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English Stop-Smoking Services: One-Year Outcomes

Author

Listed:
  • Linda Bauld

    (Institute for Social Marketing, University of Stirling, Stirling FK9 4LA, UK
    UK Centre for Tobacco and Alcohol Studies)

  • Rosemary Hiscock

    (UK Centre for Tobacco and Alcohol Studies
    Department for Health, University of Bath, Bath BA2 7AY, UK)

  • Fiona Dobbie

    (Institute for Social Marketing, University of Stirling, Stirling FK9 4LA, UK
    UK Centre for Tobacco and Alcohol Studies)

  • Paul Aveyard

    (UK Centre for Tobacco and Alcohol Studies
    Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK)

  • Tim Coleman

    (UK Centre for Tobacco and Alcohol Studies
    Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK)

  • Jo Leonardi-Bee

    (UK Centre for Tobacco and Alcohol Studies
    Division of Epidemiology and Public Health, University of Nottingham, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UK)

  • Hayden McRobbie

    (UK Centre for Tobacco and Alcohol Studies
    Wolfson Institute of Preventive Medicine, Queen Mary University of London, London EC1M 6BQ, UK)

  • Andy McEwen

    (UK Centre for Tobacco and Alcohol Studies
    National Centre for Smoking Cessation and Training (NCSCT), 1 Great Western Industrial Centre, Dorchester DT1 1RD, UK)

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.

Suggested Citation

  • Linda Bauld & Rosemary Hiscock & Fiona Dobbie & Paul Aveyard & Tim Coleman & Jo Leonardi-Bee & Hayden McRobbie & Andy McEwen, 2016. "English Stop-Smoking Services: One-Year Outcomes," IJERPH, MDPI, vol. 13(12), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:12:p:1175-:d:83648
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    References listed on IDEAS

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    1. Rosemary Hiscock & Pierpaolo Mudu & Matthias Braubach & Marco Martuzzi & Laura Perez & Clive Sabel, 2014. "Wellbeing Impacts of City Policies for Reducing Greenhouse Gas Emissions," IJERPH, MDPI, vol. 11(12), pages 1-34, November.
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    Cited by:

    1. Karolien Adriaens & Dinska Van Gucht & Frank Baeyens, 2018. "IQOS TM vs. e-Cigarette vs. Tobacco Cigarette: A Direct Comparison of Short-Term Effects after Overnight-Abstinence," IJERPH, MDPI, vol. 15(12), pages 1-20, December.
    2. Lucia Borsari & Simone Storani & Carlotta Malagoli & Tommaso Filippini & Marco Tamelli & Marcella Malavolti & Fausto Nicolini & Marco Vinceti, 2018. "Impact of Referral Sources and Waiting Times on the Failure to Quit Smoking: One-Year Follow-Up of an Italian Cohort Admitted to a Smoking Cessation Service," IJERPH, MDPI, vol. 15(6), pages 1-11, June.
    3. Karolien Adriaens & Dinska Van Gucht & Frank Baeyens, 2018. "About One in Five Novice Vapers Buying Their First E-Cigarette in a Vape Shop Are Smoking Abstinent after Six Months," IJERPH, MDPI, vol. 15(9), pages 1-21, August.

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