+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors associated with the effectiveness and reach of NHS stop smoking services for pregnant women in England

Factors associated with the effectiveness and reach of NHS stop smoking services for pregnant women in England

Bmc Health Services Research 17(1): 545

The UK National Health Service provides Stop Smoking Services for pregnant women (SSSP) but there is a lack of evidence concerning how these are best organised. This study investigates influences on services' effectiveness and also on their propensity to engage pregnant smokers with support in stopping smoking. Survey data collected from 121/141 (86%) of SSSP were augmented with data from Hospital Episode Statistics and the 2011 UK National Census. 'Reach' or propensity to engage smokers with support was defined as the percentage of pregnant smokers setting a quit date with SSSP support, and 'Effectiveness' as the percentage of women who set a quit date who also reported abstinence at four weeks later. A bivariate (i.e. two outcome variable) response Markov Chain Monte Carlo model was used to identify service-level factors associated with the Reach and Effectiveness of SSSP. Beta coefficients represent a percentage change in Reach and Effectiveness by the covariate. Providing the majority of one-to-one contacts in a clinic rather than at home increased both Reach (%) (β: 6.97, 95% CI: 3.34, 10.60) and Effectiveness (%) (β: 7.37, 95% CI: 3.03, 11.70). Reach of SSSP was also increased when the population served was more deprived (β for increase in Reach with a one unit increase in IMD score: 0.55, 95% CI: 0.25, 0.85), had a lower proportion of people with dependent children (β: -2.52, 95% CI: -3.82, -1.22), and a lower proportion of people in managerial or professional occupations (β: -0.31, 95% CI: -0.59, -0.03). The Effectiveness of SSSP was decreased in those areas that had a greater percentage of people >16 years with no educational qualifications (β: -0.51, 95% CI: -0.95, -0.07). To engage pregnant smokers and to encourage them to quit, it may be more efficient for SSSP support to be focussed around clinics, rather than women's homes. Reach of SSSP is inversely associated with disadvantage and efforts should be made to contact these women as they are less likely to achieve abstinence in the short and longer term.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059729666

Download citation: RISBibTeXText

PMID: 28789643

DOI: 10.1186/s12913-017-2502-y

Related references

Provision of smoking cessation support for pregnant women in England: results from an online survey of NHS Stop Smoking Services for Pregnant Women. Bmc Health Services Research 14: 107, 2014

The cost-effectiveness of smoking cessation services provided by general dental practice, general medical practice, pharmacy and NHS Stop Smoking Services in the North of England. Community Dentistry and Oral Epidemiology 44(2): 119-127, 2016

Pregnant women and smoking: descriptive study and prognostic factors to stop smoking during pregnancy. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 38(2): 155-160, 2009

Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services. Bmc Public Health 14: 1041, 2014

Attitudes to E-Cigarettes and Cessation Support for Pregnant Women from English Stop Smoking Services: A Mixed Methods Study. International Journal of Environmental Research and Public Health 16(1):, 2019

Midwives' perceptions of providing stop-smoking advice and pregnant smokers' perceptions of stop-smoking services within the same deprived area of London. Journal of Midwifery and Women's Health 57(1): 67-73, 2012

Factors associated with differences in quit rates between "specialist" and "community" stop-smoking practitioners in the english stop-smoking services. Nicotine and Tobacco Research 15(7): 1239-1247, 2013

The case of Stop Smoking Services in England. British Journal of Psychiatry 202(1): 74, 2013

A model for postpartum smoking resumption prevention for women who stop smoking while pregnant. Journal of Obstetric Gynecologic and Neonatal Nursing 35(2): 215-222, 2006

Stop smoking services in England help break the habit. Lancet. Oncology 14(11): E443, 2013

Relapse prevention in UK Stop Smoking Services: current practice, systematic reviews of effectiveness and cost-effectiveness analysis. Health Technology Assessment 14(49): 1-152 Iii-Iv, 2010

Stop smoking services must become "e-cigarette" friendly, says Public Health England. Bmj 351: H4518, 2015

How can we help pregnant women stop smoking?. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 32(1 Suppl): 1s41-1s45, 2003

Evaluation of 'Stop Smoking in its Tracks': an intensive smoking cessation program for pregnant Aboriginal women incorporating contingency-based financial rewards. Public Health Research and Practice 28(2):, 2018

Best practice in smoking cessation services for pregnant women: results of a survey of three services reporting the highest national returns, and three beacon services. Journal of the Royal Society for the Promotion of Health 126(5): 233-238, 2006