joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
The prevalence of smoking during pregnancy and after birth was 29% at baseline
(2005/2006) and the target was to reduce the prevalence to 25% with a „stretch‟ target to
reduce the prevalence to 24%. The 2007/2008 figure of 27.2% was slightly short of the
target of 27%, but the 2008/2009 figure of 25.6% exceeded the target of 26%. The two
year average prevalence is 26.4% requiring a reduction of 1.4 percentage points to
achieve the 2009/2010 target. The prevalence for the first quarter of 2009/2010 (April to
June 2009) was considerably lower with 904 maternities of whom 168 were smokers at
the time of delivery representing a prevalence of 18.6%. However, this was particularly
low and the overall prevalence for the whole year 2009/2010 was 23.1% (Figure 83),
which was only 0.1 percentage points higher than the target of 23%.
There was also a WCC target for the number of people who stop smoking through
attendance at the Stop Smoking Service which was measured at four weeks (the target
was 2,610 people in the first year 2008/2009 and 3,000 annually thereafter until
2012/2013). These are challenging targets, given that in 2007/2008, 1,772 4-week quits
were achieved amongst referrals to the Hull‟s Stop Smoking Service. This did, however,
represent two-thirds of all who had set a quit date, which was one of the highest
conversion rates in England, and substantially higher than the 52% of quit dates set
converted to 4-week quits in England. If the percentage of successful quitters in Hull is
maintained at around two-thirds, then this will require at least 4,500 people to set a quit
date after referral to the Stop Smoking Service to provide an annual number of 3,000 4week
quitters. The number of 4-week quits was 3,500 for 2009/2010 (Table 102) with
1,856 confirmed by carbon monoxide validation. Therefore, the target of 3,000 4-week
quits for 2009/10 was achieved. It is possible that the number of 4-week quits will not be
a national target, but it could be retained as a local target, and it is anticipated that there
will generally be a link between the rate of 4-week quits and overall smoking prevalence.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 272