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Int. J. Environ. Res. Public Health 2016, 13(12), 1175; doi:10.3390/ijerph13121175

English Stop-Smoking Services: One-Year Outcomes

1
Institute for Social Marketing, University of Stirling, Stirling FK9 4LA, UK
2
UK Centre for Tobacco and Alcohol Studies
3
Department for Health, University of Bath, Bath BA2 7AY, UK
4
Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK
5
Division of Primary Care, University of Nottingham, Nottingham NG7 2RD, UK
6
Division of Epidemiology and Public Health, University of Nottingham, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UK
7
Wolfson Institute of Preventive Medicine, Queen Mary University of London, London EC1M 6BQ, UK
8
National Centre for Smoking Cessation and Training (NCSCT), 1 Great Western Industrial Centre, Dorchester DT1 1RD, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Zubair Kabir
Received: 27 September 2016 / Revised: 8 November 2016 / Accepted: 17 November 2016 / Published: 24 November 2016
(This article belongs to the Special Issue Tobacco Control and Priority Groups)
View Full-Text   |   Download PDF [294 KB, uploaded 24 November 2016]

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. View Full-Text
Keywords: smoking cessation; stop-smoking services; smoking cessation services; behavioural support; pharmacotherapy smoking cessation; stop-smoking services; smoking cessation services; behavioural support; pharmacotherapy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Bauld, L.; Hiscock, R.; Dobbie, F.; Aveyard, P.; Coleman, T.; Leonardi-Bee, J.; McRobbie, H.; McEwen, A. English Stop-Smoking Services: One-Year Outcomes. Int. J. Environ. Res. Public Health 2016, 13, 1175.

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