joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
prevalence when weighting by the resident population estimates for each ward 32 (which
increased the prevalence from 32% to 34%). Furthermore, the majority of the 2007
Health and Lifestyle Survey questionnaires were self-completed rather than completed
through interview. It is possible that the more motivated people more interested in their
health (and less likely to be smokers) could have completed the questionnaire. Thus,
despite the quota sampling, it is possible that the true smoking prevalence was slightly
higher in 2007 than the estimate from the survey. Furthermore, the 2009 Prevalence
Survey only involved 1,750 survey responders (fewer than half the number compared to
the 2007 Health and Lifestyle Survey) and as a result, the estimates are more likely to
be influenced by year-on-year random variation. This highlights the fact that it is not
easy to estimate the prevalence of smoking even through a survey involving sound
methodology which is far better than using modelled estimates. The 2009 Social Capital
Survey also collected information on the prevalence of smoking, and provided an
estimated prevalence of 32.7% (from 4,052 survey responders). The age-adjusted
estimated prevalence is 34.0% from the 2009 Prevalence Survey and 2009 Social
Capital Survey combined (see page 859), compared to 31.9% for the 2007 Health and
Lifestyle Survey (but 34% if the figure was weighted by ward population). Based on
these two surveys, it is possible that the prevalence of smoking has remained the same
or increased slightly since 2007.
The targets for the smoking prevalence in young people were based on the prevalence
from the 2002 Young People Health and Lifestyle Survey. The subsequent survey in
2008-09 (see report at www.hullpublichealth.org) had a smoking prevalence of 5.4% for
boys and 14.5% for girls in secondary school (school years 7-11; aged 11-16 years),
with 3.2% of boys and 8.3% of girls smoking regularly, and 2.2% of boys and 6.2% of
girls smoking occasionally. Overall, 5.9% smoked regularly, and 4.3% smoked
occasionally, giving a smoking prevalence of 10.1% for boys and girls combined across
all year groups. Therefore, the target of 14% for 2008/09 has been achieved; indeed the
target for 2012/2013 of 10% has almost been achieved.
A key part in achieving these targets will be played by the social marketing initiatives
that are being developed in Hull. These are aimed at improving awareness and
motivating smokers to access the local smoking cessation services. They will address
reasons why women in the two most deprived quintiles have seen increasing numbers
smoking, contrary to both local and national trends. Initial work has suggested that men
attending smoking cessation through one-to-one sessions rather than in groups, and
changes are currently been made to the service to accommodate this preference.
These initiatives are informing the development of the targeted interventions that it is
hoped will assist Hull to achieve its ambitious World Class Commissioning targets.
32 Holderness ward had a relatively low prevalence of smoking (possibly due to its slightly older
population) and had a much higher percentage of people participating in the survey (12%) compared to its
relatively size in relation to Hull‟s population (5%), whereas Bransholme East had a relatively high
prevalence of smoking and a relatively young population but only 0.6% of the survey responders
compared to 4% of the population in Hull who lived in the ward.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 271