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    Rights statement: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Eric Emerson; Smoking among adults with and without disabilities in the UK, Journal of Public Health, Volume 40, Issue 4, 1 December 2018, Pages e502–e509, https://doi.org/10.1093/pubmed/fdy062 is available online at: https://academic.oup.com/jpubhealth/article/40/4/e502/4958209

    Accepted author manuscript, 289 KB, PDF document

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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Smoking among adults with and without disabilities in the UK

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Published
<mark>Journal publication date</mark>1/12/2018
<mark>Journal</mark>Journal of Public Health
Issue number4
Volume40
Number of pages8
Pages (from-to)502-509
Publication StatusPublished
Early online date2/04/18
<mark>Original language</mark>English

Abstract

Background
The health risks of cigarette smoking are well established. As a result, reducing cigarette smoking is a key concern for public
health agencies. Little is known about rates of smoking among adults with disabilities.

Methods
Secondary analysis of data collected in Waves 2 and 7 of ‘Understanding Society’, an annual household panel study.

Results
Age and gender adjusted odds ratios (AORs) of adults with disabilities smoking increased significantly from 1.41 (1.33–1.49) in
2010–12 to 1.57 (1.45–1.70) in 2015–17 (P = 0.032). AORs of adults with disabilities smoking 20 or more cigarettes a day increased nonsignificantly from 1.83 (1.66–2.02) in 2010–12 to 1.90 (1.65–2.20) in 2015–17. These changes were evident for both men and women and
across age groups. Additionally adjusting these estimates to take account of between group differences in socioeconomic position significantly
reduced the AORs for both smoking outcomes. Changes over time in AORs reflected a more rapid decline in smoking among participants
without a disability.

Conclusions
Adults with disabilities are more likely than their peers to smoke. Public health agencies and practitioners may wish to consider
what reasonable adjustments may need to be made to policies and interventions to ensure that they are effective for adults with disabilities.

Bibliographic note

This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Eric Emerson; Smoking among adults with and without disabilities in the UK, Journal of Public Health, Volume 40, Issue 4, 1 December 2018, Pages e502–e509, https://doi.org/10.1093/pubmed/fdy062 is available online at: https://academic.oup.com/jpubhealth/article/40/4/e502/4958209