In the course of my job, I work in social housing estates all over South Wales. In Wales only about 23% of adults now smoke, according to the Welsh Health Survey. But that percentage rises dramatically when measured amongst poor, disadvantaged people. When I deal with educated people, in full employment, the percentage rapidly drops way below 23%.
The rate of quitting over the last 20-30 years has been very much slower amongst the first group, then the second. Its all down to nurture, not nature.
When kids are growing up and most of the adults around them smoke, the chances are that they will smoke as well. There are kids not yet born on the Gurnos Estate today that will be smokers in about 15 years time, and they in turn will teach their kids to smoke as well. Its a vicious circle.
Its often been said that being poor makes you smoke but that is only half the story. Smoking is a major cause of poverty amongst the poor and disadvantaged. If your only source of income is the JSA, its not difficult to spend half of this, and more each week, just on cigarettes.
I am not really sure what the answer is to this situation. The educational approach has worked with the mid and high social classes but it really hasn't been effective in other lower socioeconomic groups. I guess we must start with children, but I have seen a growing number of kids using these new E-Cigarettes, on their walk home from school of an afternoon, and that must be worrying for the health authorites.