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Smoking cessation services can reduce inequalities in smoking by targeting services to low-SES smokers and can be cost-effective.



UK NHS stop-smoking services that target low-SES smokers achieve a relatively higher service uptake among low-SES smokers and appear to have an overall positive equity impact on smoking prevalence.

Exposing members of a carpenters union to a smoking cessation program combining telephone counseling sessions and pharmacotherapy resulted in medical cost savings for quitters that were 15 times larger than the cost of the program, and yielded an annual return on investment of 27.6%.  This return is comparable to that of a state-level comprehensive smoking cessation program yielding a 26% return on investment. 

Even though smokers with history of mental illness report lower quit rates compared to smokers without such history, treatments for smoking dependence are as effective among people with a history of mental illnesses as among the general population. This means that treating people with history of mental illness is as cost-effective as treating an average smoker. Persons with serious mental illness use, and see success with, the same cessation strategies as persons in the general population.



Brown T, Platt S, Amos A. Equity impact of European individual-level smoking cessation interventions to reduce smoking in adults: a systematic review. Eur J Public Health. 2014; 24: 551-556.

Ringen K, Anderson N, McAfee T, Zbikowski SM, Fales D. Smoking cessation in a blue-collar population: results from an evidence-based pilot program. Am J Ind Med. 2002; 42(5): 367-377.

Rumberger JS, Hollenbeak CS, Kline D. Potential Costs and Benefits of Smoking Cessation in the United States. Penn State, April 30, 2010.

Lasser K, Boyd JW, Woolhandler S, Himmelstein DU, McCormick D, Bor DH. Smoking and mental illness: A population-based prevalence study. JAMA. 2000; 284(20): 2606-2610.

Dickerson F, Bennett M, Dixon L, Burke E, Vaughan C, Delahanty J, Diclemente C. Smoking cessation in persons with serious mental illnesses: the experience of successful quitters. Psychiatr Rehabil J. 2011; 34(4): 311-6.

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