Publications by authors named "Sarah Jackson"

Background: Physical inactivity and tobacco smoking remain the leading causes of morbidity and mortality worldwide. In Germany, smoking prevalence is high at around 30%, and only 45% achieve the WHO recommendation for physical activity (PA). Understanding how smoking and physical inactivity co-occur can inform interventions targeting these behaviours.

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Background: Great Britain has been experiencing a cost-of-living crisis since late 2021, with the cost of everyday essentials rising more quickly than the average household income. This study provides up-to-date information on levels of subjective and objective financial hardship during this crisis, differences across population subgroups, and associations with psychological distress.

Methods: We used data from a representative cross-sectional survey of adults (≥16 y) in Great Britain (n = 7,027) conducted January-March 2023.

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Article Synopsis
  • - The study analyzed trends in vaping among ex-smokers in England from 2013 to 2024, showing a significant rise in e-cigarette use for smoking cessation efforts and ongoing vaping among those who quit smoking.
  • - Data was collected from a representative sample of over 54,000 adults, revealing that e-cigarette support for quitting smoking increased from 26.9% in 2013 to 41.4% by 2024.
  • - The findings highlighted that younger ex-smokers exhibited the highest vaping rates, with current vaping among those who quit smoking lasting over a year reaching 58.9% in 18-year-olds versus only 10.7% in those aged 65 and
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Background: Digital technologies offer the potential for low-cost, scalable delivery of interventions to promote smoking cessation.

Objective: We aimed to evaluate the effectiveness of the offer of Smoke Free-an evidence-informed, widely used app-for smoking cessation versus no support.

Methods: In this 2-arm randomized controlled trial, 3143 motivated adult smokers were recruited online between August 2020 and April 2021 and randomized to receive an offer of the Smoke Free app plus follow-up (intervention arm) versus follow-up only (comparator arm).

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Objectives: There is evidence that general practitioners (GPs) can increase the uptake of weight management programmes that enhance weight loss compared with self-directed efforts, but the rate at which they do so is unclear. This study examined the prevalence of weight control efforts and practices, the reported frequency and impact of receipt of GP advice on weight loss attempts and perceptions of the appropriateness of health professionals delivering weight loss advice.

Design: A nationally representative cross-sectional survey.

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Japanese encephalitis virus (JEV) is transmitted by species of mosquitoes. In 2022, JEV belonging to a previously unrecognized lineage of genotype IV (GIV) caused a major outbreak of JE in South-eastern Australia, resulting in human cases and affecting piggeries. has previously been implicated as the major vector of JEV in northern Australia where the virus has circulated since its first detection in 1995.

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Article Synopsis
  • This study examined tobacco smoking and vaping habits among older adults (65+) in England, focusing on their perceptions of harm regarding e-cigarettes and the effectiveness of e-cigarettes in quitting smoking.
  • Data was gathered through a large household survey from April 2014 to April 2024, comparing trends in smoking and vaping between older and younger adults while adjusting for various factors.
  • Results indicated stable smoking rates among older adults (around 9%) but rising vaping rates (from 2.1% to 3.7%), with older smokers being less likely to use e-cigarettes for quitting and expressing more uncertainty about e-cigarette harms compared to cigarettes.
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Introduction: There is majority support in parliament and across the United Kingdom to implement a "smoke-free generation" policy which would mean people born on or after January 1, 2009, could never legally be sold tobacco. To explore the potential impact this policy could have, we estimated the number of young adults (18-25 years) currently taking up smoking each year by area across the United Kingdom.

Methods: Using data from the Office for National Statistics (ONS), Annual Population Survey (APS), and Smoking Toolkit Study (STS), we estimated the total number of 18- to 25-year-olds taking up smoking each year, based on national estimates of population size (ONS) and the proportion who reported ever having regularly smoked (STS).

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Background: Cigarette smoking is incredibly harmful, even for people who do not smoke every day. This study aimed to estimate trends in non-daily smoking in England between 2006 and 2024, how these differed across population subgroups, and to explore changes in the profile of non-daily smokers in terms of their sociodemographic and smoking characteristics and vaping and alcohol consumption.

Methods: Data were collected monthly between November 2006 and April 2024 as part of a nationally representative, repeat cross-sectional survey of adults (≥ 18 years; n = 353,711).

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Background: This study aimed to estimate time trends in alcohol expenditure among risky drinkers in England over the past decade, to understand whether these trends are driven by changes in prices paid or volumes purchased, and to explore differences between population subgroups.

Methods: Nationally-representative monthly cross-sectional survey. Participants were 44,382 adults (≥18y) drinking at risky levels (AUDIT-C ≥ 5; 'risky drinkers').

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Background: E-cigarettes are increasingly used by smokers and ex-smokers, often to support smoking cessation, but also among those who have never regularly smoked. The aim of our study is to estimate time trends in vaping prevalence among adults who have never regularly smoked and describe the profile of adult never-regular-smokers who vape.

Methods: In this nationally representative, monthly cross-sectional survey in England, 153 073 participants (aged ≥18 years) were recruited from July, 2016, to April, 2024.

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Article Synopsis
  • The study investigates the influence of close social connections on smoking and vaping behaviors among adults in England, finding that having friends or family who smoke or vape significantly increases the likelihood of an individual doing the same.
  • Results show that people with friends who smoke are more likely to smoke, and those with friends who vape are more likely to vape and use e-cigarettes as a smoking cessation aid.
  • While the study highlights the correlation between social ties and smoking/vaping habits, it does not establish a definitive causal relationship due to its cross-sectional design.
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Background: Vaping products are effective for helping people to stop smoking and may therefore offer a potential means to reduce high rates of smoking in socioeconomically disadvantaged groups. This study aimed to examine current patterns and perceptions of vaping among people living in social housing in Great Britain compared with those living in other housing types.

Methods: Data were from the Smoking Toolkit Study; a nationally-representative survey conducted in 2023 (n = 23,245).

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We report high resolution measurements of the stable water isotope ratios (δO, δD) from the Mount Brown South ice core (MBS, 69.11 S 86.31 E).

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Introduction: The sale of factory-made cigarettes with menthol as characterising flavour has been prohibited in Great Britain since May-2020. However, menthol accessories like flavoured filters for roll-your-own (RYO) tobacco can be sold legally, possibly undermining the policy. This study aimed to explore the association of RYO and menthol cigarette smoking.

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Background: There has been a rapid rise in disposable (single-use) e-cigarette vaping among young adults in England since June 2021 (leading to a planned ban on these products). We examined how this has affected population trends in current (i) vaping, (ii) tobacco smoking, and (iii) inhaled nicotine use.

Methods: We used data from a nationally-representative monthly repeat cross-sectional survey of adults (≥18) in England (n = 132,252; July-2016-May-2023).

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Introduction: The effectiveness of e-cigarettes for smoking cessation may differ by source of purchase. The changing influence of self-selection on purchase location caused by COVID-19 pandemic-related vape shop closures means we can examine the association between smoking abstinence e-cigarette use by purchase source and test for the moderation of this association by the timing of the pandemic.

Aims And Methods: Repeat-cross-sectional nationally representative surveys, conducted between January 2017 and August 2023.

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Objective: To examine trends in long term (>6 months) vaping among adults in England.

Design: Population based study.

Setting: England.

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Importance: With the prevalence of e-cigarette use (vaping) increasing worldwide, there are concerns about children's exposure to secondhand vapor.

Objective: To compare nicotine absorption among children who are (1) exposed to secondhand tobacco smoke only or (2) exposed to secondhand vapor only with (3) those exposed to neither.

Design, Setting, And Participants: The US Continuous National Health and Nutrition Examination Survey (NHANES) is a repeat cross-sectional survey.

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Introduction: Persistent infection with high-risk human papillomavirus (HPV) is the causal agent of several cancers including cervical, anal and oropharyngeal cancer. Transgender men and transmasculine non-binary (TMNB) people with a cervix are much less likely to undergo cervical cancer screening than cisgender women. Transgender women and transfeminine non-binary (TWNB) people assigned male at birth may be at increased risk of HPV.

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Background And Aims: The use of e-cigarettes may influence later smoking uptake in young people. Evidence and gap maps (EGMs) are interactive on-line tools that display the evidence and gaps in a specific area of policy or research. The aim of this study was to map clusters and gaps in evidence exploring the relationship between e-cigarette use or availability and subsequent combustible tobacco use in people aged < 30 years.

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Background And Aims: In March 2024, the UK government announced plans to introduce a Vaping Products Duty that will tax e-liquids based on their nicotine strength. This study examined trends in the nicotine strength of e-liquids used by adult vapers and differences in those currently used across relevant subgroups.

Design: Nationally-representative, cross-sectional household survey, July 2016 to January 2024.

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Background: In the UK in May 2016, standardised packaging of tobacco products was implemented, including minimum pack sizes of 20 sticks or 30 g loose tobacco. The change was intended to reduce uptake by increasing upfront costs to young people, but there was concern it may unintentionally increase consumption among people smoking. This study aimed to assess whether the introduction of the policy was associated with changes in (1) mean daily factory-made (FM)/roll-your-own (RYO) cigarettes consumption among people smoking predominantly (a) FM and (b) RYO cigarettes; and (2) current smoking prevalence among 16-24-year-olds.

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