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Table 2 GAM results: associations between the COVID-19 pandemic and smoking outcomes, overall and by social grade

From: Have there been sustained impacts of the COVID-19 pandemic on trends in smoking prevalence, uptake, quitting, use of treatment, and relapse? A monthly population study in England, 2017–2022

 

Overall

Social grades ABC1

(more advantaged)

Social grades C2DE

(less advantaged)

% change

95% CI

% change

95% CI

% change

95% CI

Lower

Upper

Lower

Upper

Lower

Upper

Current smoking1a

 Pre-pandemic trend (year*)

 − 5.2

 − 7.3

 − 3.0

 − 9.5

 − 12.7

 − 6.1

 − 3.1

 − 5.9

 − 0.1

 Pre vs. post step-level change

8.0

2.2

14.1

20.1

10.1

31.0

2.7

 − 4.7

10.6

 Pre vs. post Δ trend (year*)

5.2

1.4

9.0

14.5

8.3

21.1

0.3

 − 4.5

5.4

Current smoking among young adults2a

 Pre-pandemic trend (year*)

 − 10.5

 − 15.4

 − 5.4

 − 12.4

 − 19.1

 − 5.2

 − 9.1

 − 16.2

 − 1.4

 Pre vs. post step-level change

34.9

17.7

54.7

36.9

12.7

66.3

34.2

10.1

63.6

 Pre vs. post Δ trend (year*)

7.2

 − 1.8

17.1

13.8

0.4

29.0

1.8

 − 10.4

15.8

Current smoking among middle-aged adults3a

 Pre-pandemic trend (year*)

 − 5.7

 − 9.3

 − 1.9

 − 11.7

 − 17.2

 − 5.8

 − 2.6

 − 7.6

2.6

 Pre vs. post step-level change

 − 13.6

 − 21.9

 − 4.4

6.9

 − 9.1

25.7

 − 22.4

 − 32.6

 − 10.7

 Pre vs. post Δ trend (year*)

9.6

2.5

17.2

17.1

5.5

30.0

5.8

 − 3.6

16.2

Cessation4b

 Pre-pandemic trend (year*)

 − 16.1

 − 23.9

 − 7.4

 − 7.4

 − 18.0

4.7

 − 24.5

 − 35.5

 − 11.6

 Pre vs. post step-level change

120.4

79.4

170.9

77.0

37.1

128.6

174.2

96.9

281.8

 Pre vs. post Δ trend (year*)

21.9

7.9

37.9

3.2

 − 11.8

20.7

45.4

20.0

76.2

Past-year quit attempt4a

 Pre-pandemic trend (year*)

 − 8.2

 − 11.7

 − 4.5

 − 6.7

 − 11.7

 − 1.5

 − 9.0

 − 13.8

 − 3.8

 Pre vs. post step-level change

41.7

29.7

54.7

34.9

19.3

52.7

46.0

29.0

65.4

 Pre vs. post Δ trend (year*)

7.4

1.6

13.6

1.8

 − 6.0

10.2

11.5

3.1

20.6

Number of past-year quit attempts5a**

 Pre-pandemic trend (year*)

3.0

0.3

5.8

4.3

0.6

8.1

2.0

 − 1.9

6.1

 Pre vs. post step-level change

 − 3.0

 − 8.9

3.2

 − 10.7

 − 17.9

 − 2.9

3.4

 − 5.6

13.3

 Pre vs. post Δ trend (year*)

 − 0.3

 − 4.2

3.8

2.3

 − 3.1

8.1

 − 1.9

 − 7.4

4.0

Use of prescription medication5b

 Time series trend (year*)

5.2

 − 11.0

24.4

21.6

 − 6.7

58.4

1.3

 − 18.9

26.6

 Pre vs. post step-level change

28.6

 − 11.3

86.5

 − 23.1

 − 58.5

40.3

49.9

 − 7.5

142.8

 Pre vs. post Δ trend (year*)

 − 15.5

 − 33.8

8.0

 − 14.0

 − 42.0

27.5

 − 17.4

 − 39.9

13.5

Use of behavioural support5b

 Time series trend (year*)

 − 16.2

 − 30.4

0.9

 − 21.0

 − 39.2

2.6

 − 12.4

 − 33.0

14.3

 Pre vs. post step-level change

133.0

55.3

249.6

120.4

21.2

300.8

136.3

34.2

316.1

 Pre vs. post Δ trend (year*)

3.2

 − 19.6

32.6

11.8

 − 22.3

60.7

 − 2.0

 − 31.0

39.1

Use of e-cigarettes5b

 Time series trend (year*)

 − 4.1

 − 10.2

2.5

 − 0.9

 − 10.2

9.3

 − 5.9

 − 14.1

3.0

 Pre vs. post step-level change

 − 21.2

 − 33.4

 − 6.8

 − 28.9

 − 44.8

 − 8.5

 − 15.9

 − 33.0

5.6

 Pre vs. post Δ trend (year*)

23.2

11.1

36.5

24.1

6.1

45.2

22.5

6.7

40.8

  1. ABC1 managerial/professional/intermediate, C2DE small employers/lower supervisory/technical/semi-routine/routine/never workers/long-term unemployed, CI confidence interval
  2. aAdjusted for seasonality, age, gender, social grade, and region
  3. bAdjusted for seasonality, age, gender, social grade, region, cigarette dependence, and national expenditure on tobacco control mass media campaigns
  4. 1Among all adults
  5. 2Among 18–24-year-olds
  6. 3Among 45–65-year-olds
  7. 4Among past-year smokers
  8. 5Among past-year smokers who made ≥ 1 quit attempt in the past 12 months
  9. *Monthly trends were analysed. We multiplied the coefficients by 12 to derive annual trends
  10. **The number of quit attempts was analysed as a continuous variable and was log-transformed for analysis
  11. Results are reported as percentage changes ((relative risk − 1)*100). Relative risks and associated 95% CIs are provided in Additional File 5: Table S2
  12. Pre vs. post step-level change is the step-level change associated with the start of the pandemic. Pre vs. post Δ trend is the change in trend (slope) following the start of the pandemic (where the 95% CI does not overlap zero, this indicates trends differed significantly between the two time periods)