Opinions of women from deprived communities on the NHS stop smoking service in England - person-centered perspectives.
Abstract
Background
In most European countries, women are relatively more susceptible to smoking-related diseases, find it more difficult to quit and more likely to relapse than men. With the aim to improve understanding of women’s needs from smoking cessation services, this qualitative study examines perceptions of women from deprived communities on the National Health Service Stop Smoking Service in England.
Methods
A qualitative study of 11 women, smokers and ex-smokers, who had used Stop Smoking Services located in disadvantaged communities in East Sussex, England. Data were collected through focus group and semi-structured interviews, and were subjected to thematic analysis.
Results
Women felt that services tailored to their needs would improve cessation rates. They expect smoking cessation facilitators to be non-judgemental and to offer psychological insight into addiction. However, women’s opinions differed on the importance for facilitators to be female or ex-smokers, and on the preference of group or one-to-one services, some women expressed a preference for women only groups. The women praised the continuity of care, capacity for peer support, flexibility of time and location and free cessation aids offered. Conversely, the women felt that services were poorly advertised, that access was not universally good, and that services at work place and drop-in groups would improve access for working women and women with young children.
Conclusion
Flexible services that are tailored towards the needs of individual smokers and better dissemination of information regarding the range of services available could facilitate greater uptake of smoking cessation services for women in deprived communities.Full Text:
PDFReferences
Office for National Statistics. Integrated Household Survey, January to December 2013. 2014.
Office for National Statistics. Opinions and Lifestyle Survey, Smoking Habits Amongst Adults, 2012. 2013.
TNS Opinion & Social. Attitudes of Europeans towards tobacco. Report Brussels: European Commission: 2012.
Schaap MM, Kunst AE, Leinsalu M, Regidor E, Espelt A, Ekholm O, Helmert U, Klumbiene J, Mackenbach JP. Female ever-smoking, education, emancipation and economic development in 19 European countries. Social Science and Medicine. 2009;68(7):1271-8.
Huxley R, Jamrozik K, Lam TH, Barzi F, Ansary-Moghaddam A, Jiang CQ, Suh I, Woodward M. Impact of smoking and smoking cessation on lung cancer mortality in the Asia-Pacific region. American Journal of Epidemiology. 2007;165(11):1280-6.
Huxley RR, Woodward M. Cigarette smoking as a risk factor for coronary heart disease in women compared with men: a systematic review and meta-analysis of prospective cohort studies. Lancet. 2011;378(9799):1297-305.
Peters SA, Huxley RR, Woodward M. Smoking as a risk factor for stroke in women compared with men: a systematic review and meta-analysis of 81 cohorts, including 3,980,359 individuals and 42,401 strokes. Stroke. 2013;44(10):2821-8.
Seltzer V. Smoking and women's health. International Journal of Gynaecology and Obstetrics. 2000;70(1):159-63.
Collins S, Rollason TP, Young LS, Woodman CB. Cigarette smoking is an independent risk factor for cervical intraepithelial neoplasia in young women: a longitudinal study. European Journal of Cancer. 2010;46(2):405-11.
Pirie K, Peto R, Reeves GK, Green J, Beral V. The 21st century hazards of smoking and benefits of stopping: a prospective study of one million women in the UK. Lancet. 2013;381(9861):133-41.
Lader D. Smoking-related Behaviour and Attitudes, 2008/09. In: Statistics OfN, editor. London: The Stationery Office; 2009.
Smith PH, Kasza KA, Hyland A, Fong GT, Borland R, Brady K, Carpenter MJ, Hartwell K, Cummings KM, McKee SA. Gender differences in medication use and cigarette smoking cessation: results from the International Tobacco Control Four Country Survey. Nicotine and Tobacco Research. 2015;17(4):463-72.
Ward KD, Klesges RC, Zbikowski SM, Bliss RE, Garvey AJ. Gender differences in the outcome of an unaided smoking cessation attempt. Addictive Behaviors. 1997;22(4):521-33.
Bauld L, Bell K, McCullough L, Richardson L, Greaves L. The effectiveness of NHS smoking cessation services: a systematic review. Journal of Public Health. 2010;32(1):71-82.
Edwards SA, Bondy SJ, Callaghan RC, Mann RE. Prevalence of unassisted quit attempts in population-based studies: a systematic review of the literature. Addictive Behaviors. 2014;39(3):512-9.
Weinberger AH, Pittman B, Mazure CM, McKee SA. A behavioral smoking treatment based on perceived risks of quitting: A preliminary feasibility and acceptability study with female smokers. Addiction Research and Theory. 2015;23(2):108-14.
Torchalla I, Okoli CT, Bottorff JL, Qu A, Poole N, Greaves L. Smoking cessation programs targeted to women: a systematic review. Women and Health. 2012;52(1):32-54.
NICE. NICE public health guidance 10: Smoking Cessation Services. London: National Institute for Health and Clinical Excellence; November 2013.
McLennan D, Barnes H, Noble M, Davies J, Garratt E, Dibben C. English Indices of Deprivation 2010 In: Government DfCaL, editor. London: Department for Communities and Local Government; 2011.
Daly J, Kellehear A, Gliksman M. The public health researcher: A methodological approach. Melbourne, Australia: Oxford University Press; 1997.
Murray RL, Bauld L, Hackshaw LE, McNeill A. Improving access to smoking cessation services for disadvantaged groups: a systematic review. Journal of Public Health. 2009;31(2):258-77.
Roddy E, Antoniak M, Britton J, Molyneux A, Lewis S. Barriers and motivators to gaining access to smoking cessation services amongst deprived smokers--a qualitative study. BMC Health Services Research. 2006;6:147.
Henderson HJ, Memon A, Lawson K, Jacobs B, Koutsogeorgou E. What factors are important in smoking cessation amongst deprived communities? A qualitative study. Health Education Journal. 2011;70(1):84-91.
Bauld L, Chesterman J, Judge K, Pound E, Coleman T. Impact of UK National Health Service smoking cessation services: variations in outcomes in England. Tobacco Control. 2003;12(3):296-301.
McEwen A, West R, McRobbie H. Effectiveness of specialist group treatment for smoking cessation vs. one-to-one treatment in primary care. Addictive Behaviors. 2006;31(9):1650-60.
Judge K, Bauld L, Chesterman J, Ferguson J. The English smoking treatment services: short-term outcomes. Addiction. 2005;100 Suppl 2:46-58.
Brose LS, West R, McDermott MS, Fidler JA, Croghan E, McEwen A. What makes for an effective stop-smoking service? Thorax. 2011;66(10):924-6.
Bull ER, Dombrowski SU, McCleary N, Johnston M. Are interventions for low-income groups effective in changing healthy eating, physical activity and smoking behaviours? A systematic review and meta-analysis. BMJ Open. 2014;4(11):e006046.
Caleyachetty A, Lewis S, McNeill A, Leonardi-Bee J. Struggling to make ends meet: exploring pathways to understand why smokers in financial difficulties are less likely to quit successfully. European Journal of Public Health. 2012;22 Suppl 1:41-8.
Wu P, Wilson K, Dimoulas P, Mills EJ. Effectiveness of smoking cessation therapies: a systematic review and meta-analysis. BMC Public Health. 2006;6:300.
Shahab L, McEwen A. Online support for smoking cessation: a systematic review of the literature. Addiction. 2009;104(11):1792-804.
Civljak M, Stead LF, Hartmann-Boyce J, Sheikh A, Car J. Internet-based interventions for smoking cessation. Cochrane Database of Systematic Reviews. 2013;7:Cd007078.
Bock BC, Graham AL, Whiteley JA, Stoddard JL. A review of web-assisted tobacco interventions (WATIs). Journal of Medical Internet Research. 2008;10(5):e39.
DOI: http://dx.doi.org/10.5750/ejpch.v4i2.1101
Refbacks
- There are currently no refbacks.