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

doi:10.1192/bjo.2021.45

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

Summary 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.

Original language	English
Number of pages	0
Journal	BJPsych Open
Volume	7
Issue number	3
Early online date	23 Apr 2021
DOIs	https://doi.org/10.1192/bjo.2021.45
Publication status	Published - May 2021
Externally published	Yes

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10.1192/bjo.2021.45

Investigating smoking and nicotine dependence among people with severe mental illness during the COVID-19 pandemicAccepted author manuscript, 329 KB

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Peckham, E., Allgar, V., Crosland, S., Heron, P., Johnston, G., Newbronner, E., Ratschen, E., Spanakis, P., Wadman, R., Walker, L., & Gilbody, S. (2021). 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. BJPsych Open, 7(3). https://doi.org/10.1192/bjo.2021.45

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title = "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",

abstract = "Summary 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.",

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Peckham, E, Allgar, V, Crosland, S, Heron, P, Johnston, G, Newbronner, E, Ratschen, E, Spanakis, P, Wadman, R, Walker, L & Gilbody, S 2021, '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', BJPsych Open, vol. 7, no. 3. https://doi.org/10.1192/bjo.2021.45

TY - JOUR

T1 - 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

AU - Peckham, Emily

AU - Allgar, Victoria

AU - Crosland, Suzanne

AU - Heron, Paul

AU - Johnston, Gordon

AU - Newbronner, Elizabeth

AU - Ratschen, Elena

AU - Spanakis, Panagiotis

AU - Wadman, Ruth

AU - Walker, Lauren

AU - Gilbody, Simon

PY - 2021/5

Y1 - 2021/5

N2 - Summary 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.

AB - Summary 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.

UR - https://pearl.plymouth.ac.uk/pms-research/1013/

U2 - 10.1192/bjo.2021.45

DO - 10.1192/bjo.2021.45

M3 - Article

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JO - BJPsych Open

JF - BJPsych Open

IS - 3

ER -

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

Abstract

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How has the COVID-19 pandemic impacted on smoking and nicotine dependence among people with severe mental ill health? Analysis of linked data from a UK Closing the Gap Cohort

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