Tobacco: Performance

The main measurable method for tobacco control is the number of smoking quitters at 4 weeks (expressed as a percentage per 100,000 of the adult population) through the Lewisham Stop Smoking Service. The latest full year analysed data at the time of writing was that for 2010/11.

Overview
In 2009/10:-

  • Lewisham recorded 1724 quits; 36% over target.
  • Lewisham’s performance on quits was 819 per 100,000 population; 15th of 31 PCTs in London. Greenwich achieved 903 and Islington achieved nearly double Lewisham’s rate at 1506.
  • Only 7% of Lewisham’s estimated smokers aged set a quit date with the service
  • 44% of those setting a date to quit were successful at 4 weeks • 52 pregnant women quit.
  • Lewisham’s poorest wards recorded the highest no of smoking quits, a correlation which doubled in 2009/2010.
  • 15% of those setting a date to quit were of black Caribbean or black African background; 65% were white.

In 2010/11:-

  • Lewisham recorded 1671 quits; 30% over target.
  • 3,600 people set a date to quit. This is 6-10% of Lewisham’s smokers.
  • 88 pregnant women set a date to quit and 43 quit: 49% success rate.
  • 46% of all those who set a quit date had quit at 4 weeks.
  • 29% of those who quit were from ethnic minorities; 8.4% black Caribbean, 2.6% black African, 1.3% other black groups, 3% all Asian groups, 5.2% mixed parentage, 4.3% Chinese and other groups, 3.9% not stated.

Whilst Lewisham’s Stop Smoking Service has exceeded its target for the past two years it is important to note that its level of performance was lower than other similar boroughs, in and outside London in the first 9 months of 2010/11. See figures 3 & 4.

Figure3

Source: NHS Information Centre Stop Smoking Services

 

Figure4

Source: NHS Information Centre Stop Smoking Services

 

Deprivation and quitting
There is a correlation between dates set to quit smoking and the Index of Multiple Deprivation (IMD), this correlation has become stronger in 2009/10 compared with 2008/09. It shows there has been an increase in the numbers of people setting a date to quit smoking in the most deprived wards of Lewisham (Figure 5). Figure 6 shows the breakdown of those setting a date to quit by ward, in descending order of IMD.

Figure 5

Figure 6

Pregnant Women quits
In 2008, there was a change in the referral system for pregnant women to the stop smoking service. Midwives and health visitors now refer every pregnant woman, partner or parent of a child aged 0-5yrs, who smokes. The number of pregnant women recorded quitting increased from 9 in 2006/7 to 24 in 2007/8, 61 in 2008/9 then dropped a little to 52 in 2009/10 and 43 in 2010/11. The systematic approach to referring pregnant women increased dramatically the number of pregnant women and their partners who use the stop smoking service to quit smoking.

Quits by age
Table 3 shows the distribution of quitters by age for 2008/09 and 2009/10. It shows that there were very few people under the age of 18 who set a quit date. However, the number of young people accessing the service is increasing and doubled between 2008 and 2010. Fewer people over the age of 60 set a date to quit. The rate of successful quitting increases with age. There is a clear gradient in the percentage of successful quitters from 21% in those under 18 to 55% in those over 60 years (2009/10). This has not changed much over the two year period.

Table 3: Those setting a date to quit and the proportions that are successful, by age group, in Lewisham 2008/9 – 2009/10

Source: Lewisham Stop Smoking Service

Ethnic Minorities who Quit Smoking
In Lewisham, 11% of the general population are black African and 13% are black Caribbean and around 15% of the total number of people setting a quit date were black Caribbean or black African (Figure 7). Those from Asian backgrounds make up 6% of the population of Lewisham, 2% of those accessing the Lewisham stop smoking service were from an Asian background.

Figure 7

Source: Lewisham Stop Smoking Service

 

 

 

 

 

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