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NPHS Staff Conference 2008 Targeting Stop Smoking Wales Services Gareth Davies, Mererid Bowley. Development within SSW. PID Organisational Development Service Delivery and Operational Matters Human Resource Management Core model Accredited training Data Targeting Services.

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nphs staff conference 2008 targeting stop smoking wales services gareth davies mererid bowley
NPHS Staff Conference 2008Targeting Stop Smoking Wales ServicesGareth Davies, Mererid Bowley
development within ssw
Development within SSW
  • PID
      • Organisational Development
      • Service Delivery and Operational Matters
      • Human Resource Management
  • Core model
  • Accredited training
  • Data
  • Targeting Services
slide4

On tobacco, the OTPH1 says“It will be one of the most perplexing mysteries for future historians to understand how societies with high levels of scientific expertise, analytical inclinations, communication abilities, demonstrated interest in health for people in the aggregate, and repeated claims to be concerned about the health and well being of children could have allowed money and power to blind the entire society to the importance of health”.

smoking kills 2
Smoking Kills2

Smoking kills 13+ people per hour

For every 1000 20 year old smokers

beyond smoking kills 3
Beyond Smoking Kills3

Smoking costs the NHS £2.7 billion annually

“There is a terrible gap in life expectancy between the richest and poorest in British society.

Smoking is by far the biggest single factor, accounting for half the difference.”

slide8

Contacts

Smoker contacts service

Attends assessment session?

No

contact only

Yes

Attends at least 1 treatment session?

No

contact only

Yes

Treated smoker

slide9

Treated Smokers TS

Lost to follow up

at 4 weeks

Self assessment made at 4 weeks?

No

Lost to follow up at 4 weeks

Yes

Failed quit

attempt

Self assessed as quitter at 4 weeks?

No

Failed quit attempt

Yes

CO validation attempted at 4 weeks?

Self reported 4

week quitter

No

Self reported 4 week quitter

Yes

Failed quit

attempt

CO validation successful at 4 weeks?

No

Failed quit attempt

Yes

CO verified 4-week quitter

ssw deprivation analysis
SSW deprivation analysis

SSW

data

Geo

data

WIMD

data

WHS

data

ONS

data

Smokers

Deprivation

treated smokers males aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
Treated smokers, males, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
treated smokers females aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
Treated smokers, females, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
self reported quitters males aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
Self reported quitters, males, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
self reported quitters females aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
Self reported quitters, females, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
co validated quitters males aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
CO validated quitters, males, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
co validated quitters females aged 16 by wimd fifth excl health 2007 08 data sources ssw wag ons
CO validated quitters, females, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
slide21
Self reported and CO validated quit rates, aged 16+, by WIMD fifth (excl. health): 2007/08Data sources: SSW, WAG, ONS
slide22

Conclusions

Smokers in the most deprived fifth are the most likely to contact and undertake treatment

There is a clear gradient from the least to most deprived fifth in terms of contact and treatment

Population quit rates and treated smoker quit rates do not follow the same pattern.

This is consistent with findings elsewhere.

slide23

Explanations?

Lay epidemiology4 – poor housing, occupational hazards and environmental dangers are more immediate threats.

Environmental tobacco smoke at home and cessation resource use5

Cigarette consumption and

household support/smoking status 6

slide24

Acknowledgements

HIAT – Nathan Lester, Hugo Cosh

SSW – Katie Tulloch, Emma Rogerson,

Julie Bishop

LKMS – Dinah Roberts

slide25

References

1 Foege WH (2002) Challenges to public health leadership in the Oxford Textbook of Public Health, fourth edition, volume 2, The methods of Public Health, OUP, Oxford

2 Department of Health (1999). Smoking Kills: a White Paper on tobacco, The Stationary Office, London

3 Action on Smoking and Health (2008). BeyondSmoking Kills: Protecting children, reducing inequalities, downloaded on 17/10/08 from http://www.ash.org.uk/files/documents/ASH_691.pdf

4 Lawlor D, Frankel S, Shaw M, Ebrahim S and Davey Smith G. Smoking and ill health: does lay epidemiology explain the failure of smoking cessation programs among deprived populations. Am J Pub H 93(2): 266-270. 2003

5 Honjo K, Tsutsumi A, Kawachi I and Kawakami N. What accounts for the relationship between social class and smoking cessation? Results of a path analysis. Social Science and Medicine. 62(2):317-328. 2006.

6 Chandola T, Head J, and Bartley M. Socio-demographic predictors of quitting smoking: how important. Addiction. 99(6):770-777. 2004