Background: Tobacco is the leading cause of preventable death in Ireland; half of all long-term smokers die prematurely from smoking-related diseases. Achieving 'Tobacco Free Ireland' (a smoking prevalence of less than 5%) will require the prevention of smoking initiation and the promotion of smoking cessation.
Methods: A secondary analysis of Healthy Ireland 2015 was undertaken to identify determinants of smoking cessation attempts and the use of smoking cessation aids in the general adult population in Ireland.
Results: The majority of quit attempts were made unassisted. A number of factors including motivation to quit, tobacco dependency, deprivation, age, and chronic disease were found to be associated with making a quit attempt and with the use of help in a quit attempt; however, the effect of these determinants was not all the same. The odds of making a quit attempt decreased (adjusted OR 0.97, 95% CI 0.96 to 0.99) for every increase in cigarette smoked per day, but when a quit attempt was made, the odds of using help increased (adjusted OR 1.04, 95% CI 1.01 to 1.06). Older smokers were less likely to have made a quit attempt than younger smokers (OR 0.66, 95% CI 0.45 to 0.98) but were nearly twice as likely to have used help in a quit attempt (OR 1.93, 95% CI 1.06 to 3.54).
Conclusions: This study highlights the need to strengthen smoking cessation in Ireland to increase the number of smokers that successfully quit and achieve a Tobacco Free Ireland. The development and implementation of National Clinical Guidelines for the Diagnosis and Treatment of Tobacco Addiction will play a key role in this.
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