Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/17032
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dc.contributor.authorHiscock, Rosemaryen_UK
dc.contributor.authorMurray, Susanen_UK
dc.contributor.authorBrose, Leonie Sen_UK
dc.contributor.authorMcEwen, Andyen_UK
dc.contributor.authorLeonardi-Bee, Joen_UK
dc.contributor.authorDobbie, Fionaen_UK
dc.contributor.authorBauld, Lindaen_UK
dc.date.accessioned2018-01-27T03:41:48Z-
dc.date.available2018-01-27T03:41:48Zen_UK
dc.date.issued2013-11en_UK
dc.identifier.urihttp://hdl.handle.net/1893/17032-
dc.description.abstractBackground: Disadvantaged smokers are less likely to be successful when trying to stop smoking than more affluent smokers. In the UK, NHS Stop Smoking Services (SSS) provide a range of pharmacotherapy and behavioural support, delivered by advisors with a range of backgrounds. Whether the types of support provided and who provides it influence differences in quit rates amongst low SES smokers compared with high SES smokers has not previously been examined. Methods: 202,084 records of smokers in England who attended a NHS Stop Smoking Service between July 2010 and June 2011 were acquired. Smokers were followed-up by services at four weeks post quit date. Multilevel logistic regression models of CO validated quits were employed. Disadvantage was explored through the National Statistics Socio-Economic Classification (NS-SEC) and by eligibility for free prescriptions, an indicator of low income amongst adults aged between 19 and 59 in England. Results: Affluent smokers were more likely to quit than disadvantaged smokers (OR 1.38 (1.35 to 1.42) for clients who paid for prescriptions compared to those eligible for free prescriptions). 80% of service clients received one-to-one counselling but open group forms of behavioural therapy were more successful (main effect OR 1.26 (1.12 to 1.41)) except amongst some of the most disadvantaged clients (long-term unemployed and prisoners). Closed groups were little deployed and they were not significantly more successful than one-to-one behavioural therapy after controls. Who delivered treatment did make a difference for some clients, with all but the most affluent less likely to be successful if they had been treated by a nurse compared with other types of advisers, including smoking cessation specialists (main effect OR 0.73 (0.65 to 0.83)). Conclusion: This study provides further evidence that disadvantaged smokers find quitting more difficult even when they have attended a smoking cessation programme. The findings suggest that open groups should be promoted, although they may not be as effective as other forms of behavioural therapy for the long-term unemployed or prisoners. Further research is required to explore why most groups of smokers who attended services staffed by nurses were less likely to quit than those who received treatment from other types of advisors.en_UK
dc.language.isoenen_UK
dc.publisherElsevieren_UK
dc.relationHiscock R, Murray S, Brose LS, McEwen A, Leonardi-Bee J, Dobbie F & Bauld L (2013) Behavioural therapy for smoking cessation: The effectiveness of different intervention types for disadvantaged and affluent smokers. Addictive Behaviors, 38 (11), pp. 2787-2796. https://doi.org/10.1016/j.addbeh.2013.07.010en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectSmoking cessationen_UK
dc.subjectSocio-economic statusen_UK
dc.subjectHealth disparitiesen_UK
dc.subjectOpen groupsen_UK
dc.subjectClosed groupsen_UK
dc.subjectSpecialisten_UK
dc.subjectSocial statusen_UK
dc.subjectSmoking cessationen_UK
dc.subjectNicotine addiction Treatmenten_UK
dc.subjectCigarette smokers Great Britainen_UK
dc.titleBehavioural therapy for smoking cessation: The effectiveness of different intervention types for disadvantaged and affluent smokersen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[Behavioural therapy for smoking cessation.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1016/j.addbeh.2013.07.010en_UK
dc.citation.jtitleAddictive Behaviorsen_UK
dc.citation.issn0306-4603en_UK
dc.citation.volume38en_UK
dc.citation.issue11en_UK
dc.citation.spage2787en_UK
dc.citation.epage2796en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderCancer Research UKen_UK
dc.author.emailfiona.dobbie@stir.ac.uken_UK
dc.contributor.affiliationUniversity of Bathen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity College Londonen_UK
dc.contributor.affiliationUniversity College Londonen_UK
dc.contributor.affiliationUniversity of Nottinghamen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.identifier.isiWOS:000324961800024en_UK
dc.identifier.scopusid2-s2.0-84882770728en_UK
dc.identifier.wtid680442en_UK
dc.contributor.orcid0000-0002-8294-8203en_UK
dcterms.dateAccepted2013-11-30en_UK
dc.date.filedepositdate2013-10-21en_UK
dc.relation.funderprojectCancer Research UK Centre for Tobacco Control Researchen_UK
dc.relation.funderrefC312/A8721en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorHiscock, Rosemary|en_UK
local.rioxx.authorMurray, Susan|en_UK
local.rioxx.authorBrose, Leonie S|en_UK
local.rioxx.authorMcEwen, Andy|en_UK
local.rioxx.authorLeonardi-Bee, Jo|en_UK
local.rioxx.authorDobbie, Fiona|0000-0002-8294-8203en_UK
local.rioxx.authorBauld, Linda|en_UK
local.rioxx.projectC312/A8721|Cancer Research UK|http://dx.doi.org/10.13039/501100000289en_UK
local.rioxx.freetoreaddate2999-12-31en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameBehavioural therapy for smoking cessation.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0306-4603en_UK
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