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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

were obese. This report also includes additional information on the prevalence of<br />

smoking heavily and factors predicting higher levels of smoking, etc. The report is<br />

available at www.hullpublichealth.org.<br />

Further information on attitudes to smoking is given in section 8.3 on page 244 and in<br />

section 8.4.4 on page 257.<br />

Social marketing work has been undertaken in relation to smoking and COPD (see<br />

section 10.5.3.11 on page 631 for more information). An important finding with regard<br />

to smoking was that there was a perceived health danger relating to quitting smoking<br />

“quit and you‟ll die!”.<br />

“She snuffed it with lung cancer after she chucked it for three years.”<br />

“He stopped, the year after he died.”<br />

“I think you can do a lot of harm, you will be dead within six months.”<br />

“My wife‟s mother … she died of cancer but she never had it when she smoked.”<br />

“People smoke all these years and then stop, they get a disease or something.”<br />

8.4.8 Stop Smoking Service<br />

Smoking cessation statistics by financial year are published each year by the NHS<br />

Information Centre for Health and Social Care (Information Centre for Health and Social<br />

Care 2010). PCT level summaries are provided, together with breakdowns at PCT level<br />

by broad age band and by gender, although not age band within gender. Data are also<br />

produced by ethnicity, but not at a PCT level, so are not presented here. Data that are<br />

published at a PCT level includes the number and rate per 100,000 setting quit dates,<br />

the number and rate per 100,000 of successful quitters (4-week quits), where “A client is<br />

counted as a „self-reported 4-week quitter‟ if when assessed 4 weeks after the<br />

designated quit date, they declare that they have not smoked, even a single puff on a<br />

cigarette, in the past two weeks.” (Information Centre for Health and Social Care 2010).<br />

Also published by PCT were the numbers lost to follow-up and the numbers of 4-week<br />

quits that were confirmed by carbon monoxide (CO) validation. Rates in each case<br />

have been recalculated using the ONS mid-year population estimates for 2009.<br />

Table 102 contains the smoking cessation statistics for 2009/10 broken down by<br />

gender, for Hull, comparator PCTs (see section 3.3.3 on page 44), Spearhead PCTs,<br />

plus regional and national comparisons. The rate of quit dates set in Hull during<br />

2009/2010 was around 10% higher than the comparator PCT average, 14% higher than<br />

the Spearhead PCT average, and 40-50% higher than the regional and national<br />

averages. Hull was more successful than comparators in converting quit dates set into<br />

self-reported 4-week quits, achieving a conversion rate of 62%, compared with 43% in<br />

comparator PCTs, 47% in Spearhead PCTs, 53% across the region and 49% nationally,<br />

giving self-reported 4-week quit rates between 40% and 100% higher than in<br />

comparators, with the greatest difference in women. Hull was also more successful at<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 260

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