Investigating smoking and nicotine dependence among people with severe mental illness during the COVID-19 pandemic: analysis of linked data from a UK Closing the Gap cohort

Emily Peckham*, Victoria Allgar, Suzanne Crosland, Paul Heron, Gordon Johnston, Elizabeth Newbronner, Elena Ratschen, Panagiotis Spanakis, Ruth Wadman, Lauren Walker, Simon Gilbody

*Corresponding author for this work

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Abstract

<jats:title>Summary</jats:title> <jats:p>Smoking rates are higher for people who use mental health services, which contributes substantially to health inequalities. Smoking can lead to worse COVID-19 outcomes, yet it remains unclear whether smoking has changed for people who use mental health services. We examined smoking patterns in a large clinical cohort of people with severe mental illness, before and during the pandemic. We found high levels of nicotine dependence and heavier patterns of smoking. Although some people had reported quitting, it is likely that smoking inequalities have become further entrenched. Mental health services should seek to mitigate this modifiable risk and source of poor health.</jats:p>
Original languageEnglish
Number of pages0
JournalBJPsych Open
Volume7
Issue number3
Early online date23 Apr 2021
DOIs
Publication statusPublished - May 2021

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