The Open UniversitySkip to content

Can smoking cessation services be better targeted to tackle health inequalities? Evidence from a cross-sectional study

Blackman, Tim (2008). Can smoking cessation services be better targeted to tackle health inequalities? Evidence from a cross-sectional study. Health Education Journal, 67(2) pp. 91–101.

Full text available as:
[img] Microsoft Word (Accepted Manuscript)
Download (101kB)
DOI (Digital Object Identifier) Link:
Google Scholar: Look up in Google Scholar


Objective: To investigate how smoking cessation services could be more effectively targeted to tackle socioeconomic inequalities in health. Design Secondary analysis of data from a household interview survey undertaken for Middlesbrough Council in north east England using the technique of Qualitative Comparative Analysis. Setting Home-based interviews in Middlesbrough.

Method: Qualitative Comparative Analysis of data for 2882 respondents aged 16 years or over. Smoking prevalence was calculated for different combinations of respondents' characteristics: worklessness, income, education, neighbourhood liveability and neighbourliness.

Results: Smoking prevalence ranged from 74.5 per cent to 10.3 per cent across 19 combinations of the selected characteristics. Almost all combinations with smoking rates higher than 50 per cent included worklessness. One other combination exceeded 50 per cent and included respondents reporting all of the following: unhelpful neighbours, no further education, low liveability and low income. The combinations with the lowest smoking prevalences had only one or two of these characteristics present and the very lowest prevalence of 10.3 per cent was associated with all being absent. If unhelpful neighbours were present in any combination smoking rates were moderately high (32.4 per cent or higher).

Conclusions: The analysis points to important features of the context of smokers' lives. By improving these conditions, appreciable reductions in smoking prevalence are likely. These reductions might be even greater if interventions to improve neighbourhoods and job opportunities are combined with the timely provision of smoking cessation services. Targeting these transitions could be a more effective strategy than simply targeting all deprived neighbourhoods.

Item Type: Journal Item
Copyright Holders: 2008 Sage Publications.
ISSN: 1748-8176
Project Funding Details:
Funded Project NameProject IDFunding Body
Not SetNot SetMiddlesbough Council
Keywords: smoking; qualitative comparative analysis; England; Middlesbrough
Academic Unit/School: Other Departments > Vice-Chancellor's Office
Other Departments
Item ID: 30974
Depositing User: Tim Blackman
Date Deposited: 12 Jan 2012 10:23
Last Modified: 11 Jan 2018 16:02
Share this page:


Altmetrics from Altmetric

Citations from Dimensions

Download history for this item

These details should be considered as only a guide to the number of downloads performed manually. Algorithmic methods have been applied in an attempt to remove automated downloads from the displayed statistics but no guarantee can be made as to the accuracy of the figures.

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU