5. Smoking cessation PDF Print E-mail

Background

Tobacco is a major killer. The most recent estimates show that around 114,000 people in the UK are killed by smoking every year, accounting for one fifth of all UK deaths (Peto, R. et al 'Mortality from smoking in developed countries 1950-2000 (2nd edition)' Oxford University Press, Oxford). Smoking rates are higher in Glasgow than in the rest of Scotland. 

In SIP (Social Inclusion Partnership) areas, over half (52%) are smokers, compared with just under a third (29%) in non-SIP areas. In addition, and over half (54%) in SIP areas say they are exposed to others' smoke most of the time, compared with 36% in non-SIP areas and 43% overall (Health and Wellbeing Study, 2002). There is therefore a need to find whether the city's approaches are decreasing the prevalence of smoking, especially in areas where the smoking rate is particularly high.

Glasgow has a multi-faceted strategy to address tobacco-related harm in the city, and has developed a mixed approach to smoking cessation provision involving both intensive group-based support in primary care and individual support provided by community pharmacies.

Aims

  • To undertake a scoping study of the Glasgow Tobacco Control Strategy.
  • To evaluate the effectiveness and cost effectiveness of smoking cessation services.
  • To determine the accuracy of self-reported smoking in pregnancy.
  • To contribute to a reduction in tobacco-related inequalities in Greater Glasgow through influencing policy and practice.

Milestones

Tackling smoking in Glasgow

This project, carried out by a team from the University of Glasgow, took place between July 2004 and September 2005 with a final report submitted in November 2005. The overall aim was to assess the potential future impact of smoking cessation services in Glasgow at reducing overall smoking prevalence in general and inequalities between areas. The research involved three main components:
  • a scoping study of the Glasgow tobacco strategy
  • an evaluation of the intensive group-based smoking cessation services in Glasgow
  • an exploratory study of Starting Fresh, the pharmacy-based treatment for smokers in Glasgow.

The findings suggested that Glasgow's services are delivering effective help for smokers trying to quit but highlighted different levels of effectiveness with different sub-groups.

 

Comparing models of smoking treatment in Glasgow

This phase of the research aimed to compare the effectiveness and cost-effectiveness of the two models of smoking treatment delivered through the NHS: intensive group support provided in community settings and one-to-one support provided in a pharmacy setting. It commenced in April 2007 and involved researchers from the University of Bath and the University of Glasgow. The study sought to address the following research questions:
  • What short (4 week) and longer term (52 week) outcomes are associated with each model of service?
  • What factors (client and/or service characteristics) influence outcomes?
  • What is the relationship between costs and outcomes for the two models of service?
  • How effective are the services in reaching and treating clients from disadvantaged parts of the city?
  • What are clients' views regarding services and what factors influence cessation outcomes from the client perspective?

You can now download a copy of the final report

You can also download the interim report and a supporting Briefing Paper will be available from here in August 2009. 

 

Determining accuracy of self-reported smoking status in pregnant women

Self-reported smoking is the method most commonly used in antenatal care to determine the smoking stauts of pregnant women. There is increasing evidence that self-reported smoking in pregnancy is an inaccurate method of identifying smokers. This study aimed to determine the impact that the reliance on self-reporting of smoking status during pregnancy has on both the access to smoking cessation services and the accuracy of smoking prevelance figures of pregnant women in Scotland and the findings will inform practitioners about the extent to which services are accurately identifying and reaching the pregnant smoking population.

Final report

Briefing Paper
 

Links

Bauld L, Ferguson J, Lawson L, Chesterman J, Judge K (January 2006)
Tackling Smoking in Glasgow Final report

Tackling Smoking in Glasgow : executive summary

Chesterman, John; Judge, Ken; Lawson, Louise (June 2005)
Reducing Smoking Inequalities in Glasgow Estimating potential impact of smoking cessation services

 

Contact

Dr Linda Bauld
Department of Social and Policy Sciences
University of Bath

Phone: 01225 383 160
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