1. Latest trends on smoking in England from the Smoking Toolkit Study
Robert West
Jamie Brown
Last updated: 5th September 2017

2. Methods Data collected during monthly household survey
Each month involves a new representative sample of ~ 1800 respondents
Running since November 2006 and has accumulated more than 200,000 respondents of whom more than 48,000 are ‘last-year smokers’
Fidler, et al., 'The smoking toolkit study': a national study of smoking and smoking cessation in England. BMC Public Health 11:479
For more info see

3. Cigarette smoking prevalence
Base: All adults

4. Cigarette smoking by social grade
23.3%
16.9%
11.7%
A-C1: Professional to clerical occupation C2-E: Manual occupation
3-month moving average

5. Tried to stop smoking in past year
Base: Adults who smoked in the past year

6. Tried to stop by social grade
A-C1: Professional to clerical occupation C2-E: Manual occupation

7. Success rate for stopping in those who tried
Base: Smokers who tried to stop in the past year

8. Stopped smoking in past 12 months
Base: Adults who smoked in the past year

9. Support used in quit attempts
No aid
E-cig
NRT OTC
Med Rx
NHS
NRT OTC: Nicotine replacement therapy bought over the counter; Med Rx: Prescription medication; NHS: NHS Stop Smoking Service; E-cig: E-cigarette. .

10. Aids used in most recent quit attempt
N=12859 adults who smoke and tried to stop or who stopped in the past year; method is
coded as any (not exclusive) use

11. GP-triggered quit attempts

12. Motivation to quit
A-C1: Professional to clerical occupation C2-E: Manual occupation

13. Harm reduction
NRT: Nicotine replacement therapy

14. Prevalence of electronic cigarette use: smokers and recent ex-smokers
N=25587 adults who smoke or who stopped in the past year; increase p<0.001

15. Nicotine use by never smokers and long-term ex-smokers
N=59195 never and long-term ex-smokers from Nov 2013

16. Proportion of e-cigarette and NRT users who are smokers
N=3869 e-cigarette users and N=1975 NRT users of adults

17. Proportion of daily e-cigarette and NRT users who are smokers
N=2193 e-cigarette users and N=805 NRT users of adults

18. Electronic cigarette use
N=3227 e-cigarette users not using NRT

19. Characteristics of the e-cigarette
N=730 e-cigarette users who smoke or who stopped in the past year surveyed since Aug 16

20. E-liquid
N=615 nicotine containing e-cigarette users who smoke or who stopped in the past year surveyed since Aug 16

21. Source
N=730 e-cigarette users who smoke or who stopped in the past year surveyed since Aug 16

22. Electronic cigarette and NRT use across the age range
N=17,337 adults who smoke or who stopped in the past year and were surveyed between Q1

23. Electronic cigarette and NRT use in men and women
N=17,337 adults who smoke or who stopped in the past year and were surveyed between Q1

24. Electronic cigarette and NRT use across the social gradient
N=17,337 adults who smoke or who stopped in the past year and were surveyed between Q1

25. Pharmacological support
Data from RCTs; Cochrane reviews (NRT 2013; Varenicline, Cytisine 2016; E-cigarettes 2017) *Estimated by combining effect sizes; All comparisons are active medication versus placebo in context of behavioural support; bars show 95% confidence intervals

26. Psychological support
Data from RCTs; Cochrane reviews (2017, 2017, 2013, 2016); Indirect estimates compared with nothing; Insufficient data on smartphone apps; Mixed data on websites; bars show 95% confidence intervals

27. Factors associated with odds of success in most recent quit attempt
Base: 14,813 smokers who tried to quit in past 12 months

28. Key points Smoking prevalence is declining and quitting is increasing
Use of prescription medication and NRT OTC is declining
GPs appear to be playing a declining role in triggering quitting
Use of e-cigarettes increased rapidly but now seems to have plateaued
Real-world evidence on effectiveness of different cessation aids appears to match evidence from RCTs except for NRT OTC which does not appear to increase quit rates