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BioMed Research International
Volume 2015, Article ID 274056, 10 pages
http://dx.doi.org/10.1155/2015/274056
Research Article

Smoking Cessation and Socioeconomic Status: An Update of Existing Evidence from a National Evaluation of English Stop Smoking Services

1Department for Health, University of Bath, Bath BA2 7AY, UK
2UK Centre for Tobacco and Alcohol Studies, UK
3Institute for Social Marketing, School of Health Sciences, University of Stirling, Stirling FK9 4LA, UK

Received 16 December 2014; Revised 24 April 2015; Accepted 3 May 2015

Academic Editor: Nasir Mushtaq

Copyright © 2015 Rosemary Hiscock et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Smokers from lower socioeconomic groups are less likely to be successful in stopping smoking than more affluent smokers, even after accessing cessation programmes. Data were analysed from 3057 clients of nine services. Routine monitoring data were expanded with CO validated smoking status at 52-week follow-up. Backwards logistic regression modelling was used to consider which factors were most important in explaining the relationship between SES and quitting. The odds ratio of stopping smoking among more affluent clients, compared with more disadvantaged clients, after taking into account design variables only, was 1.85 (95% CI 1.44 to 2.37) which declined to 1.44 (1.11 to 1.87) when all controls were included. The factors that explained more than 10% of the decline in the odds ratio were age, proportion of friends and family who smoked, nicotine dependence, and taking varenicline. A range of factors contribute to lower cessation rates for disadvantaged smokers. Some of these can be modified by improved smoking cessation service provision, but others require contributions from wider efforts to improve material, human, and social capital.