevalence; although this is still 2% higher than the national average. Prevalence can be broken down by gender and ethnicity:
South Birmingham
Heart of Birmingham tPCT
Birmingham East & North
Birmingham
England
Male
28.1 %
31.3 %
29.8 %
29.8 %
23 %
Female
23.2 %
18.0 %
24.6 %
22.1 %
21 %
It is noticeable that whilst the English prevalence indicates that men are more likely to smoke than women – the gender split in Birmingham does not reflect this trend. It should be noted that the above has not been weighted like the attached report, so the numbers are based on raw data. The two above tables have a RAG included to highlight the differences between nation and local percentages
PHIT - Smoking Prevalence Survey 2009.doc
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The attached table gives a breakdown of the percentage across the groups that took part in the survey
Ethnicity groups
South Birmingham
Birmingham East & North
Heart of Birmingham tPCT
Birmingham
NEMS 2008
ONS 2001
NEMS 2008
ONS 2001
NEMS 2008
ONS 2001
NEMS 2008
ONS 2001
White
86.4 %
85.1 %
78.6 %
77.8 %
43.2 %
35.7 %
72.1 %
67.3 %
Asian or Asian British
6.7 %
7.6 %
15.6 %
15.4 %
39.0 %
41.3 %
18.5 %
20.7 %
Black or Black British
3.1 %
3.3 %
4.0 %
3.8 %
13.1 %
13.3 %
6.2 %
6.7 %
Mixed
2.6 %
2.7 %
1.4 %
2.4 %
3.2 %
3.9 %
2.1 %
3.2 %
Chinese or other
0.3 %
1.3 %
0.1 %
0.6 %
0.6 %
1.8 %
0.4 %
2.3 %
Refused
1.0 %
n/a
0.5 %
n/a
1.8 %
n/a
1.0 %
n/a
As you can see the NEMS report asked an ethnic split very close to the split identified in the ONS Census of 2001, which if you take into account those who refused to answer and that the NEMS data was weighted, gives a good spread of the ethnic makeup of the city at large. Further analysis will be conducted in the forthcoming months to identify how many smokers of each group we have. In the meantime, please read the attached report for a more detailed breakdown of percentage prevalence within each group.
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The following graph shows the ethnic split more clearly across the PCTs Ethnic Breakdown of Groups questioned during the NEMS Prevalence Report 2009 by City and PCT
Refused
Chinese
Mixed
Black or Black British
Asian or Asian British
White
0
10
20
30
40 Bham
50 BEN
60 HOB
70
80
90
100
South
The report also looked at whether social economic factors influenced smoking habits. Below is a graph showing clearly that the poorer you are the more likely you have a smoking habit. Summary by Social Economic of those questioned in NEMS Smoking prevalence Report 2009 by City, PCT
Refused
DE
C2
CI
AB
0
5
10
15 Bham
PHIT - Smoking Prevalence Survey 2009.doc
20 BEN
25 HOB
30
35
40
45
South
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For a definition of the socioeconomic groups please see Appendix 1. Age also appeared to have relevance when denoting smokers from non-smokers:
Summary of Age Breakdown of NEMS Smoking Prevalence Report 2009 25.0
20.0
15.0
10.0
5.0
0.0 16 to 24
25 to 34
35 to 44 Bham
PHIT - Smoking Prevalence Survey 2009.doc
45 to 54 BEN
HOB
55 to 64
65 to 74
75 and over
South
5
High Ethnicity (50% or more) Medium Ethnicity (25% to 49%)
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Appendix 1: Socioeconomic Definitions
Group
Definitions
These are professional people, very senior managers in business or commerce or top-level civil servants. Retired people, previously grade A, and their widows.
Middle management executives in large organisations with appropriate qualifications. Principal Officers in local government and civil service. Top management or owners of small business concerns, educational and service establishments. Retired people, previously grade B, and their widows. Please note these are all non manual
A
B
C1
C2
D - Manual
E
Junior management, owners of small establishments and all other in non manual positions. Jobs in this group have very varied responsibilities and educational requirements. Retired people previously grade C1, and their widows. All skilled and manual workers and those manual workers with responsibility for other people. Retired people, previously Grade C2, with pensions from their job. Widows, if receiving a pension from late husband’s job. All semi-skilled and unskilled manual workers, and apprentices and trainees to skilled workers. Retired people, previously grade D, with pensions from late husband’s job. All those entirely dependant on the state long-term, through sickness, unemployment, old age or other reasons, Those unemployed for a period exceeding six months (otherwise classify on previous occupation). Casual workers and those without a regular income. Only households without a Chief Wage Earner will be coded in this group.
Please note for the benefit of the report A and B were linked as was D and E.
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