Smoking cessation - Special interest

Between 2008 and 2017 smokers appear to have become less dependent on cigarettes but also less likely to try to quit or cut down. For those who tried to quit, fewer used behavioural support and more used pharmacological support, a study has found.

More than a third of smokers who completed a pilot study of e-cigarettes as a smoking cessation aid quit smoking.

Smoking cessation in pregnant women is associated with a reduced risk of preterm birth, a large study from the United States has shown. Information was obtained from live birth certificates issued between 2011 and 2017 as part of the US National Vital Statistics System. Overall, 25,233,503 pregnant women who delivered live neonates and had data recorded on pre-pregnancy and trimester-specific cigarette smoking frequency were included in the analysis.

A steady decline in cigarette smoking in adults between 1993 and 2017 and a decrease in the number of both men and women drinking at harmful levels between 2011 and 2017 are key findings from the Health Survey for England (HSE) 2017. Nevertheless, smoking remains the leading cause of preventable illness and premature death and alcohol remains a causal factor in numerous medical and mental health conditions, including cancer, cirrhosis, hypertension, depression, and accidents and injuries.

18% of all deaths in adults aged 35 or over in England are still attributable to smoking. Almost all these premature deaths could be avoided if smokers stopped before their mid-thirties but only a quarter of people who have ever smoked regularly manage to quit by this age. GP advice is one of the most important triggers to a smoker making an attempt to quit. Evidence shows that offering help to all smokers is easier, quicker and likely to be more effective than just advising smokers to stop or asking whether they are interested in quitting.