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Observational Study
. 2016 Jan 29;11(1):e0148194.
doi: 10.1371/journal.pone.0148194. eCollection 2016.

Neighbourhood Deprivation and Outcomes of Stop Smoking Support--An Observational Study

Leonie S Brose  1 , Andy McEwen  2
Affiliations
Observational Study

Neighbourhood Deprivation and Outcomes of Stop Smoking Support--An Observational Study

Leonie S Brose et al. PLoS One. .

Abstract

Background: Rates of smoking and smoking cessation vary with socio-economic status. The objectives were to assess the association between neighbourhood deprivation, completion of treatment to support quit attempts and success of quit attempts-while taking into account other predictors of outcome.

Methods: 555,744 quit attempts supported by English Stop Smoking Services in 2009-2012 were linked to the Index of Multiple Deprivation (IMD) 2010 ranks for the clients' neighbourhood and split into deciles relative to the national IMD. Logistic regressions tested the association between neighbourhood deprivation and completion (4-week follow-up) of treatment and biochemically validated success (expired-air carbon monoxide <10 ppm) while adjusting for demographics and intervention characteristics. Sensitivity analyses assessed subsamples: first supported attempts (n = 364,397), those with recorded cigarette dependence (n = 98,659) and completed treatment (n = 416,436).

Results: Higher neighbourhood deprivation was associated with reduced completion (OR(adj) = 0.949, 95% CI: 0.947 to 0.951) and success (OR(adj) = 0.957, 95% CI: 0.955 to 0.959). Results of sensitivity analyses were consistent with those of the main analysis.

Conclusions: Neighbourhood deprivation was associated with small but consistent reductions in completion and success of evidence-based interventions. These associations were not explained by intervention characteristics, demographics or dependence and reduced completion did not fully account for reduced success.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Clients and outcomes by deciles of deprivation.
See this image and copyright information in PMC

References

    1. Marmot M, Allen J, Bell R, Bloomer E, Goldblatt P, Consortium for the European Review of Social Determinants of H, et al. WHO European review of social determinants of health and the health divide. Lancet. 2012;380(9846):1011–29. 10.1016/S0140-6736(12)61228-8 . - DOI - PubMed
    1. Mackenbach JP, Kulhanova I, Menvielle G, Bopp M, Borrell C, Costa G, et al. Trends in inequalities in premature mortality: a study of 3.2 million deaths in 13 European countries. Journal of epidemiology and community health. 2014. 10.1136/jech-2014-204319 . - DOI - PubMed
    1. Office for National Statistics. Do smoking rates vary between more and less advantaged areas? Available: http://www.ons.gov.uk/ons/rel/disability-and-health-measurement/do-smoki.... 2014 [updated 12 Mar 2014, 2 Apr 2014].
    1. Marmot M, Bell R. Fair society, healthy lives. Public health. 2012;126 Suppl 1:S4–10. 10.1016/j.puhe.2012.05.014 . - DOI - PubMed
    1. Kleinschmidt I, Hills M, Elliott P. Smoking behaviour can be predicted by neighbourhood deprivation measures. Journal of epidemiology and community health. 1995;49 Suppl 2:S72–7. - PMC - PubMed

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