![]() But it can be difficult to know what to say to someone who is trying to stop for fear of ‘getting it wrong’. People who are trying to stop smoking need support. This resource sets out the actions that PHE, together with its stakeholders, can take to boost the numbers of people who try to quit and succeed.Talking to someone who is stopping smoking We’ll also address the unacceptably high numbers of people dying from smoking related diseases: 78,200 in 2013. This seems to apply both to the general population as well as to people with mental health problems.Īcross the population, we’ll do more to tackle health inequalities if we’re able to reduce smoking rates in more disadvantaged groups. It is also associated with improvements in mental health, including depression, anxiety and stress. Stopping can also help to improve symptoms of mental health problems in the longer term. After 1 year, the added risk of a heart attack falls to about half of that of a smoker’s. Within 1 to 9 months of quitting, coughing and shortness of breath decrease. ![]() After just 48 hours of stopping, there’s no nicotine in the body and quitters may start noticing that things smell and taste better. Quitters will start to see benefits quickly and these increase dramatically the longer they stay smokefree. The prize is huge, both for individuals and the population as a whole. We need to step up our efforts to help people quit, especially those groups with the highest smoking rates and lowest quit rates. The National Social Marketing Centre has a tool to calculate the savings and cost-effectiveness of social marketing projects to reduce smoking. NICE guidance also includes tools that show the financial impact of brief interventions and referrals by GPs (PH1), and the cost-effectiveness of workplace interventions to promote smoking cessation (PH5). ![]() For example, people with mental health problems may need higher doses of NRT and more intensive behavioural support than the general population. Services also need to be responsive to local needs and targeted to provide the right support to the people who need it most. Health professionals, such as GPs, midwives, pharmacists, dental teams and mental health staff are often well placed to refer smokers to these services. Stop smoking services need good referral routes. Instead, most smokers use the quitting methods with the least evidence of effectiveness. Around 450,000 people set a quit date through stop smoking services from April 2014 to March 2015. However, the number of people using these services is falling. They are up to 4 times more effective than no help or over the counter nicotine replacement therapy ( NRT). Local stop smoking services offer the best chance of success. To improve their chances of quitting, all smokers need: The Local Tobacco Control Profiles for England provide a snapshot of the extent of tobacco use, tobacco-related harm and measures being taken to reduce this harm at local level. At the time of their babies’ birth, over 1 in 4 pregnant women are recorded as smokers in Blackpool, but fewer than 2 in 100 in the London Borough of Westminster. Smoking in pregnancy increases the risks of miscarriage, stillbirth or having a sick baby, and is a major cause of child health inequalities. There are relatively high smoking levels among certain demographic groups, including Bangladeshi, Irish and Pakistani men and among Irish and Black Caribbean women. Smoking is twice as common in people with longstanding mental health problems. Men and women from the most deprived groups have more than double the death rate from lung cancer compared with those from the least deprived. Smoking is increasingly concentrated in more disadvantaged groups and is the main contributor to health inequalities in England. People in more deprived areas are more likely to smoke and are less likely to quit. Smoking and the harm it causes aren’t evenly distributed.
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