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Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults

BACKGROUND AND AIMS: Advice from a general practitioner (GP) can encourage smokers to quit. This study aimed to estimate the prevalence and correlates of receipt of GP advice on smoking, what type of advice and support was offered and characteristics and quitting activity associated with different t...

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Autores principales: Jackson, Sarah E., Garnett, Claire, Brown, Jamie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432152/
https://www.ncbi.nlm.nih.gov/pubmed/32648976
http://dx.doi.org/10.1111/add.15187
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author Jackson, Sarah E.
Garnett, Claire
Brown, Jamie
author_facet Jackson, Sarah E.
Garnett, Claire
Brown, Jamie
author_sort Jackson, Sarah E.
collection PubMed
description BACKGROUND AND AIMS: Advice from a general practitioner (GP) can encourage smokers to quit. This study aimed to estimate the prevalence and correlates of receipt of GP advice on smoking, what type of advice and support was offered and characteristics and quitting activity associated with different types of advice. DESIGN/SETTING: Data were collected between 2016 and 2019 in a series of monthly cross‐sectional surveys of representative samples of the adult population in England. PARTICIPANTS: A total of 11 588 past‐year smokers. MEASUREMENTS: Participants reported whether they had received advice or offer of support for smoking cessation from their GP in the last year. Socio‐demographic and behavioural characteristics and past‐year quit attempts and cessation were also recorded. FINDINGS: One in two [47.2%, 95% confidence interval (CI) = 46.1–48.3%] past‐year smokers who reported visiting their GP in the last year recalled receiving advice on smoking, and one in three (30.1%, 95% CI = 29.1–31.1%) reported being offered cessation support. The most common form of support offered was stop smoking services (16.5%, 95% CI = 15.7–17.3%) followed by prescription medication (8.1%, 95% CI = 7.5–8.7%); 3.7% (95% CI = 3.3–4.1%) reported having been recommended to use e‐cigarettes. Smokers who were older, non‐white, more addicted, and smoked five or more cigarettes/day had consistently higher odds of receiving advice or support. There were some differences by region, housing tenure, presence of children in the home and high‐risk drinking in the types of advice/support received. There were no significant differences by sex, occupational social grade, disability, type of cigarettes smoked, or survey year. Advice with any offer of support was associated with higher odds of attempting to quit than advice alone [adjusted odds ratio (OR(adj)) = 1.52, 95% CI = 1.30–1.76]. Advice alone was associated with higher odds of quit attempts than no advice in smokers with higher (OR(adj) = 1.34, 95% CI = 1.10–1.64) but not lower occupational social grade (OR(adj) = 0.90, 95% CI = 0.75–1.08). CONCLUSIONS: In England, a minority of smokers receive support from their GP to stop smoking. Those who do are more likely to be older, non‐white and more addicted to cigarettes. Advice plus offer of support appears to be associated with increased odds of making a quit attempt, while advice without offer of support appears only to be associated with increased odds of making a quit attempt in higher occupational social grade smokers.
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spelling pubmed-84321522021-09-14 Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults Jackson, Sarah E. Garnett, Claire Brown, Jamie Addiction Research Reports BACKGROUND AND AIMS: Advice from a general practitioner (GP) can encourage smokers to quit. This study aimed to estimate the prevalence and correlates of receipt of GP advice on smoking, what type of advice and support was offered and characteristics and quitting activity associated with different types of advice. DESIGN/SETTING: Data were collected between 2016 and 2019 in a series of monthly cross‐sectional surveys of representative samples of the adult population in England. PARTICIPANTS: A total of 11 588 past‐year smokers. MEASUREMENTS: Participants reported whether they had received advice or offer of support for smoking cessation from their GP in the last year. Socio‐demographic and behavioural characteristics and past‐year quit attempts and cessation were also recorded. FINDINGS: One in two [47.2%, 95% confidence interval (CI) = 46.1–48.3%] past‐year smokers who reported visiting their GP in the last year recalled receiving advice on smoking, and one in three (30.1%, 95% CI = 29.1–31.1%) reported being offered cessation support. The most common form of support offered was stop smoking services (16.5%, 95% CI = 15.7–17.3%) followed by prescription medication (8.1%, 95% CI = 7.5–8.7%); 3.7% (95% CI = 3.3–4.1%) reported having been recommended to use e‐cigarettes. Smokers who were older, non‐white, more addicted, and smoked five or more cigarettes/day had consistently higher odds of receiving advice or support. There were some differences by region, housing tenure, presence of children in the home and high‐risk drinking in the types of advice/support received. There were no significant differences by sex, occupational social grade, disability, type of cigarettes smoked, or survey year. Advice with any offer of support was associated with higher odds of attempting to quit than advice alone [adjusted odds ratio (OR(adj)) = 1.52, 95% CI = 1.30–1.76]. Advice alone was associated with higher odds of quit attempts than no advice in smokers with higher (OR(adj) = 1.34, 95% CI = 1.10–1.64) but not lower occupational social grade (OR(adj) = 0.90, 95% CI = 0.75–1.08). CONCLUSIONS: In England, a minority of smokers receive support from their GP to stop smoking. Those who do are more likely to be older, non‐white and more addicted to cigarettes. Advice plus offer of support appears to be associated with increased odds of making a quit attempt, while advice without offer of support appears only to be associated with increased odds of making a quit attempt in higher occupational social grade smokers. John Wiley and Sons Inc. 2020-07-24 2021-02 /pmc/articles/PMC8432152/ /pubmed/32648976 http://dx.doi.org/10.1111/add.15187 Text en © 2020 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Reports
Jackson, Sarah E.
Garnett, Claire
Brown, Jamie
Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title_full Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title_fullStr Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title_full_unstemmed Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title_short Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross‐sectional survey of adults
title_sort prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in england: a cross‐sectional survey of adults
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432152/
https://www.ncbi.nlm.nih.gov/pubmed/32648976
http://dx.doi.org/10.1111/add.15187
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