Tobacco Control

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
[Advanced]

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Web-only Tables
Right arrow Submit a response
Right arrow Read responses to this article
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bauld, L
Right arrow Articles by Coleman, T
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bauld, L
Right arrow Articles by Coleman, T
Related Collections
Right arrow Smoking cessation
Tobacco Control 2003;12:296-301
© 2003 BMJ Publishing Group


RESEARCH PAPER

Impact of UK National Health Service smoking cessation services: variations in outcomes in England

L Bauld1, J Chesterman2, K Judge2, E Pound3, T Coleman4 on behalf of the English Evaluation of Smoking Cessation Services (EESCS)

1 Department of Social Policy and Social Work, University of Glasgow, Glasgow, UK
2 Health Promotion Policy Unit, University of Glasgow
3 Department of General Practice and Primary Health Care, University of Leicester, Leicester, UK
4 Department of General Practice, University of Nottingham, Nottingham, UK

Correspondence to:
Professor Ken Judge, Health Promotion Policy Unit, University of Glasgow, 1 Lilybank Gardens, Glasgow G12 8RZ, UK;
K.Judge{at}clinmed.gla.ac.uk

Objectives: To determine the extent to which UK National Health Service (NHS) smoking cessation services in England reach smokers and support them to quit at four weeks, and to identify which service and area characteristics contribute to observed outcomes.

Design: Ordinary least squares regression was used to investigate local smoking outcomes in relation to characteristics of health authorities and their smoking cessation services.

Setting: 76 health authorities (from a total of 99) in England from April 2000 to March 2001.

Main outcome measures: Reach—number of smokers attending cessation services and setting a quit date as a percentage of the adult smoking population in each health authority. Absolute success—number of smokers setting a quit date who subsequently reported quitting at four weeks (not having smoked between two and four weeks after quit date). Cessation rate—number of smokers who reported quitting at four weeks as a percentage of those setting a quit date. Loss—percentage lost to follow up.

Results: A range of service and area characteristics was associated with each outcome. For example, group support proved more effective than one to one interventions in helping a greater proportion of smokers to quit at four weeks. Services based in health action zones were reaching larger numbers of smokers. However, services operating in deprived communities achieved lower cessation rates than those in more prosperous areas.

Conclusions: Well developed, evidence based NHS smoking cessation services, reflecting good practice, are yielding positive outcomes in England. However, most of the data are based on self reported smoking status at four weeks. It will be important to obtain validated data about continuous cessation over one year or more in order to assess longer term impact.


Keywords: National Health Service; England; cessation; deprivation

Abbreviations: DoH, Department of Health; HAZ, health action zone; IMD, index of multiple deprivation; NHS, National Health Service; OLS, ordinary least squares; PCGs/PCTs, primary care groups/trusts




This article has been cited by other articles:


Home page
Fam PractHome page
H. Gilbert, I. Nazareth, and S. Sutton
Assessing the feasibility of proactive recruitment of smokers to an intervention in general practice for smoking cessation using computer-tailored feedback reports
Fam. Pract., August 1, 2007; 24(4): 395 - 400.
[Abstract] [Full Text] [PDF]


Home page
Health Education JournalHome page
A. Challenger, T. Coleman, and S. Lewis
Predicting default from smoking cessation treatment following enrolment
Health Education Journal, March 1, 2007; 66(1): 32 - 43.
[Abstract] [PDF]


Home page
Am. J. Public HealthHome page
M. K. Ong and S. A. Glantz
Free Nicotine Replacement Therapy Programs vs Implementing Smoke-Free Workplaces: A Cost-Effectiveness Comparison
Am J Public Health, June 1, 2005; 95(6): 969 - 975.
[Abstract] [Full Text] [PDF]

eLetters:

Read all eLetters

Group Treatment vs Individual Support for Smoking Cessation
Gay Sutherland
Tobacco Control Online, 16 Sep 2003 [Full text]



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2003 by the BMJ Publishing Group Ltd.