
Smoking rates increase in some parts of UK - as researchers warn progress has 'stalled'
Smoking rates have increased in some parts of the UK, with researchers warning progress to stop overall has "stalled" in recent years.
A study from University College London (UCL) published in the journal Addiction, found the national average for smoking prevalence fell from 25.3% to 16.5% between 2006 and 2024.
However, while smoking rates are largely down since the early 2000s, there is an indication rates are starting to rise again in the last four years.
The analysis, based on the Smoking Toolkit Study data from 368,057 adults, found that between 2020 and 2024, there was an increase in smoking rates in the South West - which climbed from 16.0% to 18.7%.
There were also small increases in the South East (15.4% to 16.8%) and London (15.8% to 17.0%).
Lead author Dr Sarah Jackson, of UCL's Institute of Epidemiology and Health Care, said: "But across England progress has stalled in recent years, and in some regions smoking rates appear to be increasing.
"It's vital that stop smoking services are made easily and equally available across the country, so that everyone - wherever they live - can access the right tools to quit for good."
Dr Ian Walker, from Cancer Research UK, said the UK "can't afford to lose any momentum" when it comes to cutting smoking rates.
If the Tobacco and Vapes Bill - which is currently working its way through the House of Commons - becomes law, anyone born after 1 January 2009 will be prevented from legally smoking by gradually raising the age at which tobacco can be bought. It would also ban vape advertising and sponsorship.
Disposable vapes will be banned from June this year, under separate environmental legislation.
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Smoking rates fall the most in the north
In October, the Office for National Statistics' Annual Population Survey estimated about six million adults smoked cigarettes in the UK in 2023, the lowest proportion since records began in 2011.
The largest and fastest fall in smoking rates was seen in the north of England, where rates almost halved from 28.8% to 15.8%.
Dr Jackson said: "Until recently, smoking rates were highest in the north of England, but our study shows that regional differences have narrowed considerably over the past 18 years.
"Smoking rates fell most in northern regions, where dedicated regional tobacco control programmes have been largely concentrated.
A Department of Health and Social Care spokesperson said: "The landmark Tobacco and Vapes Bill will create the first smoke-free generation and put us on track to a smoke-free UK.
"We are also committed to supporting current smokers to quit. We're investing an additional £70m for local Stop Smoking Services this year, and we are working to ensure that all NHS hospitals offer 'opt-out' smoking cessation services."
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Metro
a day ago
- Metro
This is why it seems like everyone has ADHD right now — including you
It might seem like 'everyone has ADHD right now' – but that couldn't be further from the truth (Picture: Metro) Opening up to a friend after I was diagnosed with ADHD, I voiced my struggles with time blindness, lateness, general disorganisation, and emotional dysregulation. 'But isn't it normal to get a little bit distracted sometimes? I probably have ADHD too, if that's the case' she said to me. My heart sank, feeling both rejected and my life experiences diminished in one simple interaction. I doubt she meant to upset me, but her words stung. There's an increasing perception that having ADHD is becoming a 'trend' or a 'personality quirk.' Just like OCD has been carelessly thrown about as being neat and tidy, ADHD is starting to become synonymous with making seemingly normal, harmless mistakes like misplacing a purse, or being 10 minutes late to a coffee date. As soon as I first read about ADHD in women, I knew that I had it. I once lost my house keys and paid my landlord for another set, only to find them wedged down the back of the sofa when I moved out. I also impulsively switched subjects during my GCSEs, A Levels and university; I had my library card revoked at the age of 10 after I failed to return the books I'd borrowed, and I'd spent my whole life feeling that my brain was simply a little bit different. So, does everyone really have ADHD now? Or are we just being equipped with the tools to navigate our own brains, and connecting with a like-minded community in the process? Have ADHD diagnoses increased in the last few years? In 2023, a study from UCL found that the number of people being diagnosed with ADHD has increased over the last 20 years, but this doesn't mean that 'everyone' has it now. Between 2000 and 2018, there was a twenty-fold increase in ADHD diagnoses, rising to almost fifty-fold in ADHD prescriptions issued to men aged 18-29. Largely owing to medical misogyny that favours research into symptoms in men and boys, women are still largely going undetected: the ADHD Foundation estimates that between 50 and 70% of the 1,000,000 women in the UK living with ADHD are undiagnosed. There might've been an increase in people seeking help for ADHD in recent years, but that doesn't mean that the condition is becoming more common. It still only impacts between 2% and 6% of the world's population. ADHD impacts between 2% and 6% of the population (Picture: Getty Images) Likewise, a 2025 review from King's College London looked at 40 studies across 17 countries and concluded that the prevalence of ADHD (AKA, the number of people living with a condition within a specific timeframe) hasn't increased since 2020. The author, Dr Alex Martin, noted that while much of the media has been concerned about a 'surge' in ADHD diagnoses, both 'assessments and help-seeking' are snowballing – which goes some way towards explaining why it might feel like more people have it now. There are also multiple barriers to diagnosis, including excessive NHS waiting times (as long as eight years in some parts of the UK), and the hefty cost of a private diagnosis, which averages out at £1,200 for adults. For many, self-diagnosis is their only option – and that's valid. Meeting the threshold for diagnosis Getting an ADHD diagnosis isn't an easy task, and psychiatrists certainly aren't handing them out like they're lollipops. To qualify, adults need to align with at least five symptoms on the DSM-5, the framework that's used to detect it. As psychologist and clinical director Dr Angela Pickering tells Metro, various symptoms of ADHD might seem relatable to the general non-neurodivergent public. But what differentiates these symptoms between being a normal part of life and being suggestive of neurodiversity is the frequency with which they happen and how debilitating they are. 'The key difference is that for someone with ADHD, these symptoms are persistent, pervasive and significantly impact their ability to function in daily life, across multiple settings such as work, school and relationships,' Dr Angela explains. ADHD isn't just being 'scatterbrained' or 'disorganised': in Angela's words, it's a 'neurodevelopmental condition rooted in differences in brain structure and function.' And so, a diagnosis doesn't just require checking off a few traits, but a 'detailed evaluation to understand the full context of a person's life and challenges.' 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You don't have ADHD if you just forget your keys sometimes; you're probably just a regular human being living in an increasingly hectic world. Do you have a story to share? Get in touch by emailing MetroLifestyleTeam@ Arrow MORE: I'm desperate to lose my virginity but have a panic attack whenever I come close Arrow MORE: Video games are great for my mental and physical wellbeing – Reader's Feature Arrow MORE: Heston Blumenthal reveals touching wish after emotional moment with son


Telegraph
2 days ago
- Telegraph
NHS survey overstates mental health crisis in children, say experts
A leading consultant has criticised official data that claims that more than one in five school children has mental health problems as 'nuts' and 'pernicious'. A new report by the Department for Education on the rise in pupils not attending school links it to increased levels of mental illness among young people. It cites NHS data showing that 21 per cent of children aged eight to 16 have a 'probable mental health problem'. The figure has been widely publicised and is part of the justification for the government's policy to put councillors in every secondary school. But experts warn that the calculation is based on 'subjective' questionnaire data and could be exaggerating the prevalence of mental health issues among young people. The Strengths and Difficulties survey used in the NHS data gives children multiple choice questions on their emotional state, concentration levels, conduct and relationships to assess their mental wellbeing. Pupils are asked questions such as: 'Have you recently felt capable of making decisions about things?'; 'Have you recently felt that you are playing a useful part in things?' and 'Do you sometimes feel anxious in certain situations?'. Response options are 'not true', 'somewhat true', or 'certainly true'. Children who score 17 or above out of 40 are recorded as having 'probable mental health problems'. However, Professor Dr Joanna Moncrieff, an academic at University College London and a practising psychiatrist for the NHS, has questioned the method and the labelling of children as mentally ill. 'Anyone scoring above the average in this survey is deemed to have a probable mental health problem – I mean that's nuts,' she told The Telegraph. 'It is a really good illustration of how misleading this whole mental health debate can be. 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Prof Moncrieff said labelling children can limit them: 'People think they've found an explanation, but they haven't; they have just acquired a label and labels can be really pernicious because they limit you,' she said. 'You think 'I have this thing, therefore I can't possibly do this and I can't possibly do that'. It is really worrying.' Another academic, Frank Furedi, emeritus professor of sociology at the University of Kent, argued that children who registered concern about their lives, or the state of the world, were not necessarily exhibiting signs of mental illness. 'What used to be called problems of life, problems of existence, are now framed in the language of psychology, and we tend to medicalise our personal problems,' he said. 'So, we no longer have shy people; we have people with social phobia. We no longer have kids who are just very energetic; we have ADHD. We are inciting young people to feel unwell. To me, the mental health industry is actually complicit in creating a mental health problem.' Long waiting lists Concerns have also been raised that the data method, and others like it, could be leading to a crisis in the already overstretched Children and Adolescent Mental Health Services (CAMHS), leaving referrals with the most serious mental health conditions stuck on long waiting lists. Almost one million children and young people had active referrals for CAMHS in England, figures from 2022-23 show. A third were on waiting lists, while 40 per cent had their referral closed before accessing support. Nearly 40,000 children experienced waits of at least two years. The most common reason for a referral for mental health treatment was cited as anxiety. 'I don't work with children, but we have quite a lot of young people coming through from CAMHS and we are absolutely overwhelmed with referrals,' said Prof Moncrieff. 'I would say anecdotally that there are people coming through who are less unwell (than in the past). Then we have the whole question of how we help; is it really helpful or might it be harmful? I don't think it is a good thing for lots of people to be on antidepressants or other forms of drug treatment.' Bridget Phillipson, the Education Secretary, has pledged to provide school counsellors in all secondary schools in England. Campaigners say this does not go far enough and want mental health professionals at primary level too. But Prof Moncrieff said the move could have unintended negative consequences. 'The worry is that they could end up identifying and labelling more kids and sending them off to CAMHS,' she said. 'The best case scenario is counsellors reduce the need because pupils have someone to talk to and that helps. 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Daily Mail
4 days ago
- Daily Mail
Experts pinpoint simple mindset change that could slash the risk of early dementia
Staying positive can cut the risk of memory loss in middle age, a major study suggests. Researchers tracked more than 10,000 people aged over 50 and found those with higher levels of wellbeing were more likely to have better scores on memory tests. They also reported a greater sense of control, independence and freedom to make choices than other people. While the link was small, researchers suggested it was significant. Co-author Joshua Stott, professor of ageing and clinical psychology at University College London, said: 'This study represents an important step toward understanding the interplay between wellbeing and memory over time. 'It offers new insights into how self-rated wellbeing is associated with memory and vice versa. 'While our findings are preliminary, they highlight the importance of considering psychosocial influences on brain health such as memory.' The study, published in the journal Aging & Mental Health, tracked 10,760 men and women aged over 50. They were assessed on wellbeing and memory every two years – a total of nine times during the 16-year study period, starting in 2002. Researchers checked people's ability to learn and recall ten words immediately and after a delay. Wellbeing was also assessed using a quality-of-life questionnaire, looking at areas such as pleasure, control and autonomy. Questions people were asked included the phrases: 'I can do the things that I want to do', and 'I feel that life is full of opportunities'. The study found a small but significant association between higher wellbeing and better memory, which still existed even after any depression was taken into account. The researchers suggested reasons why wellbeing may have a positive impact on memory, such as people may be more likely to exercise, which improves health. Age, gender, other lifestyle factors and socioeconomic status may also have a negative or positive impact on wellbeing and memory, they added. The authors found no evidence that it was poor memory causing low wellbeing in some people, but they stressed this could not be ruled out. The research was funded by Alzheimer's Research UK and others, including the Medical Research Council. Emma Taylor, information services manager at Alzheimer's Research UK, said: 'Loving your heart, staying sharp and keeping connected are key to protecting our brain health as we age. 'There are 14 established health and lifestyle risk factors for dementia, including lack of physical exercise, social isolation, and depression, which are linked to wellbeing. 'This study found that people over 50 who reported they felt happier and more fulfilled in life had a better memory over time. 'However, this research is observational – and more work is needed to understand how a positive wellbeing and memory are connected and whether this has a knock-on effect on dementia risk. 'Looking after our mental wellbeing plays an important part in our overall health. 'And it's never too late to start taking steps to keep our brains healthy throughout our lives and lessen the devastating impact of dementia.' Study co-author Dr Emily Willroth, assistant professor of psychological and brain sciences at Washington University in St Louis, Missouri, said: 'Going forwards it would be fantastic if this research can build on the foundations of ongoing memory research to potentially inform strategies supporting cognitive health in ageing populations – that is the aim.'