Sarah Jackson
@drsarahejackson.bsky.social
2.8K followers 450 following 190 posts
Behavioural scientist, UCL Tobacco and Alcohol Research Group. Smoking, vaping, and alcohol research. President of SRNT Europe. Senior Editor at Addiction.
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drsarahejackson.bsky.social
SRNT Europe's 2025 conference kicks off two weeks today and I'm delighted to be presenting alongside most of my colleagues from UCL's Tobacco and Alcohol Research Group.

You can catch us across the three days at the following times. Hope to see lots of you there!

#SRNTE2025
Reposted by Sarah Jackson
addictionjournal.bsky.social
Associations between non-daily smoking and motivation to stop smoking: A population study in England 2021–2024 buff.ly/GigcYWP @drsarahejackson.bsky.social @jamiebrown.bsky.social @lionshahab.bsky.social @sharoncox.bsky.social
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drsarahejackson.bsky.social
The SRNT-E 2025 conference programme is now online! 🎉

See what we've got lined up here: srnt-e.org/conference/2...

Looking forward to seeing many of you in Romania!
drsarahejackson.bsky.social
The UK Government uses the Annual Population Survey (APS) as its official smoking estimate.

APS only captures cigarette smoking and may miss some non-daily use. Our findings suggest that relying solely on APS data could overstate reductions in smoking.
drsarahejackson.bsky.social
The Smoking Toolkit Study shows substantial declines in smoking prevalence and cigarette consumption among adults in England since 2007.

However, the extent of these changes differs according to how the outcomes are defined.

Research letter - Tobacco Control
tobaccocontrol.bmj.com/content/earl...
drsarahejackson.bsky.social
Although smoking prevalence is now similar across regions of GB, there is variation in cigarette consumption among adults who smoke.

Mean cigarettes smoked/day and % smoking >20/day:
🟡Highest in North East and Scotland
🟡Lowest in London and South West

academic.oup.com/ntr/advance-...
drsarahejackson.bsky.social
Our new paper provides up-to-date evidence on cigarette consumption across Great Britain.

🟡~28.6 billion cigarettes are smoked each year.

🟡There are persistent disparities across socioeconomic groups, regions, and nations.

academic.oup.com/ntr/advance-... @ntrjournal.bsky.social
Reposted by Sarah Jackson
addictionjournal.bsky.social
Changing patterns of nicotine product use and nicotine dependence among United States high-school students: The National Youth Tobacco Survey, 2014–2023 buff.ly/XL93VOm @drsarahejackson.bsky.social @jamiebrown.bsky.social @tattanbirch.bsky.social
drsarahejackson.bsky.social
Likewise, the spike in e-cig use did not lead to a sustained increase in the population burden of nicotine dependence, which is now at a historically low level.

However, dependence symptoms increased over time among those only using e-cigs.

onlinelibrary.wiley.com/doi/full/10....
drsarahejackson.bsky.social
Our results show no evidence of a gateway effect from vaping to smoking at the population level: despite a sharp rise in e-cigarette use in 2019, use of cigarettes and other combustible tobacco products continued to fall and in 2023 were lower than ever.

onlinelibrary.wiley.com/doi/full/10....
drsarahejackson.bsky.social
While dependence symptoms were consistently highest among cigarette users, they were increasingly prevalent among those using only e-cigarettes after 2017.

onlinelibrary.wiley.com/doi/full/10....
drsarahejackson.bsky.social
The overall burden of nicotine dependence was substantially lower, but showed a similar pattern, with a peak in 2019 and a notable reduction by 2023.

Even when we re-estimated dependence to account for potential underreporting by students using e-cigs only.

onlinelibrary.wiley.com/doi/full/10....
drsarahejackson.bsky.social
Our new analysis, using NYTS data up to 2023, shows the proportion of high-school students using any nicotine product in the past 30 days peaked at 31.4% in 2019 and has since fallen steeply to a record low of 12.5% in 2023.

onlinelibrary.wiley.com/doi/full/10....
drsarahejackson.bsky.social
This raises questions as to what has happened to the population burden of nicotine dependence among young people, in the context of decreased prevalence of vaping, but potentially increased dependence among those who vape.
drsarahejackson.bsky.social
Since 2019, the vaping landscape has changed.

Vaping prevalence among young people has fallen substantially.

But newer products using nicotine salts e-liquids deliver nicotine more efficiently, potentially leading to increased dependence among the remaining pool of vapers.
drsarahejackson.bsky.social
Vapers emphasised the need to balance policy interventions that make e-cigarettes less appealing to young people but do not deter people from using them as an alternative to smoking.
drsarahejackson.bsky.social
Policies that target the packaging, appearance, and marketing of e-cigarettes appear much more popular among vapers than those targeting price or the types of devices and flavours that can be sold.