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Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators


  • Twigg, Liz
  • Moon, Graham
  • Jones, Kelvyn


Health-related behaviours are of central importance to health promotion and to the promotion of enhanced population health. In the UK, localised knowledge of the quantitative dimensions of health-related behaviours is traditionally attained by conducting a costly sample survey. Such surveys seldom generate reliable data at scales more local than that of the health authority, they also need to be repeated regularly. This paper outlines an alternative framework for generating statistics on small-area health related behaviours using routinely available data from the annual Health Survey for England (N=17,000) and the decennial Population Census. Using a multilevel modelling approach nesting individuals within postcode sectors within health authorities, and focusing on the prevalence of smoking and 'problem' drinking, the paper comprises four sections: a consideration of the modelling strategy, a comparison of the smoking and drinking models, an outline of the estimation strategy, and the presentation and discussion of ward-level estimates of smoking and drinking behaviour for England. The paper concludes that the method is better at estimating smoking than drinking but that it offers a feasible, cheap and more informative alternative to the survey approach to the generation of information on smoking and drinking behaviour.

Suggested Citation

  • Twigg, Liz & Moon, Graham & Jones, Kelvyn, 2000. "Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators," Social Science & Medicine, Elsevier, vol. 50(7-8), pages 1109-1120, April.
  • Handle: RePEc:eee:socmed:v:50:y:2000:i:7-8:p:1109-1120

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    Cited by:

    1. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.
    2. Moon, Graham & Quarendon, Gemma & Barnard, Steve & Twigg, Liz & Blyth, Bill, 2007. "Fat nation: Deciphering the distinctive geographies of obesity in England," Social Science & Medicine, Elsevier, vol. 65(1), pages 20-31, July.
    3. Twigg, Liz & Moon, Graham & Szatkowski, Lisa & Iggulden, Paul, 2009. "Smoking cessation in England: Intentionality, anticipated ease of quitting and advice provision," Social Science & Medicine, Elsevier, vol. 68(4), pages 610-619, February.


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