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Smoking cessation in England: Intentionality, anticipated ease of quitting and advice provision

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  • Twigg, Liz
  • Moon, Graham
  • Szatkowski, Lisa
  • Iggulden, Paul

Abstract

Smoking prevalence in England continues to reduce but further reduction is increasingly difficult. Cessation policy has successfully targeted those who want to quit but further reduction will need to shift attention to more difficult 'core smoker' populations. Following the established 'stages of change' perspective, this paper considers the characteristics of people who do not intend to quit smoking, anticipate difficulties in quitting and have not received advice about quitting. We deploy multilevel models of data drawn from the Health Survey for England years 2002-2004, and the NHS Primary Care Trust Patient Surveys for 2004 and 2005. It was found that variations in intentionality and anticipated ease of quitting are associated with individual factors such as smoking intensity, parental smoking, age/length of time as a smoker and the nature of the advice-giving consultation. Household composition and household income are also implicated in the intention to quit and anticipated difficulties in quitting. Once individual and household factors are taken into account the only identifiable area-level variation is reduced intentionality towards quitting in rural areas. We conclude by arguing that further gains in smoking cessation must focus on understanding the characteristics of 'hard-to-engage' populations.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:4:p:610-619
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    References listed on IDEAS

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    1. McKie, L. & Laurier, E. & Taylor, R. J. & Lennox, A. S., 2003. "Eliciting the smoker's agenda: implications for policy and practice," Social Science & Medicine, Elsevier, vol. 56(1), pages 83-94, January.
    2. Harvey Goldstein & Jon Rasbash, 1996. "Improved Approximations for Multilevel Models with Binary Responses," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 159(3), pages 505-513, May.
    3. Graham, Hilary, 1996. "Smoking prevalence among women in the European Community 1950-1990," Social Science & Medicine, Elsevier, vol. 43(2), pages 243-254, July.
    4. 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.
    5. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1999. "Smoking and deprivation: are there neighbourhood effects?," Social Science & Medicine, Elsevier, vol. 48(4), pages 497-505, February.
    6. van Lenthe, F. J. & Brug, J. & Mackenbach, J. P., 2005. "Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands," Social Science & Medicine, Elsevier, vol. 60(4), pages 763-775, February.
    7. Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
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    Cited by:

    1. Edward Griffin & Graham Moon & Ross Barnet, 2015. "Examining the significance of urban–rural context in tobacco quitline use: does rurality matter?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(3), pages 327-333, March.
    2. Stewart, Miriam J. & Kushner, Kaysi Eastlick & Greaves, Lorraine & Letourneau, Nicole & Spitzer, Denise & Boscoe, Madeline, 2010. "Impacts of a support intervention for low-income women who smoke," Social Science & Medicine, Elsevier, vol. 71(11), pages 1901-1909, December.
    3. Denman, Antony Roger & Timson, Karen & Shield, George & Groves-Kirkby, Christopher John & Rogers, Stephen & Campbell, Jackie Ann & Phillips, Paul Scott, 2009. "Local health campaigns to reduce lung cancers induced by radon and smoking--Who responds?," Health Policy, Elsevier, vol. 93(2-3), pages 201-206, December.

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