This fact sheet reports the results of the ASH Smokefree GB surveys on the use of e-cigarettes among adults in Great Britain. ASH included questions on e-cigarette use in this annual survey starting in 2010 with questions addressed only to smokers.Use of e-cigarettes among adults in Great Britain, 2018
There is a strong association between smoking and mental health conditions. However, people with mental health conditions are generally able to quit smoking if they are given evidenced-based support. December 2016.Smoking and Mental Health
Cigarette smoking can affect fertility in both women and men, sexual function in men, pregnant women’s health, the health of an unborn child, and the health of young children. Dec. 2016.07. Smoking and Reproduction
20 September 2016
In advance of the annual Stoptober stop smoking campaign, ASH is calling on the Government to increase the frequency and the amount of money spent on stop smoking campaigns.
Deborah Arnott Chief Executive of ASH said,
“ASH strongly supports Stoptober which provides the support and encouragement that we know most smokers need to help them stop. However, we are very concerned about the recent announcement by the Health Minister in the Lords that funding for mass campaigns like Stoptober has been cut again this year. The evidence is clear, to be successful mass media campaigns need to run throughout the year; Stoptober alone is not enough.”
During a parliamentary debate, the Health Minister, Lord Prior said that the expenditure allocated for this financial year was £4 million.* Last year it was £5.3 million and it has declined significantly in the last 6 years; in 2008-09 it was nearly £25 million.
|Financial year||Media Spend (£m)|
ASH is also calling on the Government to publish without delay its new Tobacco Control Plan, replacing the previous one which expired at the end of 2015. The new plan needs to clearly set out how the Government intends to fund tobacco control including mass media campaigns and Stop Smoking Services.
Contact: Deborah Arnott 020 7404 0242 (w) or 07976 935 987 (m)
Notes and links:
Action on Smoking and Health is a health charity working to eliminate the harm caused by tobacco use. For more information see: www.ash.org.uk/about-ash
ASH receives core funding from Cancer Research UK and the British Heart Foundation.
* Hansard. HoL Debate. Lord Prior of Brampton: “£4 million has been allocated for tobacco-specific marketing activities, £1 million of which is for the Stoptober campaign launching next month.”
Effectiveness of Mass media campaigns
[i] Langley T. et al. The impact of media campaigns on smoking cessation activity: a structural vector autoregression analysis, Addiction 2012, 107(11):2043-50.
[ii] Hopkinson NS, Millett C, Glantz S, Arnott D, and McNeill A (2016) UK government should fund stop smoking media campaigns not give tax breaks to films with smoking imagery. Addiction. doi: 10.1111/add.13511
[iii] Sims M, Salway R, Langley T. et al.. Effectiveness of tobacco control television advertising in changing tobacco use in England: a population-based cross-sectional study Addiction. 2014 109 (6): 986-94
[iv] Langley T, Szatkowski L, Lewis S et al. The freeze on mass media campaigns in England: a natural experiment of the impact of tobacco control campaigns on quitting behaviour. Addiction 2014: 109: 995-1002
[v] Atusingwize E, Lewis S, Langley T. Economic evaluations of tobacco control mass media campaigns: a systematic review Tobacco Control 2015: 24: 320-327
[vi] Durkin S & Wakefield M. Commentary on Sims et al. (2014) and Langley et al. (2014) Mass media campaigns require adequate and sustained funding to change population health behaviours. Addiction 2014: 109: 1003-1004.
16 September 2016. News Release on behalf of the Smoking in Pregnancy Challenge Group
Work in the North East to cut smoking in pregnancy by nearly 1/3 has been hailed as an example for the rest of England to follow by a coalition of national health and baby charities.
Francine Bates, Chief Executive of the Lullaby Trust and Professor Linda Bauld who are Co-Chairs of the Smoking in Pregnancy Challenge Group, along with ASH which co-ordinates the group, praised the rapid fall in North East maternal smoking rates after a four year initiative to help midwives raise smoking as a crucial issue affecting unborn babies’ health.
Every woman in the North East is now routinely given carbon monoxide monitoring when they first see a midwife – and those with high readings referred to a stop smoking service, following the NICE guidance[i]. For those women still smoking at 12 weeks, a midwife leads a detailed discussion highlighting the potential harm to the unborn child – resulting in rates falling from 22.2% of women smoking at the time they gave birth in 2009-10 down to 15.6% in 2016.
Fresh – the North East’s tobacco control office funded by all 12 local authorities – has overseen the rollout of the “babyClear” approach[ii] which works in two ways:
The Smoking in Pregnancy Challenge Group, including ASH, the Royal College of Midwives, Tommy’s and the Lullaby Trust, published a report[iii] in 2013 calling for more action to fully embed the NICE (National Institute for Health and Care Excellence) guidance around smoking in pregnancy and renewed the call for action in a review of progress in 2015.[iv] The Group recommends midwives raise smoking as an issue, use carbon monoxide monitoring to check high levels of exposure to tobacco smoke; and refer all smokers to local stop smoking services.
Deborah Arnott, chief executive of health charity ASH, which co-ordinates the Challenge Group, said:
“The North East has made great strides in reducing smoking in pregnancy by a combination of hard work and a well thought out, evidence-based approach. If the government is to meet its commitment to reduce the rate of stillbirths, neonatal and maternal deaths in England by 50% by 2030 all of England needs to follow their lead.”
Francine Bates, Chief Executive of The Lullaby Trust and Co-Chair of the Challenge Group said:
“The North East region is to be hugely congratulated for the work they are doing to support women to stop smoking in pregnancy.
“Maternal smoking is now the single biggest modifiable factor for sudden infant deaths. This programme will undoubtedly have saved many babies’ lives and greatly improved health outcomes for families previously exposed to second-hand smoke. I hope that other parts of the country will take note and implement a similar systematic approach.”
Professor Linda Bauld, Co-Chair of the Smoking in Pregnancy Challenge Group and Professor of Health Policy at the University of Stirling said:
“The North East of England has taken a lead in implementing evidence-based recommendations from NICE and the Smoking in Pregnancy Challenge group.
“The progress that has been achieved is impressive and provides a valuable example for other parts of the country. These changes have undoubtedly saved lives – not just for babies and infants but also for mothers, as pregnancy provides a unique opportunity for women to stop smoking and stay stopped over the longer term.
“The region have also evaluated their approach through independent research and I look forward to the publication of those results, which will provide invaluable evidence for us to continue to make the case for action that contributes to continued declines in smoking in pregnancy in the future.”
Ailsa Rutter, Director of Fresh, said:
“Most women who smoke will have started in their teens or younger, and we recognise it is an addiction that is not always easy to quit. Women need the facts but also to know there is excellent free support to quit smoking where they will be supported and helped, not have the finger wagged at them.
“Some women can find the facts quite shocking – but most are very glad they have been told and come to expect this as part of their ante-natal care.”
Peter Kelly, North East Public Health England Centre Director, said: “Supporting women in having a healthy pregnancy is essential for their health and their unborn child. Stopping smoking is a critical element of a healthy pregnancy and it is very encouraging to see such progress in the North East.”
Following babyClear’s launch in 2012, around 450 midwifery staff and 150 Stop Smoking Service advisers have received skills training to discuss the issues with women in a factual, blame-free way, as well as being provided with equipment to deliver interventions.
When a smoker inhales, the 5000 chemicals in smoke, such as arsenic, benzene and formaldehyde, are absorbed through the lungs and move into the bloodstream. In pregnant women, these chemicals are passed to the unborn baby, depriving them of vital oxygen. Exposure to CO may cause harm to an unborn child, including low birth weight, perinatal death (stillborn and deaths within the first four weeks of birth), and behavioural problems.
A report by the Royal College of Physicians published in 2010 (Passive smoking and children) found maternal smoking causes up to 5,000 miscarriages, 300 perinatal deaths (stillbirths and sudden infant deaths within the first four weeks of birth) and 2,200 premature births a year nationwide. In the North East that breaks down to 360 miscarriages, 22 perinatal deaths (stillbirths and sudden infant deaths with the first four weeks of birth) and 160 premature births.
Research with midwives by NHS North East and Newcastle University in 2010 found not all midwives felt confident or equipped to raise smoking during pregnancy, with many wanting more training and resources such as CO monitors. Feedback from wards has also found women come to expect smoking being raised as an issue, and does not affect the positive relationship they have with their midwife.
Figures published in August 2016 revealed the North East has also seen the biggest fall in overall adult smoking rates in England since 2005, from around 29% of people smoking down to 18.7% in 2015.
The Smoking in Pregnancy Challenge Group, which includes the Royal College of Midwives (RCM), Royal College of Paediatrics and Child Health (RCPCH), the third sector and academia, was established in 2012 in response to a request by the Rt Hon Anne Milton MP, the then Public Health Minister.
The challenge to the Group was to produce recommendations for accelerating progress towards the Government ambition of reducing the rate of smoking at the time of delivery to 11% or less by 2015.
In June 2013 the Group produced recommendations on how the Government ambition for reduced rates of smoking in pregnancy could be achieved. (Smoking Cessation in Pregnancy – A Review of the Challenge)
The Group continues to collaborate to and in 2015 published a review of progress and updated recommendations. More information about the Challenge Group is available on the Groups webpage.
This document was created by ASH in partnership with the Royal College of Surgeons of Edinburgh, the Royal College of Anaesthetists and the Faculty of Public Health. It was endorsed by the Royal College of Surgeons, Royal College of Physicians and the Royal College of General Practitioners. It has been designed for health professionals and commissioners, to provide clear advice and examples of good practice in relation to smoking and surgery.Joint Briefing: Smoking and Surgery
Health policy is largely formulated and implemented by the devolved administrations of each of the member countries of the United Kingdom. However, as tobacco falls within the remit of a number of different government departments: e.g. Treasury, Business, HMRC as well as Health, tobacco control policy is partly determined at UK-wide level and partly by the devolved administrations. The four nations of England, Scotland, Wales and Northern Ireland have responsibility for their own smoking cessation and health education campaigns while UK-wide policy and law applies to taxation, smuggling, advertising, and consumer protection issues such as the provision of health warnings on tobacco packaging. Some of these measures are determined by European Union legislation.UK Tobacco Control Policy and Expenditure: An overview
A comprehensive look at why and how nicotine is so addictive. This fact sheet examines the mental and physical aspects of nicotine addiction. March 2018.08. Nicotine and Addiction
Although many jurisdictions worldwide have implemented smokefree laws in public places, prisons are often exempt. This fact sheet examines the rationale for making prisons smokefree and the impact such polices have had to date. Sept 2015.31. Smokefree Prisons
People who smoke have a 50 per cent greater chance of developing dementia than those who have never smoked. Sept 2015.35. Smoking and Dementia
There is a growing body of evidence to suggest that smoking is an independent risk factor for diabetes and that among people with diabetes, smoking aggravates the risk of serious disease and premature death. July 2015.23. Smoking and Diabetes
This Research Report examines asthma and smoking: the causes and the consequences.ASH Research Report: Asthma and smoking
The health benefits of stopping smoking start within hours of putting out the last cigarette. Using a combination of medication and behavioural support can substantially increase the chances of successfully quitting. Sept 2014.11. Stopping smoking: the benefits and aids to quitting
ASH’s top tips to help you stop smoking. Sept 2014.24. Stopping smoking - ASH'S 15 Tips