English stop-smoking services: one-year outcomes

Bauld, Linda and Hiscock, Rosemary and Dobbie, Fiona and Aveyard, Paul and Coleman, Tim and Leonardi-Bee, Jo and McRobbie, Hayden and McEwan, Andy (2016) English stop-smoking services: one-year outcomes. International Journal of Environmental Research and Public Health, 13 (12). 1175/1-1175/13. ISSN 1660-4601

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Abstract

The UK is a global leader in stop-smoking support—providing free behavioral support and cessation medication via stop smoking services (SSS) without charge to smokers. This study aimed to explore the client and service characteristics associated with abstinence 52 weeks after quitting. A prospective cohort study of 3057 SSS clients in nine different areas of England who began their quit attempt between March 2012 and March 2013 was conducted. Important determinants of long-term quitting were assessed through quit rates and multivariable logistic regression. Our results showed that the overall weighted carbon monoxide validated quit rate for clients at 52 weeks was 7.7% (95% confidence interval (CI) 6.6–9.0). The clients of advisors, whose main role was providing stop-smoking support, were more likely to quit long-term than advisors who had a generalist role in pharmacies or general practices (odds ratio (OR) 2.3 (95% CI 1.2–4.6)). Clients were more likely to achieve abstinence through group support than one-to-one support (OR 3.4 (95% CI 1.7–6.7)). Overall, one in thirteen people who set a quit date with the National Health Service (NHS) Stop-Smoking Service maintain abstinence for a year. Improving abstinence is likely to require a greater emphasis on providing specialist smoking cessation support. Results from this study suggest that over 18,000 premature deaths were prevented through longer-term smoking cessation achieved by smokers who accessed SSS in England from March 2012 to April 2013, but outcomes varied by client characteristic and the type of support provided.

Item Type: Article
Keywords: smoking cessation; stop-smoking services; smoking cessation services; behavioural support; pharmacotherapy
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: 10.3390/ijerph13121175
Related URLs:
Depositing User: McCambridge, Mrs April
Date Deposited: 07 Dec 2016 09:56
Last Modified: 17 Oct 2017 04:43
URI: http://eprints.nottingham.ac.uk/id/eprint/39188

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