Improving access to smoking cessation services for disadvantaged groups: a systematic review

R L Murray, Linda Bauld, Lucy Hackshaw, A McNeill

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Smoking is a main contributor to health inequalities. Identifying strategies to find and support smokers from disadvantaged groups is, therefore, of key importance. A systematic review was carried out of studies identifying and supporting smokers from disadvantaged groups for smoking cessation, and providing and improving their access to smoking-cessation services. A wide range of electronic databases were searched and unpublished reports were identified from the national research register and key experts. Over 7500 studies were screened and 48 were included. Some papers were of poor quality, most were observational studies and many did not report findings for disadvantaged smokers. Nevertheless, several methods of recruiting smokers, including proactively targeting patients on General Physician's registers, routine screening or other hospital appointments, were identified. Barriers to service use for disadvantaged groups were identified and providing cessation services in different settings appeared to improve access. We found preliminary evidence of the effectiveness of some interventions in increasing quitting behaviour in disadvantaged groups. There is limited evidence on effective strategies to increase access to cessation services for disadvantaged smokers. While many studies collected socioeconomic data, very few analysed its contribution to the results. However, some potentially promising interventions were identified which merit further research.
Original languageEnglish
Pages (from-to)258-277
Number of pages20
JournalJournal of Public Health
Volume31
Issue number2
DOIs
Publication statusPublished - 2009

Fingerprint

Vulnerable Populations
Smoking Cessation
Research
Observational Studies
Appointments and Schedules
Smoking
Databases
Physicians
Health

Keywords

  • inequalities
  • smoking cessation services
  • access
  • disadvantage

Cite this

Improving access to smoking cessation services for disadvantaged groups: a systematic review. / Murray, R L; Bauld, Linda; Hackshaw, Lucy; McNeill, A.

In: Journal of Public Health, Vol. 31, No. 2, 2009, p. 258-277.

Research output: Contribution to journalArticle

Murray, R L ; Bauld, Linda ; Hackshaw, Lucy ; McNeill, A. / Improving access to smoking cessation services for disadvantaged groups: a systematic review. In: Journal of Public Health. 2009 ; Vol. 31, No. 2. pp. 258-277.
@article{8ed3307f310240b5831cca9b8a6b403d,
title = "Improving access to smoking cessation services for disadvantaged groups: a systematic review",
abstract = "Smoking is a main contributor to health inequalities. Identifying strategies to find and support smokers from disadvantaged groups is, therefore, of key importance. A systematic review was carried out of studies identifying and supporting smokers from disadvantaged groups for smoking cessation, and providing and improving their access to smoking-cessation services. A wide range of electronic databases were searched and unpublished reports were identified from the national research register and key experts. Over 7500 studies were screened and 48 were included. Some papers were of poor quality, most were observational studies and many did not report findings for disadvantaged smokers. Nevertheless, several methods of recruiting smokers, including proactively targeting patients on General Physician's registers, routine screening or other hospital appointments, were identified. Barriers to service use for disadvantaged groups were identified and providing cessation services in different settings appeared to improve access. We found preliminary evidence of the effectiveness of some interventions in increasing quitting behaviour in disadvantaged groups. There is limited evidence on effective strategies to increase access to cessation services for disadvantaged smokers. While many studies collected socioeconomic data, very few analysed its contribution to the results. However, some potentially promising interventions were identified which merit further research.",
keywords = "inequalities, smoking cessation services, access, disadvantage",
author = "Murray, {R L} and Linda Bauld and Lucy Hackshaw and A McNeill",
year = "2009",
doi = "10.1093/pubmed/fdp008",
language = "English",
volume = "31",
pages = "258--277",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Improving access to smoking cessation services for disadvantaged groups: a systematic review

AU - Murray, R L

AU - Bauld, Linda

AU - Hackshaw, Lucy

AU - McNeill, A

PY - 2009

Y1 - 2009

N2 - Smoking is a main contributor to health inequalities. Identifying strategies to find and support smokers from disadvantaged groups is, therefore, of key importance. A systematic review was carried out of studies identifying and supporting smokers from disadvantaged groups for smoking cessation, and providing and improving their access to smoking-cessation services. A wide range of electronic databases were searched and unpublished reports were identified from the national research register and key experts. Over 7500 studies were screened and 48 were included. Some papers were of poor quality, most were observational studies and many did not report findings for disadvantaged smokers. Nevertheless, several methods of recruiting smokers, including proactively targeting patients on General Physician's registers, routine screening or other hospital appointments, were identified. Barriers to service use for disadvantaged groups were identified and providing cessation services in different settings appeared to improve access. We found preliminary evidence of the effectiveness of some interventions in increasing quitting behaviour in disadvantaged groups. There is limited evidence on effective strategies to increase access to cessation services for disadvantaged smokers. While many studies collected socioeconomic data, very few analysed its contribution to the results. However, some potentially promising interventions were identified which merit further research.

AB - Smoking is a main contributor to health inequalities. Identifying strategies to find and support smokers from disadvantaged groups is, therefore, of key importance. A systematic review was carried out of studies identifying and supporting smokers from disadvantaged groups for smoking cessation, and providing and improving their access to smoking-cessation services. A wide range of electronic databases were searched and unpublished reports were identified from the national research register and key experts. Over 7500 studies were screened and 48 were included. Some papers were of poor quality, most were observational studies and many did not report findings for disadvantaged smokers. Nevertheless, several methods of recruiting smokers, including proactively targeting patients on General Physician's registers, routine screening or other hospital appointments, were identified. Barriers to service use for disadvantaged groups were identified and providing cessation services in different settings appeared to improve access. We found preliminary evidence of the effectiveness of some interventions in increasing quitting behaviour in disadvantaged groups. There is limited evidence on effective strategies to increase access to cessation services for disadvantaged smokers. While many studies collected socioeconomic data, very few analysed its contribution to the results. However, some potentially promising interventions were identified which merit further research.

KW - inequalities

KW - smoking cessation services

KW - access

KW - disadvantage

UR - http://www.scopus.com/inward/record.url?scp=68849104080&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1093/pubmed/fdp008

U2 - 10.1093/pubmed/fdp008

DO - 10.1093/pubmed/fdp008

M3 - Article

VL - 31

SP - 258

EP - 277

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 2

ER -