Smoking and mental health - NCSCT

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Smoking and mental health Table 2.5 Estimates of the number of adults in the UK with mental disorders, and numbers of those who smoke Estimated number in adult UK population Estimated number of adult smokers HSE (2010) a Reports current non-psychotic 9,761,026 2,663,784 psychiatric morbidity (GHQ-12 3+) Reports a longstanding mental 2,081,879 777,790 health condition Taken a psychoactive medication 2,816,362 756,193 in the last 7 days APMS (2007) a Reports a common mental disorder 7,648,754 2,600,576 (CIS-R 12+) Reports any mental disorder 9,016,412 2,975,416 Currently taking a psychoactive 2,861,951 1,001,683 medication THIN (2009–10) Diagnosed with one or more mental 2,157,860 653,832 disorders in the last year Prescribed psychoactive medication 7,243,522 1,962,994 in the past year a HSE and APMS data were collected in England only, though here prevalence figures for mental disorder and smoking have been applied to the UK total population estimate. APMS, Adult Psychiatric Morbidity Survey; CIS-R, revised Clinical Interview Schedule; GHQ-12, 12-item General Health Questionnaire; HSE. Health Survey for England; THIN, The Health Improvement Network. demonstrates that, subject to the potential sources of error outlined above, there are approximately 2.6 million people in the UK with a common mental disorder who smoke (based on either the GHQ-12 or the CIS-R), and up to 3 million smokers with any mental disorder (based on data from the APMS). HSE data suggest that there are about 780,000 smokers with longstanding mental disorders in the UK, and 760,000 smokers who have recently taken a psychoactive medication; the higher smoking prevalence among those reporting psychoactive drug use in the APMS results in a higher estimate of approximately 1 million UK smokers currently taking such medication. THIN data estimate a total of around 650,000 smokers with a record of mental disorder, and 2 million prescribed one or more psychoactive medications in the past year. As approximate estimates, the figures in Table 2.5 therefore demonstrate that up to 3 million, or 30% of the approximately 10 million 26 © Royal College of Physicians 2013
Smoking among people with mental disorders 2 smokers in the UK, 25 have evidence of mental disorder, and that in up to a million people, or 10% of all smokers, this mental disorder is longstanding and/or currently being treated with a psychoactive medication. 2.5 Variations in smoking prevalence among those with mental disorder by age, sex and socioeconomic status HSE data broken down by age, sex and Index of Multiple Deprivation score 26 demonstrate that similar differences in smoking prevalence between subgroups are seen in participants who do and do not report a longstanding mental health condition. Smoking prevalence is higher in men, younger adults and those in the more deprived groups (Fig 2.2). 100 Smoking prevalence (%) 80 60 40 20 0 All respondents Subgroup Patients with a longstanding mental health condition Patients with no longstanding mental health condition Men Women Age 16–19 Age 20–24 Age 25–34 Age 35–49 Age 50–59 Age 60+ Least deprived IMD quintile 2 IMD quintile 3 IMD quintile 4 Most deprived Fig 2.2 Differences in smoking prevalence between those with and those without a longstanding mental health condition according to age, sex and Index of Multiple Deprivation (IDM) score (Health Survey for England (HSE), 2010 4 ). 2.6 Strength of addiction Smokers with mental disorders are more heavily addicted to cigarettes than smokers in general. Among all smokers in the HSE, 5% were classified as heavily addicted according to the HSI; however, among those who scored 3 or more on © Royal College of Physicians 2013 27
Page 1 and 2: PDF not for circulation Smoking and
Page 3 and 4: Contents Members of the Tobacco Adv
Page 5 and 6: Contents 4.4.3 Attention deficit hy
Page 7 and 8: Contents 6.4.3 Staff knowledge 122
Page 9 and 10: Contents 10.5 Tobacco policy and me
Page 11 and 12: Contributors Anthony Aclet - Specia
Page 13 and 14: Contributors Jill Williams - Associ
Page 15 and 16: 1 Mental disorders 1.1 What is a me
Page 17 and 18: Mental disorders 1 1.3 Common menta
Page 19 and 20: Mental disorders 1 1.4.4 Somatisati
Page 21 and 22: Mental disorders 1 In addition to s
Page 23 and 24: Mental disorders 1 not diagnosed un
Page 25 and 26: Mental disorders 1 Similar to many
Page 27 and 28: Mental disorders 1 12 Chang CK, Hay
Page 29 and 30: Mental disorders 1 52 Young S, Toon
Page 31 and 32: Smoking among people with mental di
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Page 53 and 54: Neurobiological and behavioural mec
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Epidemiology of the association bet
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Smoking cessation interventions for
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6 Population strategies to prevent
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Population strategies to prevent sm
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The economic cost of smoking in peo
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Ethical and legal aspects 9 pose co
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Ethical and legal aspects 9 less an
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Ethical and legal aspects 9 patient
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10 Summary and conclusions 10.1 Smo
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Summary and conclusions 10 10.4 Smo
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Summary and conclusions 10 although
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11 Key conclusions and recommendati
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Key conclusions and recommendations
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Smoking and mental health - NCSCT

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