Christianna Kyriacou, James Brown and Alison Rodger
Anna Bootle Stop Smoking Advisor, Royal Free London NHS Trust
Jonathan Tse Health Psychology Trainee, Royal Free London NHS Trust
Background: HIV positive individuals are more likely to smoke than the general population and are at greater risk of smoking related illness. There is a need to improve provision of stop smoking services (SSS) for this population.
To assess screening for smoking, provision of Very Brief Advice (VBA) and offer of referral to a SSS as part of routine HIV care.
1,548 individuals were screened from October 2014 to October 2015: 385 (25%) were smokers; 372 (97%) smokers were given VBA and offered referral to smoking cessation services. Of these, 154 (40%) accepted referral. This compared to 6 referrals from the HIV outpatient service in the preceding 6 months.
We have followed-up 125 individuals referred to SSS. Of these, 37 (30%) attended SSS. Reasons for not attending included: referral not received (37 patients), patient DNA (35 patients), seen by GP or alternative service (7 patients) or quit independently (5 patients). 20 individuals reported quitting, of whom 15 had a sustained quit measured at 3 months.
Screening and VBA as part of routine HIV care significantly increases referral rates to SSS however the poor uptake of SSS may indicate that dedicated services are needed for this group.
Anna Bootle is a Health Psychologist working across 3 hospitals in North London. She has a specialist interest in smoking cessation in pregnancy.