ASH Scotland Smoking statistics factsheet

ASH Scotland
SMOKING & TOBACCO STATISTICS FACT SHEET
June 2014 (next update December 2014)
Topic
P
R
E
V
A
L
E
N
C
E
Notes: This document is a non-exhaustive summary of referenced statistics for
Scotland (with selected UK/Worldwide figures). As smoking is a widely
documented and researched area, it is recognised there may be alternative
sources from those presented here. The figures here have been selected based
on their robustness, frequency and availability of updates, and relevancy to
Scotland. This document will be updated on a six-monthly basis, with new versions
accessible on the ASH Scotland website.
Year(s) of data Statistic
Scottish national adult
(16+) prevalence
Scotland estimated
number of adult
smokers
Scottish regional adult
prevalence
Reference (URLs accessed 03 June 2014)
2012
22.9%
(Men: 24%, Women 21%)
Scottish Government. 2013. Scotland’s People Annual Report: Results from 2012
Scottish Household Survey. Available from:
http://www.scotland.gov.uk/Publications/2013/08/6973/10
2005/6
1,048,000
Taulbut M, Gordon D, McKenzie K. 2008. Tobacco smoking in Scotland: an
epidemiology briefing. Edinburgh: NHS Health Scotland and Scottish Public Health
Observatory. Available from: http://www.scotpho.org.uk/publications/reports-andpapers/493-tobacco-smoking-in-scotland-an-epidemiology-briefing
2003/04
(constituency)
2009/10
(L.Authority)
For constituency see:
Reference web sources for constituency/local authority data as appropriate.
http://www.scotpho.org.uk/home/Publications/scotphoreports/pu
b_tobaccoatlas.asp
For local authority see:
http://scotland.gov.uk/Topics/Statistics/16002/LATables20092010
*Great Britain adult
(16+) prevalence
2012
20%
(Men: 22%, Women: 19%)
* Worldwide - adult
(15+)smoking
prevalence
2011
Men: 32%, Women: 7%
Scottish national adult
prevalence - time
trends
1999-2012
The percentage of adults who smoke has declined consistently,
from 30.7% in 1999 to 22.9% in 2012.
Scottish Government. 2013. Scotland’s People Annual Report: Results from 2012
Scottish Household Survey. Available from:
http://www.scotland.gov.uk/Publications/2013/08/6973/10
Scottish national adult
prevalence age/gender trends
2012
Men are more likely to smoke more than women, with the gap
widest between the ages of 35 and 44. Young people more
commonly smoke and there is a large drop in smoking
prevalence in those over 60 years, then again in those over 75.
Scottish Government. 2013. Scotland’s People Annual Report: Results from 2012
Scottish Household Survey. Available from:
http://www.scotland.gov.uk/Publications/2013/08/6973/10
Scottish national adult
prevalence deprivation trends
2012
39% of adults in the most deprived 10% of areas smoke
Scottish Government. 2013. Scotland’s People Annual Report: Results from 2012
compared to 10% of adults in the least deprived areas. This gap Scottish Household Survey. Available from:
has remained relatively constant in recent years.
http://www.scotland.gov.uk/Publications/2013/08/6973/10
www.ashscotland.org.uk
Office for National Statistics. 2013. Opinions and Lifestyle Survey, Smoking Habits
Amongst Adults, 2012. Newport: Office for National Statistics. Available from:
http://www.ons.gov.uk/ons/rel/ghs/opinions-and-lifestyle-survey/smoking-habitsamongst-adults--2012/index.html
World Health Organisation. 2014. World Health Statistics 2014. Available from:
http://www.who.int/gho/publications/world_health_statistics/2014/en/
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
1
Topic
Year(s) of data Statistic
2011-2034
Reduce adult (16+) smoking prevalence from 23% in 2011 to
5% by 2034. (Intermediary targets: 17% by 2016, 12% by 2021,
9% by 2026, 6% by 2031).
Scotland smoking attributable
deaths and hospital admissions
2009
Approximately 13,000 deaths attributable to smoking
(13,044)
Scotland - years of
healthy life lost in
middle age (35-69) for
deaths attributable to
smoking
2004
22 years life lost on average among men and women who die in Health Scotland, ISD Scotland and ASH Scotland. 2007. An atlas of tobacco smoking in
middle age (35-69) as a result of smoking.
Scotland: A report presenting estimated smoking prevalence and smoking-attributable
deaths within Scotland. NHS Scotland/Scottish Public Health Observatory. Available
from:
http://www.scotpho.org.uk/home/Publications/scotphoreports/pub_tobaccoatlas.asp
Scotland - mortality
trends by age
2004
Among middle age (35-69) men, smoking related mortality is
decreasing (it rose from 37% in 1950 to 50% in 1965, dropping
to 28% in 2004). Among middle age (35-69) women it is
decreasing (it rose from 9% in 1950 to 31% in 1985, but has
only decreased slightly since, to 28% of all deaths in 2004).
For both men and women aged 70+, the proportion of deaths
attributable to smoking has been rising since 1950. (1950: 5%
Male, 2% of Female deaths, 2004: 24% Male, 23% of Female
deaths).
Health Scotland, ISD Scotland and ASH Scotland. 2007. An atlas of tobacco smoking in
Scotland: A report presenting estimated smoking prevalence and smoking-attributable
deaths within Scotland. NHS Scotland/Scottish Public Health Observatory. Available
from:
http://www.scotpho.org.uk/home/Publications/scotphoreports/pub_tobaccoatlas.asp
15% of deaths in the least deprived SIMD quintile were from
smoking-attributable causes, compared with 32% in the most
deprived SIMD quintile.
Taulbut M, Gordon D, McKenzie K. 2008. Tobacco smoking in Scotland: an
epidemiology briefing. Edinburgh: NHS Health Scotland and Scottish Public Health
Observatory. Available from: http://www.scotpho.org.uk/publications/reports-andpapers/493-tobacco-smoking-in-scotland-an-epidemiology-briefing
Scottish national adult
prevalence - targets
D
I
S
E
A
S
E
Reference (URLs accessed 03 June 2014)
Scotland - mortality
trends by deprivation
Approximately 56,000 hospital admissions
(56,153)
2000 - 2004
*England - smoking
attributable deaths and
hospital admissions
2011/12
Great Britain – years of
life lost in deaths
attributable to smoking
(all ages)
2000
www.ashscotland.org.uk
Scottish Government. 2013. Creating a Tobacco-Free Generation: A Tobacco Control
Strategy for Scotland. Edinburgh: Scottish Government. Available from:
http://www.scotland.gov.uk/Resource/0041/00417331.pdf
Scottish Public Health Observatory (ScotPHO). 2012. ScotPHO Smoking Ready
Reckoner - 2011 Edition. Available from:
http://www.scotpho.org.uk/downloads/scotphoreports/scotpho120626_smokingreadyrec
koner.pdf
Approximately 80,000 deaths attributable to smoking (18% of all NHS Information Centre for Health and Social Care. 2013. Statistics on Smoking:
deaths of adults aged 35 and over)
England, 2013. Available from: http://www.hscic.gov.uk/catalogue/PUB11454
Approximately 462,900 hospital admissions attributable to
smoking.
On average, life-long smokers (who start early in adult life and
never stop) die about 10 years sooner than non-smokers.
Peto R, Watt J, Boreham J. Deaths from smoking. Clinical Trial Service Unit &
Epidemiological Studies Unit (CTSU), University of Oxford. Available from:
http://www.ctsu.ox.ac.uk/deathsfromsmoking/
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
2
Topic
Year(s) of data Statistic
Reference (URLs accessed 03 June 2014)
Worldwide - smoking
attributable deaths
2011
“Almost 6 million people” - nearly 80% of deaths from low- and
middle-income countries. Over the last decade the global
number of deaths has nearly tripled. Smoking has caused
around 100 million deaths worldwide during the twentieth
century, and if current trends continue approximately 1 billion
people will die in the twenty-first century due to smoking
C Scotland - cost to the
O healthcare system
S
T Scotland - cost to
2009
£323 million
(Estimated potential reduction in NHS expenditure if smoking
prevalence were reduced by 1 percentage point: £13.4m)
2006 - 2010
society
Y
O
U
N
G
Scotland - smoking
prevalence among 13 &
15 year olds
Scotland - smoking
prevalence amongst
P young adults (16 - 24)
E Scotland - initiation
O (number)
P
L
E Great Britain - age of
2010
www.ashscotland.org.uk
Scottish Public Health Observatory (ScotPHO). 2012. ScotPHO Smoking Ready
Reckoner - 2011 Edition. Available from:
http://www.scotpho.org.uk/downloads/scotphoreports/scotpho120626_smokingreadyrec
koner.pdf
Approximately £1.1 billion annually
ASH Scotland. 2010. Up in smoke: The economic cost of tobacco in Scotland.
(£271m in healthcare costs, £692m in productivity losses due to Edinburgh: ASH Scotland. Available from: http://www.ashscotland.org.uk/what-weactive smoking, £60m in productivity losses due to passive
do/campaign/policy-reports/up-in-smoke-tobacco-economics.aspx
smoking, £34m in clearing smoking-related litter, £12m in fires
caused by smoking in commercial properties)
At 13 years old 3% are regular smokers (Boys: 3%, Girls: 3%).
At 15 years old 13% are regular smokers (Boys: 11%, Girls:
14%). These are the lowest levels of prevalence since current
surveys began in 1982.
Black C, Eunson J, Sewel K, Murray L. Scottish Schools Adolescent Lifestyle and
Substance Use Survey (SALSUS) National Report: Smoking, drinking and drug use
among 13 and 15 year olds in Scotland in 2010. 2011. NHS National Services Scotland.
Available from:
http://www.drugmisuse.isdscotland.org/publications/abstracts/salsus_national10.htm
2012
23% of men and 20% of women aged 16-24 were current
smokers.
Scottish Government. 2013. Scotland’s People Annual Report: Results from 2012
Scottish Household Survey. Available from:
http://www.scotland.gov.uk/Publications/2013/08/6973/10
2005/06
15,000 young people
(13-24) start smoking each year
Taulbut M, Gordon D, McKenzie K. 2008. Tobacco smoking in Scotland: an
epidemiology briefing. Edinburgh: NHS Health Scotland and Scottish Public Health
Observatory. Available from: http://www.scotpho.org.uk/publications/reports-andpapers/493-tobacco-smoking-in-scotland-an-epidemiology-briefing
2011
Around two thirds (66%) of smokers said they started smoking
regularly before the age of 18, and 40% under the age of 16
Office for National Statistics. 2013. General Lifestyle Survey Overview - a report on the
2011 General Lifestyle Survey. Newport: Office for National Statistics. Available from:
http://www.ons.gov.uk/ons/rel/ghs/general-lifestyle-survey/2011/rpt-chapter-1.html#tabAge-started-smoking
2010
46% of 13 year-old regular smokers buy cigarettes from shops.
54% of 15 year-old regular smokers buy cigarettes from shops.
6% of both 13 year-old and 15 year-old smokers buy cigarettes
from vending machines. 54% of 13 year-old, and 55% of 15
year-old smokers get somebody else to buy them cigarettes.
(More sources of cigarettes are reported in the reference.)
Black C, Eunson J, Sewel K, Murray L. Scottish Schools Adolescent Lifestyle and
Substance Use Survey (SALSUS) National Report: Smoking, drinking and drug use
among 13 and 15 year olds in Scotland in 2010. 2011. NHS National Services Scotland.
Available from:
http://www.drugmisuse.isdscotland.org/publications/abstracts/salsus_national10.htm
smoking initiation
Scotland - availability
and sources of tobacco
American Cancer Society & World Lung Foundation. 2012. The Tobacco Atlas: Fourth
Edition. Available from: http://www.tobaccoatlas.org/
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
3
Topic
P
R
E
G
N
A
N
C
Y
Year(s) of data Statistic
Scotland - enforcement
of underage sales
2008/9 - 2010/11
England - trading
standards and tobacco
sales
2010/11
Reference (URLs accessed 03 June 2014)
During the 3 years of the Enhanced Tobacco Sales
Society of Chief Officers of Trading Standards in Scotland (SCOTSS). 13 February
Enforcement programme in Scotland (08/09 – 10/11) over 5,000 2012. The Enhanced Tobacco Sales Enforcement Programme 2008 - 11 Summary.
test purchases visits were made. This resulted in 792 written
warnings and 149 reports submitted to the Procurator Fiscal.
There have also been 41 joint operations with HMRC resulting
in the seizure of 1,677 pouches of tobacco, 797,800 packets of
cigarettes and 160 cigars. In the most recent (10/11) year, 24 of
32 local authorities carried out test purchases, resulting in
12.4% failure (underage sale) on first visit.
Illegal sale of cigarettes occurred in 12% of tobacco test
purchases at premises.
Trading Standards Institute. [2013]. Tobacco Control Survey, England 2012-2013: A
report of council trading standards service activity. Available from:
http://www.derby.gov.uk/media/Trading-Standards-Institute-Tobacco-Control-Survey2012-13.pdf
Scotland - targets for 13
year old smoking
prevalence
2006 - 2014
Reduce the prevalence of regular smoking among 13 year-old
girls from 5% (2006 baseline) to 3% in 2014, and among 13
year-old boys from 3% to 2%.
Scottish Government. 2008. Scotland’s future is smoke-free: a smoking prevention
action plan. Edinburgh: The Stationary Office. Available from:
http://www.scotland.gov.uk/Publications/2008/05/19144342/13
Scotland - targets for 15
year old smoking
prevalence
2006 - 2014
Reduce the prevalence of regular smoking among 15 year-old
girls from 18% in 2006 to 14% in 2014, and among 15 year-old
boys from 12% to 9%.
Scottish Government. 2008. Scotland’s future is smoke-free: a smoking prevention
action plan. Edinburgh: The Stationary Office. Available from:
http://www.scotland.gov.uk/Publications/2008/05/19144342/13
Scotland - target for 16
to 24 year old smoking
prevalence
2006 - 2012
Reduce the prevalence of smoking among 16 to 24 year olds
(both sexes) from 26.5% (2006 baseline) to 22.9% in 2012.
Scottish Government. 2008. Scotland’s future is smoke-free: a smoking prevention
action plan. Edinburgh: The Stationary Office. Available from:
http://www.scotland.gov.uk/Publications/2008/05/19144342/13
Scotland - pregnancy,
smoking at booking
2012 (provisional)
19.3% of women smoked at booking (12.6% ex-smoker, 62.7%
never smoker, 5.3% smoking status not known).
NHS Information Services Division Scotland. Maternity & Births: Publications. Available
from: http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/datatables.asp
Scotland - pregnancy,
associations with
deprivation
2012
31.3% of pregnant women in the most deprived SIMD quintile
are current smokers at booking, compared to 6.6% in the least
deprived SIMD quintile.
NHS Information Services Division Scotland. Maternity & Births: Publications. Available
from: http://www.isdscotland.org/Health-Topics/Maternity-and-Births/Publications/datatables.asp
Scotland - pregnancy,
targets
1995 - 2010
www.ashscotland.org.uk
Reduce the percentage of women who smoke during pregnancy Scottish Executive. 2004. A breath of fresh air for Scotland - Improving Scotland’s
from 29% (1995 baseline) to 20% by 2010 (target achieved).
health: the challenge, tobacco control action plan. Edinburgh: The Stationary Office.
Available from http://www.scotland.gov.uk/Resource/Doc/26487/0013536.pdf
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
4
Topic
C
E
S
S
A
T
I
O
N
Year(s) of data Statistic
Reference (URLs accessed 03 June 2014)
Scotland - cessation,
who wants to give up
2012
73% of Scottish smokers report they would like to stop smoking. Rutherford L, Hinchliffe S & Sharp C (eds). 2013. Scottish Health Survey 2012 - Volume
21% of smokers had made no attempts to quit smoking, 40%
1: Main report. Scottish Government. Available from:
had made one or two attempts, and 39% had made three or
http://www.scotland.gov.uk/Publications/2013/09/3684/0
more attempts to quit
*Scotland - cessation,
service performance
2013
103,431p quit attempts were set with smoking cessation
services in 2013 (a decrease on 119,428 in 2012), with 38%
being quit at one month.
p
Provisional figure. Will likely increase as ISD continues to
receive late data submissions.
Scotland - cessation
targets (HEAT)
2011/12 - 2013/14
S Scotland - exposure to
H second-hand smoke in
S home
Lawder R, Hecht G and Simmons S. 27 May 2014. NHS Smoking Cessation Service
Statistics (Scotland) 1st January to 31st December 2013. Scottish Public Health
Observatory/ISD Scotland. Available from:
http://www.scotpho.org.uk/publications/reports-and-papers/1227-nhs-smokingcessation-service-statistics-scotland-1st-january-to-31st-december-2013
NHSScotland to deliver universal smoking cessation services to
achieve at least 80,000 successful quits (at one month post quit)
including 48,000 in the 40% most-deprived within-Board SIMD
areas over the three years ending March 2014.
Scottish Government. NHSScotland Performance Targets - Health Improvement.
Available from:
http://www.scotland.gov.uk/About/Performance/scotPerforms/partnerstories/NHSScotlan
dperformance/smokingcessation
2012
Non-smokers’ (aged 16-74) regular exposure to second-hand
smoke in the home has fallen from 33% in 1998 to 18% in
2012. Most of this decline occurred between 1998 and 2008,
with figures relatively stable since then.
Rutherford L, Hinchliffe S & Sharp C (eds). 2013. Scottish Health Survey 2012 - Volume
1: Main report. Scottish Government. Available from:
http://www.scotland.gov.uk/Publications/2013/09/3684/0
Scotland – exposure to
second-hand smoke in
vehicles
2012
2% of non-smoking adults (aged 16 +) reported exposure to
second-hand smoke in cars/vans.
Rutherford L, Hinchliffe S & Sharp C (eds). 2013. Scottish Health Survey 2012 - Volume
1: Main report. Scottish Government. Available from:
http://www.scotland.gov.uk/Publications/2013/09/3684/0
Scotland – exposure to
second-hand smoke
outside buildings (e.g.
pubs, shops, hospitals)
2012
11% of non-smoking adults (aged 16 +) reported exposure to
second-hand smoke outside buildings (e.g. pubs, shops,
hospitals).
Rutherford L, Hinchliffe S & Sharp C (eds). 2013. Scottish Health Survey 2012 - Volume
1: Main report. Scottish Government. Available from:
http://www.scotland.gov.uk/Publications/2013/09/3684/0
www.ashscotland.org.uk
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
5
Topic
Year(s) of data Statistic
P *Scotland - public
O support for tobacco
L control measures
L
S
2014
Reference (URLs accessed 03 June 2014)
64% of Scottish adults (28% of smokers) support requiring
tobacco to be sold in plain standardised packaging with the
product name in standard lettering. 11% (35% of smokers)
oppose.
All figures, unless otherwise stated, are from YouGov Plc. Total sample size was 1064
adults. Fieldwork was undertaken between 5th to 14th March 2014 . The survey was
carried out online. The figures have been weighted and are representative of all
Scotland adults (aged 18+).
85% of Scottish adults (55% of smokers) support the law that
made enclosed public places and work places smoke-free, 8%
(30% of smokers) oppose.
75% of Scottish adults (61% of smokers) agree that smoking
should be banned in cars that are carrying children younger
than 18 years old, 11% (18% of smokers) disagree.
74% of Scottish adults (48% of smokers) agree smoking should
be banned in outdoor children’s play areas, 11% (37% of
smokers) disagree.
73% of Scottish adults (32% of smokers) agree smoking should
be banned in hospital grounds, 15% (48% of smokers) disagree.
T *UK - market value
O
B
A *UK - top cigarette
brands
C
C
O
I
N
D
U
S
T
R
Y
2012
2013
Estimated £15.1 billion
(85% of this on cigarettes)
Tobacco Manufacturers Association. UK tobacco market summary. Available from:
http://www.the-tma.org.uk/tma-publications-research/facts-figures/uk-tobacco-marketsummary/
1. Mayfair, (sales: £1,456.2 million, % change: 0.2%), Japan
Nielsen Scantrack service, MAT 12 October 2013. In: The Grocer. Top Products Survey
Tobacco International
2013. 21 December 2013. p179.
2. Sterling, (sales: £1,437.0 million, % change: 9.6%), Japan
Tobacco International
3. Lambert & Butler, (sales: £1,357.1 million, % change: -7.1%,
Imperial Tobacco
4. Richmond, (sales: £1,132.2 million, % change: -7.7), Imperial
Tobacco
5. John Player Special Silver, (£931.2 million, % change: 3.2%),
Imperial Tobacco
6. Marlboro, (£847.3 million, % change -0.1%), Philip Morris
7. Windsor Blue, (809.1 million, % change -1.0%), Imperial
Tobacco
8. Silk Cut, (581.0 million, % change: -1.2%), Japan Tobacco
International
9. B&H Gold, (549.3 million, % change: -1.8%), Japan Tobacco
International
10. Pall Mall, (487.2 million, % change: 12.4%), British American
Tobacco
Data is MAT till 12 October 2013. Overall in this period the total
volume change was -5.9%, and the total value of the cigarette
category £12, 389.1 million (% value change: 1.5%)
www.ashscotland.org.uk
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
6
Topic
Year(s) of data Statistic
UK - illicit trade
2011/12
Reference (URLs accessed 03 June 2014)
Cigarettes (mid point estimates) – the estimated UK illicit market HM Revenue & Customs. Measuring Tax Gaps 2013. 11 October 2013. Available from:
share in 2011/12 is 7% (estimated revenue loss £900 million),
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/249537/1
declining from 12% in 2007/8.
31010_Measuring_Tax_Gaps_ACCESS_2013.pdf
Hand rolled tobacco (mid point estimates) - the estimated UK
illicit market share in 2011/12 is 35% (estimated revenue loss
£700 million), declining from 49% in 2007/8.
World - revenue and
profit
2010
Total revenue for top 6 companies: $346.2 billion
Total profit for top 6 companies: $35.1 billion (equal to the
combined profits of Coca-Cola, Microsoft, and McDonalds in
2010)
American Cancer Society & World Lung Foundation. 2012. The Tobacco Atlas: Fourth
Edition. Available from: http://www.tobaccoatlas.org/
World - market share
2008
1. China National Tobacco Corporation - 37.1%
2. Philip Morris International - 17.4%
3. Altria/Philip Morris USA - 2.8%
4. British American Tobacco - 12.0%
5. Japan Tobacco International - 9.6%
6. Imperial Tobacco - 4.9%
7. Others - 19.0%
American Cancer Society & World Lung Foundation. 2012. The Tobacco Atlas: Fourth
Edition. Available from: http://www.tobaccoatlas.org/
www.ashscotland.org.uk
* and purple text denotes an update since previous version
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
7