Smoking and mental health - NCSCT

Smoking among people with mental disorders 2
Table 2.4 Smoking prevalence according to psychiatric diagnosis and
medication use in the past year (THIN data, 2009–10 6 )
Number Prevalence (%) Smoking prevalence
of diagnosis (%) (95% CI)
(95% CI)
All patients 2,493,085 19.7 (19.1–20.2)
Patients with one or 106,108 4.26 (4.03–4.48) 30.3 (29.4–31.2)
more mental health
diagnoses
Schizophrenia, 1,548 0.06 (0.06–0.07) 44.6 (41.4–47.7)
schizotypal and
delusional disorders
Bipolar affective disorder 1,084 0.04 (0.04–0.05) 36.7 (33.6–39.8)
Depression 62,841 2.52 (2.34–2.70) 31.4 (30.4–32.5)
Neurotic, stress-related 47,464 1.90 (1.76–2.05) 28.9 (27.8–29.9)
and somatoform
disorders
Eating disorders 1,055 0.04 (0.04–0.05) 23.1 (20.6–25.7)
Specific personality 683 0.03 (0.02–0.03) 47.1 (43.0–51.3)
disorders
Hyperkinetic disorders, 276 0.01 (0.01–0.01) 27.2 (21.0–33.3)
including ADHD
Patients prescribed one 355,410 14.3 (14.0–14.6) 27.1 (26.3–27.9)
or more psychoactive
medications
Antipsychotic 27,561 1.11 (1.06–1.15) 34.4 (33.2–35.6)
Lithium (antimanic) 3,502 0.14 (0.13–0.15) 30.2 (28.5–32.0)
Antidepressant 301,978 12.1 (11.8–12.4) 27.2 (26.4–28.0)
Anxiolytic 81,504 3.27 (3.14–3.40) 29.5 (28.5–30.5)
ADHD, attention deficit hyperactivity disorder; CI, confidence interval; THIN, The Health
Improvement Network.
2.4 Population estimates
By combining the mid-2010 population estimates published by the Office for
National Statistics 24 with our measures of the population prevalence of mental
disorders and smoking within diagnostic groups, we have derived estimates of
the number of people with a mental disorder in the UK, and the numbers that
are smokers. Data (that do not allow for multiple diagnoses in the same person
and hence are likely to be slight overestimates) are shown in Table 2.5, which
© Royal College of Physicians 2013 25