Insights into social disparities in smoking prevalence using Mosaic, a novel measure of socioeconomic status: an analysis using a large primary care dataset

Sharma, Aarohi; Lewis, Sarah; Szatkowski, Lisa
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p755
Academic Journal
Background: There are well-established socio-economic differences in the prevalence of smoking in the UK, but conventional socio-economic measures may not capture the range and degree of these associations. We have used a commercial geodemographic profiling system, Mosaic, to explore associations with smoking prevalence in a large primary care dataset and to establish whether this tool provides new insights into socio-economic determinants of smoking. Methods: We analysed anonymised data on over 2 million patients from The Health Improvement Network (THIN) database, linked via patients' postcodes to Mosaic classifications (11 groups and 61 types) and quintiles of Townsend Index of Multiple Deprivation. Patients' current smoking status was identified using Read Codes, and logistic regression was used to explore the associations between the available measures of socioeconomic status and smoking prevalence. Results: As anticipated, smoking prevalence increased with increasing deprivation according to the Townsend Index (age and sex adjusted OR for highest vs lowest quintile 2.96, 95% CI 2.92-2.99). There were more marked differences in prevalence across Mosaic groups (OR for group G vs group A 4.41, 95% CI 4.33-4.49). Across the 61 Mosaic types, smoking prevalence varied from 8.6% to 42.7%. Mosaic types with high smoking prevalence were characterised by relative deprivation, but also more specifically by single-parent households living in public rented accommodation in areas with little community support, having no access to a car, few qualifications and high TV viewing behaviour. Conclusion: Conventional socio-economic measures may underplay social disparities in smoking prevalence. Newer classification systems, such as Mosaic, encompass a wider range of demographic, lifestyle and behaviour data, and are valuable in identifying characteristics of groups of heavy smokers which might be used to tailor cessation interventions.


Related Articles

  • The impact of pharmacists on public health. Sierra, Johanna; Subramaniam, Vaiyapuri // Drug Topics;Aug2013, Vol. 157 Issue 8, p32 

    The article discusses the impact of pharmacists on public health. Pharmacists have the capability to take the initiative to bridge the gap in health disparities by effectively communicating with their patients and community on the topics of health literacy, smoking cessation, diabetes, and...

  • Academic Medicine and the Workplace. Alderman, Michael H. // American Journal of Public Health;Mar1993, Vol. 83 Issue 3, p313 

    The article discusses various reports published within the March 1993 issue of the "American Journal of Public Health." It introduces two papers that describe the results of experiments testing the efficacy of health promotion programs in the workplace. Moreover, a study that aims to determine...

  • Workplace health promotion: the right idea in the wrong place. Gordon, Janie // Health Education Research;Apr1987, Vol. 2 Issue 1, p69 

    The article presents information on workplace-based health-promotion programs. Many companies have years of experience providing employee health-promotion programs. Employee assistance programs for alcohol abuse are probably the most common effort. Workplace-based smoking cessation, weight loss,...

  • Investigating explanations of socio-economic inequalities in health. Van Lenthe, Frank J.; Schrijvers, Carola T. M.; Droomers, Mariel; Joung, Inez M. A.; Louwman, Marieke J.; Mackenbach, Johan P. // European Journal of Public Health;Mar2004, Vol. 14 Issue 1, p63 

    Background: The GLOBE study is a prospective cohort study specifically aimed at the explanation of socio-economic inequalities in health in the Netherlands. The returns of the study are reviewed after ten years of follow-up, and the studies' contribution to the development of policy measures to...

  • Health impact assessment--how to start the process and make it last. Banken, Reiner // Bulletin of the World Health Organization;2003, Vol. 81 Issue 6, p389 

    Editorial. Discusses methods to start the process of health impact assessment (HIA). Features of HIA; Strategy for institutionalizing HIA; Developments that have been on the international level to institutionalizing HIA as of June 2003.

  • 'GMS contract not working well for Northern Ireland' Cameron, Ian // Pulse;9/10/2005, Vol. 65 Issue 35, p10 

    Reports the need to overhaul the General Medical Services contract in Northern Ireland. Health status of the region's population; Overall performance of general practitioners in the area based on a review by researcher John Appleby; Indication of inefficiencies in the National Health Service.

  • Health promotive action and preventive action model (HPA model) for the classification of health care services in public health nursing. Elo, Sirkka L.; Calltorp, Johan B. // Scandinavian Journal of Public Health;Sep2002, Vol. 30 Issue 3, p200 

    Background: There is a need for an expanded approach to develop knowledge of public health nursing as a sphere of public health. The aim of this paper was to construct a theoretical model for healthcare services in the area of public health nursing based on the analysis and classification of...

  • POWER PLAYERS.  // Indianapolis Business Journal;8/22/2005, Vol. 26 Issue 24, p24 

    Presents a roundtable discussion among a group of physician researchers, health care and insurance executives, medical system innovators and government leaders on public health in the U.S. Increase in investment in public health programs; Need to restore funding for smoking prevention programs;...

  • California campaign tackles health disparities. Late, Michele // Nation's Health;May2003, Vol. 33 Issue 4, p13 

    Provides information on the campaign to eliminate racial and ethnic health disparities in California. Draft for a strategic planning of the community health campaign; Government agencies involved in the project; Goals and objectives of the initiative.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics