Smoke-free implementation in the Sheffield NHS trust

Public Health England | December 2018 | Smoke-free implementation in the Sheffield NHS trust

Sheffield Health and Social Care NHS Foundation Trust is  reducing harm from tobacco to service users and staff, addressing complex implementation challenges.

Sheffield Health and Social Care NHS Foundation Trust (SHSC)  are working to address the prevalence of smoking in the city. In 2016 over 66% of people admitted to their inpatient wards, and over 40% of people on the mental illness register in Sheffield, were recorded as smoking. This compared with a smoking prevalence of just 16% in the general Sheffield population (Source: Public Health England).

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The case study from Public Health England covers the key successes and challenges of the project and identifies the next steps.

Read the full case study from Public Health England

Smoking in the home:  New solutions for a Smokefree Generation

ASH| November 2018 | Smoking in the home:  New solutions for a Smokefree Generation

ASH (Action on Smoking) has published Smoking in the home:  New solutions for a Smokefree Generation; the report calls for collaboration between partners including housing, public health, environmental health, trading standards and the fire service to address the harms from smoking and intervene in communities with the highest rates of smoking.

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Image source: ash.org.uk

The recommendations have been informed by close working with professionals from across a range of sectors, engagement with tenants in the private and social sectors, and through analysis of national datasets and published evidence (Source: ASH).

Full report

Executive summary 

NICE Talks: How do we help people quit smoking?

NICE Talks | October 2018 | How do we help people quit smoking?

In the latest podcast from NICE Talks,  Martin Dockrell, Tobacco Control Programme Lead from Public Health England chats about how to help people stop smoking. There is also talk about the best interventions to help people quit smoking and find out the truth about e-cigarettes. James and Lorna, from smoking cessation charity FRESH, tell NICE Talks their stories about giving up smoking. 

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Listen via SoundCloud 

Health matters: stopping smoking – what works?

Public Health England | September 2018 |Health matters: stopping smoking – what works?

New guidance published in time for next month’s Stoptober campaign from Public Health England,  focuses on the range of smoking quitting routes that are available and the evidence for their effectiveness. Two-thirds of smokers say they want to quit, however most try to do so unaided, which is the least effective method. Smokers who get the right support are up to four times as likely to quit successfully. This latest edition of Health Matters covers smoking quitting routes and the evidence for their effectiveness, including the evidence on e-cigarettes. (Source: PHE).

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Read it online at PHE 

Stoptober Campaign 2018

Public Health England | September 2018 |One person quits smoking every 80 seconds in England

This year’s Stoptober campaign is offering a free online ‘Personal Quit Plan’ to help smokers find the right stop smoking support for them. The online plan asks a number of questions and provides smokers with a suggested combination of support based on their level of tobacco dependency and what quitting support they have used previously.

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Smokers will be advised that nicotine replacement therapy (NRT) products are most effective when used in combination – an all-day patch together with a fast-acting option such as an inhaler or lozenges to help them deal with any immediate cravings (Source: PHE).

Of interest:

ASH  New data shows smokers are getting the message on e-cigarette

In the news:

Yorkshire Evening Post Just one in ten of us will be smokers in 2023, say health officials

BBC News ‘Don’t go cold turkey’ to quit smoking 

UCL research indicates that arteries of youths who smoke and drink are already starting to stiffen

UCL | August 218 |UCL research indicates that arteries youths who smoke and drink are already starting to harden 

New research from University College London (UCL) shows that smoking and drinking even infrequently and at lower levels (than in adult studies) as a youth , is linked to loss of arterial elasticity (arterial stiffening) (via UCL).

The study used analysed data from  more than 1,200 adolescents from Children of the 90s, the Avon Longitudinal Study of Parents and Children (ALSPAC), during a five-year period between 2004 and 2008.

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“We found that in this large contemporary British cohort, drinking and smoking in adolescence, even at lower levels compared to those reported in adult studies, is associated with arterial stiffening and atherosclerosis progression,” said senior author, Professor John Deanfield (UCL Institute of Cardiovascular Science).

Interestingly the research team also discovered “that if teenagers stopped smoking and drinking during adolescence, their arteries returned to normal suggesting that there are opportunities to preserve arterial health from a young age.”

Dr Mariettta  Charakida who was part of the team involved in the research said: “The age at which participants started drinking alcohol was not associated with arterial health, suggesting that duration of exposure might not be that important at this young age,” added Dr Charakida. “In addition, no beneficial effect of low alcohol consumption was found with regards to arterial health.”

Read the full press release at UCL

The research article is published in the European Heart Journal 

Abstract

Aims

To determine the impact of smoking and alcohol exposure during adolescence on arterial stiffness at 17 years.

Methods and results

Smoking and alcohol use were assessed by questionnaires at 13, 15, and 17 years in 1266 participants (425 males and 841 females) from the ALSPAC study. Smoking status (smokers and non-smoker) and intensity (‘high’ more than or equal to 100, ‘moderate’ 20–99, and ‘low or never’ less than 20 cigarettes in lifetime) were ascertained. Participants were classified by frequency (low or high) and intensity of drinking [light (LI less than 2), medium (MI 3–9), and heavy (HI more than 10 drinks on a typical drinking day)]. Carotid to femoral pulse wave velocity (PWV) was assessed at 17 years [mean ± standard deviation and/or mean difference (95% confidence intervals)]. Current smokers had higher PWV compared with non-smokers (P = 0.003). Higher smoking exposure was associated with higher PWV compared with non-smokers. Participants who stopped smoking had similar PWV to never smokers (P = 0.160). High-intensity drinkers had increased PWV. There was an additive effect of smoking intensity and alcohol intensity, so that ‘high’ smokers who were also HI drinkers had higher PWV compared with never-smokers and LI drinkers [mean adjusted increase 0.603.

Conclusion

Smoking exposure even at low levels and intensity of alcohol use were associated individually and together with increased arterial stiffness. Public health strategies need to prevent adoption of these habits in adolescence to preserve or restore arterial health.

Full reference: Charakida, M. et al.| 2018|Early vascular damage from smoking and alcohol in teenage years: the ALSPAC study|European Heart Journal|  ehy524 |https://doi.org/10.1093/eurheartj/ehy524

This article can be requested by Rotherham NHS staff here 

 

In the news:

BBC News Teenagers who smoke and drink suffer ill effects by age of 17

US study finds cannabis use increases among parents with children in the home

New research from scientists at Columbia University’s Mailman School of Public Health and City University of New York indicates that parents who smoke cigarettes in the home are also up to four times more likely to smoke cannabis than parents who do not smoke cigarettes (via Science Daily).

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A paper based on the research has been published online in the June version of Pediatrics, where the full article may be read

Abstract
Background: In this study, we investigated trends in cannabis use among parents with children at home in the United States and estimated changes in prevalence of any cannabis use and daily cannabis use among parents who identified as cigarette smokers and nonsmokers with children in the home from 2002 to 2015.

Methods: The National Survey on Drug Use and Health is an annual, nationally representative, cross-sectional study conducted in the United States. Using logistic regression models, associations between cigarette smoking and any past-month and daily past-month cannabis use among parents with children in the home from 2002 to 2015 were estimated. Moderation of these associations by demographics and trends over time was examined.

Results: Past-month cannabis use among parents with children in the home increased from 4.9% in 2002 to 6.8% in 2015, whereas cigarette smoking declined from 27.6% to 20.2%. Cannabis use increased from 11.0% in 2002 to 17.4% in 2015 among cigarette-smoking parents and from 2.4% to 4.0% among non–cigarette-smoking parents (P value for trends less than .0001). Cannabis use was nearly 4 times more common among cigarette smokers versus nonsmokers, as was daily cannabis use . The overall percentage of parents who used either cigarettes and/or cannabis decreased from 29.7% in 2002 to 23.5% in 2015.

Conclusions: Efforts to decrease secondhand smoke exposure via cigarette smoking cessation may be complicated by increases in cannabis use. Educating parents about secondhand cannabis smoke exposure should be integrated into public education programs on secondhand tobacco smoke exposure.

Full reference:

Goodwin, R. D.,  et al | Trends in Cannabis and Cigarette Use Among Parents With Children at Home: 2002 to 2015Pediatrics| 2018| e20173506 | DOI: 10.1542/peds.2017-3506