English Stop-Smoking Services: One-Year Outcomes
Linda Bauld1,2, Rosemary Hiscock3,4, Fiona Dobbie5,6
1Institute for Social Marketing, University of Stirling, Stirling FK9 4LA, UK. linda.bauld@stirling.ac.uk.
International Journal of Environmental Research and Public Health
|November 26, 2016
Summary
Smokers using specialist stop-smoking services (SSS) in England were more likely to remain abstinent for a year. Group support and dedicated advisors improved long-term quitting success, preventing premature deaths.
Area of Science:
- Public Health
- Behavioral Science
- Epidemiology
Background:
- The UK offers free, comprehensive stop-smoking support through Stop Smoking Services (SSS).
- Understanding factors influencing long-term smoking cessation is crucial for public health initiatives.
Purpose of the Study:
- To identify client and service characteristics associated with sustained abstinence 52 weeks after quitting smoking.
- To evaluate the effectiveness of different support modalities within SSS.
Main Methods:
- Prospective cohort study of 3057 clients accessing SSS in England (March 2012-March 2013).
- Assessment of quit rates and multivariable logistic regression to determine predictors of long-term abstinence.
- Carbon monoxide validation used to confirm smoking cessation.
Main Results:
- The overall 52-week quit rate was 7.7% (95% CI 6.6-9.0).
- Clients receiving support from dedicated smoking cessation advisors showed higher long-term abstinence rates (OR 2.3) compared to generalist advisors.
- Group support was more effective than one-to-one support (OR 3.4) for achieving abstinence.
Conclusions:
- Approximately one in thirteen individuals successfully quit smoking for a year using NHS Stop-Smoking Services.
- Enhanced long-term smoking cessation outcomes may be achieved by prioritizing specialist support and group interventions.
- The study suggests over 18,000 premature deaths were prevented, highlighting the public health impact of SSS.
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